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 functions for patients receiving hospital services, following organizational policies, mission and goals, and regulatory requirements. The role supports accurate registration, compliance, billing, and a positive patient experience. Duties include gathering patient and insurance information, completing medical necessity checks, processing orders, explaining and distributing forms, and collecting payments. The position also supports telephone operations and account quality auditing. This is an onsite role at Mercy - Lourdes Hospital in Paducah, Kentucky. Pay is $17.00–$18.15 per hour, based on experience.

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 for patients and clients.
  • CRCR certification required within 6 months of hire; certification is company-paid.

Responsibilities

  • Perform admitting duties for patients receiving hospital services while meeting organizational goals and regulatory compliance 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 providing excellent customer service.
  • Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, following applicable policies and providing compassionate customer service.
  • Meet assigned point-of-service goals.
  • Use quality auditing and reporting systems to identify and correct accounts, conduct account audits, ensure forms are completed accurately and on time, and provide statistical data to Patient Access leadership.
  • Pre-register patient accounts, including contacting patients to obtain demographic, insurance, and other information; explain financial liabilities; and collect point-of-service payments and past-due balances, including offering payment plan options.
  • Explain general consent-for-treatment forms, obtain required signatures, and document the witness's name.
  • Explain and distribute patient education documents and applicable notices and forms, including Medicare and Tricare Important Messages, Observation Forms, MOON forms, and consent forms.
  • Review insurance eligibility responses, select applicable insurance plan codes, 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 and other designated forms and pamphlets as appropriate.

Benefits

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