Patient Access Specialist I

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  "language": "en",
  "location": {
    "raw": "Springfield, IL, US",
    "city": "Springfield",
    "region": "IL",
    "country": "United States",
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  "json_ld": {
    "url": "https://jobs-choosememorial.icims.com/jobs/33345/patient-access-specialist-i/job",
    "@type": "JobPosting",
    "title": "Patient Access Specialist I",
    "@context": "http://schema.org",
    "datePosted": "2026-05-27T04:00:00.000Z",
    "description": "<h2>Min</h2>USD $16.00/Hr.\n<h2>Max</h2>USD $23.64/Hr.\n<h2>Overview</h2>\n<p>The <strong>Patient Access Specialist</strong> is responsible for coordinating patient entry into hospital and affiliated healthcare services. The position ensures accurate and efficient patient registration while supporting financial, compliance, and customer service functions.</p>\n<p><strong>Key Responsibilities</strong></p>\n<ul>\n <li>Accurately process patient registration and admission information</li>\n <li>Collect and verify patient demographic details and insurance (third-party payer) information</li>\n <li>Perform financial collections and explain payment responsibilities</li>\n <li>Present and explain required legal, ethical, and compliance documents during registration</li>\n <li>Maintain confidentiality and compliance with healthcare regulations</li>\n <li>Schedule services such as mammography screenings</li>\n <li>Serve as a liaison between ancillary departments and Patient Access Services teams</li>\n <li>Provide service in patient care environments while maintaining professionalism and compassion</li>\n</ul>\n<p><strong>Knowledge & Compliance Requirements</strong></p>\n<ul>\n <li>JCAHO standards</li>\n <li>Patient Rights and Responsibilities</li>\n <li>HIPAA privacy regulations</li>\n <li>HMOs and commercial insurance payers</li>\n <li>Departmental policies and procedures</li>\n</ul>\n<p><strong>Work Schedule</strong></p>\n<ul>\n <li><strong>Shift:</strong> Day</li>\n <li><strong>Hours:</strong> 7:30 AM – 4:00 PM</li>\n <li><strong>Weekends:</strong> Rotational, as assigned</li>\n <li><strong>FTE:</strong> 1.0 (Full-Time)</li>\n</ul>\n<h2>Qualifications</h2>\n<h2><strong>Education</strong></h2>\n<ul>\n <li>High School Diploma required.</li>\n</ul>\n<h2><strong>Licensure / Certification / Registry</strong></h2>\n<ul>\n <li>Must successfully complete assigned annual education through Healthcare Business Insights.</li>\n</ul>\n<h2><strong>Experience</strong></h2>\n<ul>\n <li>Minimum of one (1) year of business office experience preferred, including:\n  <ul>\n   <li>Patient Access</li>\n   <li>Billing and collections</li>\n   <li>Insurance principles and practices</li>\n   <li>Accounts receivable</li>\n  </ul></li>\n <li>Completion of twelve (12) hours of coursework in a business or healthcare-related field may substitute for business office experience.</li>\n <li>Previous Patient Access experience strongly preferred.</li>\n</ul>\n<h2><strong>Knowledge, Skills, and Abilities</strong></h2>\n<ul>\n <li>Comprehensive understanding of Patient Access Service functions to support accurate registration and reimbursement processes.</li>\n <li>Strong interpersonal and patient relations skills with demonstrated professionalism, tact, and sensitivity when interacting with patients, families, staff, and the public.</li>\n <li>Ability to maintain emotional composure and professionalism in fast-paced or high-stress environments.</li>\n <li>Proficient computer skills including data entry, electronic documentation, and use of registration software and healthcare systems.</li>\n <li>Excellent attention to detail with strong critical thinking and problem-solving abilities.</li>\n <li>Effective oral and written communication skills with exceptional customer service focus.</li>\n <li>Demonstrated flexibility, sound judgment, and initiative when managing competing priorities.</li>\n <li>Ability to work independently while contributing positively to team and organizational goals.</li>\n <li>Skilled in patient education, persuasion, and negotiation related to financial and registration processes.</li>\n <li>Knowledge of medical terminology, CPT procedural coding, ICD-10-CM diagnosis coding, and hospital billing claims preferred but not required.</li>\n</ul>\n<h2>Responsibilities</h2>\n<h2><strong>Job Responsibilities</strong></h2>\n<ul>\n <li>Completes all steps of pre-registration and registration; verifies patient identity and demographic information through appropriate tools.</li>\n <li>Identifies and captures appropriate health insurance benefit eligibility based on contract/regulatory differentiation.</li>\n <li>Facilitates appropriate billing of claims and hospital reimbursement.</li>\n <li>Obtains and validates proper consent for patient treatment.</li>\n</ul>\n<h2><strong>Scheduling & Patient Coordination</strong></h2>\n<ul>\n <li>Schedules patients for Mammography procedures efficiently and effectively according to established protocol, including modality, location, facility capabilities, insurance requirements, type of exam, patient preferences, and urgency.</li>\n</ul>\n<h2><strong>Patient Education & Financial </strong></h2>\n<ul>\n <li>Educates patients and others regarding resolution of billing issues, private pay options, collection efforts, coordination of benefits, third-party and governmental payment criteria, insurance coverage, payments, and denials.</li>\n <li>May serve as a liaison between external resources and patients on issues requiring SMH involvement.</li>\n <li>Coordinates with SMH Patient Financial Services, Utilization Management, physicians, and medical offices to ensure consistent financial documentation and an interdisciplinary approach to patient and organizational needs.</li>\n <li>Negotiates with patients and families to collect co-pays and/or deposits at point of service and supports Patient Access Services (POS) collection goals as defined by Revenue Cycle leadership and best practice benchmarks.</li>\n</ul>\n<h2><strong>Compliance & Regulatory Requirements</strong></h2>\n<ul>\n <li>Adheres to CMS Conditions of Participation regulations and Section 1154(e) of the Social Security Act regarding delivery, explanation, and acquisition of patient or representative signatures.</li>\n <li>Verifies medical necessity and obtains appropriate signature on Advance Beneficiary Notice of Non-Coverage (ABN) per CMS regulations at point of patient access.</li>\n <li>Ensures compliance with HIPAA, Joint Commission, CDC, SMH, and all applicable state and federal statutes, providing required literature at all Patient Access Service access points.</li>\n <li>Educates patients regarding Advance Directives, Medicare Part D prescription coverage, SMH, Joint Commission, and Illinois Department of Public Health grievance processes as appropriate.</li>\n <li>Maintains current knowledge of and compliance with the Illinois Fair Patient Billing Act and Illinois Uninsured Patient Discount Act.</li>\n</ul>\n<h2><strong>Financial Clearance, Insurance & Authorization</strong></h2>\n<ul>\n <li>Triages, documents, and initiates referrals to Medicaid vendors and/or financial assistance programs per applicable Illinois laws and SMH procedures.</li>\n <li>Identifies and reviews services requiring pre-authorization or pre-certification by Medicare, Medicaid, Commercial, and Managed Care payers to ensure eligibility requirements are met prior to service; communicates with physician offices and uses appropriate technology.</li>\n <li>Analyzes rejected account reports from hospital sources, including Non-Patient Access registration departments, to resolve eligibility issues, secure reimbursement, or determine financial assistance eligibility.</li>\n</ul>\n<h2><strong>Operational Support & Additional Duties</strong></h2>\n<ul>\n <li>Orients and cross-trains others within assigned area of responsibility as directed by management.</li>\n <li>Assists other areas within the unit or department during times of special need or staffing shortages.</li>\n <li>May be required to work night or weekend shifts.</li>\n <li>May rotate work settings, including patient registration, bedside registration, and other SMH campus environments.</li>\n <li>May provide coverage for the SMH Financial Lobby Office.</li>\n <li>Develops and maintains comprehensive knowledge of the health system organization and completes all assigned annual organizational education.</li>\n <li>Meets expectations for productivity, accuracy, and point-of-service collections.</li>\n <li>Attends quarterly department meetings unless absence is approved by management in advance.</li>\n <li>Performs pre-registration functions as requested.</li>\n <li>Performs other related duties as required or assigned.</li>\n</ul>",
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          "postalCode": "62781",
          "addressRegion": "IL",
          "streetAddress": "701 N First St",
          "addressCountry": "US",
          "addressLocality": "Springfield",
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    "validThrough": "2027-05-27T04:00:00.000Z",
    "employmentType": "FULL_TIME",
    "hiringOrganization": {
      "name": "Memorial Health",
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    "occupationalCategory": "Clerical, Administrative and Business Support"
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