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Emerus

Lead Patient Access Specialist

von ormy, TX

Check who can apply and the requirements below before continuing.

About this opportunity

Emerus lists this Lead Patient Access Specialist opportunity in von ormy, Texas. Review the employer’s description below for duties, qualifications and application requirements.

Job description

About Us

HIGHLIGHTS

SHIFT: Day shift

JOB TYPE: Full-time

LOCATION: Zarzamora

FACILITY TYPE: 29 bed Small-Format Hospital (14 ER, 8 Inpatient)

We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros.

Position Overview

The purpose of this position is to serve as a liaison between patient/family, payers, Patient Financial Services, and other health care team members. You'll be asked to facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement.

Essential Job Functions

Maintain compliance with EMTALA, DNV, HIPAA and all other hospital and government regulations applicable to the Admissions settings and in handling of Medical Records

Provide excellent customer service at all times by effectively meeting customer needs, understanding who the customers are, and building quality relationships

Answer telephone in a professional and courteous manner, record messages and communicate to appropriate medical staff

Provide and obtain signatures on required forms and consents

Obtain, verify, and enter complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle

Verify insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into the patient accounting system

Obtain insurance authorizations as required by individual insurance plans where applicable

Maximize the efficiency and accuracy of the collection process by pursuing collections at the time of service in a customer service-oriented fashion

Scan all registration and clinical documentation into the system and maintain all medical records

Assist with coordinating the transfer of patients to other hospitals when necessary

Respond to medical record requests from patients, physicians and hospitals

Maintain cash drawer according to policies

Maintain log of all patients, payments received, transfers and hospital admissions

Maintain visitor/vendor log

Provide coaching and feedback to Patient Access Specialists

Distribute mail appropriately

Assist with compiling, analyzing, and reporting data for Patient Access quality measures

Ensure QA on patient registrations, admissions and transfers

Ensure QA of site-specific medical records storage and upkeep

Assist in ordering office supplies, dietary and employee snacks where applicable

Assist with management of worklists/workqueues within the patient accounting system

Serve as first line of contact for PAS when on duty

Assist with training of new employees in all aspects of their assigned job

Work alongside Patient Access team members to ensure processes and policies are being followed

Other Job Functions

Maintain a clean working environment for the facility. This includes the front desk, restroom, waiting room, break area and patient rooms when assistance is needed by medical staff

Receive deliveries including mail from various carriers and forward to appropriate departments as needed

Notify appropriate contact of any malfunctioning equipment or maintenance needs

Attend staff meetings or other company sponsored or mandated meetings as required

Assist medical staff as needed

May be required to float to alternate locations at the request of leadership, based on staffing needs and patient care requirements to ensure continuity of care and optimal operations.

Perform additional duties as assigned

Basic Qualifications

High School Diploma or GED, required

3 years patient registration and insurance verification experience in a health care setting, required.

Emergency Department registration experience, strongly preferred.

Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required.

Demonstrates leadership capabilities

Basic understanding of medical terminology

Excellent customer service

Working knowledge of MS Office (MS Word, Excel and Outlook), strongly preferred.

Position requires fluency in English; written and oral communication

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Worksite address

von ormy, TX, 78073, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.

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