Patient Access Specialist

Ensemble Health Partners • West Reading, PA

6d • $17 - $18 • Onsite

About The Position

Ensemble is hiring an entry-level Patient Access Specialist to perform admitting duties for patients receiving hospital services. The position works onsite at Tower - Reading Hospital in West Reading, Pennsylvania, and follows organizational policies, processes, mission, goals, and regulatory requirements. The role supports patient access and revenue-cycle workflows while providing compassionate, high-quality customer service to patients, clients, colleagues, and other stakeholders.

The specialist handles patient registration and pre-registration, verifies and records demographic and insurance information, completes compliance and medical-necessity checks, processes physician orders, explains and distributes patient forms and educational documents, obtains required signatures, and collects point-of-service amounts and past-due balances. The role also includes telephone switchboard duties, account auditing and correction, and use of systems and tools that support accurate billing and clean claims. The position pays $17.00–$18.15 per hour, based on experience. CRCR certification is required within nine months of hire and is company-paid.

Requirements

• High school diploma or GED.
• CRCR certification required within nine months of hire; company-paid.
• Must be able to work onsite at Tower - Reading Hospital in West Reading, Pennsylvania.
• Must reside and be authorized to work within the United States.

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 an overlay tool while providing excellent customer service.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, as applicable, and handle interactions with appropriate compassion and in accordance with policy.
• Meet assigned point-of-service goals.
• Use quality auditing and reporting systems to identify and ensure correction of 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 making inbound and outbound calls to obtain demographic, insurance, and other patient information.
• Explain patient financial liabilities and collect point-of-service payments and past-due balances, including offering 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 applicable forms, including Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON forms, consent forms, and forms implemented for future services.
• Review insurance eligibility responses, select the applicable insurance plan code, and enter benefit data into the system 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 and quarterly and annual incentive programs.
• Paid certifications, including company-paid CRCR certification.
• Tuition reimbursement.
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
• Professional development and career advancement opportunities.

What This Job Offers

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