Lead Patient Access Specialist
3 weeks ago
Emerus is the nation’s first and largest operator of small-format hospitals, also known as community or neighborhood hospitals. Emerus’ leading national health system partners include Allegheny Health Network, Ascension, Baptist Health System, Baylor, Scott & White Health, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS and MultiCare. Our state-of-the-art hospitals are fully accredited and provide highly individualized care. From the moment a patient walks through the door, a team of exceptional medical professionals takes charge, treating patients with speed, compassion and expertise. Emerus’ distinctive level of care earned the Guardian of Excellence Award for Superior Patient Experience in six of the past seven years. More information is available at .
Position Overview:
The 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 Records
Provide excellent customer service at all times by effectively meeting customer needs, understanding who the customers are, and building quality relationships
Answer telephone in a professional and courteous manner, record messages and communicate to appropriate medical staff
Provide and obtain signatures on required forms and consents
Obtain, verify, and enter complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle
Verify insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into the patient accounting system
Obtain insurance authorizations as required by individual insurance plans where applicable
Maximize the efficiency and accuracy of the collection process by pursuing collections at the time of service in a customer service-oriented fashion
Scan all registration and clinical documentation into the system and maintain all medical records
Assist with coordinating the transfer of patients to other hospitals when necessary
Respond to medical record requests from patients, physicians and hospitals
Maintain cash drawer according to policies
Maintain log of all patients, payments received, transfers and hospital admissions
Maintain visitor/vendor log
Distribute mail appropriately
Assist with compiling, analyzing, and reporting data for Patient Access quality measures
Ensure QA on patient registrations, admissions and transfers
Ensure QA of site-specific medical records storage and upkeep
Assist in ordering office supplies, dietary and employee snacks where applicable
Assist with management of worklists/workqueues within the patient accounting system
Serve as first line of contact for PAS when on duty
Assist with training of new employees in all aspects of their assigned job
Work alongside Patient Access team members to ensure processes and policies are being followed
Other 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 staff
Receive deliveries including mail from various carriers and forward to appropriate departments as needed
Notify appropriate contact of any malfunctioning equipment or maintenance needs
Attend staff meetings or other company sponsored or mandated meetings as required
Assist medical staff as needed
Perform additional duties as assigned
Basic Qualifications:
High School Diploma or GED, required
3 years patient registration and insurance verification experience in a health care setting, required.
Emergency Department experience strongly preferred.
Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required.
Basic understanding of medical terminology
Excellent customer service
Working knowledge of MS Office (MS Word, Excel and Outlook), strongly preferred.
Position requires fluency in English; written and oral communication
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