Patient Access Specialist

Heywood Medical Group; Gardner (MA); On-site; USD 21,000 - 29,000; Full time

Job summary

Heywood Medical Group in Massachusetts is seeking a Patient Registration Specialist to handle registration, scheduling, and insurance verification across ER, admitting, and the scheduling office. You will register patient accounts and ensure authorizations are valid to support smooth patient flow.

You will join a team that values accuracy, customer service, and efficient processes, with responsibilities including collecting demographics, verifying eligibility within 24 hours, and coordinating

Qualifications

• Minimum Education: High school graduate; formal training beyond High School preferred.
• Medical terminology, spelling competence and computer experience essential.
• Excellent communication skills and the ability to perform multiple tasks with minimal supervision.

Responsibilities

• Initiates the Patient Registration process by conducting a thorough interview to obtain accurate patient demographics and insurance information.
• Obtains a signature from the patient or the patient’s representative to ensure the appropriate signatures are on file in Medical Records.
• Contacts insurance companies to verify insurance eligibility, benefits and mailing address within 24 hours of admission for inpatient, observations and SDC accounts
• Collaborates with the patient care staff to determine bed assignments so the emergency department and physicians are notified of bed availability and charts are delivered to the floor as soon as possible.
• Contacts insurance companies to verify insurances eligibility for outpatient accounts
• Obtains surgery information from the surgeon’s office and generates pre-operation and surgical account numbers, enabling a smooth patient flow of patients to SDC
• Facilitates the admitting portion of the pre-operative testing process, so there is a smooth process flow of patient’s to Surgical Day Care, with the correct account information
• Prioritizes and reprioritizes work based on the changing needs of the customers
• When assigned to cover scheduling operations, performs all job duties assigned to this position
• Accurately files outpatient orders and has a working knowledge in standing orders and the process of notifying MD of expiration date
• Assists manager, as directed, in the training of new employees regarding patientaccess processes in an accurate and complete manner
• Maintains a working knowledge of registration policies and procedures and provides coverage for the ED Registration staff for breaks and days off
• Maintains a working knowledge of Admitting, Outpatient, and ED Registration computer down-time procedures
• Contributes to the design, development, and maintenance of systems that help the department run efficiently
• Reflects a positive attitude in daily work and complies with performance standards
• Attends a minimum of 8 department staff meetings per year
• Access all electronic and web based payers to obtain eligibility information
• Registers MABR’s within one hour of receipt
• Contacts insurance companies and MD offices to ensure Endo authorizations are completed and accurate
• Notifies supervisor of backlogs or obstacles that prevent completion of duties
• Completes all status changes accurately and notifies the insurance companies if needed
• Correctly spells all information, especially diagnosis on documents
• Compiles daily, weekly, and monthly data and statistics as requested
• Inputs and scans insurance authorizations when paperwork is provided

Skills

Communication

Multitasking

Customer service

Interpersonal skills

Education

High school diploma

Formal training beyond High School

Tools

Meditech

Job description

Heywood Medical Group in Massachusetts is seeking a Patient Registration Specialist to handle registration, scheduling, and insurance verification across ER, admitting, and the scheduling office. You will register patient accounts and ensure authorizations are valid to support smooth patient flow.

You will join a team that values accuracy, customer service, and efficient processes, with responsibilities including collecting demographics, verifying eligibility within 24 hours, and coordinating