Patient Access Specialist

Ensemble Health Partners • Philadelphia, PA

6d • $17 - $18 • Onsite

About The Position

Ensemble is hiring an entry-level Patient Access Specialist to perform admitting and patient access duties for patients receiving services at Tower - St. Christopher's Hospital for Children in Philadelphia, Pennsylvania. This is an onsite role. The specialist performs these duties in accordance with the organization’s mission, goals, policies, processes, and regulatory compliance requirements, while providing compassionate, high-quality service to patients, clients, and colleagues.

The position includes pre-registration and registration, insurance and eligibility verification, medical necessity and compliance screening, patient instruction, collection of patient financial responsibilities, processing physician orders, and supporting accurate billing. The specialist also operates the telephone switchboard, explains and distributes patient forms and education materials, and conducts quality audits and reporting. The stated pay range is $17.00–$18.15 per hour, based on experience.

Requirements

• High school diploma or GED.
• At least 1 year of customer service experience.
• Obtain the CRCR certification within 9 months of hire; the company pays for the certification.
• Must be able to work onsite at Tower - St. Christopher's Hospital for Children in Philadelphia, Pennsylvania.
• Must reside and be authorized to work in the United States.

Nice To Haves

• Inquisitiveness and openness to innovation, including AI, to explore better processes and reduce friction for patients and clients.

Responsibilities

• Perform admitting duties for patients admitted for 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.
• Provide excellent and compassionate customer service, including during telephone interactions, in accordance with organizational policies.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
• Meet assigned point-of-service goals.
• Use quality auditing and reporting systems to identify and correct account issues; audit accounts, ensure forms are completed accurately and on time, 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 to patients, guarantors, or legal guardians; obtain required signatures and witness names.
• Explain and distribute patient education documents and forms, including Medicare and Tricare Important Message forms, Observation Forms, MOON forms, consent forms, and other materials implemented for future services.
• Review eligibility responses in the insurance verification system, select the applicable insurance plan code, and enter benefit data to support point-of-service collection 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

• Bonus incentives, including quarterly and annual incentive programs.
• Company-paid professional certification.
• Tuition reimbursement.
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
• Career advancement and professional development opportunities.

What This Job Offers

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