Patient Access Specialist

Ensemble Health Partners • Tyler, TX

27d • Onsite

About The Position

Ensemble is seeking an entry-level Patient Access Specialist to perform admitting and patient access duties for patients receiving hospital services at Ardent - UT Health Tyler in Tyler, Texas. This is an onsite position. The role supports the organization’s mission, goals, policies, processes, and regulatory compliance requirements while providing compassionate, high-quality service to patients, clients, and colleagues.

The specialist handles patient registration and pre-registration, insurance and eligibility information, medical necessity checks, patient forms and instructions, physician orders, point-of-service collections, and related account documentation. The role also includes telephone switchboard operations, account auditing, and reporting. 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 the certification.

Requirements

• At least 1 year of customer service experience.
• High school diploma or GED.
• Obtain CRCR certification within 6 months of hire; certification is company-paid.
• Must be able to work onsite at Ardent - UT Health Tyler in Tyler, Texas.
• Must demonstrate inquisitiveness and openness to innovation, including AI, to explore better processes and improve patient and client experiences.
• Must reside and be authorized to work in the United States.

Responsibilities

• Perform admitting duties for patients receiving hospital services in accordance with organizational policies, processes, goals, 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 while providing excellent customer service.
• 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 accounts, including accounts associated with other employees, departments, and facilities.
• Conduct account audits, ensure 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 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 required forms, including Medicare and Tricare Important Messages, Observation Forms, MOON forms, consent forms, and forms introduced 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 collections and billing processes.
• Screen medical necessity using Advanced Beneficiary Notice (ABN) software, inform Medicare patients of possible non-payment for tests, distribute ABNs as appropriate, and distribute and document other designated forms and pamphlets.

Benefits

• Bonus incentives.
• Paid certifications.
• Tuition reimbursement.
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
• Professional development and career advancement opportunities.
• Quarterly and annual incentive programs.
• Recognition programs.

What This Job Offers

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