Patient Information Specialist

Patient Information Specialist HealthQuest Esoterics Irvine, CA Job Details Temporary | Full-time $20 - $24 an hour 23 hours ago Qualifications High school diploma or GED Full Job Description Position Summary The Missing Patient Information Specialist is responsible for obtaining incomplete or missing patient, insurance, and ordering provider information necessary for accurate laboratory claim submission and specimen processing. This position serves as a liaison between the laboratory, physician offices, clinics, hospitals, and other healthcare providers by proactively contacting clients to resolve missing documentation and demographic information. The specialist plays a critical role in reducing billing delays, claim denials, and processing errors while maintaining compliance with HIPAA and company policies. Essential Duties and Responsibilities Contact physician offices, hospitals, clinics, and other healthcare providers by telephone, fax, email, or secure electronic communication to obtain missing patient demographics, insurance information, diagnosis codes, physician orders, and requisition details. Review laboratory requisitions and billing records to identify incomplete or inaccurate information. Research patient accounts to verify and update demographic and insurance information. Document all communication attempts and updates accurately within the laboratory information system (LIS), billing system, or CRM. Follow established workflows for unresolved accounts, including escalation procedures and follow-up timelines. Communicate professionally and courteously with medical office staff, physicians, nurses, billing departments, and internal personnel. Collaborate with Billing, Accessioning, Client Services, and Revenue Cycle departments to resolve outstanding documentation issues. Monitor work queues to ensure timely resolution of missing information and meet departmental productivity goals. Maintain confidentiality of protected health information (PHI) in accordance with HIPAA and company policies. Identify recurring issues with client submissions and communicate trends to leadership for process improvement. Assist with additional administrative or client service duties as assigned. Qualifications in Education High school diploma or equivalent required. Associate degree in healthcare administration, medical assisting, or related field preferred. Experience Minimum one (1) year of experience in a medical office, laboratory, healthcare customer service, medical billing, or revenue cycle environment preferred. Experience obtaining medical documentation or insurance information preferred. Knowledge of laboratory requisitions, insurance verification, or medical terminology is highly desirable. Knowledge, Skills, and Abilities Excellent verbal and written communication skills. Strong telephone etiquette and customer service skills. Knowledge of medical terminology and healthcare documentation. Familiarity with HIPAA privacy and confidentiality requirements. Ability to multitask and prioritize work in a fast-paced environment. Strong attention to detail and problem-solving skills. Proficiency with Microsoft Office applications and healthcare software systems. Ability to work independently while maintaining productivity goals. Ability to maintain professionalism when communicating with healthcare providers and patients. Physical Requirements Prolonged periods of sitting and working at a computer. Frequent telephone communication. Ability to view computer screens for extended periods. Occasionally lift up to 15 pounds. Preferred Experience Laboratory Information System (LIS) experience. Medical billing or claims processing. Electronic medical records (EMR/EHR) systems. Revenue cycle management. Insurance verification and prior authorization processes.

Pay:

$20.00 - $24.00 per hour

Work Location:

In person