Patient Access Associate Specialist

Ensemble Health Partners•Batavia, OH
•$17 - $18•Onsite

About The Position

The Patient Access Associate Specialist performs admitting duties for patients receiving hospital services while meeting organizational goals, the organization’s mission, and regulatory compliance requirements. The role follows policies and processes used across the organization and provides compassionate, high-quality customer service. Responsibilities include patient registration and pre-registration, verification and entry of insurance information, medical necessity and compliance checks, processing physician orders, and collecting payments. The specialist explains and distributes required forms and patient education materials, obtains signatures, and supports accurate account documentation and billing. The position also operates the telephone switchboard as applicable, conducts quality audits, and contributes to point-of-service goals. This is an onsite position at Mercy - Clermont Hospital in Batavia, Ohio. Pay is $17.00–$18.15 per hour, based on experience. The role is described as an entry-level career opportunity and requires a high school diploma or GED. CRCR certification is required within nine months of hire and is company-paid.

Requirements

  • High school diploma or GED.
  • CRCR certification required within nine months of hire; company-paid.
  • At least one year of customer service experience.
  • Demonstrate inquisitiveness and openness to innovation, including AI, to explore improved processes and reduce friction for patients and clients.
  • Must be able to work onsite at Mercy - Clermont Hospital in Batavia, Ohio.

Responsibilities

  • Perform admitting duties for patients receiving hospital services while meeting organizational policies, goals, and regulatory requirements.
  • Assign accurate medical record numbers (MRNs), complete medical necessity and compliance checks, collect insurance information, 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 as applicable, following policies and interacting with compassion.
  • Meet assigned point-of-service goals.
  • Use quality auditing and reporting systems to identify and correct account issues; audit accounts, ensure forms are completed accurately and on time, and provide statistical data to Patient Access leadership.
  • Pre-register patient accounts before visits, including inbound and outbound calls to obtain demographic, insurance, and other patient information.
  • Explain patient financial liabilities and collect point-of-service payments and past-due balances, including discussing payment plan options.
  • Explain general consent-for-treatment forms, obtain required signatures and witness names, and explain and distribute patient education documents and applicable forms.
  • 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 non-payment for tests, distribute ABNs as appropriate, and distribute and document other designated forms and pamphlets.

Benefits

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