Patient Access Associate Specialist - Part-time

Ensemble Health Partners • Waverly, OH

5d • Onsite

About The Position

This is an entry-level, part-time, onsite role at Adena - Pike Medical Center in Waverly, Ohio. The Patient Access Associate Specialist performs admitting duties for hospital patients while following organizational policies, processes, mission and goals, and regulatory requirements. The role supports patient access, registration, insurance verification, medical necessity compliance, patient communications, point-of-service collections, and account quality auditing. The position pays $17.00–$18.15 per hour based on experience. The required CRCR certification must be completed within six months of hire; the company pays for it.

Requirements

• At least one year of customer service experience.
• High school diploma or GED.
• Must be inquisitive and open to innovation, including AI, to explore improved processes and reduce friction in patient and client experiences.
• CRCR certification required within six months of hire; company paid.

Responsibilities

• Perform admitting duties for patients receiving hospital services while meeting organizational goals 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 while providing excellent customer service.
• Operate the telephone switchboard for incoming, outgoing, and inter-office calls, following policies and communicating with compassion.
• Meet assigned point-of-service goals.
• Use quality auditing and reporting systems to identify and correct account issues, including accounts from other employees, departments, and facilities.
• Audit accounts, verify forms are accurate and complete within required timelines, 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 discuss financial liabilities, point-of-service collections, past-due balances, and payment plan options.
• Explain general consent forms to patients, guarantors, or legal guardians; obtain required signatures and witness names.
• Explain and distribute patient education documents and required forms, including Medicare and Tricare notices, observation and MOON forms, consent forms, and forms designated for future services.
• Review insurance eligibility responses, select the applicable insurance plan code, and enter benefit data to support point-of-service collections and billing processes.
• Screen medical necessity using ABN software, inform Medicare patients about possible non-payment of tests, and distribute Advanced Beneficiary Notices as appropriate.
• Distribute and document other designated forms and pamphlets.

Benefits

• Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
• Paid CRCR certification.
• Tuition reimbursement.
• Professional development and a professional certification relevant to the associate's field.
• Quarterly and annual incentive programs.
• Bonus incentives.

What This Job Offers

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