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Crystal Clinic Orthopaedic Center in Akron, OH, seeks a Patient Access Specialist to join the front line of care. You will handle registration, scheduling, insurance verification, and customer service to ensure a smooth patient experience from check-in to check-out.
Responsibilities include EMR documentation, eligibility checks, authorizations, and billing-related tasks, with a focus on HIPAA compliance and high-volume workflow across locations.
The Patient Access Specialist serves as a key front-line representative of the organization, providing comprehensive support across patient registration, scheduling, insurance verification, and customer service functions. This role ensures an accurate, efficient, and positive experience for patients by completing check-in and check-out processes, verifying insurance coverage, obtaining authorizations, and maintaining complete and compliant documentation within the Electronic Medical Record (EMR).
Greet patients professionally and complete the check-in/check-out process. Answer patient questions and provide accurate, helpful information. Provide strong customer service and represent the organization positively. Performs chart preparation tasks to support upcoming appointments.
Register patients accurately to ensure integrity of demographic and insurance data. Verify forms for accuracy and ensure documents are scanned into the EMR. Schedule appointments, including telehealth and specialty visits, following guidelines. Build and maintain EMR cases for insurance, authorizations, referrals, and tracking.
Responsible for managing referral and billing related documentation, including obtaining physician signatures for outside referrals in accordance with Medicare guidelines.
Completes the discharge process by entering required dates and scanning required paperwork and ensuring timely transfer of charge sheets to the HIM Department to support efficient and timely billing workflows.
Verify insurance eligibility, perform advanced insurance verification via systems, websites, and phone inquiries. Obtain and process authorizations and ensure compliance with payer requirements.
Provide financial counseling to uninsured or underinsured patients. Collect and post payments and reconcile documentation when needed.
Answer and route phone calls promptly and coordinate communication.
Maintains office supplies and supports general operations. Maintain confidentiality and follow HIPAA, OSHA, and organizational policies.
Provide back-up coverage across departments and locations. Adapt to high patient volumes and shifting priorities.
All other duties not specifically assigned.
Education: High School or GED required. College degree or progress towards degree preferred.
Experience: Prior experience working in a medical office or patient-facing healthcare environment preferred. Minimum of 1 year of customer service, registration, scheduling, or patient access-related experience strongly preferred.
Technical Skills: Strong computer skills and familiarity with office equipment required. Ability to navigate and use Electronic Medical Record (EMR) systems, such as Cerner or Centricity. Ability to learn and train others on scheduling, registration, eligibility verification, and front-desk processes (if applicable to training responsibilities). Proficiency with Microsoft Office applications, including Word, Excel, and Outlook.
At Crystal Clinic, people come first. Join a team that is passionate about delivering exceptional patient care while supporting a healthy work-life balance, professional growth, and career development. With 50+ board-certified physicians and 15+ locations across Northeast Ohio, you'll have the opportunity to learn, grow, and make a meaningful impact alongside some of the region's leading orthopedic specialists.
Join Crystal Clinic and build a rewarding career with an organization committed to helping both patients and employees thrive.