Patient Access Associate Specialist

Ensemble Health Partners • Mason, OH

1d • Onsite

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. Ensemble keeps communities healthy by keeping hospitals healthy. This position is an onsite, entry-level career opportunity responsible for performing admitting duties for all patients admitted for services at the hospital. The role involves meeting the mission and goals of the organization and all regulatory compliance requirements, working within established policies and processes.

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 9 months of hire (Company Paid)

Responsibilities

• Assigning accurate MRNs
• Completing medical necessity / compliance checks
• Providing proper patient instructions
• Collecting insurance information
• Receiving and processing physician orders
• Utilizing an overlay tool while providing excellent customer service as measured by Press Ganey
• Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable
• Adhere to policies and provide excellent customer service in these interactions with the appropriate level of compassion
• Accountable for point of service goals as assigned
• Utilization of quality auditing and reporting systems to ensure accounts are corrected
• Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership
• Pre-registration of patient accounts prior to patient visits
• Inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options
• Explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness’s name
• Explains and distributes 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
• Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate
• Accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate
• Distribution and documentation of 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
• Professional development
• Quarterly and annual incentive programs for all employees

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