Patient Access Specialist – PreCertification

St. Tammany Health System

. Complete registration, check-in/check-out, admission, insurance initiation and verification, benefit research, and appointment scheduling processes .

Posted 10/6/2026full-timeMadisonville • Louisiana • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in patient registration processes, insurance verification, and medical billing, while maintaining compliance with HIPAA regulations. Strong communication and organizational skills are essential for effective collaboration with healthcare teams and resolving patient inquiries.

Highest-signal resume keywords

Patient Access Representative ExperienceInsurance VerificationCPT and ICD-10 CodingMedical Terminology KnowledgeCustomer Service Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Patient RegistrationInsurance InitiationAuthorization ProcessesMedical Necessity CheckingBilling and Payment PostingCPT CodingICD-10 CodingAnatomy and Physiology KnowledgeOutpatient Diagnostic Testing TerminologyMedicare Guidelines

Soft Skills

Excellent Communication SkillsOrganizational SkillsProblem-Solving AbilityInterpersonal SkillsMentoring and Training

Tools & Technologies

HIS Systems

Certifications & Qualifications

CHAA Certification

Industry Keywords

HealthcarePatient AccessInsurance Billing ProcessesHMO and PPO ContractsGovernmental Entitlement Programs

About the role

Key responsibilities & impact

Complete registration, check-in/check-out, admission, insurance initiation and verification, benefit research, and appointment scheduling processes
Verify insurance coverage and benefits
Obtain and initiate authorizations
Complete registration pathways in HIS systems
Receive, maintain, clarify, enter, and/or validate physician orders
Determine third-party payer liability for organizational billing
Check medical necessity
Handle daily batching and posting of point-of-service payments
Discuss previous and current balances with patients to resolve issues
Maintain positive relationships with the healthcare team
Serve as a resource to physicians, staff, and patients regarding orders, insurance, referrals, and other experience-impacting issues
Train and mentor Patient Access Representatives and Specialists in technical aspects of the job
Promote accurate information collection, confidentiality, HIPAA rights awareness, patient throughput, and volume growth

Requirements

What you’ll need

High school diploma or equivalent
Some college preferred
At least 1 year of previous customer service experience in an office / medical office environment, including scheduling, admitting, and/or financial counseling
Excellent written and verbal communication skills
Ability to work in a fast-paced professional environment
Demonstrated competency to successfully perform Patient Access Representative duties
Ability to understand and solve complex problems involving governmental entitlement programs, commercial insurance requirements, contractual obligations, and reporting requirements
Ability to apply CPT and ICD-10 coding terminology
Knowledge of basic anatomy/physiology and outpatient diagnostic testing medical terminology
Knowledge of Medicare guidelines, HMO and PPO contracts, and insurance billing processes
Excellent organizational skills
Must possess good physical health
Ability to stand, sit, or walk for long periods of time
Ability to lift at least 20 pounds
Ability to work with a moderate level of noise
Some positions may require essential-personnel availability during disaster situations
CHAA certification, medical terminology coursework, and bilingual Spanish skills are helpful but not required

Benefits

Comp & perks

Attractive compensation package
Full-time schedule: 40 hours per week, Monday–Friday, 8:30 am–5:00 pm
Opportunities for advancement
Training and mentoring opportunities
Equal employment opportunity