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Patient Access Specialist

United States·Phoenixmid

Healthcare Non-ClinicalPatient Access Specialist

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Quick Summary

Overview

ABOUTCardiovascular Associates of America (CVAUSA), we are dedicated to delivering the highest quality cardiovascular care and to advancing scientific discovery through clinical research,

Technical Tools

Healthcare Non-ClinicalPatient Access Specialist

Responsibilities

~1 min read

Schedule patient appointments according to provider availability, service requirements, and clinic scheduling protocols.
Accurately collect and verify patient demographic information including address, contact information, guarantor details, and insurance coverage.
Ensure patient registration is completed accurately within the electronic medical record (EMR) or practice management system.
Verify provider, location, and appointment type to ensure proper scheduling and resource utilization.
Maintain scheduling accuracy to support clinic efficiency and reduce appointment errors.

Greet patients and verify identity using appropriate patient identifiers upon arrival.
Perform patient check-in activities including demographic verification, insurance validation, and required documentation collection.
Ensure completion of required forms such as consent to treat, HIPAA acknowledgement, financial policy acknowledgement, and assignment of benefits.
Update patient arrival status in the EMR and coordinate with clinical staff to support efficient patient flow.
Facilitate patient check-out after the visit by scheduling follow-up appointments, diagnostic testing, or procedures as ordered by the provider.
Provide appointment instructions and ensure patients understand next steps in their care plan.

Eligibility & Financial Clearance

Verify insurance eligibility and benefits prior to patient services.
Identify referral, authorization, or pre-certification requirements and escalate when necessary.
Confirm financial clearance requirements are met prior to services to prevent billing delays.
Communicate patient financial responsibility including copays, deductibles, and coinsurance.
Document eligibility verification and financial clearance activities in accordance with organizational policies.

Collect copays, deductibles, and outstanding balances at the time of service.
Provide patient financial estimates when available and explain payment expectations.
Offer payment options including payment plans or financial assistance programs when appropriate.
Accurately document and process point-of-service collections in accordance with organizational procedures.
Assist patients with general billing questions and route complex financial inquiries to patient financial services.
Meet productivity, accuracy, and aging targets
Participate in audits, quality reviews, optimization and process improvement training initiatives

Scheduling accuracy rate
Registration accuracy rate
Demographic error rate
Appointment utilization and scheduling efficiency

Eligibility verification completion rate
Authorization identification accuracy
Financial clearance completion prior to service
Preventable denial rate related to registration or eligibility errors

POS collection rate vs expected collections
Copay collection accuracy
Patient balance collection rate
Payment documentation accuracy

Call handling quality and professionalism
Patient satisfaction and service experience
Timeliness of patient response and follow-up
Patient wait time and check-in efficiency

Requirements

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High school diploma or equivalent required
Associate degree in healthcare administration, business, or related field preferred

1–3 years of experience in patient access, scheduling, registration, or healthcare front-end revenue cycle operations preferred.
Experience working with electronic medical record (EMR) or practice management systems.

Knowledge of insurance eligibility verification, patient financial responsibility, and point-of-service collections.
Strong customer service and communication skills with the ability to clearly explain financial information to patients.
Ability to manage multiple tasks in a fast-paced clinical environment while maintaining accuracy and attention to detail.
Understanding of healthcare privacy regulations including HIPAA.
Bilingual skills a plus