Patient Access Specialist

Job Description

Job Description

We are looking for a detail-oriented Patient Access Specialist to join our team in Bangor, Maine. In this long-term contract role, you will play a vital part in ensuring seamless patient admissions and maintaining compliance with organizational and regulatory standards. This position requires exceptional customer service skills and the ability to handle administrative tasks with precision and professionalism. The schedule is Monday through Friday 9 : 30am-6 : 00pm and rotating Saturdays. Additionally, on call responsibilities once training is completed. OR Scheduled Shift : Monday - Friday 7 : 00a-3 : 30p

Responsibilities :

• Facilitate patient admissions by assigning accurate medical record numbers, verifying medical necessity, and ensuring compliance with organizational policies.
• Deliver clear and compassionate communication to patients while providing instructions, collecting insurance details, and processing physician orders.
• Meet assigned point-of-service goals by pre-registering patient accounts and verifying demographic and insurance information through inbound and outbound calls.
• Collect patient financial liabilities, including point-of-service payments and past-due balances, while offering payment plan options as needed.
• Explain and obtain signatures for consent forms and distribute educational materials to patients, such as Medicare notices and observation forms.
• Verify insurance eligibility and enter accurate benefit data to support the billing process and maintain a high clean-claim rate.
• Screen medical necessity using appropriate tools to inform patients of potential coverage issues and distribute required notices.
• Conduct quality audits of patient accounts to ensure accuracy, compliance, and timely completion of all necessary documentation.
• Utilize reporting systems to correct errors and provide statistical data to leadership for continuous improvement.
• Proven experience in customer service, preferably within a healthcare setting.
• Strong administrative skills, including familiarity with data entry and record management.
• Knowledge of insurance processes and medical billing procedures.
• Ability to handle collections and discuss financial responsibilities with patients in a detail-oriented manner.
• Exceptional communication and interpersonal skills to ensure compassionate patient interactions.
• Proficiency in using technology and software to verify insurance details and manage patient accounts.
• Keen attention to detail and the ability to meet deadlines in a fast-paced environment.
• Familiarity with regulatory and compliance standards in healthcare admissions.