Patient Access Specialist

Ensemble Health Partners • Bristol, TN

2d • $17 - $18 • Onsite

About The Position

The Patient Access Specialist performs admitting duties for patients receiving hospital services while meeting the organization's mission, goals, regulatory requirements, policies, and processes. The role handles patient registration and pre-registration, verifies and records demographic and insurance information, supports medical-necessity and compliance checks, processes physician orders, and provides patient instructions and customer service. The position is onsite at Ballad.

The specialist also supports point-of-service collections and account quality by explaining forms, obtaining signatures, reviewing insurance eligibility and benefit information, screening Medicare medical necessity, conducting account audits, and documenting and distributing required forms and educational materials. The role may operate the telephone switchboard and make inbound or outbound calls to collect or confirm patient information.

This is described as an entry-level career opportunity. Pay is $17.00–$18.15 per hour, based on experience. CRCR certification is required within six months of hire and is company-paid.

Requirements

• At least 1 year of customer service experience.
• High school diploma or GED.
• CRCR certification required within 6 months of hire; company-paid.

Responsibilities

• Perform admitting duties for patients receiving hospital services while following organizational policies, processes, goals, 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.
• Provide customer service and meet assigned point-of-service goals.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, as applicable.
• Use quality auditing and reporting systems to correct accounts; audit accounts and ensure forms are completed accurately and on time, and provide statistical data to Patient Access leadership.
• Pre-register patient accounts and make inbound or 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 discussing 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 and 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 Medicare medical necessity using Advanced Beneficiary Notice (ABN) software, inform patients of possible non-payment, and distribute ABNs and other designated forms and pamphlets as appropriate.

Benefits

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

What This Job Offers

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