Patient Access Specialist

Ensemble Health Partners•Mason, OH
•$17 - $18•Onsite

About The Position

The Patient Access Specialist performs admitting duties for patients receiving hospital services while meeting organizational goals, policies, and regulatory requirements. The role is onsite at Mercy - The Kings Mills Hospital in Mason, Ohio, and is scheduled PRN. It is an active, non-desk position that involves walking from room to room and pushing a 10-pound mobile computer station throughout the shift. Compensation is $17.00–$18.15, based on experience. The specialist supports patient registration, insurance verification, medical-necessity screening, patient communications, and point-of-service collections. The role also includes processing physician orders, obtaining signatures and required information, explaining and distributing patient forms, and conducting account audits. Excellent customer service and compassion are expected in interactions with patients, colleagues, and other stakeholders.

Requirements

  • High school diploma or GED.
  • CRCR certification required within six months of hire; the company pays for the certification.
  • Ability to walk from room to room and push a 10-pound mobile computer station throughout the shift.

Nice To Haves

  • At least one year of customer service experience.
  • Inquisitiveness and openness to innovation, including AI, to explore improved processes and reduce friction for patients and clients.

Responsibilities

  • 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 the overlay tool.
  • Provide excellent customer service, measured by Press Ganey, and adhere to applicable policies in patient interactions.
  • Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, as applicable.
  • Meet assigned point-of-service goals.
  • Use the quality auditing and reporting system to identify and correct account issues, including accounts associated with other employees, departments, and facilities.
  • Audit accounts, 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 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, obtain required signatures and witness names, and explain and distribute patient education documents and required forms.
  • 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 of possible non-payment for tests, and distribute ABNs when appropriate.
  • 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
  • Quarterly and annual incentive programs
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