Patient Access Associate Specialist

Ensemble Health Partners•Suffolk, VA
•Onsite

About The Position

This entry-level, onsite role at Bon Secours - Harbour View Medical Center in Suffolk, Virginia performs patient admitting and access duties for patients receiving hospital services. The position follows organizational policies, processes, mission and goals, and regulatory requirements while delivering compassionate customer service to patients, colleagues, and other callers. The stated pay range is $17.00–$18.15 per hour, based on experience. The Patient Access Associate Specialist handles registration and pre-registration, patient and insurance information, medical necessity and compliance checks, patient instructions and documentation, and point-of-service collections. The role also supports accurate account processing and clean claims through insurance eligibility review, benefit entry, auditing, and reporting. Required company-paid CRCR certification must be completed within nine months of hire.

Requirements

  • At least 1 year of customer service experience.
  • High school diploma or GED.
  • CRCR certification required within 9 months of hire; certification is company paid.
  • Must be inquisitive and open to innovation, including AI, to explore improved processes and reduce friction in patient and client experiences.
  • Must be able to work onsite at Bon Secours - Harbour View Medical Center in Suffolk, Virginia.
  • 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 providing excellent customer service.
  • 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, 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, including contacting patients to obtain demographic, insurance, and other information and explain financial liabilities.
  • Collect point-of-service payments and past-due balances, including discussing 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 Important Message forms, Observation Forms, MOON forms, consent forms, and forms introduced 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 CRCR certification.
  • Tuition reimbursement.
  • Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
  • Professional development and a relevant professional certification.
  • Quarterly and annual incentive programs.
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