Patient Access & Insurance Verification Specialist

IRMC Main Hospital; Indiana (PA); On-site; USD 32,000 - 52,000; Full time

Job summary

IRMC Main Hospital in the United States seeks a patient access specialist responsible for greeting patients, registering inpatients and outpatients, verifying demographics, insurance, and financial information, and guiding them through the admission process.

You will obtain pre-authorizations, explain hospital policies, collect co-pays, document interactions in the EHR, and collaborate with clinical and billing teams to ensure a smooth patient experience while maintaining HIPAA confidentiality.

Qualifications

• High school diploma or equivalent required.
• 1 year business or medical secretarial curriculum preferred.
• 1–2 years of experience in patient registration preferred.
• Completion of medical terminology course.
• CHAA certification preferred.

Responsibilities

• Greet patients and visitors in a professional and courteous manner.
• Register patients for inpatient, outpatient, and emergency services.
• Accurately collect and verify patient demographic, insurance, and financial information.
• Obtain necessary pre-authorizations and referrals from insurance providers.
• Explain hospital policies, financial responsibilities, and consent forms to patients.
• Collect co-pays, deductibles, and other payments at the time of service.
• Schedule appointments and procedures as required.
• Maintain confidentiality of patient records in accordance with HIPAA.
• Collaborate with clinical and billing departments to ensure a seamless patient experience.
• Resolve patient inquiries and direct complex issues to appropriate departments.
• Document all interactions in the hospital’s electronic health records (EHR) system.
• Maintain knowledge of insurance plans, billing codes, and hospital protocols.

Skills

Customer service

Communication

HIPAA knowledge

Education

High school diploma or equivalent

Medical terminology course

CHAA Certified Healthcare Access Associate (preferred)

Job description

IRMC Main Hospital in the United States seeks a patient access specialist responsible for greeting patients, registering inpatients and outpatients, verifying demographics, insurance, and financial information, and guiding them through the admission process.

You will obtain pre-authorizations, explain hospital policies, collect co-pays, document interactions in the EHR, and collaborate with clinical and billing teams to ensure a smooth patient experience while maintaining HIPAA confidentiality.