Patient Access Associate Specialist
About The Position
The Patient Access Associate Specialist performs admitting duties for patients receiving hospital services and supports the organization’s mission, goals, policies, processes, and regulatory compliance requirements. The role is onsite at Mercy - St Rita's Medical Center in Lima, Ohio, with a full-time schedule of 1 p.m. to 1 a.m. Weekend and holiday rotation is required. The position pays $17.00–$18.15 per hour, based on experience. The specialist supports patient access and revenue cycle processes, including registration, insurance verification, medical necessity screening, patient instructions, point-of-service collections, account quality audits, and customer service. The position requires a high school diploma or GED, at least one year of customer service experience, and completion of the company-paid CRCR certification within nine months of hire.
Requirements
- High school diploma or GED.
- At least one year of customer service experience.
- Must be inquisitive and open to innovation, including AI, to explore better processes and reduce friction for patients and clients.
- CRCR certification required within nine months of hire; company paid.
- Must be able to work onsite at Mercy - St Rita's Medical Center in Lima, Ohio.
- Must be able to work the 1 p.m.–1 a.m. full-time schedule, including weekend and holiday rotation.
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 customer service during 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, 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; and collect point-of-service payments and past-due balances, including discussing payment plan options.
- Explain general consent-for-treatment forms to patients, guarantors, or legal guardians; obtain required signatures and a witness's name; and 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 nonpayment of tests, distribute ABNs as appropriate, and distribute and document other designated forms and pamphlets.
Benefits
- Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
- Company-paid professional certification relevant to the associate's field.
- Tuition reimbursement.
- Quarterly and annual incentive programs.
- Career advancement and professional development opportunities.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
