Patient Access Specialist

• Manage patient registration and access processes within the healthcare revenue cycle
• Assign accurate MRNs and complete medical necessity and compliance checks
• Provide patient instructions and collect insurance information
• Receive and process physician orders and utilize an overlay tool
• Provide customer service to patients onsite
• Operate the telephone switchboard
• Meet assigned point-of-service goals
• Use quality auditing and reporting systems to correct accounts
• Conduct account audits and provide statistical data to Patient Access leadership
• Pre-register patient accounts before visits
• Make inbound and outbound calls to obtain demographic, insurance, and financial information
• Collect point-of-service collections and past-due balances, including payment plan options
• Explain and obtain signatures for consent and patient education forms
• Review insurance eligibility responses and select applicable insurance plan codes
• Enter benefit data to support point-of-service collections and billing
• Screen medical necessity using ABN software and distribute and document required forms

Patient Access Associate Specialist

• Assign accurate MRNs
• Complete medical necessity and compliance checks
• Provide patient instructions
• Collect insurance information
• Receive and process physician orders
• Utilize an overlay tool while providing customer service
• Operate the telephone switchboard
• Adhere to policies and provide compassionate customer service
• Meet assigned point-of-service goals
• Use quality auditing and reporting systems to correct accounts
• Conduct account audits and provide statistical data to Patient Access leadership
• Pre-register patient accounts before visits
• Make inbound and outbound calls to obtain demographic, insurance, and financial-liability information
• Collect point-of-service collections and past-due balances, including payment plan options
• Explain consent and patient education forms and obtain required signatures and witness names
• Review insurance eligibility responses and select applicable insurance plan codes
• Enter benefit data to support point-of-service collections and billing processes
• Screen medical necessity using ABN software
• Distribute and document designated forms and pamphlets