Patient Access Associate Specialist

Ensemble Health Partners • Chillicothe, OH

3d • Onsite

About The Position

Ensemble is a provider of technology-enabled revenue cycle management solutions for health systems. The Patient Access Associate Specialist performs admitting duties for patients receiving hospital services while meeting organizational goals, policies, and regulatory requirements. This is an onsite position at Adena Regional Medical Center in Chillicothe, Ohio, paying $17.00–$18.15 per hour based on experience.

The role includes patient registration and pre-registration, collecting and verifying patient and insurance information, processing physician orders, conducting medical necessity and compliance checks, explaining forms and patient instructions, and collecting point-of-service payments. The specialist also supports patients and callers with compassion, completes account audits and documentation, and uses quality and insurance verification systems to support accurate billing and clean claims. The required CRCR certification must be obtained within six months of hire and is company paid.

Requirements

• High school diploma or GED.
• At least 1 year of customer service experience.
• Must be inquisitive and open to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.
• Obtain CRCR certification within 6 months of hire; certification is company paid.
• Must be able to work onsite at Adena Regional Medical Center in Chillicothe, Ohio.
• Must reside and be authorized to work in the United States.

Responsibilities

• Perform admitting duties for patients receiving hospital services while following organizational policies and regulatory requirements.
• Assign accurate medical record numbers (MRNs), complete medical necessity and compliance checks, provide patient instructions, collect insurance information, 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, 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 contacting patients to obtain demographic, insurance, and other information and to discuss financial liabilities, point-of-service collections, past-due balances, and payment plan options.
• Explain general consent for treatment forms to patients, guarantors, or legal guardians; obtain required signatures and witness names.
• Explain and distribute patient education documents and applicable forms, including Medicare and Tricare notices, observation forms, MOON forms, and consent forms.
• Review insurance eligibility responses, select the applicable insurance plan code, and enter benefit data to support point-of-service collections and billing.
• Screen medical necessity using 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

• 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.
• Bonus incentives.
• Career advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED