Specialist, Healthcare, Healthcare Administration

Job Overview

The Patient Access Specialist is responsible for ensuring a smooth and efficient patient access experience by managing the preregistration and registration processes for outpatient appointments. This role involves verifying insurance information, gathering necessary demographic details, handling precertification and/or preauthorization processes, collecting patient paperwork, and ensuring all data is accurately documented and entered into the Electronic Medical Record (EMR) system. The Patient Access Specialist will play a key role in delivering excellent customer service and facilitating the efficient operation of outpatient services.

This is a full-time, on-site Specialist role located in Laurel, MS. The Specialist will perform specialized tasks and contribute to targeted projects as assigned. Day-to-day responsibilities include collaborating with team members to execute initiatives, analyzing data, creating detailed reports, and designing solutions that meet the organization’s needs. The Specialist will also support process improvements and maintain compliance with organizational policies.

• Verify identity of all patients
• Register/Pre Register patients for outpatient appointments, confirming all demographic information, insurance details, and patient paperwork is signed and properly documented.
• Verify/Update insurance eligibility and coverage, confirming necessary authorizations or precertifications for procedures or visits.
• Confirm required medical orders are valid and ensure the patient’s appointment is scheduled with all necessary documentation in place when necessary.
• Provide patients with cost estimates for services and obtain necessary consents for treatment.
• Accurately scan all relevant patient documentation (insurance cards, consent forms, medical orders, etc.) into the Electronic Medical Record (EMR) system.
• Assist with special projects or tasks as assigned by management.
• Strong analytical skills, problem-solving capabilities, and attention to detail
• Experience in data analysis, reporting, and developing targeted solutions
• Excellent communication and organizational skills, with the ability to multitask effectively
• Proven ability to collaborate with team members and stakeholders
• Familiarity with healthcare operations or medical terminology is a plus
• Proficiency in relevant software or technical tools
• Bachelor’s degree in a related field or equivalent work experience