Patient Access Specialist

Ensemble Health Partners • Lexington, VA

15h • Onsite

About The Position

Ensemble is hiring an onsite Patient Access Specialist at Carilion - Rockbridge Hospital in Lexington, Virginia. This entry-level role performs admitting and related patient access duties for patients receiving hospital services, working within organizational policies and processes while meeting the organization’s mission, goals, and regulatory compliance requirements. The role requires providing compassionate, high-quality customer service and meeting assigned point-of-service goals.

The position pays $17.00–$18.15 per hour, based on experience. The required CRCR certification must be obtained within six months of hire; the company pays for it. The opportunity also offers bonus incentives, tuition reimbursement, comprehensive benefits, professional development, and career advancement.

Requirements

• At least 1 year of customer service experience.
• High school diploma or GED.
• Obtain the CRCR certification within 6 months of hire; company-paid.
• Must be able to work onsite at Carilion - Rockbridge Hospital in Lexington, 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, 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 associated with 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 visits, including contacting patients to obtain demographic, insurance, and other 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, consent forms, and forms introduced for future services.
• 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 when tests may not be covered, and distribute ABNs when appropriate.
• Distribute and document other designated forms and pamphlets.

Benefits

• Bonus incentives
• Tuition reimbursement
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs
• Company-paid CRCR certification
• 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