We are looking for a Patient Access Specialist to support front-end patient registration and intake activities for a healthcare organization in Pittsburgh, Pennsylvania. This contract-to-permanent opportunity is ideal for someone who enjoys helping patients, managing accurate account setup, and ensuring insurance and documentation are handled correctly before and during service. The role combines customer-facing support with detailed administrative work to promote compliance, financial accuracy, and a positive patient experience.
Responsibilities
- Welcome patients and complete registration and admission activities with a high level of accuracy, professionalism, and compassion.
- Create and update patient accounts by confirming demographics, assigning appropriate medical record numbers, and entering insurance information needed for billing and care delivery.
- Review physician orders and supporting documentation to help ensure required information is complete and aligned with compliance expectations.
- Conduct pre-registration outreach through inbound and outbound calls to gather patient details, explain financial responsibility, and discuss payment arrangements when needed.
- Verify insurance eligibility and benefits, document coverage details in the system, and select the correct plan information to support timely claims processing.
- Explain consent forms and patient notices, secure required signatures, and provide patients or guarantors with appropriate educational and regulatory documents.
- Screen accounts for medical necessity requirements, including notifying Medicare patients when services may not be covered and documenting the appropriate acknowledgments.
- Support point-of-service collection efforts by requesting copays, outstanding balances, and other patient liabilities in accordance with department goals.
- Perform account audits and correction activities, complete required forms within quality standards, and share reporting information with leadership to support operational improvement.