Patient Access Associate Specialist - Part-time

Ensemble Health Partners • Nashua, NH

9h • Onsite

About The Position

This is an entry-level, part-time, onsite role at Covenant - St Joseph Hospital in Nashua, NH. The position is responsible for performing admitting duties for all patients admitted for services at the hospital, ensuring adherence to the organization's mission, goals, and regulatory compliance requirements. The Representative will work within the established policies and processes across the organization. Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, offering end-to-end solutions and point solutions. They emphasize a human touch and believe their people are their most important asset, fostering a culture of challenging the status quo and driving meaningful differences.

Requirements

• 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.
• High School Diploma/GED
• CRCR Required within 6 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
• Operating the telephone switchboard to relay incoming, outgoing, and inter-office calls
• Adhering to policies and providing excellent customer service with compassion
• Meeting point of service goals
• Utilizing quality auditing and reporting systems to ensure accounts are corrected
• Conducting audits of accounts and assuring all forms are completed accurately and timely to meet audit standards
• Providing statistical data to Patient Access leadership
• Pre-registering patient accounts prior to patient visits, including inbound and outbound calling to obtain demographic, insurance, and other patient information
• Collecting point of service collections and past due balances, including payment plan options
• Explaining general consent for treatment forms to the patient/guarantor/legal guardian and obtaining necessary signatures and witness’s name
• Explaining and distributing patient education documents (e.g., Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms)
• Reviewing eligibility responses in the insurance verification system and selecting the applicable insurance plan code
• Entering benefit data into the system to support POS (Point of Service Collections) and billing processes
• Accurately screening medical necessity using the Advanced Beneficiary Notice (ABN) software
• Informing Medicare patients of possible non-payment of tests by Medicare and distributing the ABN as appropriate
• Distributing and documenting other designated forms and pamphlets

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits (including healthcare, time off, retirement, and well-being programs)
• Career Advancement
• Quarterly and annual incentive programs

What This Job Offers

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