Patient Access Specialist

Jobtome; Reading (Berks County); On-site; USD 23,000 - 25,000; Full time

Benefits offered by this job

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Career advancement

Job summary

Reading Hospital is seeking an Entry Level Patient Access Specialist to join our on-site team in West Reading, PA. The role focuses on admitting patients, collecting insurance information, and guiding patients through consent and education materials with compassionate service.

Requirements include 1+ year of customer service experience and a willingness to embrace AI-driven process improvements. Certified CRCR within 9 months of hire is provided by the company.

Qualifications

• 1+ years of customer service experience.
• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and improve patient and client experiences.

Responsibilities

• Admit patients and perform admitting duties for all patients admitted for services at the hospital.
• Operate the telephone switchboard to relay calls.
• Provide excellent customer service with appropriate compassion and adhere to policies.
• Achieve point of service goals as assigned.
• Utilize quality auditing and reporting systems to correct accounts and provide data to leadership.
• Pre-register patient accounts and collect demographics, insurance, and financial information.
• Explain consent forms and distribute important patient education documents.
• Review insurance verification and enter benefit data to support POS and billing processes.
• Screen medical necessity using ABN software and distribute forms as required.

Skills

Customer service

AI openness

Education

High School Diploma/GED

Job description

Job Description

ENTRY LEVEL CAREER OPPORTUNITY OFFERING:

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• This position pays between $17.00 - $18.15/hr based on experience

Please read the following job description thoroughly to ensure you are the right fit for this role before applying.

***This position is an onsite role, and candidates must be able to work on-site at Tower - Reading Hospital in West Reading, PA.***

We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for performing these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.

Job Responsibilities:

• Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey.
• Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
• They are to adhere to policies and provide excellent customer service in these interactions with the appropriate level of compassion.
• Patient Access staff will be held accountable for point of service goals as assigned.
• Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities. Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership.
• Patient Access Staff are responsible for the pre-registration of patient accounts prior to patient visits. This may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options.
• The Patient Access Staff explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness’s name. Explains and distributes patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.
• Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
• Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets. xzgxqkn

Experience We Love:

• 1+ years of customer service experience
• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Minimum Education:

• High School Diploma/GED Required

Certifications:

• CRCR Required within 9 months of hire (Company Paid)