Patient Access & Insurance Specialist

Memorial Healthcare; United States; On-site; USD 42,000 - 64,000; Full time

Job summary

Memorial Healthcare System in the United States seeks a role that determines and verifies insurance coverage, coordinates benefits, and handles authorizations for outpatient services. You will schedule physician orders, discuss financial responsibilities with patients, collect upfront payments, and manage records of calls and insurance data to ensure accurate billing.

The candidate will document call details, update insurance data, and ensure compliance with payment procedures while supporting

Qualifications

• High School Diploma or Equivalent required.
• Preferred experience with hospital authorizations and health insurance knowledge.
• Complexity of Work: requires excellent communication skills, critical thinking, decisive judgment and the ability to work with minimal supervision.
• No prior experience required.

Responsibilities

• Handle inbound and/or outbound calls to perform all pre-service functions including scheduling, authorizations, benefits, and patient responsibilities.
• Document appropriate record with the details of the call and the call disposition.
• Inputs and/or reviews insurance benefits for the patient account and re-runs estimates when needed.
• Updates patient insurance information into the patient record to ensure correct billing and net revenue estimation.
• Notifies patient of their financial responsibility for services and educates guarantor about out-of-pocket costs, collecting pre-service payments as applicable.

Skills

Accountability

Accuracy

Customer Service

Effective Communication

Organization Skills

Patient-Centered Care

Problem Solving

Productivity

Responding to Change

Standards of Behavior

Team Work

Education

High School Diploma or Equivalent

Job description

Memorial Healthcare System in the United States seeks a role that determines and verifies insurance coverage, coordinates benefits, and handles authorizations for outpatient services. You will schedule physician orders, discuss financial responsibilities with patients, collect upfront payments, and manage records of calls and insurance data to ensure accurate billing.

The candidate will document call details, update insurance data, and ensure compliance with payment procedures while supporting