Patient Access Specialist/Front Office

1 month ago

Pittsburgh, United States AHN Neighborhood Hospital Full time

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.



Basic Qualifications

  • High School Diploma or GED, required
  • 1 year of patient registration and insurance verification experience in a health care setting, required; 2 years preferred
  • Emergency Department registration 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


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

  • The Patient Access Specialist plays a role in protecting patient safety by ensuring each patient is properly identified and triaged when they arrive to the hospital

  • 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


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

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