Patient Access Associate Specialist - Full Time

Ensemble Health Partners•Front Royal, VA
•$17 - $18•Onsite

About The Position

Ensemble is a provider of technology-enabled revenue cycle management solutions for health systems, hospitals, and affiliated physician groups. The Patient Access Associate Specialist performs admitting duties for patients receiving hospital services while supporting the organization’s mission, goals, regulatory compliance requirements, and organization-wide policies and processes. The role is based onsite at a hospital in Front Royal, Virginia, and pays $17.00–$18.15 per hour based on experience. The position handles patient registration and pre-registration, insurance and medical-necessity checks, physician orders, consent and education forms, and point-of-service collections. It also includes telephone switchboard duties, account quality audits, and patient communications. The role requires at least one year of customer service experience and a high school diploma or GED. CRCR certification is required within six months of hire and is paid for by the company.

Requirements

  • At least 1 year of customer service experience.
  • High school diploma or GED.
  • Must be inquisitive and open to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.
  • CRCR certification required within 6 months of hire; the company pays for the certification.
  • Must reside and be authorized to work in the United States.
  • Must work onsite at the hospital in Front Royal, Virginia.

Responsibilities

  • Perform admitting duties for patients receiving hospital services while meeting organizational goals, policies, processes, and regulatory compliance 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 delivering excellent customer service.
  • Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, following policies and providing compassionate customer service.
  • Meet assigned point-of-service goals.
  • Use quality auditing and reporting systems to identify and correct accounts, conduct account audits, ensure forms are completed accurately and on time, and provide statistical data to Patient Access leadership.
  • Pre-register patient accounts and make inbound and outbound calls to obtain demographic, insurance, and other patient information.
  • Explain patient financial liabilities, collect point-of-service payments and past-due balances, and discuss payment plan options.
  • Explain general consent-for-treatment forms, obtain necessary signatures, and record the witness’s name.
  • Explain and distribute patient education documents and required 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 processes.
  • Screen medical necessity using Advanced Beneficiary Notice (ABN) software, inform Medicare patients of possible nonpayment for tests, and distribute ABNs and other designated forms and pamphlets as appropriate.

Benefits

  • Bonus incentives and quarterly and annual incentive programs.
  • Paid professional certification.
  • Tuition reimbursement.
  • Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
  • Professional development and career advancement opportunities.
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