Patient Access & Revenue Navigator

Emerus; San Antonio (TX); On-site; USD 42,000 - 56,000; Full time

Job summary

Emerus in Texas is seeking a Patient Access Specialist to join our admissions team at the Kelly facility. You will verify demographics, collect out-of-pocket responsibility, and secure billing details to maximize hospital reimbursement while upholding EMTALA, HIPAA, and other regulations.

You will provide excellent customer service, answer calls, obtain signatures, verify insurance benefits, and coordinate transfers as needed.

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; bilingual in English & Spanish 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

Customer service

English fluency

Spanish language (El Paso market)

Education

High School Diploma or GED

Tools

MS Office

Job description

Emerus in Texas is seeking a Patient Access Specialist to join our admissions team at the Kelly facility. You will verify demographics, collect out-of-pocket responsibility, and secure billing details to maximize hospital reimbursement while upholding EMTALA, HIPAA, and other regulations.

You will provide excellent customer service, answer calls, obtain signatures, verify insurance benefits, and coordinate transfers as needed.