Patient Access Specialist (Full-Time Nights, 7P-7A)

Emerus Holdings, Inc.; Horizon City (TX); Sur place; USD 34 000 - 47 000; Plein temps

Résumé du poste

Emerus Holdings, Inc. is seeking a Patient Access Specialist to serve as a liaison between patients, families, payers, and the care team. You will obtain and verify demographic data, secure payments, and collect out-of-pocket responsibility to maximize hospital reimbursement.

Responsibilities include ensuring accurate patient identification, verifying benefits, obtaining authorizations, and processing registrations in the revenue cycle. Strong customer service and MS Office skills are essential.

Qualifications

• High School Diploma or GED required.
• 2 years of patient registration and insurance verification experience in a healthcare setting preferred.
• Emergency Department registration experience strongly preferred.
• Knowledge of insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors required.
• Basic understanding of medical terminology.
• Excellent customer service.
• Working knowledge of MS Office (Word, Excel and Outlook) preferred.
• Fluency in English; Spanish required in El Paso market.

Responsabilités

• Maintain compliance with EMTALA, DNV, HIPAA and all regulations applicable to Admissions and Medical Records.
• Provide excellent customer service by understanding customer needs and building relationships.
• Identify and triage patients to protect safety at hospital intake.
• Answer calls professionally and relay messages to staff.
• Obtain signatures on forms and consents as required.
• Enter complete demographic information to facilitate revenue cycle processing.
• Verify insurance benefits and correct payor and plan in system.
• Obtain insurance authorizations as required by plans.
• Pursue collections at time of service to maximize cash collection.
• Scan and file registration and clinical documents.
• Coordinate patient transfers to other hospitals when needed.
• Respond to medical record requests from patients, physicians and hospitals.
• Maintain cash drawer and log of patients, payments, transfers and admissions.
• Maintain visitor/vendor logs.

Connaissances

Customer service

MS Office

English fluency

Bilingual English/Spanish

Formation

High School Diploma or GED

Outils

MS Office

Description du poste

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.

Basic Qualifications

• High School Diploma or GED, required
• 2 years of patient registration and insurance verification experience in a health care setting, 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
  • Fluency in both English & Spanish is a requirement in the El Paso Market
• Pennsylvania Candidates: Act 33 (Child Abuse History Clearance), & Act 73 (FBI Fingerprint Criminal History Clearance) completed within the last 5 years, or must be obtained prior to start date.

Essential Job Functions

• 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
• The Patient Access Specialist plays a role in protecting patient safety by ensuring each patient is properly identified and triaged when they arrive to the hospital
• 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 hospitalsMaintain cash drawer according to policies
• Maintain log of all patients, payments received, transfers and hospital admissions
• Maintain visitor/vendor log

Other Job Functions

• 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