Patient Access Specialist

Ensemble Health Partners • Tazewell, VA

8d • Onsite

About The Position

The Patient Access Specialist performs admitting duties for patients receiving hospital services while meeting the organization’s mission, goals, policies, processes, and regulatory compliance requirements. This onsite position is based at Carilion - Tazewell Hospital in Tazewell, Virginia. The stated pay range is $17.00–$18.15 per hour, based on experience.

The role supports patient registration and pre-registration, insurance verification, medical necessity screening, financial collections, documentation, and patient communications. It also includes switchboard duties and account audits. Patient Access staff are accountable for assigned point-of-service goals and are expected to provide compassionate, high-quality customer service.

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 it.
• Must be able to work onsite at Carilion - Tazewell Hospital in Tazewell, Virginia.
• Must reside and be authorized to work in the United States.

Responsibilities

• Perform admitting duties for patients receiving hospital services.
• 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 as applicable, following policies and providing compassionate customer service.
• 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 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.
• Explain patient 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, 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 processes.
• 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.
• Provide excellent customer service as measured by Press Ganey.

Benefits

• Bonus incentives
• Company-paid CRCR certification
• Tuition reimbursement
• Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs
• Professional development and career advancement
• Quarterly and annual incentive programs

What This Job Offers

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