Patient Access Specialist

Position Summary: The Patient Access Specialist is responsible for registering new patients, collecting, and verifying insurance eligibility, patient demographic, financial and other information. Works with patients, Third Party Payers, and the practices to maximize collections.

Essential Responsibilities:

• Pre-Registers new patients by prior to visit; making/receiving patient calls; Collects and accurately documents patient demographic, financial, and other relevant personal information into the EMR system.
• Verifies patient identification; copy and store insurance cards and identification cards into the EMR system.
• Confirms financial clearance; educate patients on payment options and payment arrangements.
• Verifies insurance eligibility and benefits using automated eligibility systems, payer websites and or calls the insurance carriers during pre-registration
• Inform patients of their financial responsibilities prior to visits. Coordinates the collection of all estimated patient liabilities, including co-payments and, unmet deductibles and/or any outstanding balances.
• Works eligibility exception reports to identify invalid insurance for patients and provide financial counselling as needed.
• Ensures Privacy Policy Acknowledgement and consent forms and ABNs are signed
• Updates changes to patient insurance and/or demographic information as needed
• Manages referral and authorizations information as assigned through daily work queues and documents activities into the EMR system; may require contacting physicians and/or payors for referrals and authorizations via phone calls and/or websites
• Communicates regularly with physicians and other medical providers regarding clinical clarifications for referrals and authorizations, medical necessity requirements, and facilitating conversations with different payers
• Documents daily activities in a timely, thorough, and accurate manner into the hospital information system
• Completes assigned work queues, projects, and other duties as directed