Patient Access Associate Specialist

Ensemble Health Partners • Pennington Gap, VA

1d • $17 - $18 • Onsite

About The Position

Ensemble is a provider of technology-enabled revenue cycle management solutions for health systems. The Patient Access Associate Specialist performs admitting duties for patients receiving hospital services while meeting organizational goals, policies, processes, and regulatory requirements. The role includes patient registration and pre-registration, insurance and medical-necessity checks, processing orders, collecting payments, explaining forms, and providing compassionate customer service. This is an entry-level, onsite position at Ballad - Lee County Community Hospital in Pennington Gap, Virginia. 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 be inquisitive and open to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.
• CRCR certification required within 6 months of hire; the company pays for the certification.

Responsibilities

• Perform admitting duties for patients receiving hospital services in accordance with organizational policies, goals, and regulatory requirements.
• Assign accurate medical record numbers, complete medical-necessity and compliance checks, give patient instructions, collect insurance information, receive and process physician orders, and use an overlay tool.
• Provide excellent customer service, including operating the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
• Meet assigned point-of-service goals.
• Use quality auditing and reporting systems to identify and correct account issues; conduct account audits, ensure forms are completed accurately and on time, and provide statistical data to Patient Access leadership.
• Pre-register patient accounts, which may include 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 provide payment-plan options.
• Explain general consent-for-treatment forms, obtain required signatures, and record the witness's name.
• Explain and distribute patient education documents, including Medicare and Tricare notices, observation and 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 software, inform Medicare patients of possible non-payment for tests, and distribute ABNs when appropriate.
• Distribute and document other designated forms and pamphlets.

Benefits

• Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
• Paid certification.
• Tuition reimbursement.
• Professional development and career advancement opportunities.
• Quarterly and annual incentive programs.

What This Job Offers

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