Patient Access Associate Specialist

Ensemble Health Partners•Southaven, MS
•$17 - $18•Onsite

About The Position

The Patient Access Associate Specialist performs admitting and patient access duties for patients receiving hospital services while following organizational policies, processes, mission, goals, and regulatory requirements. The role includes accurate patient registration, insurance and medical necessity checks, patient instruction, physician order processing, and customer service. The position is onsite at Methodist - Diagnostic Center - Southaven in Southaven, Mississippi, and pays $17.00–$18.15 per hour based on experience. The role also supports pre-registration, account quality audits, telephone switchboard operations, point-of-service collections, and the explanation and distribution of required patient forms and education materials. The associate uses insurance verification and medical necessity tools to support clean claims and inform patients about potential Medicare non-payment. A CRCR certification is required within six months of hire and is company paid.

Requirements

  • At least 1 year of customer service experience.
  • High school diploma or GED.
  • CRCR certification required within 6 months of hire; company paid.
  • Must be inquisitive and open to innovation, including AI, to explore improved processes and reduce friction in patient and client experiences.
  • Must be able to work onsite at Methodist - Diagnostic Center - Southaven in Southaven, Mississippi.

Responsibilities

  • Perform admitting duties for patients receiving hospital services while meeting organizational policies, goals, and regulatory compliance requirements.
  • Assign accurate medical record numbers, complete medical necessity and compliance checks, provide patient instructions, collect insurance information, receive and process physician orders, and use an overlay tool.
  • Provide excellent customer service as measured by Press Ganey and meet assigned point-of-service goals.
  • Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, following policies and providing compassionate customer service.
  • Use quality auditing and reporting systems to identify and correct account issues, including accounts belonging to 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 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 offer payment plan options.
  • Explain general consent for treatment forms to patients, guarantors, or legal guardians; obtain required signatures and the witness's name.
  • Explain and distribute patient education documents and required forms, including Medicare and Tricare Important Message documents, 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 software, inform Medicare patients of possible non-payment for tests, distribute ABNs as appropriate, and distribute and document other designated forms and pamphlets.

Benefits

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