Patient Access Associate Specialist

Ensemble Health Partners • Fairfield, OH

23d • Onsite

About The Position

Ensemble is a provider of technology-enabled revenue cycle management solutions for health systems. This entry-level opportunity is an onsite role at Mercy - Fairfield Hospital in Fairfield, Ohio. The position performs admitting and patient access duties for patients receiving hospital services while following organizational policies, mission, goals, and regulatory requirements. The work involves walking from room to room and pushing a 10-pound mobile computer station throughout the shift. The schedule is full time, 8:30 a.m. to 5 p.m., with weekend and holiday rotation required. Pay is $17.00–$18.15 per hour, based on experience.

Patient Access staff support registration, pre-registration, insurance verification, medical necessity and compliance checks, patient education, physician order processing, account quality, and point-of-service collections. They also provide compassionate customer service to patients, families, colleagues, and callers. A high school diploma or GED is required, as is at least one year of customer service experience. The CRCR certification must be obtained within six months of hire and is company paid.

Requirements

• At least 1 year of customer service experience.
• High school diploma or GED.
• Obtain CRCR certification within 6 months of hire; certification is company paid.
• Must be inquisitive and open to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.
• Must be able to walk from room to room and push a 10-pound mobile computer station throughout the shift.
• Must reside and be authorized to work in the United States.

Responsibilities

• 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 customer service.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, following policies and providing compassionate 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 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 to patients, guarantors, or legal guardians; obtain required signatures and a witness’s name.
• Explain and distribute patient education documents and applicable forms, including Medicare and Tricare Important Messages, Observation Forms, MOON forms, and consent forms.
• Review insurance eligibility responses, select the applicable insurance plan code, and enter benefit data to support 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

• Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
• Company-paid CRCR certification.
• Tuition reimbursement.
• Professional development and career advancement opportunities.
• Quarterly and annual incentive programs.

What This Job Offers

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