Patient Access Specialist
Emerus Rockwall
Emerus HealthcareThe purpose of this position is to serve as a liaison between patient/family, payers, Patient Financial Services, and other health care team members. You'll be asked to facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement.Essential Job Functions:Maintain compliance with EMTALA, DNV, HIPAA and all other hospital and government regulations applicable to the Admissions settings and in handling of Medical RecordsProvide excellent customer service at all times by effectively meeting customer needs, understanding who the customers are, and building quality relationshipsThe Patient Access Specialist plays a role in protecting patient safety by ensuring each patient is properly identified and triaged when they arrive to the hospitalAnswer telephone in a professional and courteous manner, record messages and communicate to appropriate medical staffProvide and obtain signatures on required forms and consentsObtain, verify, and enter complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycleVerify insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into the patient accounting systemObtain insurance authorizations as required by individual insurance plans where applicableMaximize the efficiency and accuracy of the collection process by pursuing collections at the time of service in a customer service-oriented fashionScan all registration and clinical documentation into the system and maintain all medical recordsAssist with coordinating the transfer of patients to other hospitals when necessaryRespond to medical record requests from patients, physicians and hospitalsMaintain cash drawer according to policiesMaintain log of all patients, payments received, transfers and hospital admissionsMaintain visitor/vendor logOther Job Functions:Maintain a clean working environment for the facility. This includes the front desk, restroom, waiting room, break area and patient rooms when assistance is needed by medical staffReceive deliveries including mail from various carriers and forward to appropriate departments as neededNotify appropriate contact of any malfunctioning equipment or maintenance needsAttend staff meetings or other company sponsored or mandated meetings as requiredAssist medical staff as neededPerform additional duties as assignedBasic Qualifications:High School Diploma or GED, required2 years of patient registration and insurance verification experience in a health care setting, preferredEmergency Department registration experience, strongly preferredKnowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required.Basic understanding of medical terminologyExcellent customer serviceWorking knowledge of MS Office (MS Word, Excel and Outlook), strongly preferred.Position requires fluency in English; written and oral communicationFluency in both English & Spanish is a requirement in the El Paso MarketPennsylvania Candidates: Act 33 (Child Abuse History Clearance), & Act 73 (FBI Fingerprint Criminal History Clearance) completed within the last 5 years, or must be obtained prior to start date.
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