Patient Access Associate Specialist

Ensemble Health Partners • Newport News, VA

1d • Onsite

About The Position

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! The Patient Access Specialist champion role is responsible for performing admitting duties for all patients admitted for services at the hospital, meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.

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 Required
• CRCR Required within 9 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 as measured by Press Ganey
• Operating the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable
• Adhering to policies and providing excellent customer service in these interactions with the appropriate level of compassion
• Accountability for point of service goals as assigned
• Utilization of quality auditing and reporting systems to ensure accounts are corrected
• Conducting audits of accounts and assuring that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership
• Pre-registration of patient accounts prior to patient visits
• Obtaining demographic, insurance, and other patient information including the patient financial liabilities
• Collecting point of service collections as well as past due balances including payment plan options
• Explaining general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness’s name
• Explaining and distributing patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services
• Reviewing eligibility responses in insurance verification system and appropriately selecting the applicable insurance plan code
• Entering benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate
• Accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate
• Distribution and documentation of other designated forms and pamphlets

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs
• Investment in your professional development
• Quarterly and annual incentive programs for all employees

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees