Patient Access Specialist

• Review, verify, and complete missing registration and insurance information on electronically received encounters
• Apply and correct billing details according to insurance carrier requirements and company policies
• Manage multiple client accounts according to assigned volume and productivity expectations
• Monitor and report low volumes, missing service dates, and missing insurance or payer information
• Use RICA coding application and AthenaIDX to update and correct demographic records
• Resolve demographic, insurance, and Patient Access-related errors, edits, and rejections
• Conduct verification checks and assign accurate payer information to support timely billing
• Take ownership of Level 2 escalations from the offshore team and resolve issues preventing claim submission
• Provide feedback and trending observations to the PA & EDI Supervisor
• Process work within two business days and notify the supervisor when not on target
• Complete daily production records accurately and on time
• Communicate workflow deviations and escalate issues affecting daily submission or month-end close
• Collaborate with Billing, Coding, Enrollment, EDI, and Leadership teams
• Participate in training, process improvements, and compliance with payer guidelines and internal workflows
• Adhere to company policies, safe work habits, confidentiality, and business standards