Patient Access Associate Specialist - Full Time

Ensemble Health Partners • Berkeley Springs, WV

2d • Onsite

About The Position

This is an entry-level, onsite position at Valley - War Memorial Hospital in Berkeley Springs, West Virginia. The Patient Access Associate Specialist performs admitting duties for patients receiving hospital services while following organizational policies, goals, and regulatory requirements. The role supports patient access operations across the organization and provides compassionate customer service to patients, colleagues, and callers.

Responsibilities include patient registration and pre-registration, verifying insurance and medical necessity, processing physician orders, collecting point-of-service payments and past-due balances, explaining forms and instructions, and maintaining accurate patient accounts. The position also operates the telephone switchboard, conducts account audits, documents required forms, and contributes to quality and reporting activities.

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.
• CRCR certification required within 9 months of hire; company paid.

Responsibilities

• Assign accurate medical record numbers (MRNs) and 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 service.
• Meet assigned point-of-service goals.
• Use quality auditing and reporting systems to identify and correct account issues, including accounts associated with other employees, departments, and facilities.
• Audit accounts, ensure forms are completed accurately and on time, meet audit standards, 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 patients, guarantors, or legal guardians; obtain required signatures and witness names.
• Explain and distribute patient education documents and applicable forms, including Medicare and Tricare notices, Observation Forms, MOON forms, and consent forms.
• Review insurance eligibility responses, select applicable insurance plan codes, 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

What This Job Offers

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