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Patient Access Front-End Specialist
2 months ago
Important Note:
A minimum of 1 year of recent experience in patient access is essential 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. There is potential for permanent employment following the completion of these hours, contingent upon meeting attendance and performance standards.
Work Environment:
This position is fully remote, allowing for a flexible work schedule.
Regular Working Hours:
Monday to Friday, 40 hours per week, consisting of 8-hour shifts.
Training Schedule:
Training will occur Monday to Friday, Central Time (CT) from 8:00 AM to 4:30 PM.
Post-Training Schedule:
The schedule will vary based on the assigned region or facility.
Compliance Requirements:
- Background check
- Education verification (high school diploma or GED required)
- Drug screening (9-panel, including THC)
- HIPAA training
Compensation:
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) submission. Extract patient information from hospital systems and ensure accurate data entry into the billing system, including demographics and insurance details. - Insurance Verification:
Conduct insurance verifications, rectify discrepancies, and incorporate referring providers using GMPS. Validate CPT codes by communicating with physicians for confirmation. - Communication and Documentation:
Draft emails to healthcare providers to verify medical record information and address missing CPT codes. Inform patients and relevant parties about insurance coverage issues, documenting all communications in the system while maintaining excellent customer service. - Reconciliation and Compliance:
Perform daily and weekly reconciliations of hospital admissions. Initiate requests for medical records and ensure all necessary signatures on legal documents and insurance forms are obtained. Confirm insurance coverage and benefits using real-time eligibility software, accurately mapping insurances to appropriate plan codes.
Job Requirements:
- Minimum of 1 year of recent experience in patient access
Technical Skills:
Proficient in navigating computer systems and learning new software applications.
Work Environment:
Must have a quiet, dedicated workspace at home that complies with HIPAA regulations.
Insurance Knowledge:
Familiarity with various insurance payers (HMO, PPO) and eligibility verification processes.
Multi-tasking Skills:
Experience managing multiple systems concurrently on a daily basis.
Remote Work Experience:
Previous remote work experience is highly desirable. Compliance requirements upon hiring include background checks, drug screenings, education verification, and HIPAA training.
