Patient Access & Insurance Verification Specialist

RiseMe; Rockwall (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

Emerus is seeking a Patient Access Specialist to serve as a liaison among patients, payers, Patient Financial Services, and hospital teams. You will collect demographic information, verify insurance, and secure out-of-pocket payments to maximize reimbursement.

You will ensure EMTALA, DNV, and HIPAA compliance, deliver excellent customer service, and support patient flow by accurate data entry, medical records maintenance, and coordinating patient transfers when needed.

Qualifications

• 2 years of patient registration and insurance verification experience in a health care setting.
• Emergency Department registration experience is strongly preferred.
• Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required.
• Basic understanding of medical terminology.
• Fluency in English; Spanish proficiency 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
• Verify insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into the patient accounting system
• 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

Customer service

Education

High School Diploma or GED

Tools

MS Office

Job description

Emerus is seeking a Patient Access Specialist to serve as a liaison among patients, payers, Patient Financial Services, and hospital teams. You will collect demographic information, verify insurance, and secure out-of-pocket payments to maximize reimbursement.

You will ensure EMTALA, DNV, and HIPAA compliance, deliver excellent customer service, and support patient flow by accurate data entry, medical records maintenance, and coordinating patient transfers when needed.