Patient Access Specialist

Ensemble Health Partners•Germantown, TN
•Onsite

About The Position

Ensemble is seeking an entry-level Patient Access Specialist to perform admitting duties for patients receiving hospital services at Methodist LeBonheur Germantown in Memphis, Tennessee. This is an onsite role. The specialist performs work in accordance with organizational policies and processes, the organization’s mission and goals, and applicable regulatory requirements while providing compassionate, high-quality customer service. The position supports patient registration and pre-registration, insurance verification, medical-necessity screening, patient communications, point-of-service collections, and account quality auditing. The specialist also explains and distributes patient forms and education documents, obtains required signatures, processes physician orders, and supports accurate billing and clean-claim processes. The role requires one or more years of customer service experience, a high school diploma or GED, and CRCR certification within six months of hire; the certification is company-paid. Pay 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; company-paid.
  • Must be able to work onsite in Memphis, Tennessee.
  • Must reside and be authorized to work in the United States.

Responsibilities

  • Perform admitting duties for patients receiving hospital services while meeting organizational goals, policies, 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.
  • Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, providing compassionate customer service.
  • Meet assigned point-of-service goals.
  • Use quality auditing and reporting systems to identify and correct account issues, including auditing accounts for 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 obtain demographic, insurance, and other patient information.
  • Inform patients about financial liabilities, collect point-of-service payments and past-due balances, and discuss 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 forms, MOON forms, consent forms, and other designated materials.
  • Review insurance eligibility responses, select the applicable insurance plan code, and enter benefit data to support collections and billing.
  • 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.
  • Deliver excellent customer service as measured by Press Ganey.

Benefits

  • Bonus incentives.
  • Company-paid CRCR certification.
  • Tuition reimbursement.
  • Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
  • Professional development and career advancement opportunities.
  • Quarterly and annual incentive programs.
  • Associate certification relevant to the field.
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