Patient Access Specialist — Allen Hospital

Patient Access Specialist
- Mercy Allen Hospital

Shift/

Schedule:

Full Time
- Scheduled for 40 weekly hours (Five 8 hour shifts). Shift Times
- Rotating (Primary shift time - 2:00 pm‑10:30 pm, Availability on 1st or 3rd shift as needed). Weekend and holiday availability as required.

THIS IS A COLLECTIVE BARGAINING UNIT POSITION

The Spec Patient Access LOR is responsible for performing admitting duties for all patients admitted for services at Mercy Health. They must meet the mission and goals of Mercy Health ministry and all regulatory compliance requirements, working within policies and processes across the organization.

• Assign accurate MRNs, complete medical necessity/compliance checks, provide patient instructions, collect insurance information, process physician orders, and utilize overlay tool while delivering excellent customer service as measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, outgoing, and inter‑office calls, adhering to Mercy Health policies and providing compassionate customer service.
• Utilize quality auditing and reporting systems to correct accounts, including audits for other employees, departments, and facilities, ensuring all forms are completed accurately and timely to meet audit standards and deliver statistical data to leadership.
• Perform pre‑registration of patient accounts prior to visits, calling inbound/outbound to obtain demographics, insurance, and financial liability information, including collecting point‑of‑service collections and past‑due balances with payment plan options.
• Explain consent for treatment forms to patients/guarantors/legal guardians, obtain necessary signatures and witness names, and distribute patient education documents such as Medicare and Tricare messages, observation forms, MOON form, and consent forms.
• Review eligibility responses in insurance verification system, select applicable insurance plan codes, enter benefit data to support POS collections, and assist with clean claim rates.
• Screen medical necessity using ABN software to notify Medicare patients of possible non‑payment, distribute ABN and other designated forms and pamphlets.
• Perform all other duties as assigned, including answering phones at applicable facilities.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job‑related duties as required by their supervisor, subject to reasonable accommodation.

CHAA (Certified Health Access Associate) – National Association of Healthcare Access Management, preferred.

• High School Diploma or GED – required.
• 2‑Year / Associate’s Degree – preferred.
• Combination of post‑secondary education and experience in lieu of a degree.

1–2 years of patient access experience highly preferred.

Medical terminology or CPT or procedure codes – preferred.

• Periods of high stress and fluctuating workloads may occur.
• General office environment.
• May be exposed to high noise levels and bright lights.
• May be exposed to physical altercations and verbal abuse.
• May be exposed to limited hazardous substances or body fluids.
• May be exposed to human blood and other potentially infectious materials.
• May have periods of constant interruptions.
• Prolonged periods of working alone.

• Typing
• Patient Insurance
• Obtaining Insurance Authorizations
• Benefits Verification
• Financial Acumen
• Analyzing data or information
• Health Insurance Requirements
• Medical Terminology
• CPT or Procedure Codes
• Attention to detail
• Acceptance of authority
• Critical thinking
• Communication with family members/patients
• Teamwork
• Conflict resolution
• Active listening
• Relationship building

As a Bon Secours Mercy Health associate, you are part of a mission that matters. We support your well‑being—personally and professionally. Our benefits grow with you and meet your unique needs, every step of the way.

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible).
• Medical, dental, vision,…