Patient Access Associate Specialist

Ensemble Health Partners•Tyler, TX
•$17 - $18•Onsite

About The Position

The Patient Access Associate Specialist performs admitting and pre-registration duties for patients receiving hospital services at Ardent - UT Health North Campus in Tyler, Texas. The role follows organization-wide policies and processes and works in alignment with the organization’s mission, goals, and regulatory compliance requirements. This is an onsite, entry-level career opportunity paying $17.00–$18.15 per hour, based on experience. The specialist gathers and verifies patient, demographic, and insurance information; handles medical necessity and compliance checks; processes physician orders; explains and distributes required forms and patient education materials; obtains signatures; and supports point-of-service collections and billing accuracy. The role also involves telephone switchboard duties, customer service, account auditing and reporting, and use of systems for insurance verification and medical necessity screening. A CRCR certification is required within six months of hire and is company-paid.

Requirements

  • At least 1 year of customer service experience.
  • High school diploma or GED.
  • Must demonstrate inquisitiveness and openness to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.
  • Must be able to work onsite at Ardent - UT Health North Campus in Tyler, Texas.
  • CRCR certification required within 6 months of hire; company-paid.

Responsibilities

  • Perform admitting duties for patients receiving hospital services while meeting organizational policies, goals, and regulatory requirements.
  • Assign accurate medical record numbers (MRNs), perform medical necessity and compliance checks, provide patient instructions, collect insurance information, receive and process physician orders, and use an overlay tool.
  • Provide excellent customer service, including answering and relaying incoming, outgoing, and inter-office calls through the telephone switchboard with appropriate compassion.
  • Meet assigned point-of-service goals.
  • Use quality auditing and reporting systems to identify and correct account issues; audit accounts, ensure forms are complete and accurate on time, and provide statistical data to Patient Access leadership.
  • Pre-register patient accounts and make inbound or 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, consent forms, and forms implemented 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 Advanced Beneficiary Notice (ABN) software, inform Medicare patients of possible non-payment for tests, and distribute ABNs as appropriate.
  • Distribute and document other designated forms and pamphlets.

Benefits

  • Bonus incentives
  • Paid certifications
  • Tuition reimbursement
  • Comprehensive benefits, including healthcare, time off, retirement, and well-being programs
  • Professional development
  • Quarterly and annual incentive programs
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