Patient Access Specialist - PRN

Ensemble Health Partners • Tyler, TX

2d • Onsite

About The Position

This entry-level, onsite Patient Access Specialist role at Ardent - UT Health Tyler in Tyler, Texas, performs admitting duties for patients receiving hospital services. The role supports the organization’s mission, goals, regulatory compliance requirements, and organization-wide policies and processes while providing compassionate customer service.

Responsibilities include registering and preregistering patients, verifying insurance and eligibility, checking medical necessity and compliance, processing physician orders, collecting payments, explaining and obtaining consent forms, distributing patient education materials, and supporting accurate billing. The position also handles telephone switchboard calls, conducts account audits, and uses quality auditing and reporting systems. Candidates should be inquisitive and open to innovation, including AI, to help improve processes and patient and client experiences.

Requirements

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

Responsibilities

• Perform admitting duties for patients receiving hospital services.
• 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.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable, 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.
• Audit accounts, ensure forms are completed accurately and on time to meet audit standards, and provide statistical data to Patient Access leadership.
• Preregister patient accounts before visits, including 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 discussing payment plan options.
• Explain general consent-for-treatment forms, obtain required signatures, and witness signatures as needed.
• Explain and distribute patient education documents and required forms, including Medicare and Tricare notices, observation forms, MOON forms, consent forms, and forms introduced for future services.
• 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 nonpayment for tests, and distribute ABNs as appropriate.
• Distribute and document other designated forms and pamphlets.
• Follow organizational policies, processes, and regulatory compliance requirements while meeting assigned goals.

Benefits

• Bonus incentives.
• Company-paid CRCR certification.
• Tuition reimbursement.
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
• Professional development and the opportunity to earn a professional certification relevant to the field.
• Quarterly and annual incentive programs for employees who exceed expectations.
• Career advancement opportunities.

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED