Patient Access Associate Specialist

Ensemble Health Partners • Cincinnati, OH

23d • Onsite

About The Position

The Patient Access Associate Specialist performs admitting duties for patients receiving hospital services, meeting organizational goals, policies, and regulatory requirements. The role includes patient registration and pre-registration, insurance and medical-necessity checks, patient education and consent documentation, point-of-service collections, account auditing, and customer service. The position is onsite at Mercy - The Jewish Hospital in Cincinnati, Ohio, and requires walking between patient rooms and pushing a 10-pound mobile computer station throughout the shift. It is a full-time third-shift role with weekend and holiday rotation.

Requirements

• High school diploma or GED.
• At least 1 year of customer service experience.
• CRCR certification required within 6 months of hire; company paid.
• Must be inquisitive and open to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.
• Ability to walk from room to room and push a 10-pound mobile computer station throughout the shift.
• Availability for full-time third shift, with weekend and holiday rotation.

Responsibilities

• Assign accurate medical record numbers (MRNs), complete medical necessity and compliance checks, provide patient instructions, collect insurance information, and receive and process physician orders.
• Use an overlay tool and provide excellent customer service, as measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, following policies and communicating compassionately.
• 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, including obtaining demographic, insurance, and other patient information through inbound and outbound calls.
• Explain patient financial liabilities, collect point-of-service payments and past-due balances, and offer payment plan options.
• Explain general consent for treatment forms, obtain required signatures, and record the witness’s name.
• Explain and distribute patient education and required forms, including Medicare and Tricare notices, observation forms, MOON forms, and consent forms.
• Review insurance eligibility responses, select the applicable insurance plan code, and enter benefit data to support point-of-service collections and billing.
• 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

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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED