Patient Access Associate Specialist

Ensemble Health Partners•Cincinnati, OH
•Onsite

About The Position

This entry-level, onsite role at Mercy - The Jewish Hospital in Cincinnati, Ohio performs admitting and patient access duties for patients receiving hospital services. The associate works according to organizational policies, processes, mission, goals, and regulatory requirements while providing compassionate customer service. The role involves walking from room to room and pushing a 10-pound mobile computer station throughout the shift. The full-time schedule is 3 p.m. to 3:30 a.m., with weekend and holiday rotation required. Pay is $17.00–$18.15 per hour, based on experience. The position handles patient registration and pre-registration, medical necessity and compliance checks, insurance verification, patient instructions, physician orders, patient forms and signatures, and point-of-service collections. It also includes telephone switchboard coverage, account auditing and correction, documentation and reporting, and explaining potential Medicare non-payment notices. A CRCR certification is required within six months of hire and is company-paid.

Requirements

  • High school diploma or GED.
  • At least 1 year of customer service experience.
  • Must be inquisitive and open to innovation, including AI, to explore better processes and improve patient and client experiences.
  • CRCR certification required within 6 months of hire; company-paid.

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 providing customer service measured by Press Ganey.
  • Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable, following policies and providing compassionate customer service.
  • Meet assigned point-of-service goals.
  • Use quality auditing and reporting systems to identify and correct accounts, including accounts associated with 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.
  • Pre-register patient accounts, 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, including offering payment plan options.
  • Explain general consent-for-treatment forms to patients, guarantors, or legal guardians; obtain required signatures and witness names.
  • Explain and distribute patient education documents and required forms, including Medicare and Tricare notices, observation forms, MOON forms, and consent 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, and distribute ABNs as appropriate.
  • Distribute and document other designated forms and pamphlets.

Benefits

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