Associate Specialist, Patient Access
About The Position
Ensemble is seeking an entry-level Patient Access Specialist to perform admitting and related patient access duties for patients receiving hospital services. The role carries out these responsibilities in accordance with the organization’s mission, goals, policies, processes, and regulatory requirements, while providing compassionate, high-quality service to patients, clients, and colleagues. This is an onsite position at Benefis - East Campus in Great Falls, Montana. The stated pay range is $17.00–$18.15 per hour, based on experience, with shift differentials available for select shifts. The position handles patient registration and pre-registration, verifies and records demographic and insurance information, supports medical necessity and compliance checks, processes physician orders, and collects patient financial responsibilities. It also explains and distributes required consent and patient education documents, obtains signatures, helps patients understand potential Medicare non-payment notices, and uses insurance verification and auditing systems to support accurate records and clean claims. The role may operate the telephone switchboard and includes account auditing and reporting. CRCR certification is required within nine months of hire and is company paid. Ensemble describes the position as an entry-level career opportunity with paid certifications, tuition reimbursement, comprehensive benefits, career advancement, and incentive programs.
Requirements
- High school diploma or GED.
- CRCR certification required within nine months of hire; certification is company paid.
- Must be able to work onsite at Benefis - East Campus in Great Falls, Montana.
- Must reside and be authorized to work within the United States.
Nice To Haves
- At least one year of customer service experience.
- Inquisitiveness and openness to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.
Responsibilities
- Perform admitting duties for patients receiving hospital services while following organizational policies, processes, goals, and regulatory requirements.
- Assign accurate medical record numbers (MRNs), complete medical necessity and compliance checks, provide patient instructions, collect insurance information, receive and process physician orders, and use an overlay tool.
- Provide excellent customer service, including compassionate handling of telephone interactions, and meet assigned point-of-service goals.
- Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
- Use quality auditing and reporting systems to identify and correct accounts, conduct account audits, ensure forms are accurately and promptly completed, and provide statistical data to Patient Access leadership.
- Pre-register patient accounts before visits, including making inbound and outbound calls to obtain demographic, insurance, and other patient information.
- Explain patient financial liabilities, collect point-of-service payments and past-due balances, and offer payment plan options.
- Explain general consent-for-treatment forms to patients, guarantors, or legal guardians; obtain required signatures and record the witness’s name.
- Explain and distribute patient education documents and required forms, including Medicare and Tricare notices, observation forms, MOON forms, and consent forms.
- Review insurance eligibility responses, select the applicable insurance plan code, and enter benefit information to support point-of-service collections and billing.
- Screen medical necessity using Advanced Beneficiary Notice (ABN) software, inform Medicare patients of possible non-payment for tests, and distribute ABNs when appropriate.
- Distribute and document other designated forms and pamphlets.
Benefits
- Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
- Company-paid CRCR certification and paid professional certifications relevant to the associate’s field.
- Tuition reimbursement.
- Quarterly and annual incentive programs.
- Career advancement and professional development opportunities.
- Shift differential for select shifts.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
