Patient Access Specialist - Full-time Day shift

Emerus Holdings, Inc.; Schertz (TX); Vor Ort; USD 32.000 - 52.000; Vollzeit

Zusammenfassung

Emerus Holdings, Inc. in Schertz, TX is seeking a Patient Registration / Admissions Specialist to act as a liaison between patients, payers and the revenue cycle team.

You will verify demographic information, determine insurance coverage and authorization needs, and collect out-of-pocket payments to maximize hospital reimbursement. Responsibilities include EMTALA/HIPAA compliance, accurate data entry, coordinating patient transfers, and maintaining patient records.

Qualifikationen

• High School Diploma or GED required.
• 1 year of patient registration and insurance verification experience in a health care setting required; 2 years 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.
• MS Office knowledge (MS Word, Excel, Outlook) preferred.
• Position requires fluency in English; written and oral communication.

Aufgaben

• 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 by effectively meeting customer needs and building quality relationships
• Answer telephone professionally, record messages and communicate to appropriate medical staff
• Provide and obtain signatures on required forms and consents
• Obtain, verify, and enter complete demographic information to facilitate revenue cycle processing
• Verify insurance benefits for all plans associated with patient and ensure correct payor and plan entered
• Obtain insurance authorizations as required by individual insurance plans where applicable
• Maximize collection efficiency by pursuing collections at the time of service
• Scan registration and clinical documentation into the system and maintain medical records
• Assist with coordinating 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 patients, payments, transfers and admissions
• Maintain visitor/vendor log
• Maintain a clean work environment at front desk, waiting room and related areas
• Receive deliveries and forward to appropriate departments
• Notify contact of equipment or maintenance needs
• Attend staff meetings and other mandatory meetings
• Assist medical staff as needed
• Perform additional duties as assigned

Kenntnisse

Customer service

English fluency

Medical terminology

Ausbildung

High School Diploma or GED

Tools

MS Office

Jobbeschreibung

HIGHLIGHTS

SHIFT DayShift (7a-7p)

JOB TYPE Full-Time

LOCATION Schertz

FACILITY TYPE 16 bed Small-Format Hospital (8 ER, 8 Inpatient)

We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros.

The purpose of this position is to serve as a liaison between patient/family, payers, Patient Financial Services, and other health care team members. You'll be asked to facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement.

• 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
• 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
• Maintain a clean working environment for the facility. This includes the front desk, restroom, waiting room, break area and patient rooms when assistance is needed by medical staff
• Receive deliveries including mail from various carriers and forward to appropriate departments as needed
• Notify appropriate contact of any malfunctioning equipment or maintenance needs
• Attend staff meetings or other company sponsored or mandated meetings as required
• Assist medical staff as needed
• Perform additional duties as assigned
• High School Diploma or GED, required
• 1 year of patient registration and insurance verification experience in a health care setting, required; 2 years 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 (MS Word, Excel and Outlook), strongly preferred.
• Position requires fluency in English; written and oral communication