Patient Access Specialist

Description

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.

First schedule open:
Week 1:
Monday (1030A-11P) Thursday, Saturday (630A - 7P) Week 2:
Sunday (630A - 7P), Monday (1030A-11P), Thursday (630A - 7P) with a responsibility of 36 hours per week,

Second schedule open:
Monday through Friday 6:30 AM to 3:00 PM with a rotating Saturday schedule of 7:00 AM to 12:00 PM

Third schedule open:
Monday through Friday 6:45 AM to 3:15 PM with a rotating Saturday schedule of 7:00 AM to 12:00 PM.

Responsibilities:

- 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.

Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit  for more information.

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