Patient Access Specialist

Ensemble Health Partners•Cincinnati, OH
•$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, policies, processes, and regulatory requirements. The role includes patient registration and pre-registration, insurance and medical-necessity checks, patient communications, document handling, and point-of-service collections. Staff are expected to provide compassionate, high-quality customer service and help ensure accurate accounts and clean claims. This is an onsite position at Mercy - The Jewish Hospital in Cincinnati, Ohio. It is full time, scheduled from 3:00 p.m. to 3:30 a.m., with weekend and holiday rotation required. The role is not desk-based: the specialist walks from room to room and pushes a 10-pound mobile computer station throughout the shift. Pay is $17.00–$18.15 per hour based on experience.

Requirements

  • High school diploma or GED.
  • Obtain CRCR certification within six months of hire; the company pays for the certification.
  • Ability to walk from room to room and push a 10-pound mobile computer station throughout the shift.
  • Must reside in and be authorized to work in the United States.

Nice To Haves

  • At least one year of customer service experience.
  • Inquisitiveness and openness to innovation, including AI, to explore better processes and reduce friction for patients and clients.

Responsibilities

  • 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 while delivering excellent customer service.
  • Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
  • Adhere to policies and provide compassionate customer service during patient and colleague interactions.
  • Meet assigned point-of-service goals.
  • Use quality auditing and reporting systems to identify and correct account issues, 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, including contacting patients to obtain demographic, insurance, and other information and to discuss financial liabilities, point-of-service collections, past-due balances, and payment-plan options.
  • Explain general consent-for-treatment forms to patients, guarantors, or legal guardians; obtain required signatures and witness names; and explain and distribute patient education documents and applicable 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 as appropriate.
  • Distribute and document other designated forms and pamphlets.

Benefits

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