Patient Access Specialist

Ensemble Health Partners • Memphis, TN

10d • Onsite

About The Position

The Patient Access Specialist performs admitting and pre-registration duties for patients receiving hospital services while meeting organizational goals, regulatory requirements, and established policies and processes. The role supports accurate patient registration and billing by assigning medical record numbers, collecting and verifying demographic and insurance information, processing physician orders, checking medical necessity and compliance, and providing patient instructions. It also includes explaining and distributing consent and patient education forms, obtaining signatures, documenting required information, and collecting point-of-service payments and past-due balances when applicable.

The specialist provides customer service in person and by telephone, including operating the telephone switchboard to relay calls. The role uses insurance verification and ABN software, reviews eligibility responses, selects insurance plan codes, and enters benefit information to support collections and clean claims. It also involves auditing accounts and forms, correcting account issues, maintaining audit standards, and providing statistical data to Patient Access leadership.

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 Methodist South in Memphis, Tennessee.
• 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 and complete medical necessity and compliance checks.
• Collect insurance information, receive and process physician orders, provide patient instructions, and use an overlay tool while delivering excellent customer service.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, following policies and demonstrating compassion.
• 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.
• Conduct account audits, ensure forms are completed accurately and on time, meet audit standards, and provide statistical data to Patient Access leadership.
• Pre-register patient accounts before patient visits, including contacting patients to obtain demographic, insurance, and other information.
• Inform patients about financial liabilities and collect point-of-service payments and past-due balances, including discussing payment plan options.
• Explain general consent forms to patients, guarantors, or legal guardians; obtain necessary signatures and witness names.
• 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.
• Screen medical necessity using 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

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

What This Job Offers

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