Patient Access Associate Specialist

Ensemble Health Partners•Toledo, OH

21h•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. The Patient Access Specialist role is an exciting entry-level opportunity, not a desk job, requiring movement throughout the hospital with a mobile computer station. This role is responsible for performing admitting duties for all patients admitted for services at the hospital, ensuring compliance with organizational goals and regulatory requirements. The Representative will adhere to established policies and processes across the organization.

Requirements

Ability to walk from room to room and push a 10-pound mobile computer station throughout the entire shift.
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 Required
CRCR Required within 9 months of hire (Company Paid)

Responsibilities

Assign accurate MRNs, complete medical necessity / compliance checks, provide proper patient instructions, collect insurance information, receive, and process physician orders, and utilize an overlay tool while providing excellent customer service as measured by Press Ganey.
Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable, adhering to policies and providing excellent customer service with the appropriate level of compassion.
Be held accountable for point of service goals as assigned.
Utilize quality auditing and reporting systems to ensure accounts are corrected, which may include accounts for other employees, departments, and facilities.
Conduct audits of accounts and assure that all forms are completed accurate, timely to meet audit standards and provide statistical data to Patient Access leadership.
Pre-register patient accounts prior to patient visits, which may include inbound and outbound calling to obtain demographic, insurance, and other patient information including patient financial liabilities, collecting point of service collections as well as past due balances including payment plan options.
Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures and witness’s name.
Explain and distribute 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.
Review eligibility responses in insurance verification system and appropriately select the applicable insurance plan code, enter benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
Accurately screen medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribute the ABN as appropriate.
Distribute and document other designated forms and pamphlets.