Patient Access & Revenue Navigator

Emerus; Menomonee Falls (WI); On-site; USD 25,000 - 39,000; Full time

Job summary

Emerus Holdings, Inc. is seeking a Patient Access Specialist to serve as a liaison between patients, payers, and hospital teams. You will help obtain demographic data, verify insurance, and secure financial responsibility to maximize hospital reimbursement.

You will handle patient check-in tasks, collect information, and ensure accurate entry into the patient accounting system while maintaining HIPAA compliance and high-quality customer service.

Qualifications

• High School Diploma or GED is 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 is required.
• Basic understanding of medical terminology.
• Excellent customer service.
• MS Office knowledge (Word, Excel, Outlook) strongly preferred.
• Position requires fluency in English; bilingual English & Spanish required in El Paso Market.

Responsibilities

• Maintain compliance with EMTALA, DNV, HIPAA and all other hospital and government regulations applicable to Admissions settings and handling Medical Records.
• Provide excellent customer service at all times by effectively meeting customer needs and building quality relationships.
• Identify and triage patients on arrival to the hospital to protect patient safety.
• Answer telephone professionally, record messages and communicate to medical staff.
• Obtain signatures on required forms and consents and verify demographic information on accounts.
• Verify insurance benefits and ensure correct payor and plan in the patient accounting system.
• Obtain insurance authorizations as required by plans.
• Pursue collections at the time of service in a customer-service oriented manner.
• Scan and file registration and clinical documents; maintain medical records.
• Coordinate transfer of patients to other hospitals when necessary.

Skills

Customer service

MS Office

English fluency

Spanish (El Paso market)

Education

High School Diploma or GED

Tools

MS Office Suite

Job description

Emerus Holdings, Inc. is seeking a Patient Access Specialist to serve as a liaison between patients, payers, and hospital teams. You will help obtain demographic data, verify insurance, and secure financial responsibility to maximize hospital reimbursement.

You will handle patient check-in tasks, collect information, and ensure accurate entry into the patient accounting system while maintaining HIPAA compliance and high-quality customer service.