Patient Access Specialist: Insurance & Billing Support

Logan Health Shelby; Shelby (MT); On-site; USD 42,000 - 60,000; Full time

Job summary

Logan Health Shelby seeks a patient registration specialist to handle demographic and insurance data, verify authorizations, and communicate patient liability. This role supports the registration area with strong attention to accuracy, confidentiality, and teamwork.

The position requires experience in healthcare administration, knowledge of medical terminology, and proficiency with Microsoft Office and registration software.

Qualifications

• Related coursework beyond high school or experience in a complex administrative support position required.
• Previous work experience in registration, financial clearance or patient financial services with strong working knowledge of healthcare insurance and benefit programs preferred.
• Associate’s or Bachelor’s degree preferred.
• Minimum of one (1) year experience in a customer service focus position required.
• Possess knowledge and understanding of medical terminology and medical coding preferred.
• Patient Access (scheduling, registration, financial clearance), insurance verification, billing or certified medical assistant experience preferred.
• Possess and maintain computer skills to include working knowledge of Microsoft Office Suite and ability to learn other software as needed.
• Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy.
• Excellent organizational skills, detail-oriented, a self-starter, possess critical thinking skills and be able to set priorities and function as part of a team as well as independently.
• Excellent verbal and written communication skills including the ability to communicate effectively with various audiences.

Responsibilities

• Prioritizes and completes registrations in the order of the patients’ acuity level as determined by the clinical staff and department protocol.
• Interviews patient or family member to gather demographic, insurance and/or visit specific information, and verifies data received from previous visits or pre-registration.
• Ensures accurate collection and inputs critical data elements.
• Launches insurance verification software to verify insurance eligibility and benefits.
• Calculates and communicates out of pocket liability as appropriate.
• Collects and processes payment for current service and any previous balances consistent with the cash management and posting policies.
• Identifies and refers self-pay patients to financial counseling per department procedure.
• Maintains knowledge of: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization/referral, and a list of current accepted insurance plans.
• Proactively communicates issues involving customer service and process improvement opportunities to leadership.
• Meets productivity, quality requirements, and takes ownership of work to ensure excellent service is provided.
• Develops and maintains knowledge and skills to identify insurance plans correctly in systems and understands contract requirements to ensure accurate insurance information.
• Provides administrative services to support effective and efficient operations to assigned area(s).

Skills

Customer service

Interpersonal skills

Attention to detail

Communication

Teamwork

Critical thinking

Education

Associate’s degree preferred

Tools

Registration software

Microsoft Office Suite

Job description

Logan Health Shelby seeks a patient registration specialist to handle demographic and insurance data, verify authorizations, and communicate patient liability. This role supports the registration area with strong attention to accuracy, confidentiality, and teamwork.

The position requires experience in healthcare administration, knowledge of medical terminology, and proficiency with Microsoft Office and registration software.