Patient Access Specialist

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Uphold the Patients First philosophy while ensuring exceptional customer service standards.

• Address patient inquiries and concerns, escalating unusual issues to the Team Lead or Operations Coordinator.

• Safeguard patient confidentiality in compliance with HIPAA regulations.

• Deliver outstanding customer service to create a welcoming first impression.

• Accurately identify and collect patient demographic information.

• Collaborate with hospital departments and physician offices to schedule and direct patients.

• Reach out to patients to arrange appointments.

• Conduct medical necessity checks and communicate options when appointments are missed.

• Inform patients regarding issues with securing financial accounts.

• Complete estimates for out-of-pocket costs.

• Provide necessary training and education as required.

• Manage schedules and fulfill assignments punctually.

• Cross-train in various departments to ensure adequate coverage.

• Participate in quality assurance evaluations of patient data.

• Utilize service recovery skills to resolve service breakdowns.

• Communicate information regarding physician referrals, insurance referrals, and consultations.

• Collect authorization numbers and provide accurate handoff notes in Epic.

• Verify insurance eligibility and benefit levels using online tools or phone communication.

• Perform real-time eligibility checks and adhere to out-of-network policies.

• Send clear, grammatically correct messages and telephone encounters via Epic.

• Prevent visit-related issues by verifying tests, preparation requirements, appointment conflicts, timing, location, orders, and duplicate records.

• Collect and update necessary registration data.

• Analyze account activity and initiate resolutions as needed.

• Propose process improvements and engage in quality enhancement initiatives.

• Monitor registration, scheduling, and insurance verification to meet quality standards.

• Act as a training resource for new staff and colleagues.

• Perform additional duties assigned by the manager.

⛳️ Requirements

• High School diploma or equivalent qualification.

• 2-3 years of experience in customer service or medical office settings.

• Outstanding interpersonal, verbal, and written communication skills.

• Proficient in computer data entry and typing.

• Capable of reading, writing, and communicating effectively in English.

• Basic computer skills.

• Ability to type at a speed of 40 words per minute.

• Competence in multitasking.

• Strong customer service orientation.

• Excellent organizational, time management, analytical, and problem-solving abilities.

• Additional education is preferred.

• Proficiency in additional languages is preferred.

• Experience in healthcare finance and/or healthcare insurance is preferred.

• Knowledge and experience in a healthcare environment, particularly in patient scheduling and/or registration, is preferred.

• Ability to adhere to HIPAA regulations, organizational policies, and regulatory and accreditation standards.

• Successful completion of a required background check upon job offer.

🏝️ Benefits

• Tuition reimbursement.

• Loan forgiveness.

• 401(k) matching.

• Lifecycle benefits.

• Benefits focused on physical, emotional, and financial well-being.

• Protection against unexpected life events.

• Eligibility for a potential sign-on bonus (subject to specific exclusions).