Patient Access Associate Specialist

Ensemble Health Partners•Greenville, SC
•Onsite

About The Position

Ensemble is a provider of technology-enabled revenue cycle management solutions for health systems, hospitals, and affiliated physician groups. The Patient Access Associate Specialist is an entry-level, onsite role at Bon Secours - Millennium Digital Imaging in Greenville, South Carolina. The position performs admitting and patient access duties for patients receiving hospital services while following organizational policies, processes, mission, goals, and regulatory requirements. The role supports patient registration and pre-registration, insurance verification, medical necessity and compliance checks, patient instructions, physician-order processing, and point-of-service collections. It also involves explaining and distributing patient forms and educational materials, obtaining required signatures, auditing accounts and documentation, and providing telephone switchboard and patient service support. Associates are expected to deliver compassionate customer service, meet assigned point-of-service goals, and remain open to innovation, including the use of AI to improve processes and patient and client experiences.

Requirements

  • At least 1 year of customer service experience.
  • High school diploma or GED.
  • Must be inquisitive and open to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.
  • CRCR certification required within 9 months of hire; the company pays for the certification.
  • Must be able to work onsite at Bon Secours - Millennium Digital Imaging in Greenville, South Carolina.
  • Must reside and be authorized to work in the United States.

Responsibilities

  • Assign accurate medical record numbers (MRNs) and 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 identify and ensure correction of accounts, including accounts associated with other employees, departments, and facilities.
  • Audit accounts, verify 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 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 discuss payment-plan options.
  • Explain general consent-for-treatment forms to patients, guarantors, or legal guardians and obtain required signatures and witness names.
  • Explain and distribute patient education documents and forms, including Medicare and Tricare notices, observation forms, MOON forms, consent forms, and forms introduced for future services.
  • 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 when appropriate.
  • Distribute and document other designated forms and pamphlets.

Benefits

  • Bonus incentives and quarterly and annual incentive programs.
  • Company-paid CRCR certification.
  • Tuition reimbursement.
  • Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
  • Professional development and career advancement opportunities.
  • Recognition programs.
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