Patient Access Specialist

• Perform admitting duties for all patients admitted for hospital services
• Assign accurate MRNs and complete medical necessity and compliance checks
• Provide patient instructions and collect insurance information
• Receive and process physician orders
• Use overlay tools while providing customer service measured by Press Ganey
• Operate the telephone switchboard and relay incoming, outgoing, and inter-office calls
• Meet assigned point-of-service goals
• Use quality auditing and reporting systems to correct accounts
• Conduct account audits, ensure forms are accurate and timely, and provide statistical data to Patient Access leadership
• Pre-register patient accounts before visits through inbound and outbound calls
• Obtain demographic, insurance, and financial liability information and collect point-of-service and past-due balances, including payment plans
• Explain consent forms, obtain required signatures, and witness names
• Explain and distribute patient education and regulatory documents
• Review insurance eligibility responses, select insurance plan codes, and enter benefit data to support collections and billing
• Screen Medicare medical necessity using ABN software and distribute and document ABNs and other forms

• 1+ years of customer service experience
• High School Diploma/GED required
• CRCR required within 6 months of hire (company paid)
• Must be able to work on-site in Norwalk, CT
• Must reside and be authorized to work within the United States
• Ability to perform admitting duties and comply with organizational policies, processes, mission, goals, and regulatory requirements
• Ability to assign accurate MRNs and complete medical necessity/compliance checks
• Ability to collect and process insurance, demographic, and patient financial information
• Ability to operate a telephone switchboard
• Ability to use insurance verification, eligibility, ABN, overlay, quality auditing, and reporting systems
• Ability to explain consent, patient education, Medicare, Tricare, observation, and other designated forms

Demonstrates expertise in patient admission processes, insurance verification, and compliance checks while providing exceptional customer service. Proficient in operating telephone switchboards and utilizing quality auditing systems to ensure accurate patient account management.

• Patient Admission Duties
• Insurance Verification
• Quality Auditing Systems
• Customer Service Experience
• CRCR Certification

• Medical Necessity Checks
• MRN Assignment
• Insurance Information Collection
• Account Audits
• Patient Financial Information Processing

• Customer Service
• Communication

• CRCR

• Patient Access
• Compliance
• Demographic Information
• Regulatory Documents
• Medicare

• ABN Software
• Telephone Switchboard
• Overlay Tools
• Reporting Systems