Patient Access Associate Specialist

Ensemble Health Partners • Batavia, OH

3d • Onsite

About The Position

Ensemble is a provider of technology-enabled revenue cycle management solutions for health systems. This entry-level, onsite position at Mercy - Clermont Hospital in Batavia, Ohio performs admitting and patient access duties for hospital patients while meeting organizational goals, policies, and regulatory requirements. The role focuses on accurate registration, insurance and medical-necessity checks, point-of-service collections, account auditing, patient education, and compassionate customer service. The position pays $17.00–$18.15 per hour based on experience and follows a full-time 7 p.m.–7:30 a.m. schedule with weekend and holiday rotation required. CRCR certification is required within nine months of hire and is company paid.

Requirements

• High school diploma or GED.
• At least 1 year of customer service experience.
• CRCR certification required within 9 months of hire; company paid.
• Must be able to work onsite at Mercy - Clermont Hospital in Batavia, Ohio.
• Must be inquisitive and open to innovation, including AI, to explore better processes and improve patient and client experiences.
• Must be authorized to work and reside in the United States.

Responsibilities

• Perform admitting duties for patients receiving hospital services, following organizational policies, processes, goals, and regulatory 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 customer service measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, providing compassionate customer service and adhering to policies.
• 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 and collect point-of-service payments and past-due balances, including discussing payment plan options.
• Explain general consent-for-treatment forms to patients, guarantors, or legal guardians; obtain required signatures and witness names.
• Explain and distribute patient education documents and applicable forms, including Medicare and Tricare Important Message 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 and assist with clean claim rates.
• 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

• Company-paid CRCR certification.
• Tuition reimbursement.
• Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
• 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