Specialist Patient Access

CommonSpirit Health; Phoenix (AZ); On-site; USD 36,000 - 48,000; Full time

Job summary

CommonSpirit Health is seeking a Specialist Patient Access to be the first point of contact, guiding patients through registration, scheduling, and financial counseling. You will verify eligibility, collect demographics, and support a seamless flow into care with empathy and accuracy.

You will work with our team to ensure data integrity, handle insurance verifications, and help patients understand financial responsibilities while maintaining compliance with policies.

Qualifications

• High School Graduate or GED required.
• 1 year of customer service experience in a healthcare setting.
• Associates degree in a health-related field preferred.

Responsibilities

• Registration duties and scheduling in the EMR; manage referrals; complete pre-registration for accounts 5 days before the service date when possible.
• Verify insurance eligibility/benefits and co-pays; enter primary/secondary insurances in IDX; refer uninsured patients to financial counselors.
• Obtain accurate patient demographics during registration and scheduling with correct spelling and punctuation.
• Obtain authorization/pre-certification from physician/insurance; follow up on missing authorizations; notify patient of financial responsibility if not obtained within 48 hours prior to service; identify outstanding balances and set up payment plans.

Skills

Customer service

Healthcare experience

Education

Associates degree in health-related field

Job description

Job Summary and Responsibilities

As our Specialist Patient Access, you will serve as a crucial first point of contact for patients, ensuring a seamless and empathetic experience while accurately facilitating their entry into our healthcare system. Every day you will manage patient appointments, verify insurance information, accurately register patient demographics, and provide clear financial counseling regarding services. You'll communicate effectively with patients and clinical teams, resolve access-related issues, and ensure compliance with all regulatory and organizational policies. Responsibilities include utilizing various patient management systems, maintaining data integrity, and contributing to improving patient access workflows. To succeed, you'll need exceptional customer service skills, strong attention to detail for accurate data entry and financial verification, excellent communication for clear patient and team interactions, and a profound commitment to patient advocacy, data accuracy, and optimizing the patient journey.

• Performs registration duties, scheduling functions in the EMR, processes inbound and outbound referrals. Ensures pre-registration process is complete for all assigned accounts at least 5-days prior to the scheduled date of service whenever possible.
• Verifies insurance eligibility/benefits and co-pay/deductibles and primary and secondary insurance. Enter correct primary and secondary insurances during scheduling process in the IDX system, directs non-insured patients to financial counselors.
• Obtains accurate patient demographics when registering and scheduling patient, exemplified by accurate spelling, correct abbreviations, punctuation and completeness.
• Obtains authorization/pre-certification from physician's office/insurance company for consults. Follows up on missing authorizations; if not obtained within 48-hours prior to service, contacts patient to advise them of their financial responsibility.
  • Identifies any outstanding balance due, notifies patient during financial clearance process and requests patient payment.
  • Sets up payment plans for patients who cannot pay their entire current copayment and/or past balance in one payment.
  • Explains the payment and billing assistance program to all patients regardless of financial concerns or limitations.
  • Clarifies division of financial responsibility if payment for services s split a medical group and an insurance company

Job Requirements

Required

• High School Graduate or GED
• One (1) year of customer service experience or industry experience in a healthcare setting

Preferred

• Associates degree in a health related field
• Two (2)+ years of relevant experience related to the core functions

Where You'll Work

Hello Humankindness

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