Patient Access & Insurance Verification Specialist

careers-emerus; Rockwall (TX); On-site; USD 38,000 - 52,000; Full time

Job summary

Emerus is seeking a Patient Access Specialist to join our admissions team. You will facilitate patient tracking and billing by collecting demographic data, verifying insurance, and securing out-of-pocket payments to maximize hospital reimbursement.

Responsibilities include ensuring EMTALA, HIPAA, and DNV compliance; providing patient-focused service; and coordinating with medical staff during admissions and transfers. English fluency is required; Spanish is needed in the El Paso market.

Qualifications

• High School Diploma or GED required.
• 2 years of patient registration and insurance verification experience preferred.
• Emergency Department registration experience preferred.
• Knowledge of HMOs, PPOs, POS, Medicare and Medicaid plans required.
• Basic medical terminology understanding.
• Excellent customer service skills expected.
• Proficiency in MS Office applications (Word, Excel, Outlook).
• English fluency; Spanish is required in the El Paso market.

Responsibilities

• Maintain EMTALA, DNV, HIPAA compliance in Admissions settings.
• Provide excellent customer service and build relationships with customers.
• Identify and triage patients upon hospital arrival to protect patient safety.
• Answer phones professionally and relay messages to staff.
• Obtain signatures on required forms and consents.
• Enter complete demographic information to facilitate revenue cycle processing.
• Verify insurance benefits and ensure correct payor and plan data in the system.
• Obtain insurance authorizations as needed by plans.
• Pursue collections at the time of service in a customer-focused manner.
• Scan registrations and medical documents into the system and maintain records.
• Coordinate transfers between hospitals when needed.
• Respond to medical record requests from patients and providers.
• Maintain cash drawer and log patient and payment records.
• Maintain visitor/vendor logs.

Skills

Patient registration

Insurance verification

English fluency

MS Office

Education

High School diploma or GED

Tools

MS Office

Job description

Emerus is seeking a Patient Access Specialist to join our admissions team. You will facilitate patient tracking and billing by collecting demographic data, verifying insurance, and securing out-of-pocket payments to maximize hospital reimbursement.

Responsibilities include ensuring EMTALA, HIPAA, and DNV compliance; providing patient-focused service; and coordinating with medical staff during admissions and transfers. English fluency is required; Spanish is needed in the El Paso market.