Patient Access Specialist - PRN

Ensemble Health Partners • Roanoke, VA

8d • Onsite

About The Position

The Patient Access Specialist performs admitting and patient access duties for patients receiving hospital services. The role supports the organization’s mission, goals, regulatory compliance requirements, and established policies and processes while providing compassionate, high-quality customer service. This is an onsite position at Carilion - Roanoke Memorial Hospital in Roanoke, Virginia. The position pays $17.00–$18.15 per hour based on experience.

The role includes registration and pre-registration, insurance and eligibility verification, medical-necessity screening, patient education, consent and other form processing, point-of-service collections, account auditing, and telephone switchboard operations. The position is identified as an entry-level career opportunity and is PRN.

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 Carilion - Roanoke Memorial Hospital in Roanoke, 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 account issues, including 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 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 applicable 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 collections and billing processes.
• Screen medical necessity using Advanced Beneficiary Notice (ABN) software, inform Medicare patients about 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 and support clean-claim processes.

Benefits

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

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED