Patient Access Specialist Full Time

Ensemble Health Partners • Winchester, VA

1d • Onsite

About The Position

Ensemble is a provider of technology-enabled revenue cycle management solutions for health systems, hospitals, and affiliated physician groups. The Patient Access Specialist performs admitting duties for patients receiving hospital services, supporting the organization’s mission, goals, regulatory requirements, and established policies and processes. This is an entry-level, full-time position based on site at the hospital in Winchester, Virginia. The stated pay range is $17.00–$18.15 per hour, based on experience.

The role includes patient registration and pre-registration, insurance and eligibility review, medical necessity screening, patient communications and instructions, and point-of-service collections. The Specialist also handles telephone switchboard duties, explains and distributes required forms, and participates in auditing and reporting to support accurate accounts and clean claims. The role requires customer service experience and openness to innovation, including AI, as a way to improve processes and patient and client experiences. A CRCR certification is required within six months of hire and is company-paid.

Requirements

• At least one year of customer service experience.
• High school diploma or GED.
• CRCR certification required within six months of hire; the company pays for the certification.
• Must be inquisitive and open to innovation, including AI, to explore improved processes and reduce friction in patient and client experiences.
• Must reside in and be authorized to work in the United States.
• Must work on site at the hospital in Winchester, Virginia.

Responsibilities

• Perform admitting duties for patients receiving services at the hospital, following organizational policies, processes, and regulatory requirements.
• 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 customer service, with service measured by Press Ganey, and meet assigned point-of-service goals.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, as applicable, while following policies and treating callers with appropriate compassion.
• Use quality auditing and reporting systems to identify and correct accounts, including accounts associated with other employees, departments, and facilities.
• Audit accounts, confirm 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 or responsible parties of financial liabilities; collect point-of-service amounts 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 applicable forms, including Medicare and Tricare messages, 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 Advanced Beneficiary Notice (ABN) software, inform Medicare patients of possible non-payment for tests, and distribute ABNs when appropriate.
• Distribute and document other designated forms and pamphlets.

Benefits

• Bonus incentives.
• Comprehensive benefits, 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.

What This Job Offers

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