Associate Specialist, Patient Access

Ensemble Health Partners•Pocatello, ID
•Onsite

About The Position

The Associate Specialist, Patient Access performs admitting duties for patients receiving hospital services while meeting organizational goals, policies, and regulatory requirements. The role includes patient registration and pre-registration, insurance and medical necessity checks, collecting patient financial information and payments, processing physician orders, and providing patient instructions and customer service. The position is onsite at Ardent - Portneuf Medical Center in Pocatello, Idaho, with a weekday shift from 5:30 a.m. to 2:00 p.m. The listed pay range is $17.00–$18.15 per hour, based on experience. This is an entry-level career opportunity offering bonus incentives, paid certifications, tuition reimbursement, comprehensive benefits, and career advancement. The required CRCR certification must be obtained within nine months of hire and is company paid.

Requirements

  • High school diploma or GED.
  • CRCR certification required within nine months of hire; the company pays for the certification.
  • Must be able to work onsite at Ardent - Portneuf Medical Center in Pocatello, Idaho.
  • Must reside and be authorized to work in the United States.
  • Must be inquisitive and open to innovation, including AI, to explore better processes and improve patient and client experiences.

Nice To Haves

  • At least one year of customer service experience.

Responsibilities

  • 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 while providing excellent customer service.
  • Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, following policies and providing compassionate customer service.
  • Meet assigned point-of-service goals.
  • Use quality auditing and reporting systems to ensure accounts are corrected, including accounts associated with other employees, departments, and facilities.
  • Audit accounts, ensure forms are completed accurately and on time to meet audit standards, and provide statistical data to Patient Access leadership.
  • Pre-register patient accounts before visits, including 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 discuss payment plan options.
  • Explain general consent for treatment forms, 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 data to support point-of-service collections and billing processes.
  • Screen medical necessity using Advanced Beneficiary Notice (ABN) software, inform Medicare patients of possible non-payment for tests, and distribute ABNs as appropriate.
  • Distribute and document other designated forms and pamphlets.

Benefits

  • Bonus incentives
  • Paid certifications
  • Tuition reimbursement
  • Comprehensive benefits, including healthcare, time off, retirement, and well-being programs
  • Quarterly and annual incentive programs
  • Career advancement
  • Professional development
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