Patient Access Specialist III

hss; New York (NY); On-site; USD 42,000 - 66,000; Full time

Job summary

Hospital for Special Surgery in New York City is seeking a Regular Full-time Patient Access role. The position focuses on insurance and financial clearance, patient registration in outpatient settings, and high-quality customer service. The role requires an Associate's degree (Bachelor's preferred) and 3 years in admitting or ambulatory settings, with strong computer skills and experience in Epic. You will mentor staff and coordinate with payers to streamline patient flow.

Qualifications

• Associate's degree required; Bachelor's degree preferred.
• 3 years' experience in admitting and/or ambulatory patient registration.
• Healthcare admissions and patient access experience in hospital/outpatient setting.
• Excellent verbal and written communication; strong customer service.

Responsibilities

• Manage escalated insurance and financial clearance issues.
• Provide advanced financial counseling to patients and families.
• Ensure accuracy of patient demographics, clinical, and financial data in Epic.
• Serve as lead resource for Patient Access Specialist I/II; mentor staff.
• Act as liaison between patient access, clinical departments and payers.
• Transcribe orders as needed.

Skills

Communication

Customer service

MS Office

Phone handling

Revenue cycle

Data entry

Interdepartmental comm

Epic

Education

Associate's degree

Bachelor's degree

Tools

Epic

Job description

How you move is why we're here.

Now more than ever.

Get back to what you need and love to do.

The possibilities are endless.

Now more than ever, our guiding principles are helping us in our search for exceptional talent – candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success.

If this describes you then let's talk!

HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment.

Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.

Emp Status Regular Full time

Work Shift Day (United States of America)

What you will be doing

Job Qualifications

Education - Required

Associate's degree required ; Bachelor's degree preferred.

Experience - Preferred

• 3 years experience in admitting and/or ambulatory setting or patient registration in an outpatient setting.


• Healthcare/Medical - Admissions as well as Patient Access experience in a hospital and/or ambulatory care setting or Patient Registration in an Outpatient setting.

Skills - Required

• Excellent verbal and written communication skills.


• Strong customer service orientation.


• Strong computer skills, with proficiency in office automated tools: e-mail, outlook and data entry.


• Effective communicator with all levels of staff, patients and customers.


• Ability to respond positively to fluctuations in patient flow.


• Heavy phones, able to triage phone calls and respond professionally to fluctuations in call volume.


• Knowledge of front-end role in revenue cycle: insurance benefits collection, verification, authorization, pre-certification, etc.

Skills - Preferred

• Self-directed, motivated, resourceful, demonstrates initiative.


• Working knowledge of MS Office Suite applications: Word, Excel, Outlook.

Physical Working Conditions

Sitting in the same location or standing/walking; required to stop, climb or lift light material (10 to 20 lbs.) or equipment.

Hazards

OSHA Category 2

Tasks that involve no exposure to blood, body fluids, tissues, and other potentially infectious materials; but employment may require performing unplanned Category 1 tasks.

Position & Unit Accountabilities

• Manage escalated insurance and financial clearance issues, including denied claims and complex benefit coordination.


• Provide advanced financial counseling to patients and families, including cost estimates, payment plan arrangements, and financial assistance guidance.


• Ensure accuracy and completeness of patient demographic, clinical, and financial data in Epic and related systems.


• Serve as a lead resource for Patient Access Specialist I and II staff, providing mentorship, training, and guidance on complex cases.


• Act as a liaison between patient access, clinical departments, and external payers to resolve barriers to care and optimize patient flow.


• Provide cross-coverage for multiple service areas and serve as a subject matter expert for high-volume or specialized units.


• Transcribing orders as needed

Non-Discrimination Policy

Hospital for Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment. Consistent with this commitment, Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.