Patient Access Specialist - Part-time

Ensemble Health Partners • Nashua, NH

2d • Onsite

About The Position

Ensemble is hiring a part-time, onsite Patient Access Specialist at Covenant - St Joseph Hospital in Milford, New Hampshire. This entry-level role performs admitting and pre-registration duties for hospital patients while supporting organizational goals, regulatory compliance, and established policies and processes. The position also involves patient communication, insurance and medical-necessity checks, point-of-service collections, account auditing, and telephone switchboard operations. The role requires a high school diploma or GED, at least one year of customer service experience, and completion of the CRCR certification within six months of hire; the company pays for the certification. 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 at Covenant - St Joseph Hospital, 444 Nashua St., Milford, NH 03055.
• Must be inquisitive and open to innovation, including AI, to explore improved processes and reduce friction in patient and client experiences.
• Must reside and be authorized to work in the United States.

Responsibilities

• Perform admitting duties for patients receiving hospital services while complying with organizational policies, 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 while providing customer service.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, following policies and interacting compassionately.
• Meet assigned point-of-service goals.
• Use quality auditing and reporting systems to identify and correct accounts, including accounts associated with other employees, departments, and facilities.
• Audit accounts, ensure forms are complete and accurate within required timeframes, meet audit standards, and provide statistical data to Patient Access leadership.
• Pre-register patient accounts before visits, including making inbound and outbound calls to collect 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 or their guarantors/legal guardians, obtain required signatures, and record the witness's name.
• Explain and distribute patient education documents and forms, including Medicare and Tricare notices, observation and MOON forms, consent forms, and forms implemented for future services.
• Review insurance eligibility responses, select the applicable insurance plan code, and enter benefit data to support point-of-service collections and billing processes.
• Screen medical necessity using Advanced Beneficiary Notice software, inform Medicare patients of possible non-payment for tests, and distribute ABNs as appropriate.
• Distribute and document other designated forms and pamphlets.

Benefits

• Bonus incentives.
• Company-paid CRCR certification.
• Tuition reimbursement.
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
• Professional development and a professional certification relevant to the associate's field.
• Quarterly and annual incentive programs for employees who exceed expectations.
• Career advancement opportunities.

What This Job Offers

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