Patient Access Associate Specialist

Ensemble Health Partners•Warren, OH
•Onsite

About The Position

The Patient Access Associate Specialist performs admitting and patient access duties for patients receiving hospital services at Mercy - St Joseph Warren Hospital in Warren, Ohio. This onsite, entry-level role supports the organization’s mission, policies, regulatory requirements, and patient service goals. The position includes patient registration and pre-registration, insurance and medical necessity checks, patient education and documentation, point-of-service collections, account auditing, and telephone switchboard operations. The role requires compassionate, accurate customer service and openness to innovation, including exploring AI and other ways to improve processes and patient and client experiences. The position pays $17.00–$18.15 per hour based on experience. CRCR certification is required within six months of hire and is company paid. The employer describes a comprehensive benefits package, professional development and certification opportunities, tuition reimbursement, and quarterly and annual incentive programs.

Requirements

  • At least 1 year of customer service experience.
  • High school diploma or GED.
  • CRCR certification required within 6 months of hire; company paid.
  • Must be able to work onsite at Mercy - St Joseph Warren Hospital in Warren, Ohio.
  • Must be inquisitive and open to innovation, including AI.
  • Must reside and be authorized to work in the United States.

Responsibilities

  • Perform admitting duties for patients receiving hospital services while meeting organizational goals, policies, 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.
  • 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 correct accounts, 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 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 provide payment plan options.
  • Explain general consent for treatment forms, obtain required signatures, and record the witness’s name.
  • Explain and distribute patient education and required documents, including Medicare and Tricare notices, observation forms, MOON forms, consent forms, and materials implemented for future services.
  • Review insurance eligibility responses, select the appropriate 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 nonpayment, and distribute ABNs as appropriate.
  • Distribute and document other designated forms and pamphlets.
  • Demonstrate openness to innovation, including AI, to explore improved processes and patient and client experiences.

Benefits

  • Comprehensive benefits package supporting physical, emotional, and financial health, including healthcare, time off, retirement, and well-being programs.
  • Company-paid CRCR certification.
  • Tuition reimbursement.
  • Professional development and career advancement opportunities.
  • Quarterly and annual incentive programs.
  • Bonus incentives.
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