Patient Access Specialist - Full-time Swing shift

Emerus Holdings, Inc.; San Antonio (TX); On-site; USD 36,000 - 52,000; Full time

Job summary

Emerus Holdings, Inc. seeks a Swing Shift Admissions Liaison to coordinate patient tracking, verify demographics and secure out-of-pocket payments. You will liaise with payers, patient financial services and clinical teams to maximize hospital reimbursement in a fast-paced setting.

The role requires accurate data entry, insurance verification and knowledge of various plans. Strong customer service and English communication are essential for success in this on-site position at Westover Hills.

Qualifications

• High School Diploma or GED, required.
• 1 year of patient registration and insurance verification experience in health care; 2 years preferred.
• Emergency Department registration experience, strongly preferred.
• Knowledge of HMO, PPO, POS, Medicare and Medicaid plans, required.
• Basic understanding of medical terminology.
• Excellent customer service.
• MS Office knowledge (Word, Excel, Outlook).
• English fluency in both written and verbal form.

Responsibilities

• Maintain compliance with EMTALA, DNV, HIPAA and regulations in Admissions.
• Provide excellent customer service and build quality relationships.
• Answer telephone professionally, record messages and relay to staff.
• Obtain signatures on required forms and consents.
• Obtain, verify and enter demographic information for accounts.
• Verify insurance benefits and correct payor and plan in system.
• Obtain insurance authorizations as required.
• Pursue collections at service to maximize revenue cycle efficiency.
• Scan registrations and clinical docs; maintain medical records.
• Assist with patient transfers to other hospitals when needed.
• Respond to medical record requests from patients/physicians/hospitals.
• Maintain cash drawer per policies.
• Maintain logs of patients, payments, transfers and admissions.
• Maintain visitor/vendor log.
• Maintain clean facility areas (front desk, waiting room, etc.).
• Receive deliveries and forward to appropriate departments.
• Notify about malfunctioning equipment and maintenance needs.
• Attend staff meetings and company-sponsored meetings.
• Assist medical staff as needed; perform additional duties as assigned.

Skills

Customer service

MS Office

English fluency

Education

High School Diploma or GED

Tools

MS Word

MS Excel

MS Outlook

Job description

About Us

HIGHLIGHTS

SHIFT: Swing Shift (11a-11p)
JOB TYPE: Full-Time
LOCATION: Westover Hills
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.

Position Overview

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.

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
• 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

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

Basic Qualifications

• 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