Patient Access Specialist

Ensemble Health Partners•Abingdon, VA

1d•Onsite

About The Position

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. The company recognizes that healthcare requires a human touch and believes that every touch should be meaningful, making their people the most important part of who they are. They empower their employees to challenge the status quo, believing they will make a difference. The company's O.N.E Purpose includes Customer Obsession (providing exceptional experiences), Embracing New Ideas (innovating with technology and fostering creativity), and Striving for Excellence (executing at a high level and delivering outstanding results). This is an entry-level career opportunity offering bonus incentives, paid certifications, tuition reimbursement, comprehensive benefits, and career advancement. The Patient Access Specialist is responsible for performing admitting duties for all patients admitted for services at the hospital, meeting the organization's mission and goals, and complying with all regulatory requirements. The Representative will work within the established policies and processes across the organization.

Requirements

High School Diploma/GED Required
CRCR Required within 9 months of hire (Company Paid)

Nice To Haves

1+ years of customer service experience
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Responsibilities

Assign accurate MRNs, complete medical necessity / compliance checks, provide proper patient instructions, collect insurance information, receive and process physician orders, and utilize an overlay tool while providing excellent customer service as measured by Press Ganey.
Operate the telephone switchboard to relay incoming, out-going and inter-office calls as applicable.
Adhere to policies, and provide excellent customer service in interactions with the appropriate level of compassion.
Be held accountable for point of service goals as assigned.
Utilize quality auditing and reporting systems to ensure accounts are corrected.
Perform activities that may include accounts for other employees, departments, and facilities.
Conduct audits of accounts and assure that all forms are completed accurate, timely to meet audit standards and provide statistical data to Patient Access leadership.
Pre-register patient accounts prior to patient visits.
Perform inbound and outbound calling to obtain demographic, insurance, and other patient information including patient financial liabilities, collecting point of service collections as well as past due balances including payment plan options.
Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures and witnesses name.
Explain and distribute patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.
Review eligibility responses in insurance verification system and appropriately select the applicable insurance plan code, enter benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
Accurately screen medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribute the ABN as appropriate.
Distribute and document other designated forms and pamphlets.