Patient Access Specialist

Job Description

Job Description

Position Summary

The Patient Access Specialist is responsible for delivering a professional and high-quality patient experience while ensuring accurate and complete patient registration. This role serves as a key liaison between patients, clinical teams, and administrative departments to facilitate access to services within the Cancer Institute.

Experience & Qualifications

• Current BLS certification (American Heart Association – Healthcare Providers)
• Billing and coding certification preferred
• Experience using EMR systems, insurance verification, eligibility, and electronic billing
• Working knowledge of health insurance plans and interpretation of benefits
• Knowledge of medical terminology
• Prior experience in a customer service or patient-facing healthcare role
• Proficiency with Microsoft Office applications (Outlook, Word, Excel)
• Ability to maintain confidentiality in compliance with HIPAA regulations
• Strong verbal and written communication skills
• Excellent organizational skills with strong attention to detail
• Ability to prioritize tasks, manage time effectively, and multitask in a fast-paced environment
• Professional, service-oriented, flexible, and dependable
• Strong interpersonal skills with the ability to follow directions accurately

Key Responsibilities

• Obtain and verify patient demographic, insurance, and medical information to ensure accurate registration
• Perform insurance verification, eligibility checks, data collection, and documentation
• Determine medical necessity for services in accordance with established criteria
• Identify patient financial responsibility and collect applicable copayments or balances
• Secure all required documentation to complete patient registration
• Act as a liaison between internal departments and external customers to facilitate access to care
• Perform additional duties as assigned