Patient Access Associate Specialist

Ensemble Health Partners•Perrysburg, OH

1d•Onsite

About The Position

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. This position pays between $16.50 - $18.15 based on experience. This position is an onsite role at Mercy - Perrysburg Medical Center in Perrysburg, OH. We are searching for the next Patient Access Specialist champion. This is an exciting role that is not a desk job, as you'll walk from room to room and push a 10-pound mobile computer station throughout the entire shift. This role is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for performing these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.

Requirements

Ability to walk from room to room and push a 10-pound mobile computer station throughout the entire shift.
1+ years of customer service experience
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.
CRCR Required within 9 months of hire (Company Paid)

Responsibilities

Assigning accurate MRNs
Completing medical necessity / compliance checks
Providing proper patient instructions
Collecting insurance information
Receiving, and processing physician orders
Utilizing an overlay tool while providing excellent customer service as measured by Press Ganey
Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
Adhere to policies and provide excellent customer service in these interactions with the appropriate level of compassion.
Accountable for point of service goals as assigned.
Utilization of quality auditing and reporting systems to ensure accounts are corrected.
Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership.
Pre-registration of patient accounts prior to patient visits.
Inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options.
Explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness’s name.
Explains and distributes patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.
Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
Accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Distribution and documentation of other designated forms and pamphlets.