Patient Access Specialist
Core
Admitting and pre-registration for patients admitted for services at the hospital, ensuring compliance and accurate billing setup.
Role type
Patient Access Specialist (Admitting)
Builds
Clean claims and accurate patient accounts for hospital services
Domain
Healthcare / Revenue Cycle Management
Required skills
Medical necessity screening, insurance verification, patient registration, data entry, form distribution, telephone switchboard operation, customer service
Preferred skills
Openness to innovation including AI, inquisitive nature
Technologies
Advanced Beneficiary Notice (ABN) software, insurance verification system, quality auditing and reporting systems, overlay tool
Responsibilities
Assign accurate MRNs and complete medical necessity/compliance checks; Pre-register patient accounts and collect insurance/financial information; Operate telephone switchboard to relay calls; Explain consent forms and distribute patient education documents; Review eligibility responses and enter benefit data for billing; Conduct audits of accounts to ensure accuracy and timeliness.