Patient Access Specialist

• Perform admitting duties for all patients admitted for hospital services
• Assign accurate MRNs
• Complete medical necessity and compliance checks
• Provide patient instructions and collect insurance information
• Receive and process physician orders
• Use an overlay tool and provide excellent customer service
• Operate the telephone switchboard
• Meet assigned point-of-service goals
• Use quality auditing and reporting systems to correct accounts
• Audit accounts and ensure forms are completed accurately and timely
• Pre-register patient accounts before visits
• Obtain demographic, insurance, and patient financial liability information by inbound and outbound calls
• Collect point-of-service collections and past-due balances, including payment plan options
• Explain consent and patient education forms, obtain signatures, and document witnesses
• Review insurance eligibility responses and select applicable plan codes
• Enter benefit data to support point-of-service collections and billing processes
• Screen medical necessity using ABN software and distribute required forms

• Perform admitting duties for all patients admitted for hospital services
• Assign accurate medical record numbers (MRNs)
• Complete medical necessity and compliance checks
• Provide patient instructions and excellent customer service
• Collect insurance information and process physician orders
• Operate the telephone switchboard
• Meet assigned point-of-service goals and collect payments, past-due balances, and payment-plan amounts
• Conduct account audits and use quality auditing and reporting systems
• Pre-register patient accounts through inbound and outbound calls
• Explain consent forms and distribute patient education documents
• Review insurance eligibility responses and enter benefit data to support point-of-service collections and clean claims
• Screen medical necessity using ABN software and distribute required forms and pamphlets
• Provide statistical data to Patient Access leadership