Responsible for performing admitting duties for all patients admitted for services at the hospital
Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service
Operates the telephone switchboard to relay incoming, out-going and inter-office calls
Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards
Senior Patient Access Specialist Staff are responsible for the pre-registration of patient accounts prior to patient visits
Explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witnesses name
Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate
Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software.

Certified Healthcare Access Associate (CHAA) and or CRCR, Certified Revenue Cycle Representative (Company Paid)
2 Year/ Associates Degree Preferred
2-3 years of experience in patient access or leadership role
Understanding of Revenue Cycle including admission, billing, payments and denials
Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification
Knowledge of Health Insurance requirements
Knowledge of medical terminology or CPT or procedure codes
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Senior Patient Access Specialist

Key skills