Patient Access Specialist

Ensemble Health Partners • Lexington, VA

2d • $17 - $18 • Onsite

About The Position

Ensemble is a provider of technology-enabled revenue cycle management solutions for health systems, hospitals, and affiliated physician groups. The Patient Access Specialist performs admitting duties for patients receiving hospital services while supporting organizational goals, regulatory compliance, and consistent processes. This is an entry-level opportunity and an onsite role at Carilion - Rockbridge Hospital in Lexington, Virginia. The position pays $17.00–$18.15 per hour based on experience.

The specialist supports patient access from preregistration through arrival and account processing. Duties include collecting and verifying patient, insurance, and financial information; processing physician orders; completing medical-necessity and compliance checks; explaining forms and patient instructions; and collecting payments when applicable. The role also includes switchboard operations, account audits, documentation, and customer service for patients, colleagues, and other stakeholders.

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 - Rockbridge Hospital in Lexington, Virginia.
• Must reside and be authorized to work within the United States.

Responsibilities

• Perform admitting duties for patients receiving hospital services while following organizational policies, processes, goals, and regulatory requirements.
• Assign accurate medical record numbers, complete medical-necessity and compliance checks, provide patient instructions, collect insurance information, receive and process physician orders, and use an overlay tool.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, providing compassionate customer service and following applicable policies.
• 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.
• Provide statistical data to Patient Access leadership.
• Preregister patient accounts, including making 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 required forms, including Medicare and Tricare notices, observation and 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.
• 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

• Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
• Company-paid professional certification.
• Tuition reimbursement.
• Quarterly and annual incentive programs.
• Career advancement and professional development opportunities.

What This Job Offers

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