Patient Access Specialist

Jobtailor; Norwalk (CT); On-site; USD 40,000 - 60,000; Full time

Job summary

Jobtailor in Norwalk, CT is seeking a detail-oriented Patient Access/Admitting specialist to perform hospital admission tasks, verify eligibility, and process orders. The role emphasizes accuracy in MRN assignment, medical necessity checks, and thorough insurance data collection.

Requirements include 1+ year of customer service, a high school diploma, and CRCR within 6 months. On-site work in Norwalk and US work authorization are mandatory.

Qualifications

• 1+ years of customer service experience.
• High School Diploma/GED required.
• CRCR required within 6 months of hire (company paid).
• Must be able to work on-site in Norwalk, CT.
• Must reside and be authorized to work within the United States.
• Ability to perform admitting duties and comply with organizational policies and regulatory requirements.
• Ability to assign accurate MRNs and complete medical necessity/compliance checks.
• Ability to collect and process insurance, demographic, and patient financial information.
• Ability to operate a telephone switchboard.
• Ability to use insurance verification, eligibility, ABN, overlay, quality auditing, and reporting systems.
• Ability to explain consent, patient education, Medicare, Tricare, observation, and other designated forms.

Responsibilities

• Perform admitting duties for all patients admitted for hospital services.
• Assign accurate MRNs and complete medical necessity and compliance checks.
• Provide patient instructions and collect insurance information.
• Receive and process physician orders.
• Use overlay tools while providing customer service.
• Operate the telephone switchboard and relay calls.
• Meet assigned point-of-service goals.
• Use quality auditing and reporting systems to correct accounts.
• Conduct account audits and provide statistical data to Patient Access leadership.
• Pre-register patient accounts before visits through calls.
• Explain consent forms and witness signatures.
• Explain and distribute patient education and regulatory documents.

Skills

Customer service

Communication

Education

High School Diploma/GED

CRCR Certification

Tools

ABN Software

Telephone Switchboard

Overlay Tools

Reporting Systems

Job description

• Perform admitting duties for all patients admitted for hospital services
• Assign accurate MRNs and complete medical necessity and compliance checks
• Provide patient instructions and collect insurance information
• Receive and process physician orders
• Use overlay tools while providing customer service measured by Press Ganey
• Operate the telephone switchboard and relay incoming, outgoing, and inter-office calls
• Meet assigned point-of-service goals
• Use quality auditing and reporting systems to correct accounts
• Conduct account audits, ensure forms are accurate and timely, and provide statistical data to Patient Access leadership
• Pre-register patient accounts before visits through inbound and outbound calls
• Obtain demographic, insurance, and financial liability information and collect point-of-service and past-due balances, including payment plans
• Explain consent forms, obtain required signatures, and witness names
• Explain and distribute patient education and regulatory documents
• Review insurance eligibility responses, select insurance plan codes, and enter benefit data to support collections and billing
• Screen Medicare medical necessity using ABN software and distribute and document ABNs and other forms

Requirements

• 1+ years of customer service experience
• High School Diploma/GED required
• CRCR required within 6 months of hire (company paid)
• Must be able to work on-site in Norwalk, CT
• Must reside and be authorized to work within the United States
• Ability to perform admitting duties and comply with organizational policies, processes, mission, goals, and regulatory requirements
• Ability to assign accurate MRNs and complete medical necessity/compliance checks
• Ability to collect and process insurance, demographic, and patient financial information
• Ability to operate a telephone switchboard
• Ability to use insurance verification, eligibility, ABN, overlay, quality auditing, and reporting systems
• Ability to explain consent, patient education, Medicare, Tricare, observation, and other designated forms

Core Competencies

Demonstrates expertise in patient admission processes, insurance verification, and compliance checks while providing exceptional customer service. Proficient in operating telephone switchboards and utilizing quality auditing systems to ensure accurate patient account management.

Highest-signal resume keywords

• Patient Admission Duties
• Insurance Verification
• Quality Auditing Systems
• Customer Service Experience
• CRCR Certification

Hard Skills

• Medical Necessity Checks
• MRN Assignment
• Insurance Information Collection
• Account Audits
• Patient Financial Information Processing

Soft Skills

• Customer Service
• Communication

Certifications & Qualifications

• CRCR

Industry Keywords

• Patient Access
• Compliance
• Demographic Information
• Regulatory Documents
• Medicare

Tools & Technologies

• ABN Software
• Telephone Switchboard
• Overlay Tools
• Reporting Systems