Patient Access & Insurance Verification Specialist

Emerus; Menomonee Falls (WI); On-site; USD 25,000 - 36,000; Full time

Job summary

Emerus in Wisconsin seeks a Patient Access Specialist to act as a liaison among patients, payers and the clinical team. You will collect demographics, verify insurance, and secure out-of-pocket responsibility to maximize hospital reimbursement.

Responsibilities include ensuring accurate registrations, guarding patient information, answering calls, obtaining consents, and supporting admissions, transfers and related revenue-cycle tasks across the hospital setting.

Qualifications

• High School Diploma or GED required.
• 2 years of patient registration and insurance verification experience preferred.
• Emergency Department registration experience strongly preferred.
• Knowledge of insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors.
• Fluency in English; bilingual English & Spanish required in the El Paso Market.

Responsibilities

• Maintain compliance with EMTALA, DNV, HIPAA and all applicable regulations.
• Provide excellent customer service and build quality relationships.
• Identify and triage patients on arrival to protect patient safety.
• Answer phone calls professionally and relay messages.
• Obtain signatures on required forms and consents.
• Enter complete demographic information to facilitate revenue cycle.
• Verify insurance benefits and correct payor and plan in system.
• Obtain insurance authorizations as required.
• Pursue collections at the time of service to maximize reimbursement.
• Scan and file registration and clinical documents.
• Coordinate transfers to other hospitals when necessary.
• Respond to medical record requests from patients, physicians, and hospitals.
• Maintain cash drawer and log patient payments and admissions.
• Maintain visitor/vendor log.

Skills

Customer service

Communication

MS Office

Education

High School Diploma or GED

Tools

MS Word

MS Excel

MS Outlook

Job description

Emerus in Wisconsin seeks a Patient Access Specialist to act as a liaison among patients, payers and the clinical team. You will collect demographics, verify insurance, and secure out-of-pocket responsibility to maximize hospital reimbursement.

Responsibilities include ensuring accurate registrations, guarding patient information, answering calls, obtaining consents, and supporting admissions, transfers and related revenue-cycle tasks across the hospital setting.