Patient Access Associate Specialist

Ensemble Health Partners•Paducah, KY
•Onsite

About The Position

This entry-level, onsite role at Mercy - Lourdes Hospital in Paducah, Kentucky performs admitting and patient-access duties for patients receiving hospital services. The associate supports the organization’s mission, goals, regulatory compliance requirements, and established policies and processes while providing compassionate, high-quality customer service. Responsibilities include patient registration and preregistration, gathering and verifying patient and insurance information, supporting medical-necessity and compliance checks, processing physician orders, explaining and distributing patient documents, collecting payments, and helping maintain accurate accounts and clean claims. The role also includes telephone switchboard operations and account auditing. Pay is $17.00–$18.15 per hour, based on experience.

Requirements

  • At least 1 year of customer service experience.
  • High school diploma or GED.
  • Must obtain the CRCR certification within 6 months of hire; the company pays for it.
  • Must be able to work onsite at Mercy - Lourdes Hospital in Paducah, Kentucky.
  • Must be inquisitive and open to innovation, including AI, to explore better processes and improve patient and client experiences.
  • Must reside and be authorized to work in the United States.

Responsibilities

  • Perform admitting duties for patients receiving hospital services while following organizational policies, goals, and regulatory requirements.
  • Assign accurate medical record numbers (MRNs), complete medical-necessity and compliance checks, provide patient instructions, collect insurance information, process physician orders, and use an overlay tool.
  • Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, providing compassionate customer service.
  • Meet assigned point-of-service collection goals.
  • 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.
  • Preregister patient accounts before visits, including making inbound and outbound calls to obtain demographic, insurance, and other patient information.
  • Explain patient financial liabilities, collect point-of-service payments and past-due balances, and discuss payment-plan options.
  • Explain general consent-for-treatment forms, obtain required signatures, and record the witness’s name.
  • Explain and distribute patient education and other required documents, including Medicare and Tricare notices, observation forms, MOON forms, consent forms, and forms introduced for future services.
  • 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 as appropriate.
  • Distribute and document other designated forms and pamphlets.

Benefits

  • Bonus incentives and quarterly and annual incentive programs.
  • Company-paid CRCR certification and professional development certification relevant to the associate’s field.
  • Tuition reimbursement.
  • Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
  • Career advancement and professional development opportunities.
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