Patient Access Associate Specialist

Ensemble Health Partners•Lebanon, VA
•$17 - $18•Onsite

About The Position

The Patient Access Associate Specialist performs admitting and patient-access duties for people receiving hospital services. The role supports the organization’s mission, goals, regulatory compliance requirements, and standard policies and processes while providing compassionate, high-quality customer service. This is an onsite position at Ballad - Russell County Hospital in Lebanon, Virginia, with an advertised pay range of $17.00–$18.15 per hour based on experience. The position includes registering and preregistering patients, verifying insurance and eligibility, supporting point-of-service collections and billing, explaining and distributing required forms and patient education materials, and handling telephone switchboard duties. The specialist also conducts account audits and uses quality reporting systems to help ensure accurate and complete accounts. A CRCR certification is required within six months of hire and is company-paid.

Requirements

  • At least 1 year of customer service experience.
  • High school diploma or GED.
  • CRCR certification required within 6 months of hire; the company pays for the certification.

Responsibilities

  • Perform admitting duties for patients receiving hospital services while meeting organizational goals, policies, 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 excellent customer service.
  • Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable, 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 for 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.
  • Preregister patient accounts before visits, including making 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 discuss payment plan options.
  • Explain general consent-for-treatment forms to patients, guarantors, or legal guardians, obtain required signatures, and witness signatures as needed.
  • Explain and distribute patient education and required documents, including Medicare and Tricare Important Messages, 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 nonpayment for tests, and distribute ABNs when appropriate.
  • Distribute and document other designated forms and pamphlets.

Benefits

  • Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
  • Paid certification.
  • Tuition reimbursement.
  • Quarterly and annual incentive programs.
  • Professional development and career advancement opportunities.
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