Patient Access Specialist

Phelps Health; Rolla (MO); On-site; USD 32,000 - 40,000; Full time

Job summary

Phelps Health is seeking a Patient Services Representative to support patient access and registration at our Missouri facility. You will greet patients, collect demographic and insurance data, verify eligibility, explain benefits, and assist with payments and portal navigation.

The role requires a high school diploma, office or healthcare experience, and strong computer skills. This is a front-line, team-oriented position in a busy hospital setting.

Qualifications

• High School Diploma or GED required.
• Six months of office and/or call center, customer service or healthcare experience preferred.
• Knowledge of computers and other standard office equipment required.
• Proficiency in data entry preferred.
• Graduate of an accredited medical receptionist or similar program, or two years in a health care setting is preferred.

Responsibilities

• Creating a welcoming and efficient environment for patients, addressing their needs, and providing support throughout the initial stages of their healthcare journey.
• Collect accurate demographic information (e.g., name, address, phone number, date of birth, insurance information) and enter it into the system. Update existing patient records with any changes Obtains applicable consents and any required form(s) from patient.
• Verify patients' insurance coverage by contacting insurance providers or EHR Real Time Eligibility, or using online verification systems and ensuring the correct coverage is on the patient’s account.
• Ensure necessary pre-authorizations or referrals for services are obtained. Explain insurance benefits and financial responsibilities to patients.
• Provide exceptional customer service by answering phones promptly and professionally, addressing concerns, and providing information.
• Adhere to all HIPAA regulations and maintain patient confidentiality.
• Collect co-pays, deductibles, co-insurance, and balance payments in accordance with hospital policy.
• Assures hospital compliance with all regulatory agency requirements.
• Maintains work queues to ensure efficient claims processing, patient satisfaction, and organizational financial health.
• Assists patients with navigating and using the online patient portal.
• Be flexible and adaptive as work assignments and area may shift based on business needs and priorities.

Skills

Customer service

Data entry

Computers

Education

High School Diploma or GED

Medical receptionist program or healthcare experience

Tools

EHR Real Time Eligibility

Job description

Phelps Health is seeking a Patient Services Representative to support patient access and registration at our Missouri facility. You will greet patients, collect demographic and insurance data, verify eligibility, explain benefits, and assist with payments and portal navigation.

The role requires a high school diploma, office or healthcare experience, and strong computer skills. This is a front-line, team-oriented position in a busy hospital setting.