Patient Access Specialist

Ensemble Health Partners • Bristol, TN

5d • Onsite

About The Position

The Patient Access Specialist performs admitting duties for patients receiving hospital services while meeting the organization's mission, goals, regulatory requirements, policies, and processes. The role supports patient access and revenue-cycle operations by handling registration and pre-registration, verifying insurance and medical necessity, processing orders and forms, collecting patient payments, and providing clear instructions and compassionate customer service. The position is onsite at Ballad and pays $17.00–$18.15 per hour based on experience. 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; the company pays for the certification.
• Must be able to work onsite at Ballad.
• Must reside and be authorized to work in the United States.

Responsibilities

• Perform admitting duties for patients admitted for hospital services while following organizational 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.
• Provide excellent customer service, measured by Press Ganey, and meet assigned point-of-service goals.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable, following policies and showing appropriate compassion.
• Use quality auditing and reporting systems to identify and correct accounts, including accounts associated with 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 collect demographic, insurance, and other patient information.
• Explain patient financial liabilities and collect point-of-service payments and past-due balances, including offering payment plan options.
• Explain general consent-for-treatment forms, obtain required signatures, and record the witness's name.
• Explain and distribute patient education documents and required forms, including Medicare and Tricare notices, observation and MOON forms, consent forms, and forms introduced for future services.
• Review eligibility responses in the insurance verification system, select the appropriate 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 possible non-payment for tests, and distribute ABNs when appropriate.
• 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

What This Job Offers

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