Patient Access Associate Specialist

Ensemble Health Partners•Norwalk, CT
•$17 - $19•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 and patient access duties for patients receiving hospital services, following organizational policies, processes, mission, goals, and regulatory requirements. The role is onsite at Stamford - Norwalk in Norwalk, Connecticut, with compensation of $17.00–$18.65 per hour based on experience. The position supports patient registration and pre-registration, insurance and medical necessity checks, patient communications, point-of-service collections, and accurate account documentation. It also involves telephone switchboard duties, auditing accounts and forms, and explaining and distributing patient consent, education, and compliance documents. The role is an entry-level career opportunity offering bonus incentives, paid certifications, tuition reimbursement, comprehensive benefits, and career advancement opportunities.

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 improved processes and reduce friction in patient and client experiences.
  • Must be able to work onsite in Norwalk, CT.
  • CRCR certification required within 6 months of hire; company paid.

Responsibilities

  • Perform admitting duties for patients receiving hospital services while meeting organizational goals, policies, processes, and regulatory requirements.
  • 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 delivering excellent customer service.
  • Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, following policies and providing compassionate customer service.
  • Meet assigned point-of-service goals.
  • Use quality auditing and reporting systems to identify and correct account issues; audit accounts and forms for accuracy and timeliness, including accounts from other employees, departments, and facilities; and provide statistical data to Patient Access leadership.
  • Pre-register patient accounts before visits, including 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 to the patient, guarantor, or legal guardian; obtain required signatures and the witness's name.
  • Explain and distribute patient education and required 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 processes.
  • Screen medical necessity using Advanced Beneficiary Notice (ABN) software, inform Medicare patients of potential 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
  • Career advancement opportunities
  • Professional development
  • Quarterly and annual incentive programs
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