Patient Access Specialist (PRN Days or Nights)

About Us

Saint Alphonsus has partnered with Emerus, the nation’s first and largest operator of micro-hospitals. Emerus is a nationally recognized, innovative leader in the delivery of emergency, inpatient, and diagnostic medical health care. We have created a special place, Saint Alphonsus Neighborhood Hospital – Nampa, where patients can expect the highest level of care when every second counts. Our state-of-the-art hospitals are fully accredited and provide highly individualized care. From the moment a patient walks through the door, a team of exceptional medical professionals take charge, treating patients with speed, compassion and expertise. We are on a mission to transform the health care experience.

Position Overview

The purpose of this position is to serve as a liaison between patient/family, payers, Patient Financial Services, and other health care team members. You’ll be asked to facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement.

Essential Job Functions

Maintain compliance with EMTALA, DNV, HIPAA and all other hospital and government regulations applicable to the Admissions settings
Provide excellent customer service at all times by effectively meeting customer needs, understanding who the customers are, and building quality relationships
Answer telephone in a professional and courteous manner, record messages and communicate to appropriate medical staff
Provide and obtain signatures on required forms and consents
Obtain, verify, and enter complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle
Verify insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into the patient accounting system
Obtain insurance authorizations as required by individual insurance plans, documenting authorization numbers in the appropriate fields for accurate billing
Maximize the efficiency and accuracy of the collection process by pursuing collections at the time of service in a customer service oriented fashion
Scan all registration and clinical documentation into the system and maintain all medical records
Obtain patient satisfaction surveys from all patients upon discharge
Coordinate the transfer of patients to other hospitals when necessary
Respond to medical record requests from patients, physicians and hospitals
Maintain cash drawer according to policies
Maintain log of all patients, payments received, transfers and hospital admissions
Maintain visitor log

Other Job Functions

Maintain a clean working environment for the facility. This includes the front desk, restroom, waiting room, break area and patient rooms when assistance is needed by medical staff
Receive deliveries including mail from various carriers and forward to appropriate departments
Notify appropriate contact of any malfunctioning equipment or maintenance needs
Attend staff meetings or other company sponsored or mandated meetings as required
Assist medical staff as needed
Perform additional duties as assigned

Basic Qualifications

High School Diploma or GED, required
1 year patient registration and insurance verification experience in a health care setting, strongly preferred
Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, strongly preferred
Basic understanding of medical terminology
Excellent customer service
Working knowledge of MS Office (MS Word, Excel and Outlook)
Position requires fluency in English; written and oral communication