Patient Access Associate Specialist - Part-time
About The Position
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country, aiming to keep communities healthy by keeping hospitals healthy. Ensemble recognizes that healthcare requires a human touch and believes every touch should be meaningful, empowering its people to challenge the status quo. The company's O.N.E Purpose focuses on Customer Obsession, Embracing New Ideas, and Striving for Excellence, demonstrating their “Best in KLAS” Ensemble Difference Principles. The Patient Access Associate Specialist plays a critical role in ensuring a seamless and positive patient experience by accurately managing patient registration and access processes within the healthcare revenue cycle. This role ensures data integrity, regulatory compliance, and a positive patient experience while directly influencing revenue cycle KPIs such as registration accuracy, point-of-service collections, and first-pass claim rates. Serving as the first point of contact for patients onsite in healthcare facilities, this position is essential in supporting clinical and financial operations for financial health through accurate data entry, auditing, and communication.
Requirements
- 1+ years of customer service experience
- Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences
- High School Diploma/GED
- CRCR Required within 6 months of hire (Company Paid)
Responsibilities
- Assign accurate MRNs
- Complete medical necessity / compliance checks
- Provide proper patient instructions
- Collect insurance information
- Receive and process physician orders
- Utilize an overlay tool while providing excellent customer service as measured by Press Ganey
- Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable
- Adhere to policies and provide excellent customer service with the appropriate level of compassion
- Be held accountable for point of service goals as assigned
- Utilize quality auditing and reporting systems to ensure accounts are corrected, including accounts for other employees, departments, and facilities
- Conduct audits of accounts and assure that all forms are completed accurate, timely to meet audit standards and provide statistical data to Patient Access leadership
- Pre-register patient accounts prior to patient visits, which may include inbound and outbound calling to obtain demographic, insurance, and other patient information including patient financial liabilities, point of service collections, and past due balances including payment plan options
- Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures and witness’s name
- Explain and distribute patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services
- Review eligibility responses in insurance verification system and appropriately select the applicable insurance plan code, enter benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate
- Accurately screen medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribute the ABN as appropriate
- Distribute and document other designated forms and pamphlets
Benefits
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs
- Quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company
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What This Job Offers
Job Type
Part-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
501-1,000 employees
