Patient Access Specialist

Ensemble Health Partners•Pittsburg, TX
•$17 - $18•Onsite

About The Position

The Patient Access Specialist performs admitting functions for patients receiving hospital services while meeting the organization’s mission, goals, policies, processes, and regulatory compliance requirements. This is an onsite, entry-level opportunity at Ardent - UT Health Pittsburg in Pittsburg, Texas. The position pays $17.00–$18.15 per hour, based on experience. The role supports patient access and revenue cycle operations by gathering and verifying patient and insurance information, completing compliance and medical-necessity checks, processing physician orders, explaining and documenting consent and patient education forms, and collecting point-of-service payments and past-due balances. The specialist also audits accounts and supports accurate registration and billing. Patient Access staff are expected to provide compassionate, high-quality customer service and meet assigned point-of-service goals.

Requirements

  • High school diploma or GED.
  • Obtain the CRCR certification within 9 months of hire; the company pays for it.
  • Be able to work onsite at Ardent - UT Health Pittsburg in Pittsburg, Texas.
  • Reside in and be authorized to work in the United States.

Nice To Haves

  • At least 1 year of customer service experience.
  • Be inquisitive and open to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.

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, compassionate customer service, including operating the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
  • 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.
  • 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 provide 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, including applicable 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 non-payment for tests, and distribute ABNs as appropriate.
  • Distribute and document other designated forms and pamphlets.

Benefits

  • Bonus incentives and quarterly and annual incentive programs.
  • Company-paid certification.
  • Tuition reimbursement.
  • Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
  • Professional development and career advancement opportunities.
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