Patient Access Specialist - Surgery Center

aah; Winston-Salem (NC); On-site; USD 29,000 - 43,000; Full time

Benefits offered by this job

Paid Time Off

Health benefits

Educational assistance

Retirement plans with employer match

Job summary

Advocate Health's Wake Forest Ambulatory Ventures LLC - Surgery Center in Clemmons, NC is seeking a patient access specialist to manage registration, verify demographics and insurance, and guide patients through the financial clearance process.

The role supports efficient patient flow, handles insurance benefits, collects balances, and maintains HIPAA compliance in a fast-paced surgical setting; strong communication and EPIC experience are a plus.

Qualifications

• High school diploma or GED required.
• Patient access (scheduling, registration and financial clearance), insurance verification, billing or certified medical assistant experience preferred.
• Experience in surgical setting preferred.
• EPIC experience a plus.

Responsibilities

• Greets patients arriving for their appointments. Monitors patient flow to ensure patients are cared for in the most efficient and courteous manner.
• Ensures all patient demographic and insurance information is complete and accurate
• Completes the registration process on walk-in patients, verifies and / or updates patient demographic and insurance information if changes or additions have occurred
• Verifies insurance benefits. Obtains, calculates and collects the patient’s out of pocket financial liability. Requests and collects past due and present balances or estimates due
• Follows the Financial Clearance policy for non-urgent patient services if financial clearance has not been completed or authorization has not been obtained, when appropriate
• Identifies patients in need of financial assistance and refers patients to Financial Counselor
• Performs visit closure, including but not limited to checking out patients, scheduling follow-up appointment(s), collecting additional patient responsibility (when applicable) and providing patient with appropriate documents.
• Maintains knowledge of and reference materials of the following: 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 management
• Meets productivity requirements to ensure excellent service is provided to customers
• Meets or exceeds performance expectations of 98% accuracy rate and established department productivity measurements.
• Maintains excellent public relations with patients, families, and clinical staff as well as demonstrates a willingness and ability to work collaboratively with others for concise and timely flow of information

Skills

Patient registration

Communication

HIPAA knowledge

EMTALA knowledge

Problem solving

Multitasking

Data entry

Education

High school diploma or GED

Tools

ADT software

Microsoft Outlook

Word

Excel

Job description

Advocate Health's Wake Forest Ambulatory Ventures LLC - Surgery Center in Clemmons, NC is seeking a patient access specialist to manage registration, verify demographics and insurance, and guide patients through the financial clearance process.

The role supports efficient patient flow, handles insurance benefits, collects balances, and maintains HIPAA compliance in a fast-paced surgical setting; strong communication and EPIC experience are a plus.