Patient Access & Insurance Verification Specialist

Emerus; Rockwall (TX); On-site; USD 32,000 - 48,000; Full time

Job summary

Emerus, a leader in small-format hospitals, seeks a Patient Access Specialist to coordinate patient intake and insurance verification, maximizing hospital reimbursement. You will collect demographic data, secure out-of-pocket responsibilities, and support revenue-cycle processes with strong customer service and accuracy.

Ideal candidates have at least 2 years in patient registration, familiarity with HMO/PPO/Medicare/Medicaid, and proficiency in MS Office.

Qualifications

• High School Diploma or GED, required.
• 2 years of patient registration and insurance verification experience in a health care setting, preferred.
• Emergency Department registration experience, strongly preferred.
• Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required.
• Basic understanding of medical terminology.
• Excellent customer service.
• Working knowledge of MS Office (Word, Excel, Outlook).
• Position requires fluency in English; written and oral communication. Fluency in English & Spanish is required in the El Paso Market.

Responsibilities

• Maintain compliance with EMTALA, DNV, HIPAA and all other hospital and government regulations applicable to the Admissions settings and in handling of Medical Records
• Provide excellent customer service at all times by effectively meeting customer needs, understanding who the customers are, and building quality relationships
• The Patient Access Specialist plays a role in protecting patient safety by ensuring each patient is properly identified and triaged when they arrive to the hospital
• Answer telephone in a professional and courteous manner, record messages and communicate to appropriate medical staff
• Provide and obtain signatures on required forms and consents
• Obtain, verify, and enter complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle
• Verify insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into the patient accounting system
• Obtain insurance authorizations as required by individual insurance plans where applicable
• Maximize the efficiency and accuracy of the collection process by pursuing collections at the time of service in a customer service-oriented fashion
• Scan all registration and clinical documentation into the system and maintain all medical records
• Assist with coordinating the transfer of patients to other hospitals when necessary
• Respond to medical record requests from patients, physicians and hospitals
• Maintain cash drawer according to policies
• Maintain log of all patients, payments received, transfers and hospital admissions
• Maintain visitor/vendor log

Skills

Fluency in English

Customer service

Knowledge of medical terminology

Education

High School Diploma or GED

Tools

MS Office (Word, Excel, Outlook)

Job description

Emerus, a leader in small-format hospitals, seeks a Patient Access Specialist to coordinate patient intake and insurance verification, maximizing hospital reimbursement. You will collect demographic data, secure out-of-pocket responsibilities, and support revenue-cycle processes with strong customer service and accuracy.

Ideal candidates have at least 2 years in patient registration, familiarity with HMO/PPO/Medicare/Medicaid, and proficiency in MS Office.