Patient Access Specialist

We are looking for a detail-oriented Patient Access Specialist to join our team in Pittsburgh, Pennsylvania. In this Contract to permanent position, you will play a crucial role in ensuring seamless admission processes for hospital patients while maintaining compliance with organizational policies and regulatory standards. This role requires a dedication to excellent customer service and the ability to manage patient information efficiently across various shifts.

Responsibilities:

• Assign and verify accurate medical record numbers (MRNs) while performing compliance checks and delivering clear patient instructions.
• Collect and verify insurance details, process physician orders, and utilize overlay tools to maintain data accuracy.
• Meet point-of-service goals and provide compassionate customer service in alignment with organizational standards.
• Conduct audits of patient accounts to ensure accuracy and compliance, providing timely statistical data to leadership.
• Handle pre-registration tasks for patient visits, including inbound and outbound calls to gather demographic, insurance, and financial information.
• Explain consent forms and patient education documents, ensuring necessary signatures and proper dissemination.
• Review insurance eligibility responses, select appropriate plan codes, and input benefit data to support billing and claim processes.
• Screen medical necessity using specialized software and inform Medicare patients of potential non-payment for specific tests.