Patient Access Associate Specialist

Ensemble Health Partners • Portsmouth, VA

7d • $17 - $18 • Onsite

About The Position

The Patient Access Associate Specialist performs admitting and patient-access duties for patients receiving hospital services, following organizational policies, processes, mission, goals, and regulatory requirements. The role supports accurate registration, medical necessity and compliance checks, insurance verification, patient education, point-of-service collections, and customer service. This is an onsite position at Bon Secours - Maryview Medical Center in Portsmouth, Virginia. The stated pay range is $17.00–$18.15, based on experience.

The role also includes telephone switchboard operations, pre-registration and outreach to patients, account auditing and reporting, and the completion and distribution of required consent, Medicare, Tricare, observation, and other patient forms. The specialist uses patient and insurance systems, including eligibility verification and ABN software, to support accurate account records, collections, and clean claims. CRCR certification is required within nine months of hire and is company-paid.

Requirements

• At least 1 year of customer service experience.
• High school diploma or GED.
• CRCR certification required within 9 months of hire; company-paid.
• Must be able to work onsite at Bon Secours - Maryview Medical Center in Portsmouth, VA.
• Must be inquisitive and demonstrate openness to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.

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 patient and other interactions.
• Meet assigned point-of-service goals.
• Use quality auditing and reporting systems to identify and correct accounts, including accounts associated with other employees, departments, and facilities; conduct account audits, 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 and collect point-of-service payments and past-due balances, including offering 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, including Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON forms, consent forms, and forms introduced for future services.
• 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 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

• Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
• Paid CRCR certification.
• Tuition reimbursement.
• Quarterly and annual incentive programs.
• Professional development and a professional certification relevant to the associate's field.
• Career advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED