Patient Access Specialist

The Opportunity

ENTRY LEVEL CAREER OPPORTUNITY OFFERING:

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• This position pays between $17.00 - $18.15 based on experience
• This position is an onsite role, and candidates must be able to work on‑site at Bon Secours – Maryview Medical Center in Portsmouth, VA.

We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for performing these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.

• Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity/compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey.
• Operates the telephone switchboard to relay incoming, outgoing, and inter‑office calls as applicable.
• They are to adhere to policies and provide excellent customer service in these interactions with the appropriate level of compassion.
• Patient Access staff will be held accountable for point‑of‑service goals as assigned.
• Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected—these activities may include accounts for other employees, departments, and facilities. Conducts audits of accounts and assures that all forms are completed accurately and timely to meet audit standards and provides statistical data to Patient Access leadership.
• Patient Access Staff are responsible for the pre‑registration of patient accounts prior to patient visits. This may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities, collecting point‑of‑service collections, and past‑due balances including payment‑plan options.
• The Patient Access Staff explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness’s name, explains and distributes patient education documents (Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services).
• Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point‑of‑Service Collections) and billing processes to assist with a clean claim rate.
• Responsible for accurately screening medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non‑payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.

• 1+ years of customer service experience

• High School Diploma/GED Required

• CRCR Required within 9 months of hire

Five‑time winner of “Best in KLAS” 2020‑2022, 2024‑2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021‑2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019‑2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022‑2023
Energage Top Workplaces USA 2022‑2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023‑2024

• Innovation
• Work‑Life Flexibility
• Leadership
• Purpose + Values

We believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• Associate Benefits – We offer a comprehensive benefits…