Patient Access Specialist I

Springfield Memorial Hospital; United States; On-site; USD 22,000 - 33,000; Full time

Benefits offered by this job

PTO

Health insurance

401(k) match

Job summary

Springfield Memorial Hospital is seeking a Patient Access Specialist to ensure timely access to hospital services. You will collect and verify patient demographics, insurance details, and financial information to enable prompt registration and smooth care delivery.

You will schedule mammography screenings, coordinate with departments, and handle financial collections while adhering to HIPAA and CMS requirements.

Qualifications

• Registration data collection and verification (demographics, insurance, financial details)
• Knowledge of CMS Conditions of Participation, HIPAA, payer requirements
• Scheduling mammography screenings per protocols
• Liaison between Patient Access Services and ancillary departments
• Financial collections including co-pays and deposits; explain billing and payment options
• Adhere to CMS regulations; obtain signatures as needed (ABN, consent forms)
• Cross-department collaboration and support for patient care areas
• Handle other duties and special projects as assigned

Responsibilities

• Collect and verify patient demographics, insurance information, and financial details at registration.
• Prepare and present required documents ensuring compliance with CMS, HIPAA, and payer rules.
• Schedule mammography screenings following established protocols.
• Coordinate with other departments to ensure smooth information flow and patient care.
• Perform financial collections at the point of service and educate patients on billing and payment options.
• Comply with CMS Conditions of Participation and obtain necessary signatures (ABN, consent forms).
• Support patient care areas with timely and accurate documentation.
• Complete additional duties as assigned by management.

Job description

Position Type

On-site

Job Description Summary

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.

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.

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

Pay Transparency: $16.00 - $23.64

Additional compensation in the form(s) of participation in our annual incentive program are dependent on role. Pay is based on factors such as work experience, education, certification(s), training, skills, and competencies related to the role.

Memorial Health also offers a comprehensive benefits plan, which includes paid time off, 401(k) match, and health/ dental/ vision insurance options. All benefits can be found at https://jobs.memorial.health/about/benefits/

If you require a reasonable accommodation to complete this application or participate in the hiring process, please contact [e-mail]. Requests will be handled confidentially.