Patient Access Specialist

Quick Facts

• Hours: Monday–Friday, 10:00am–6:30pm

Description

As a Patient Access Specialist, you support patient scheduling and registration by collecting accurate demographic information, verifying insurance eligibility and benefits, and performing medical necessity checks. You provide exceptional customer service, maintain patient confidentiality in compliance with HIPAA, and communicate appointment and financial/account information to patients. You also help ensure data integrity through quality assurance reviews and contribute to process improvements.

Responsibilities

• Practice a Patients First philosophy and provide high-quality customer service
• Answer patient questions and address concerns
• Forward extraordinary issues to the appropriate team lead/operations coordinator
• Maintain patient confidentiality per HIPAA regulations
• Verify and collect patient demographic information according to organizational standards
• Schedule and direct patients through NMHC systems in a patient-friendly manner
• Reach out to patients to schedule appointments
• Perform medical necessity checks and communicate options if appointments fail
• Inform patients about issues securing the financial account for their encounter
• Complete out-of-pocket estimations as requested
• Use department/hospital policies and procedures to complete assigned tasks
• Participate in quality assurance reviews to ensure integrity of patient data
• Use service recovery skills to resolve problems or service breakdowns
• Prevent patient financial or safety risk (e.g., duplicate records, incorrect test types)
• Understand the minimum data set for complete registration and update records accurately
• Monitor registration and scheduling while meeting quality standards
• Assist with cross-training across departments to ensure coverage
• Provide training/education as needed and act as a resource for coworkers

Benefits

We offer a wide range of benefits supporting physical, emotional, and financial well-being and protection for unexpected life events.

For detailed benefits information, refer to: https://jobs.nm.org/benefits