Patient Access Specialist - PT 28 Hours Weekly Emergency Department

Ensemble Health Partners•Winchester, VA

1d•Onsite

About The Position

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. The company recognizes that healthcare requires a human touch and believes that every touch should be meaningful, emphasizing that their people are the most important part of who they are. They empower associates to challenge the status quo, believing they will make a difference. Ensemble's O.N.E Purpose includes Customer Obsession, Embracing New Ideas, and Striving for Excellence. This is an entry-level career opportunity offering bonus incentives, paid certifications, tuition reimbursement, comprehensive benefits, and career advancement. The position is an onsite role at Valley Winchester Medical Center, with a day shift flex from 8am to 8pm, involving 12-hour shifts on a 2-week rotation. The Patient Access Specialist is responsible for performing admitting duties for all patients admitted for services at the hospital, meeting the organization's mission and goals and all regulatory compliance requirements, and working within established policies and processes.

Requirements

1+ years of customer service experience
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences
High School Diploma/GED Required
CRCR Required within 6 months of hire (Company Paid)

Responsibilities

Assigning accurate MRNs
Completing medical necessity / compliance checks
Providing proper patient instructions
Collecting insurance information
Receiving and processing physician orders
Utilizing an overlay tool while providing excellent customer service as measured by Press Ganey
Operating the telephone switchboard to relay incoming, out-going and inter-office calls as applicable
Adhering to policies, and providing excellent customer service in these interactions with the appropriate level of compassion
Meeting point of service goals as assigned
Utilizing quality auditing and reporting systems to ensure accounts are corrected
Conducting audits of accounts and assuring that all forms are completed accurate, timely to meet audit standards and providing statistical data to Patient Access leadership
Pre-registration of patient accounts prior to patient visits
Inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities
Collecting point of service collections as well as past due balances including payment plan options
Explaining general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witnesses name
Explaining and distributing patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services
Reviewing eligibility responses in insurance verification system and appropriately selecting the applicable insurance plan code
Entering benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate
Accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate
Distribution and documentation of other designated forms and pamphlets