Patient Access Specialist I

Memorial Home Services; Springfield (IL); On-site; USD 35,000 - 50,000; Full time

Job summary

Memorial Home Services is seeking a Patient Access Specialist to ensure timely access to hospital resources. You will process patient registration with high accuracy, collecting demographics and insurance details, and handling financial collections.

Responsibilities include scheduling mammography screenings, coordinating with departments, and educating patients on billing options while maintaining CMS and HIPAA compliance.

Qualifications

• Experience with patient registration and data verification.
• Knowledge of HIPAA regulations and CMS requirements.
• Strong communication and collection skills.

Responsibilities

• Register patients and verify demographics and insurance details.
• Coordinate scheduling and cross-department communication.
• Explain billing options and collect co-pays.
• Maintain compliance with privacy and billing regulations.

Skills

Registration accuracy

HIPAA compliance

Data verification

Communication skills

Billing inquiries

Education

High School Diploma

Job description

The Patient Access Specialist plays a key role in ensuring that patients have timely and efficient access to hospital and service area resources. This position is responsible for processing patient registration information with high accuracy, including collecting demographic and insurance details and performing financial collections.

The Patient Access Specialist plays a key role in ensuring that patients have timely and efficient access to hospital and service area resources. This position is responsible for processing patient registration information with high accuracy, including collecting demographic and insurance details and performing financial collections.

Key Responsibilities:

• Registration and Information Accuracy: Collect and verify patient demographics, insurance information, and financial details. Ensure all registration data is accurate and complete, facilitating the patient’s timely access to services.
• Compliance and Documentation: Prepare and present legal, ethical, and compliance-related documents, ensuring patients understand and complete all required forms during registration. Maintain knowledge of JCAHO standards, Patient Rights and Responsibilities, HIPAA regulations, and payer requirements.
• Mammography Screening Scheduling: Provide scheduling services for mammography screenings, following established protocols for insurance, exam type, patient preferences, and urgency.
• Coordination with Departments: Act as a liaison between Patient Access Services and ancillary departments, facilitating communication and ensuring a smooth flow of information and services for patients.
• Financial Collections: Perform financial collections, including co-pays and deposits at the point of service. Educate patients regarding billing, insurance coverage, and payment options.
• Regulatory Compliance: Adhere to CMS Conditions of Participation, obtaining necessary signatures (ABN, consent forms) as required by CMS regulations.
• Cross-Department Collaboration: Support patient care areas as needed, helping ensure timely and accurate documentation for patient services.
• Other Duties as Assigned: Complete all other duties and special projects as assigned by management to support the department's goals and ensure consistent patient care.

Position Details:

• Hours of Shift: 9:45pm-6:15am
• Weekends: Every Other Weekend (9:45pm-6:15am)
• FTE:1.0