Patient Access Associate Specialist

Ensemble Health Partners•Paducah, KY
•$17 - $18•Onsite

About The Position

The Patient Access Associate Specialist performs admitting and patient access duties for patients receiving hospital services, while supporting organizational goals, regulatory compliance, and established policies and processes. The role is onsite at Mercy - Lourdes Hospital in Paducah, Kentucky, and is scheduled full-time, Monday through Friday, 8:30 a.m. to 5:00 p.m. The listed pay range is $17.00–$18.15 per hour, based on experience. Responsibilities include registering and pre-registering patients, maintaining accurate medical record and insurance information, processing physician orders, checking medical necessity and compliance, explaining and distributing patient forms and educational documents, and collecting point-of-service payments and past-due balances. The specialist also handles telephone switchboard calls, provides patient instructions and customer service, and uses quality auditing and reporting systems to review accounts and support accurate, timely documentation and clean claims. The role requires at least one year of customer service experience and a high school diploma or GED. The CRCR certification must be obtained within six months of hire; the company pays for the certification.

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 improved processes and reduce friction in patient and client experiences.
  • Obtain CRCR certification within 6 months of hire; certification is company-paid.
  • Must be able to work onsite at Mercy - Lourdes Hospital in Paducah, Kentucky.
  • Must reside and be authorized to work in the United States.

Responsibilities

  • Perform admitting duties for patients receiving hospital services while meeting organizational goals and regulatory requirements.
  • Assign accurate medical record numbers (MRNs), perform medical necessity and compliance checks, provide patient instructions, collect insurance information, process physician orders, and use an overlay tool.
  • 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 account issues; audit accounts 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 offer payment plan options.
  • Explain general consent for treatment forms, obtain necessary signatures, and record the witness’s name.
  • Explain and distribute patient education and required forms, including Medicare and Tricare notices, observation and MOON forms, consent forms, and documents 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.
  • Screen medical necessity using Advanced Beneficiary Notice (ABN) software, inform Medicare patients about possible non-payment for tests, and distribute ABNs and other designated forms and pamphlets as appropriate.

Benefits

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