Patient Access Specialist

Description

POSITION SUMMARY:

The Patient Access Specialist is responsible for facilitating patient registration, admissions, and related administrative tasks. This includes verifying and collecting patient information, processing orders and service requisitions, handling co-payments, and managing required paperwork. Additionally, the role involves scheduling appointments, answering phone calls, and addressing general inquiries to ensure a seamless patient experience and efficient clinic operations.

CORE ESSENTIAL RESPONSIBILITIES:

• Accurately register patients, verify demographics, obtain necessary consents and authorizations, and collect co-payments and financial paperwork.
• Schedule lab visits, provider-to-provider procedures, follow-up appointments, and chemotherapy treatments using specialized infusion scheduling software.
• Gather and process referrals by working with physicians, advanced practice providers, and nursing staff to ensure seamless patient care.
• Answer patient inquiries via phone and other communication channels in a timely and professional manner, providing clear and accurate information.
• Maintain organized patient files, scan medical records promptly, and ensure accurate documentation of patient interactions.
• Verify insurance coverage, follow CMS requirements for checking medical necessity, and communicate coverage details to patients, including the need for Advance Beneficiary Notices (ABNs).
• Complete Medicare Secondary Payer Questionnaires in accordance with CMS standards.
• Make outgoing calls to patients who missed appointments and to schedule follow-up visits, including those following telehealth encounters.
• Perform other administrative and patient access-related duties as assigned to support business operations.

Requirements

REQUIRED EDUCATION & EXPERIENCE:  

• High school diploma or equivalent required.
• One to two years of experience in a healthcare or medical office setting preferred.
• Experience with electronic medical records (EMR) systems, such as Epic, is strongly preferred.
• Prior experience in patient registration, insurance verification, or front office administrative work in a clinical environment is a plus.

REQUIRED CERTIFICATES, LICENSE OR REGISTRATION:

• None

REQUIRED KNOWLEDGE, SKILLS OR ABILITIES:

• Knowledge of patient registration procedures, insurance verification, and healthcare billing practices.
• Familiarity with electronic medical records (EPIC) systems and medical terminology.
• Understanding of HIPAA regulations and best practices for maintaining patient confidentiality and data accuracy.