Patient Access Specialist

• Engage with patients, referral sources, sales, pharmacy, and nursing to coordinate discharge and secure nursing and delivery.
• Create, communicate, and obtain all required documentation for new referrals.
• Secure patients’ upfront payment, including assisting patients in finding payment avenues and directing them to financial assistance programs.
• Support ongoing activities needed to ensure clean claims on hold and denial management, including following up on missing paperwork.
• Assist the Supervisor and Manager with special assignments as needed.
• Perform other duties as assigned.

Patient Access Specialist – Patient Registration Intake

• 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
• Operate the telephone switchboard
• Meet point-of-service goals and collect payments, past-due balances, and payment-plan amounts
• Conduct quality audits and reporting to ensure account accuracy
• Pre-register patient accounts and obtain demographic, insurance, and financial information
• Explain consent and patient education forms and obtain signatures
• Review insurance eligibility and enter benefit data to support collections and clean claims
• Screen medical necessity using ABN software and distribute required forms
• Provide customer service in accordance with organizational policies and compliance requirements

Patient Access Associate Specialist

• Perform admitting duties for all patients admitted for hospital services
• 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 excellent customer service
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls
• Meet assigned point-of-service goals
• Use quality auditing and reporting systems to ensure accounts are corrected
• 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 patient financial information
• Collect point-of-service collections and past-due balances, including payment plan options
• Explain general consent forms, obtain signatures, and document witnesses
• Explain and distribute patient education and required regulatory forms
• 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 Advanced Beneficiary Notice software
• Distribute and document ABNs and other designated forms and pamphlets

• 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 overlay tools while delivering excellent customer service
• 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-liability information
• Collect point-of-service payments and past-due balances, including payment-plan options
• Explain consent and patient-education forms, obtain signatures, and distribute required documents
• Review insurance eligibility responses and select insurance plan codes
• Enter benefit data to support point-of-service collections and billing processes
• Screen medical necessity using ABN software and distribute/document applicable forms

• 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
• Utilize an overlay tool while providing excellent customer service
• Operate the telephone switchboard for incoming, outgoing, and inter-office calls
• Meet assigned point-of-service goals
• Use quality auditing and reporting systems to ensure accounts are corrected
• 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 patient financial information
• Collect point-of-service collections and past-due balances, including payment plan options
• Explain general consent and patient education forms, obtain signatures, and document witnesses
• 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 and distribute and document required forms