Patient Access Specialist

Baylor Emergency Medical Center - Keller, TX (30+ days ago)4.8

About Us
Emerus is a nationally recognized, innovative leader in the delivery of inpatient, surgical, and diagnostic medical health care. Specializing in the identification, development and management of improved-access community medical facilities, Emerus provides cost effective, scalable growth opportunities to large-scale, national health care systems throughout the United States.

By providing operationally efficient facilities and focused alignment with current health care trends, Emerus’ community-based hospitals prioritize limited inpatient stays, efficient emergency rooms and cost effective pricing in a smaller campus setting. Based in The Woodlands, Texas, Emerus has more than 1,000 employees, with expert concentrations in over 20 different fields throughout the medical industry.

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
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, documenting authorization numbers in the appropriate fields for accurate billing
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
Obtain patient satisfaction surveys from all patients upon discharge
Coordinate 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 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
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
1 year patient registration and insurance verification experience in a health care setting, strongly preferred
Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, strongly preferred
Basic understanding of medical terminology
Excellent customer service
Working knowledge of MS Office (MS Word, Excel and Outlook)
Position requires fluency in English; written and oral communication