Patient Access Specialist - PRN

Ensemble Health Partners • Roanoke, VA

10d • $17 - $18 • Onsite

About The Position

The Patient Access Specialist performs admitting duties for patients receiving hospital services while meeting organizational goals, policies, and regulatory requirements. The role supports accurate patient registration, insurance and medical-necessity checks, patient communications, point-of-service collections, account quality, and compliant processing of required forms. This is an onsite position at Carilion - Roanoke Memorial Hospital in Roanoke, Virginia. The stated pay range is $17.00–$18.15 per hour, based on experience.

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 Carilion - Roanoke Memorial Hospital in Roanoke, Virginia.

Responsibilities

• Perform admitting duties for patients receiving services at the hospital in accordance with organizational policies, goals, and regulatory requirements.
• Assign accurate medical record numbers (MRNs), conduct medical-necessity and compliance checks, provide patient instructions, collect insurance information, receive and process physician orders, and use an overlay tool while providing excellent customer service.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable, 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 ensure forms are completed accurately and on time, and provide statistical data to Patient Access leadership.
• Pre-register patient accounts before visits, including contacting patients to obtain demographic, insurance, and other information and to discuss 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 witness names.
• Explain and distribute patient education documents and required forms, including Medicare and Tricare notices, 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.
• Screen medical necessity using Advanced Beneficiary Notice (ABN) software, inform Medicare patients of possible nonpayment for tests, and distribute ABNs and other designated forms and pamphlets as appropriate.

Benefits

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

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED