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We are looking for an experienced Patient Access Specialist to join our team in Lewiston, Maine. In this role, you will handle admission processes for patients receiving services at the hospital while ensuring compliance with organizational policies and regulatory standards. This is a long-term contract position ideal for professionals who excel in administrative tasks and customer service.
Job Responsibility:
Accurately assign medical record numbers (MRNs) and perform compliance checks to ensure medical necessity for services
Gather and process insurance details, physician orders, and patient instructions while maintaining a high level of customer service
Conduct pre-registration for patient accounts through inbound and outbound calls, collecting demographic and financial information
Explain and obtain signatures for consent forms and distribute patient education materials, including Medicare and Tricare notices
Verify insurance eligibility, select appropriate plan codes, and input benefits data to support billing and collections processes
Inform Medicare patients of potential non-payments using the Advance Beneficiary Notice system and distribute required forms
Ensure accuracy of patient accounts by conducting quality audits and making necessary corrections to meet organizational standards
Monitor point-of-service goals and engage in collections processes, including payment plans and resolving past due balances
Utilize auditing and reporting systems to provide statistical data and maintain compliance with audit requirements
Requirements:
Proven experience in customer service, preferably in a healthcare setting
Strong administrative and organizational skills with attention to detail
Proficiency in data entry and ability to manage large volumes of information accurately
Knowledge of insurance verification processes and medical necessity protocols
Effective communication skills to explain forms and procedures to patients and guardians
Familiarity with collections processes, including payment plans and resolving financial liabilities
Ability to work within compliance standards and organizational policies
Experience with quality auditing systems and reporting tools
What we offer:
medical, vision, dental, and life and disability insurance