Patient Access Associate Specialist

Ensemble Health Partners • Lewes, DE

10d • $17 - $18 • Onsite

About The Position

The Patient Access Associate Specialist performs admission and patient access duties for patients receiving hospital services, following organizational policies, processes, mission, goals, and regulatory compliance requirements. The role supports accurate registration, insurance verification, medical necessity screening, patient instructions and documentation, point-of-service collections, and excellent customer service. This is an onsite position in Lewes, Delaware. The stated pay is $17.00–$18.15 per hour, based on experience. The required Certified Revenue Cycle Representative (CRCR) certification must be obtained within six months of hire and is company-paid.

Requirements

• High school diploma or GED.
• CRCR (Certified Revenue Cycle Representative) certification required within six months of hire; company-paid.
• Must be able to work onsite in Lewes, Delaware.
• Must reside and be authorized to work in the United States.

Nice To Haves

• At least one year of customer service experience.
• Inquisitiveness and openness to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.

Responsibilities

• 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 customer service.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, as applicable, while following policies and providing compassionate customer service.
• Meet assigned point-of-service goals.
• Pre-register patient accounts before visits, including making inbound and outbound calls to collect demographic, insurance, and other information; explain patient financial liabilities; collect point-of-service payments and past-due balances; and offer payment plan options.
• Explain general consent-for-treatment forms and obtain necessary signatures and witness names.
• Explain and distribute patient education and required forms, including Medicare and Tricare notices, observation forms, MOON forms, consent forms, and other forms implemented for future services.
• Review eligibility responses in the insurance verification system, select the applicable insurance plan code, and enter benefit data to support point-of-service collections and billing processes.
• Screen medical necessity using Advance Beneficiary Notice (ABN) software, inform Medicare patients of potential non-payment for tests, and distribute ABNs and other designated forms and pamphlets as appropriate.
• 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.

Benefits

• Company-paid CRCR certification.
• Tuition reimbursement.
• Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
• Quarterly and annual incentive programs.
• Career advancement and professional development opportunities.
• Shift differential for select shifts.

What This Job Offers

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