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Patient Access Specialist

2 months ago

Lewisville, Texas, United States Medix Full time

Important Note:
A minimum of 1 year of recent experience in patient access is essential for eligibility for this role. Applications lacking this experience will not be considered.

Position Overview:
This is a contract-to-hire opportunity, with a total of 1040 hours expected, leading to a potential permanent position based on attendance and performance standards.

Work Environment:
This role is entirely remote, allowing for a flexible work-life balance.

Regular Working Hours:
Monday to Friday, 40 hours per week, with 8-hour shifts.

Training Schedule:
Monday to Friday, Central Time (CT) from 8 AM to 4:30 PM.

Post-Training Hours:
To be determined based on the assigned region or facility.

Compliance and Background Checks:
Candidates must undergo a background check, education verification (high school diploma or GED required), and a drug screening (9-panel, including THC). HIPAA training is also mandatory.

Compensation:
The pay rate ranges from $16 to $21 per hour, depending on experience.

Key Responsibilities:
  • Patient Information Management:
    Review and update medical records and patient identities for electronic medical record (EMR) submissions. Pull and compare patient face sheets from hospital systems, entering data into the patient billing system, including demographics and insurance details.
  • Insurance Verification:
    Conduct insurance verifications, rectify discrepancies, and incorporate referring providers using GMPS. Validate CPT codes from providers by communicating with physicians for confirmation.
  • Communication and Documentation:
    Draft emails to providers to verify medical record information and missing CPT codes. Inform patients, guarantors, family members, and supervisors of any insurance coverage issues, ensuring all communications are documented in the system while maintaining excellent customer service.
  • Reconciliation and Compliance:
    Execute daily and weekly reconciliations of hospital admissions. Initiate requests for medical records with the coding department, verify signatures on legal consents and insurance forms, and ensure accurate insurance information is recorded. Confirm insurance coverage and benefits using real-time eligibility software, and meticulously document any incomplete admissions or registrations.

Job Requirements:
  • Experience: Minimum of 1 year of recent patient access experience.
  • Technical Skills: Proficient in navigating computer systems and learning new software.
  • Work Environment: Must have a quiet, dedicated workspace that complies with HIPAA regulations.
  • Insurance Knowledge: Familiarity with insurance payers (HMO, PPO, verification of eligibility).
  • Multi-tasking Ability: Experience managing multiple systems simultaneously.
  • Remote Work Experience: Previous remote work experience is highly preferred.