Patient Access Associate Specialist

Ensemble Health Partners • Mason, OH

22h • 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, aiming to keep communities healthy by keeping hospitals healthy. Ensemble emphasizes the human touch in healthcare and empowers its people to challenge the status quo. The company's O.N.E Purpose focuses on Customer Obsession, Embracing New Ideas, and Striving for Excellence. This entry-level career opportunity is for a Patient Access Specialist responsible for performing admitting duties for all patients admitted for services at the hospital, ensuring compliance with organizational mission, goals, and regulatory requirements. The representative will work within established policies and processes across the 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

• Assign accurate MRNs
• Complete medical necessity / compliance checks
• Provide proper patient instructions
• Collect insurance information
• Receive and process physician orders
• Utilize an overlay tool while providing excellent customer service as measured by Press Ganey
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable
• Adhere to policies and provide excellent customer service in interactions with the appropriate level of compassion
• Be held accountable for point of service goals as assigned
• Utilize quality auditing and reporting systems to ensure accounts are corrected, including accounts for other employees, departments, and facilities
• Conduct audits of accounts and assure that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership
• Pre-register patient accounts prior to patient visits
• Perform inbound and outbound calling to obtain demographic, insurance, and other patient information including patient financial liabilities, point of service collections, past due balances, and payment plan options
• Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures and witness’s name
• Explain and distribute 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
• Review eligibility responses in insurance verification system and appropriately select the applicable insurance plan code, enter benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate
• Accurately screen medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribute the ABN as appropriate
• Distribute and document 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
• Career Advancement
• Professional development
• Quarterly and annual incentive programs

What This Job Offers

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