Patient Access Specialist

Position Summary This position is responsible for reviewing, verifying, and filling in missing registration/insurance information on encounters received electronically.

The role

applies and/or corrects billing details based on insurance carrier

Requirements

and established departmental and company policies and procedures. Essential Duties and

Responsibilities

Manages multiple client accounts according to assigned volume and established productivity expectations. Routinely monitors and reports low volumes, missing dates of service, and encounters lacking required insurance or payer information. Uses the RICA coding application and AthenaIDX to update and correct demographic records based on hospital/client data, resolving demographic, insurance, and Patient Access–related errors, edits, and rejections.

Conducts necessary verification checks and assigns accurate payer information to support timely billing and maintaining a minimum accuracy rate of 95% in accordance with departmental and company policies. Takes ownership of Level 2 escalations from the offshore team, identifies and resolves issues preventing claim submission, and provides feedback or trending observations to the PA & EDI Supervisor for follow-up.

Processes work within 2 business days from the date the work became available; notifies supervisor when not on target. Completes daily production records accurately and on time. Communicates any deviations from established workflows and escalates issues that impact daily submission or month-end close. Consistently communicates with others with respect, kindness, and understanding; is honest and clear; treats sensitive information confidentially; is perceived as positive and demonstrates quality services.

Collaborates with internal teams (Billing, Coding, Enrollment, EDI, Leadership) when clarification or cross-departmental support is required. Participates in ongoing training, updates, and process improvements, ensuring compliance with evolving payer guidelines and internal workflows. Performs other related duties as assigned. e. Administrative and Human Resources), practices safe work habits, and maintains high business standards.

Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or

Responsibilities

that are required of the employee for this job. Duties,

Responsibilities

, and activities may change at any time with or without notice. ATS provider: Paylocity. Salary: USD.