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We are looking for a detail-oriented Patient Access Specialist to join our team in Pittsburgh, Pennsylvania. In this Contract to permanent position, you will play a crucial role in ensuring seamless admission processes for hospital patients while maintaining compliance with organizational policies and regulatory standards. This role requires a dedication to excellent customer service and the ability to manage patient information efficiently across various shifts.
Job Responsibility:
Assign and verify accurate medical record numbers (MRNs) while performing compliance checks and delivering clear patient instructions
Collect and verify insurance details, process physician orders, and utilize overlay tools to maintain data accuracy
Meet point-of-service goals and provide compassionate customer service in alignment with organizational standards
Conduct audits of patient accounts to ensure accuracy and compliance, providing timely statistical data to leadership
Handle pre-registration tasks for patient visits, including inbound and outbound calls to gather demographic, insurance, and financial information
Explain consent forms and patient education documents, ensuring necessary signatures and proper dissemination
Review insurance eligibility responses, select appropriate plan codes, and input benefit data to support billing and claim processes
Screen medical necessity using specialized software and inform Medicare patients of potential non-payment for specific tests
Requirements:
Proficiency in patient registration and scheduling processes
Strong skills in assisting patients and handling inquiries with professionalism
Experience in verifying medical insurance and understanding coverage details
Ability to manage patient accounts and financial liabilities effectively
Excellent communication and customer service skills
Familiarity with auditing systems and quality reporting tools
Knowledge of medical consent forms and educational document procedures
High attention to detail and accuracy in managing sensitive patient information
What we offer:
medical, vision, dental, and life and disability insurance