Patient Access Specialist

The Patient Access Specialist reflects the mission, vision, and values of NMHC, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Hours follow a repeating 6-week rotation of day and weekend shifts between 6:00 AM and 8:00 PM.

Responsibilities

Consistently practices Patients First philosophy and adheres to high standards of customer service; Responds to questions and concerns; Maintains patient confidentiality per HIPAA regulations; Provides exceptional customer service to patients; Correctly identifies and collects patient demographic information in accordance with organization standards; Interacts with various hospital departments and physicians offices to schedule and direct patients through the NMHC systems; Reaches out to patients to schedule an appointment as defined; Performs medical necessity checks as necessary for scheduled services; Informs patients of any issues with securing the financial account for their encounter; Completes out-of-pocket estimations as requested by patients; Provides training and education as needed; Verifies insurance eligibility and benefit levels through online tools or over the phone as necessary; Runs real time eligibility (RTE) on all patients to verify insurance; Participates in Quality Assurance reviews to ensure integrity of patient data information; Participates in departmental quality improvement activities; Monitors registration and scheduling, including insurance verification, to ensure processing within prescribed quality standards

Requirements

High School diploma or equivalent; 2-3 years customer service or medical office experience; Excellent interpersonal, verbal, and written communication skills; Proficiency in computer data-entry/typing; Ability to read, write, and communicate effectively in English; Basic Computer Skills; Ability to type 40 wpm; Ability to multi-task; Customer service oriented; Excellent organizational, time management, analytical, and problem solving skills

Nice to have

Additional education; Additional language skills; Healthcare finance and/or healthcare insurance experience; Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration

Benefits

Tuition reimbursement; Loan forgiveness; 401(k) matching; Lifecycle benefits; Wide range of benefits to improve physical, emotional, and financial well-being; Protection for unexpected life events