Patient Access Specialist

Overview

Serves as a patient advocate and resource through the scheduling, pre‑registration, registration, admitting/discharge and authorization process. Greets, screens, and checks in patients, families, vendors, and visitors in a professional manner while working to exceed customer service expectations. Provides pre‑registration for current and prospective patients, including verification of demographics and insurance eligibility, determination of out‑of‑pocket liability, cost estimation, and collection of payments at the time of service or in advance.

Refers patients to Patient Financial Counselors when necessary.

• Provides excellent customer service to all individuals presenting for clinic care, surgery, admissions, or other needs.
• Maintains positive rapport and clear communication with internal and external contacts, documenting discussions in all applicable systems.
• Obtains and communicates accurate benefit information and eligibility, including pre‑determination, pre‑authorization, and detailed patient liabilities.
• Follows established protocols for verification and collection of demographics.
• Communicates with Medical Unit Manager or Director to determine bed assignment and resource availability at the time of admission.
• Assists in coordinating patient transport to surgical units following registration.
• Monitors patient care waiting areas to ensure a clean, safe, and comfortable environment.
• Processes incoming calls, including scheduling, pre‑registration, nurse call information, pharmacy refills, referral requests, paging needs, financial counseling queries, admission/discharge notifications, and special requests.
• Assists in scheduling interpretive services as needed.
• Opens and closes clinic/admission locations, ensuring security systems are utilized as directed.
• Collects co‑payments and payments on account at the time of service and prepares daily bank deposits, following payment and cash controls.
• Communicates professionally with patients/guarantors about scheduling, registration, authorization, or financial issues, including financial assistance applications or referrals.
• Confirms legal guardianship status and obtains necessary documentation and consents when required.

• Knowledge of electronic medical records, medical terminology, and insurance reimbursement procedures.
• Ability to maintain petty cash, make change, and process credit cards.
• Attention to detail and adherence to established standards and procedures.
• Knowledge of Explanation of Benefits (EOB), CPT, HCPCS, and diagnosis codes.
• Excellent verbal and written communication skills for interacting with physicians, clinicians, patients, and families.
• Proficiency in telephone etiquette and handling multiple tasks concurrently.

• High school diploma or equivalent.
• Basic Life Support (BLS) certification within 120 days of hire.

• Minimum of 3 years’ experience working in a clinic and/or hospital setting.
• Knowledge of Explanation of Benefits (EOB).

This job description incorporates the essential functions and duties required for this position. Other duties may be assigned as needed to meet the needs of the organization.

Boys Town is an equal employment opportunity employer and participates in the E-Verify program. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and/or expression, national origin, age, disability, or veteran status. To request a disability‑related accommodation in the application process, contact us at 1‑877‑639‑6003.