Patient Access & Registration Specialist

Emerus Holdings, Inc.; Yocumtown (PA); On-site; USD 36,000 - 51,000; Full time

Job summary

Emerus Holdings, Inc. is seeking a Patient Access Specialist in Pennsylvania to serve as a liaison between patients, payers, and the healthcare team. You will verify demographics, collect out-of-pocket responsibilities, and help maximize hospital reimbursement.

You will maintain HIPAA and EMTALA compliance, provide exceptional customer service, and process registrations, scans, and transfers. Fluency in English is required; bilingual skills may be required in certain markets.

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.
• Fluency in English; written and spoken communication.
• Fluency in English & Spanish is a requirement 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
• Maintain a clean working environment for the facility. This includes the front desk, restroom, waiting room, break area and patient rooms when assistance is needed by medical staff
• Receive deliveries including mail from various carriers and forward to appropriate departments as needed
• Notify appropriate contact of any malfunctioning equipment or maintenance needs
• Attend staff meetings or other company sponsored or mandated meetings as required
• Assist medical staff as needed
• Perform additional duties as assigned

Skills

Customer service

English fluency

Bilingual EN/ES

MS Office

Education

High School Diploma or GED

Tools

MS Word

Excel

Outlook

Job description

Emerus Holdings, Inc. is seeking a Patient Access Specialist in Pennsylvania to serve as a liaison between patients, payers, and the healthcare team. You will verify demographics, collect out-of-pocket responsibilities, and help maximize hospital reimbursement.

You will maintain HIPAA and EMTALA compliance, provide exceptional customer service, and process registrations, scans, and transfers. Fluency in English is required; bilingual skills may be required in certain markets.