Patient Access Specialist/Front Office (PRN/Casual Swing Shift)

Emerus Pittsburgh, PA, US

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About Us

HIGHLIGHTS: Patient Access Specialist/Front Office

SHIFT: Swing Shift

JOB TYPE: PRN/Casual

FACILITY TYPE: 18 bed Small-Format Hospital (8 ER, 10 Inpatient)

JOB PERKS: Night/Weekend shift differentials, 401K MATCH (100% vested day one of eligibility!), Paid Employee Referrals! FREE Parking!

LOCATION: McCandless: 8950 Duncan Avenue, Pittsburgh, PA 15237

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
The Patient Access Specialist plays a role in protecting patient safety by ensuring each patient is properly identified and triaged when they arrive to the hospital
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

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
Perform additional duties as assigned

Basic Qualifications

High School Diploma or GED, required
2 years of patient registration and insurance verification experience in a health care setting, preferred
Emergency Department registration experience, strongly preferred
Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required.
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
- Fluency in both English & Spanish is a requirement in the El Paso Market
Pennsylvania Candidates: Act 33 (Child Abuse History Clearance), & Act 73 (FBI Fingerprint Criminal History Clearance) completed within the last 5 years, or must be obtained prior to start date.

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