Patient Access Specialist

Ensemble Health Partners•Cincinnati, OH
•$17 - $18•Onsite

About The Position

Ensemble is hiring an entry-level Patient Access Specialist for an onsite role at Mercy - The Jewish Hospital in Cincinnati, Ohio. The position performs admitting and patient-access duties for hospital patients while following organizational policies, goals, and regulatory requirements. The role includes patient registration and pre-registration, insurance and medical-necessity checks, collecting patient financial responsibilities, processing physician orders, explaining and distributing forms, and providing compassionate customer service. The work involves walking from room to room and pushing a 10-pound mobile computer station throughout the shift. The stated pay range is $17.00–$18.15, based on experience. The schedule is part-time, 7 a.m.–7 p.m., with weekend and holiday rotation required.

Requirements

  • High school diploma or GED.
  • CRCR certification required within six months of hire; the company pays for it.
  • Must be inquisitive and open to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.

Nice To Haves

  • At least one year of customer service experience.

Responsibilities

  • 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 providing customer service measured by Press Ganey.
  • Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, as applicable.
  • Follow policies and provide compassionate, high-quality customer service in patient and colleague interactions.
  • Meet assigned point-of-service goals.
  • Use the quality auditing and reporting system to identify and correct accounts; audit accounts, ensure forms are completed accurately and on time to meet audit standards, and provide statistical data to Patient Access leadership. Audits may cover accounts for other employees, departments, and facilities.
  • Pre-register patient accounts before visits, including inbound and outbound calls to obtain 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 to patients, guarantors, or legal guardians; obtain required signatures and witness names; and explain and distribute patient education documents and designated forms, including Medicare and Tricare Important Messages, 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 and help achieve a clean-claim rate.
  • Screen medical necessity using Advanced Beneficiary Notice (ABN) software, inform Medicare patients of possible nonpayment for tests, distribute ABNs as appropriate, and distribute and document other designated forms and pamphlets.

Benefits

  • Bonus incentives, including quarterly and annual incentive programs.
  • Paid professional certification; CRCR is company-paid.
  • Tuition reimbursement.
  • Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
  • Professional development and career advancement opportunities.
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