registration scheduling specialist

East Alabama Medical Center

<div><ul><li><div><p><b>EAMC MISSION</b></p>
</div><ul><li><div><div>At East Alabama Medical Center, our mission is high quality, compassionate health care, and that statement guides everything we do. We set high standards for customer service, quality, and keeping costs under control.</div>
</div></li></ul></li><li><div><b>POSITION SUMMARY</b></div>
<ul><li><div><div>The Patient Processing Pre-certification Scheduling Specialist functions in a high volume, fast-paced environment. The Specialist provides courteous and efficient service to patients and physician offices while scheduling requested appointments across multiple locations. Concise communication skills and excellent customer service are a must for this position. The Specialist should be a driven, self-motivated individual who is able to move between tasks quickly, making the most of their time.</div>
</div></li></ul></li><li><div><b>POSITION QUALIFICATIONS</b></div>
<ul><li><div><div><b>Minimum Education
</b></div><ul><li><div>High School Diploma or equivalent</div>
</li></ul></div></li><li><div><div><br>
<b>Minimum Experience
</b></div><ul><li><div>1-2 years customer service experience, including working on a computer.</div>
</li></ul></div></li><li><div><div><br>
<b>Required Registration/License/Certification
</b></div><ul><li><div>N/A</div>
</li></ul></div></li><li><div><div><br>
<b>Preferred Education
</b></div><ul><li><div>Associate Degree in Business or Health related field, Knowledge of Medical Terminology Preferred, Knowledge of ICD-10 and CPT coding preferred</div>
</li></ul></div></li><li><div><div><br>
<b>Preferred Experience
</b></div><ul><li><div>1-2 years healthcare/hospital experience and/or customer service experience.</div>
</li><li><div>1-year computer experience and the ability to type and spell accurately.</div>
</li></ul></div></li><li><div><div><br>
<b>Preferred Registration/License/Certification</b></div>
<ul><li><div>Certification of Patient Accounts preferred.</div>
</li></ul></div></li><li><div><div><br>
<b>Other Requirements</b></div>
<ul><li><div>N/A</div>
</li></ul></div></li></ul></li></ul><br>
Location: EAMC &middot; RAD SUPP<br>
Schedule: FT, First Shift</div>

PATIENT PROCESSING PRE CERT SCHEDULING SPECIALIST - OIFED

Sidra

<div><div><div>Working as part of Radiology&rsquo;s multi-disciplinary team, theCoordinator - Patient Imaging, under the direction of the Supervisor - Patient Imaging and Scheduling, provides excellent patient-focused care whilst performing accurate and timely scheduling activities at both the Out- and In-Patient Radiology sites for all modalities including complex DI/Radiology anesthesia scheduling. S/he provides courteous and efficient assistance for all patients, their families and other internal and external visitors / callers to Radiology. The scope and purpose are to provide frontline operational support to the clinical Radiology facility so that patients receive efficient and timely patient-centered care. TheCoordinator - Patient Imagingperforms basic reception/ registration activities in support of the Radiology Processing Officer and may also perform other duties as assigned by the Supervisor - Patient Imaging and Scheduling.<br>
</div></div><div></div><div><div>Systems integral toCoordinator - Patient Imagingworkflows may include:
</div></div><div><ul><li><div>Cerner Scheduling System, including limited SurgiNet application
</div></li></ul></div><div><ul><li><div>Radnet application
</div></li></ul></div><div><ul><li><div>Cerner registration application
</div></li></ul></div><div><ul><li><div>Powerchart order entry
</div></li></ul></div><div><ul><li><div>Biometrics, including palm scanning technology
</div></li></ul></div><div><ul><li><div>Patient identification
</div></li></ul></div><div><ul><li><div>Insurance necessity and eligibility applications
</div></li></ul></div><div><ul><li><div>Capacity management patient transportation application
</div></li></ul></div><div><ul><li><div>IT hardware including document scanning and barcode reader equipment</div></li></ul></div></div>
<br><div><div>About US</div>
<div><div>Sidra Medicine a healthy population is essential to a strong, prosperous society, and throughout 2020, Sidra continued to provide uninterrupted comprehensive specialist healthcare services for children and young people; and exceptional maternity, gynecology, and reproductive medical services for women, previously unavailable in Qatar and the region.&rdquo; &ndash; H.H Sheikha Moza bint Nasser, Chairperson of Qatar Foundation
</div><div>Sidra Medicine represents the vision of Her Highness Sheikha Moza bint Nasser who serves as its Chairperson. This high-tech facility is home to world-class patient care, scientific expertise, and educational resources.</div></div></div><div></div>

Coordinator - Patient Imaging

Indiana University Health

<div><div><div><div><h1 class="jobSectionHeader"><b>Specialist-Registration I</b></h1>
</div></div><div></div><div><h2 class="jobSectionHeader"><b>Job Description</b></h2>
<div><p><b>Overview</b>
</p><div><h2 class="jobSectionHeader"><b>Registration Specialist</b></h2><p><b>
Location:</b> Methodist Professional Center (Onsite)<br>
<b>Schedule:</b> Monday&ndash;Friday | 8:00 AM &ndash; 4:30 PM<br>
<b>Parking:</b> Free parking available in Garage 3</p><p></p><h3 class="jobSectionHeader"><b>
Position Summary</b></h3><p>
The Registration Specialist plays a critical role in the success of the clinic by ensuring a smooth, accurate, and efficient patient registration process. This position maintains consistent patient flow for providers and works collaboratively with physicians, clinical staff, and fellow team members. Training is provided for the Electronic Medical Record (EMR) system and all job‑specific responsibilities, with optional opportunities to pursue <b>Registration Certification</b> for professional growth.</p><p></p><h3 class="jobSectionHeader"><b>
Key Responsibilities</b></h3><ul><li>
Provide excellent customer service to patients, families, and visitors</li><li>
Check in patients and schedule appointments accurately and efficiently</li><li>
Verify insurance coverage and work assigned registration task queues</li><li>
Facilitate patient flow from point of entry through destination in a timely, accurate, and professional manner</li><li>
Obtain, verify, and update demographic and financial information to ensure accurate records and optimal reimbursement</li><li>
Interview patients to obtain appropriate medical information</li><li>
Explain charges, policies, and departmental procedures clearly and professionally</li><li>
Validate, enter, and process charges; collect required payments</li><li>
Answer incoming calls and appropriately direct patients and visitors</li></ul><p></p><h3 class="jobSectionHeader"><b>
What Success Looks Like</b></h3><ul><li>
Positive, patient‑focused energy with a strong commitment to customer service</li><li>
Effective collaboration with clinical team members and providers</li><li>
Strong organizational skills and attention to detail</li><li>
Ability to learn clinic workflows and work independently as proficiency increases</li></ul><p></p><h3 class="jobSectionHeader"><b>
Training &amp; Onboarding</b></h3><p>
Onboarding includes a structured training experience with ongoing support:</p><ul><li>
Required registration training classes</li><li>
Insurance training, including proper coverage loading</li><li>
EMR and scheduling system training</li><li>
Shadowing experienced Registration Team Members</li><li>
Hands‑on practice with continued guidance and support</li></ul><p></p><h3 class="jobSectionHeader"><b>
Performance Benchmarks</b></h3><ul><li><b>
3 Months:</b> General understanding of EMR, clinic workflows, insurance practices, and provider schedules with trainer assistance as needed</li><li><b>
6 Months:</b> Working knowledge of EMR, clinic processes, insurance practices, and provider schedules with minimal assistance</li><li><b>
12 Months:</b> Advanced understanding of EMR, clinic operations, insurance practices, and provider schedules; ability to work independently</li></ul><p></p><h3 class="jobSectionHeader"><b>
Team Culture</b></h3><ul><li>
Cohesive</li><li>
Positive</li><li>
Highly collaborative</li><li>
Goal‑oriented</li></ul><p></p><h3 class="jobSectionHeader"><b>
Qualifications</b></h3><p><b>
Required:</b></p><ul><li>
High School Diploma or GED</li><li>
Basic proficiency with Microsoft Office (Word, PowerPoint, Excel)</li></ul><p><b>
Preferred:</b></p><ul><li>
Previous experience in a healthcare or clinical setting</li><li>
Ability to learn and retain medical coding concepts</li><li>
Knowledge of <b>ICD‑10</b> and <b>CPT</b> coding</li><li>
Ability to interpret insurance information</li><li>
Familiarity with clinical practices and medical terminology</li></ul></div><br>
</div><p></p><div><p>We are an equal opportunity employer. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.</p>
</div></div></div><div></div><div><div><div><p>Indiana University Health is Indiana&rsquo;s most comprehensive health system, with 15 hospitals and nearly 40,000 team members serving Hoosiers across the state. Our partnership with the Indiana University School of Medicine gives our team members access to the very latest science and the very best training, advancing care for all. We&rsquo;re looking for team members who share the things that matter most to us. People who are inspired by challenging and meaningful work for the good of every patient. People who are compassionate and serve with a purpose. People who aspire to excellence every day. People who are always ready to apply themselves.</p></div></div></div></div>

Specialist-Registration I

Nemours Children's Health

<div>Nemours is seeking an Access Center Specialist II (Full-Time), to join our Jacksonville, Florida team.<p><b>
This is a hybrid position.
</b></p><p>The Access Specialist II communicates with patients/providers via telephone to ensure accurate, prompt and courteous scheduling of specialty appointments according to established division guidelines. This position is responsible for obtaining and entering accurate demographic and insurance information for all encounters. The Access Specialist II is required to discuss financial obligations with patient families and collect when appropriate.
</p><p>The Access Specialist II is responsible for monitoring registration and insurance related items that fall into patient work queues to ensure timely claim filing. This role works collaboratively with medical secretaries and department managers to ensure all patients' access needs are met. The Access Specialist II is required to provide superior customer service to both internal and external customers, and represent Nemours in a positive, professional manner. They are responsible for demonstrating a commitment to service, organization values, and professionalism through appropriate conduct and demeanor at all times.<br>
<br>
</p><ul><li>Promptly answers incoming calls to schedule appointment for patients; makes outbound calls when follow-up is needed.</li>
<li>Provide a smooth transition for all internal and external customers by utilizing excellent customer service skills and effective communication.</li>
<li>Ensures efficient processing and documentation of all information required for insurance verification, registration and billing in the Electronic Medical Record (EMR) system.</li>
<li>Schedule patient appointment according to established division guidelines and communicate updates and barriers in a timely manner.</li>
<li>Ensure urgent diagnosis and appointments are handled with priority and escalation processes are utilized when necessary.</li>
<li>Verify insurance eligibility and authorizations utilizing the available resource tools.</li>
<li>Utilize the Managed Care Manual to verify participating insurances and their requirements.</li>
<li>Inform the caller of their financial responsibility that is due at the time of service/offer to collect in advance at the time of scheduling and ensure accurate daily cash reconciliation.</li>
<li>Adhere to the authorization process by informing the caller that an authorization is needed (if applicable) at the time the appointment is made.</li>
<li>Refer patients to the Financial Advocates if financial assistance is needed.</li>
<li>Educate the callers on the preparation for the appointment or requirements needed to ensure a productive visit.</li>
<li>Accurately notate the patient's accounts to communicate pertinent information to clinic, registration, authorization, family financial, and billing departments.</li>
<li>Request medical records when necessary.</li>
<li>Review work queues on a daily basis, make corrections and/or escalate to leadership if necessary.</li>
<li>Respond to and complete staff message.</li>
<li>Provide support for Cancelled Clinic requests.</li>
<li>Review and take the necessary action to ensure patient scheduled appointments are accurate.</li>
<li>Always offer specific directions to the clinic and location that they will be seen.</li>
<li>Stay up to date of appointment scheduling changes and insurance requirements.</li>
<li>Interact with coworkers and clinic personnel in a professional manner.</li>
<li>Communicates effectively with patients, physicians and/or other departments regarding delays or any issues relating to patient appointments.</li>
<li>Consistently achieve team metric standards and expectations.</li>
<li>Maintains strict confidentiality at all times.</li>
<li>Positively support mission, vision and values of Nemours.</li>
<li>Brings forth any compliance/ethic issues and recommendations for operational improvement.</li>
<li>Ensures successful adherence to policies, procedures and changes to the organization</li>
<li>Other duties as assigned.</li></ul><br>
<b>
Job Requirements</b><br>
<ul><li>
High School Diploma required.</li>
<li>More than one (1) year of customer service, medical office, or call center experience preferred.</li>
<li>NAHAM certificate (National Association of Healthcare Access Management) - CHAA preferred.</li></ul><br>
<b>
What We Offer
</b><br>
<ul><li>Competitive base compensation in the top quartile of the market</li>
<li>Annual incentive compensation that values clinical activity, academic accomplishments and quality improvement</li>
<li>Comprehensive benefits: health, life, dental, vision</li>
<li>403B with employer match.</li>
<li>Licensure, CME and dues allowance</li>
<li>Not-for-profit status; eligibility for Public Service Loan Forgiveness</li>
<li>For those living and working in Florida, enjoy the benefit of no state income tax. Those based in Delaware benefit from the state's moderate tax structure.</li></ul><br>
<b>
#LI-MW1</b><p><b>
About Us</b></p><p>
Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida - along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships.</p><p>
Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive.</p><p>
Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued.</p><p>
Learn more at Nemours.org .</p></div>

Access Center Specialist II

Orlando Health

<div>Position Summary:
<div><b>
Department:</b><b> </b>Orlando Health Ambulatory - Outpatient Rehab</div><div><b>
Status:</b> Full-Time | 40 hours per week</div><div><b>
Shift:</b> Monday - Friday, 8am - 5pm</div><div><b>
Title:</b>Ancillary Scheudling, Registration, and Patient Charge Specialist</div><div></div><div><b><br>
***Address of Practice: 1222 S. Orange Ave 5th floor Orlando, Fl 32806***</b></div><div></div><div><b><br>
Position Summary</b></div><div>
This position is for our downtown outpatient orthopedic and sports rehab clinic located in the Orlando Health Heart Institute. Responsibilities include patient check in/out, registration, insurance verification/authorization, scheduling, and front office operations.</div><div><br>
</div><div><b>All Inclusive Benefits (start day one)</b></div><div>
Health/Dental/Vision/Life Insurance, Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees.</div>
Responsibilities:
<div><b>
Essential Functions</b></div><ul><li>Effective pre-registration, registration and scheduling of multiple patient appointments.</li><li>Manages the multiple additions and cancellations of patient appointments.</li><li>Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information in appropriate hospital</li></ul>
systems
<br>
<ul><li>Contacts appropriate payers/provider offices, verifying benefits and obtaining/documenting necessary authorizations.
</li><li>Consistently and constantly reviews the schedules daily and communicates all changes to appropriate staff.</li><li>Responsible for entry of patient charges.</li><li>Acts as a liaison between the provider and patient to explain insurance benefits, co-pays, deductibles, and self pay portions.</li><li>Accurately communicates all procedure pertinent information including arrival time, location, and duration to the patient.
</li><li>Performs check in and check out of patients.</li><li>Acts as a liaison to the clinical staff.
</li><li>Acts as a liaison to the clinical and business staff to ensure effective and efficient patient management including the transfer of
</li></ul>patients from both outside and sister facilities.<br>
<ul><li>Acts as a resource for training or mentoring of new team members.</li><li>Maintains flexibility in work schedule availability that allows department to change/modify work schedule to meet departmental
</li></ul>needs and on call responsibilities.
<br>
<ul><li>Attends and participates in department staff meetings and attends other meetings as assigned.</li><li>Represents and participates in department, facility, Patient Financial Services and corporate committees as requested by
</li></ul>supervisor/department manager.<br>
<ul><li>Responsible for reviewing and adhering to all corporate departmental and education initiatives.</li><li>Assists his/her supervisor/manager in planning and organizing department activities.</li><li>Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state
</li></ul>and local standards.<br>
<ul><li>Maintains compliance with all Orlando Health policies and procedures.</li></ul>
Qualifications:
<div><b>
Education/Training</b></div><div>
Must be able to demonstrate reading, verbal and written communication, mathematical, and reasoning skills typically acquired
<br>
through completion of a high school education.</div><div><br>
<br>
<b>Licensure/Certification</b><br>
None.</div><div><b><br>
Experience</b><br>
Two (2) years&rsquo; experience in financial, business office, or customer service environment required. Computer knowledge necessary.</div></div>

Ancillary Scheduler - OHHVI Rehab Clinic

INTEGRIS Health

<div><p>INTEGRIS Health, Oklahoma&rsquo;s largest not-for-profit health system has a great opportunity for a Patient Access Specialist in Woodward, OK. In this position, you&rsquo;ll work Full Time Days 5:30am-5:30pm with our Patient Registration team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health.</p><p></p><p><br>
The Patient Access Specialist is responsible for the provision of patient access activity for ancillary, diagnostic, surgical and emergency services as assigned to facilitate efficient operations, expeditious reimbursement and optimal customer satisfaction and employee satisfaction. Acts as a liaison between INTEGRIS and patients, providers, and payers for all pre-care matters related to account resolution. Provides information regarding the patients coverage eligibility and benefits, patients financial liability, INTEGRIS Health's billing practices and policies. Assists patients in understanding coverage benefits and coverage terminology.</p><p>
INTEGRIS is an Equal Opportunity/Affirmative Action Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.</p><p>
The Patient Access Specialist responsibilities include, but are not limited to, the following:</p>
<ul><li>Ensures the appropriateness of complex patient access transactions including coverage eligibility, insurance verification, patient portion calculation and authorization requirement activity utilizing available systems and resources according to assigned protocol</li>
<li>Performs financial counseling activity including screening for government programs and financial assistance, payment options and arrangements, processing point of service payments, verifying patient demographic information, obtaining signatures for required paperwork, document imaging and following documentation standards to facilitate efficient patient access according to assigned protocol</li>
<li>Possesses the ability to use analytical thinking, independent judgment, and clinical knowledge to adjust service area schedules and accommodate special requests from internal and external customers</li>
<li>Accepts inbound phone calls from patients, physician offices, insurance carriers, etc. with the intent to resolve the concern immediately.</li>
<li>Collects patient payments and follows levels of authority to ensure financial clearance</li>
<li>Documents all patient account activities concisely, including authorization and patient liability requirements</li>
<li>Performs filing, data entry, and other duties as assigned.</li>
<li>Responds promptly to patient inquiries regarding pre-care services, policies, coverage, benefits and financial liability * Utilizes multiple resources to resolve patient or payor inquiries while on the phone or preparing/reviewing patient accounts or prior authorization requirements</li>
<li>Understands different payer regulations and can communicate effectively with patients regarding their coverage benefits and financial liability</li>
<li>Participates in team-oriented process improvement initiatives for the department and organization</li>
<li>Participates in continuous quality improvement efforts, establishes goals with supervisors and tracks progress</li>
<li>Interprets and maintains compliance with performance standards, federal and state regulations including EMTALA and HIPAA, policies, procedures, guidelines, and third-party contracts</li>
<li>Follows all safety rules while on the job, reports accidents promptly and corrects minor safety hazards</li>
</ul>
<p>Reports to assigned supervisor.</p>
<p>This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Potential for exposure to infections and communicable diseases, blood and body fluids, electrical equipment, chemicals. Must follow standard precautions.</p>
<p>All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.</p>
<ul>
<li>1 year of Patient Access operations activities (scheduling/registration/insurance) or related experience (billing, collections, accounts receivables)</li>
<li>Previous experience in one of the following: scheduling, registration, insurance, billing, collections, and customer service in either a hospital or physician's office setting</li>
<li>May consider successful completion of 1100+ related Career Tech program or one year of college coursework in a related field in lieu of experience</li>
<li>College coursework in related field or Healthcare Certification (AAHAM CRCS, HFMA CRCR, NAHAM CHAA) preferred</li>
<li>Previous experience should include utilizing standard office equipment and PC software</li>
<li>Previous experience with medical terminology, basic ICD 10 and CPT coding preferred</li>
<li>Must be able to communicate effectively with others in English (verbal/written)</li></ul></div>

Patient Access Specialist - Days - Woodward

Beacon Health System

<div><div><div><div><div><div><p>Beacon Health System is hiring <b>a full-time day Patient Access Insurance </b><b>Specialist</b>, in our <b>Verification of Benefits</b> <b>Department</b> at <b>Beacon Health System</b> in South Bend, IN.<br>
<br>
<b>Be a Beacon. Make a Difference.</b></p>
<p>At Beacon Health System, you&rsquo;re not just part of a team, you&rsquo;re part of something bigger. Every patient interaction is a chance to lead with compassion, build trust, and create lasting impact. Here, your expertise supports healing, and your heart connects us to the communities we serve.</p>
<ul><li>Medical, Dental, &amp; Vision Insurance through Cigna</li>
</ul><ul><li>Life Insurance</li>
</ul><ul><li>403(b) Matching Retirement Fund</li>
</ul><ul><li>Competitive Paid Time Off (PTO)</li>
</ul><ul><li>Shift Differentials</li>
</ul><ul><li>Employee Assistance Program (EAP)</li>
</ul><ul><li>Tuition and Certification Reimbursement</li>
</ul><ul><li>Clinical Ladder Program</li>
</ul><ul><li>Local and National Discounts</li>
</ul><ul><li>Beacon Academy Educational Courses</li>
</ul><ul><li>Gym Membership Discount</li>
</ul>
<p><b>About Beacon Health System</b></p>
<p>Headquartered in South Bend, Indiana, as a not-for-profit, community-governed health system, Beacon Health System provides care to more than 4,000 patients each day in northern Indiana and southern Michigan.</p>
<p><b>What You&rsquo;ll Do</b></p>
<p>As a Patient Access Insurance Specialist, you will report to the Patient Access Director or the Insurance Specialist Supervisor. Follows established Beacon policies and procedures to verify insurance coverage to ensure necessary procedures and hospitalizations are covered by an individual's provider. The Insurance Verification Authorization Specialist will assure authorization is obtained for all procedures and diagnostic testing to services being rendered. The Authorization Specialist will also initiate the authorization for direct admissions, emergency admissions, and emergency procedures. They will work closely with medical staff, clinical staff, referring clinics, Beacon Outpatient Scheduling Surgery Scheduling, Social Services, and Utilization Review departments. They will be responsible for communication with insurance carriers and/or providers for purposes of obtaining approval for services requiring authorization, pre-certification, and prior approval for admissions to Beacon or Epworth Center by using web-based tools, other electronic means where possible, or by telephoning and faxing when necessary. Coordinating those visits with the correct paperwork and insurance verification, along with accurate documentation in the patient's medical record is essential. They will answer high volume of incoming phone calls as well as making high volume of outbound phone calls, with constant communication to the Utilization Review, Social Services, Beacon Outpatient Scheduling and Surgery Scheduling departments. Performs other clerical duties as necessary.</p>
<p><b>Patient Access Insurance Specialist</b> <b>Job Responsibilities:</b></p>
<ul><li>Verify and update patient demographic and financial information to ensure accuracy in the registration system.</li>
<li>Obtain and validate insurance coverage using online eligibility systems, payer portals, and telephone verification.</li>
<li>Utilize Cerner systems and reports (e.g., PHS, SurgiNet, Medical Necessity Checker) to review scheduled patients, procedures, and medical necessity requirements.</li>
<li>Audit and complete required documentation, including MSP questionnaires and insurance verification records.</li>
<li>Coordinate verification of benefits (VOB) by confirming co-pays, deductibles, coinsurance, out-of-pocket limits, and rehabilitation benefits with insurance providers.</li>
<li>Secure and document pre-authorizations and pre-certifications for ancillary, surgical, outpatient, and inpatient procedures.</li>
<li>Collaborate with physician offices, scheduling teams, and referring facilities to ensure required authorizations are obtained and procedures are properly scheduled.</li>
<li>Validate CPT and ICD-10 codes and confirm compliance with Medicare Inpatient Only Procedure (MIPO) requirements when applicable.</li>
<li>Identify out-of-network insurance plans and follow established policies and procedures.</li>
<li>Refer patients to Financial Counselors or Eligibility Specialists when financial clearance or payment arrangements are required.</li>
<li>Maintain accurate worklists, documentation, and records to support timely claim submission and reimbursement.</li>
<li>Calculate and communicate estimated patient financial responsibility, including co-payments and coinsurance.</li>
<li>Prepare reports, patient statistics, and documentation to support departmental operations and leadership requests.</li>
<li>Provide professional customer service by answering calls, communicating with patients and internal departments, and maintaining positive patient relations.</li>
<li>Collaborate with departments such as Utilization Review, Surgery Scheduling, Social Services, and Outpatient Scheduling to ensure accurate and timely patient processing.</li>
<li>Support departmental quality goals by maintaining productivity, accuracy, and compliance with Beacon policies and procedures.</li>
<li>Maintain professionalism while representing Beacon Health System and perform other duties as assigned.</li>
</ul>
<p><b>What You Bring</b></p>
<p>As a Patient Access Insurance Specialist, it requires strong office and computer skills, including keyboarding (minimum 40 wpm), data entry, and proficiency with systems such as Cerner, Pathways Healthcare Scheduling, Experian, and MCA Compliance Checker. Demonstrates knowledge of medical terminology, insurance coverage, managed care networks, ICD-10 and CPT codes, and time-of-service collections, including the ability to clearly communicate financial responsibilities to patients. You will possess strong telephone, verbal communication, and listening skills to effectively interact with patients, insurance companies, physicians, and internal departments. You will maintains professionalism and sensitivity when working with diverse populations, follows strict confidentiality policies, exercises sound judgment in stressful situations, and applies basic math skills to calculate patient financial responsibilities such as deductibles, coinsurance, and out-of-pocket costs.</p>
<p><b>Required Qualifications</b></p>
<ul><li>The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of a high school diploma (or equivalent).
</li><li>A minimum of two years of experience in a hospital or physician practice business office is required.
</li><li>Excellent time management, organizational skills, research/analytical skills, negotiation, communication (written and verbal), and interpersonal skills required.</li>
<li>A medical terminology course must be successfully completed prior to employment.
</li><li>Associate's degree preferred.
</li><li>Medical prior authorizations or claims experience in a managed care setting and CHAA certification are highly preferred.</li>
</ul>
<p><b>The Beacon Way</b></p>
<p>At Beacon Health System, our approach to care goes beyond clinical excellence because it&rsquo;s built on meaningful connections. Guided by our core values of Trust, Respect, Integrity, and Compassion, we strive to create an environment where patients feel heard, employees feel valued, and innovation thrives.</p>
<p>We call this commitment The Beacon Way&mdash;a six-point operating system that empowers every team member to lead with purpose, communicate clearly, cultivate talent, embrace performance improvement, leverage innovation, and build greatness through accountability. Whether at the bedside or behind the scenes, everyone at Beacon plays a role in moving health forward.</p></div><br>
</div>
</div></div></div><br>
Location: Beacon Health System &middot; Verification of Benefits<br>
Schedule: Full-time, Day, 0830-5pm M-F</div>

Patient Access Insurance Specialist, Verification of Benefits Department, Full-Time Days

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