Patient Access Associate Specialist

Ensemble Health Partners•Chillicothe, OH
•$17 - $18•Onsite

About The Position

The Patient Access Associate Specialist performs admitting duties for patients receiving hospital services while supporting the organization’s mission, goals, policies, processes, and regulatory compliance requirements. The role is onsite at Adena Regional Medical Center in Chillicothe, Ohio. Compensation is $17.00–$18.15 per hour, based on experience. The position handles patient registration and pre-registration, insurance verification, medical-necessity and compliance screening, patient instructions and forms, point-of-service collections, account audits, and telephone switchboard duties. The specialist is expected to provide compassionate, excellent customer service and help ensure accurate accounts and clean claims. CRCR certification is required within six months of hire and is company paid.

Requirements

  • High school diploma or GED.
  • At least 1 year of customer service experience.
  • CRCR certification required within 6 months of hire; company paid.
  • Demonstrate inquisitiveness and openness to innovation, including AI, to explore better processes and reduce friction for patients and clients.
  • Must be able to work onsite at Adena Regional Medical Center in Chillicothe, Ohio.

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 as applicable.
  • Follow policies and provide compassionate, excellent customer service during interactions.
  • Meet assigned point-of-service goals.
  • Use quality auditing and reporting systems to identify and correct accounts, including accounts for other employees, departments, and facilities; audit accounts, ensure forms are completed accurately and on time, and provide statistical data to Patient Access leadership.
  • Pre-register patient accounts before visits, including making inbound and outbound calls to collect demographic, insurance, and other patient information and explain 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 necessary signatures and witness names; explain and distribute patient education documents and required forms.
  • Review eligibility responses in the insurance verification system, 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 about 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.
  • Professional development and career advancement opportunities.
  • Quarterly and annual incentive programs.
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