Patient Access Specialist

Patient Access Specialist

The Patient Access Specialist is responsible for facilitating patient registration, admissions, and related administrative tasks. This includes verifying and collecting patient information, processing orders and service requisitions, handling co-payments, and managing required paperwork. Additionally, the role involves scheduling appointments, answering phone calls, and addressing general inquiries to ensure a seamless patient experience and efficient clinic operations.

Core Essential Responsibilities:

• Accurately register patients, verify demographics, obtain necessary consents and authorizations, and collect co-payments and financial paperwork.
• Schedule lab visits, provider-to-provider procedures, follow-up appointments, and chemotherapy treatments using specialized infusion scheduling software.
• Gather and process referrals by working with physicians, advanced practice providers, and nursing staff to ensure seamless patient care.
• Answer patient inquiries via phone and other communication channels in a timely and professional manner, providing clear and accurate information.
• Maintain organized patient files, scan medical records promptly, and ensure accurate documentation of patient interactions.
• Verify insurance coverage, follow CMS requirements for checking medical necessity, and communicate coverage details to patients, including the need for Advance Beneficiary Notices (ABNs).
• Complete Medicare Secondary Payer Questionnaires in accordance with CMS standards.
• Make outgoing calls to patients who missed appointments and to schedule follow-up visits, including those following telehealth encounters.
• Perform other administrative and patient access-related duties as assigned to support business operations.

Requirements:

Required Education & Experience:

• High school diploma or equivalent required.
• One to two years of experience in a healthcare or medical office setting preferred.
• Experience with electronic medical records (EMR) systems, such as Epic, is strongly preferred.
• Prior experience in patient registration, insurance verification, or front office administrative work in a clinical environment is a plus.

Required Certificates, License or Registration:

• None

Required Knowledge, Skills or Abilities:

• Knowledge of patient registration procedures, insurance verification, and healthcare billing practices.
• Familiarity with electronic medical records (EPIC) systems and medical terminology.
• Understanding of HIPAA regulations and best practices for maintaining patient confidentiality and data accuracy.