Patient Access Specialist

Job Description

We are looking for a dedicated Patient Access Specialist to join our team in Lewiston, Maine. This is a night shift position 6:30pm to 7:00am 3 days a week. In this long-term contract position, you will play a crucial role in ensuring smooth patient admissions and maintaining compliance with organizational and regulatory standards. This role offers the opportunity to make a meaningful impact by delivering exceptional service and accuracy in a healthcare environment.

Responsibilities:

• Accurately assign medical record numbers (MRNs) and perform medical necessity checks while ensuring compliance with policies and procedures.

• Collect and verify insurance details, process physician orders, and provide clear patient instructions while maintaining a high level of customer service.

• Conduct pre-registration for patients, including obtaining demographic and insurance information, explaining financial responsibilities, and managing payment collections.

• Explain and distribute consent forms, Medicare-related documents, and other patient education materials, ensuring all necessary signatures are obtained.

• Review insurance eligibility responses, select appropriate plan codes, and input benefit information to support billing and collections processes.

• Screen medical necessity using designated software and inform patients of potential non-payment risks, distributing relevant forms and documentation.

• Utilize auditing systems to review accounts for accuracy, correct errors, and provide statistical data to leadership.

• Conduct inbound and outbound calls to gather patient information and address outstanding balances, offering payment plan options as needed.

• Meet assigned point-of-service goals while consistently delivering compassionate and attentive interactions.• Proven experience in customer service, preferably in a healthcare or administrative setting.

• Strong administrative skills, including attention to detail and organizational abilities.

• Proficiency in data entry with a focus on accuracy and efficiency.

• Familiarity with insurance verification and collections processes.

• Ability to handle sensitive patient information with discretion and professionalism.

• Excellent communication skills to explain forms and processes clearly to patients.

• Knowledge of medical terminology and compliance standards is an advantage.

• Capability to work independently and as part of a team to meet operational goals.

Hybrid remote