Patient Access Specialist - PRN Emergency Department

Ensemble Health Partners • Winchester, VA

1d • Onsite

About The Position

Ensemble is a provider of technology-enabled revenue cycle management solutions for health systems, hospitals, and affiliated physician groups. The Patient Access Specialist performs admitting duties for hospital patients while meeting organizational goals, policies, processes, and regulatory compliance requirements. This onsite role is based at Valley Winchester Medical Center in Winchester, Virginia, and pays $17.00–$18.15 per hour based on experience, plus a differential. It is identified as an entry-level career opportunity.

The role supports patient registration and access, including accurate medical record assignment, medical necessity and compliance checks, patient instructions, insurance information, physician orders, and point-of-service processes. The specialist provides compassionate customer service, handles telephone calls, conducts account audits, pre-registers patients, explains and distributes required forms, and helps maintain accurate information for billing and clean claims. The position also includes screening Medicare medical necessity using ABN software and informing patients when tests may not be covered.

Requirements

• High school diploma or GED.
• CRCR certification required within six months of hire; company paid.
• Must be able to work onsite at Valley Winchester Medical Center in Winchester, Virginia.
• Must reside and be authorized to work in 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 in patient and client experiences.

Responsibilities

• Perform admitting duties for patients receiving hospital services while following organizational policies, processes, goals, and regulatory requirements.
• 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.
• Provide excellent customer service, including compassionate handling of patient, client, and colleague interactions as measured by Press Ganey.
• Operate 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 ensure correction of accounts, including accounts for 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 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 to patients, guarantors, or legal guardians; obtain required signatures and witness names.
• Explain and distribute patient education and required documents, including Medicare and Tricare notices, observation and MOON forms, consent forms, and forms introduced for future services.
• Review insurance eligibility responses, select applicable insurance plan codes, 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.
• Paid certifications.
• Tuition reimbursement.
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
• Professional development and career advancement opportunities.
• Quarterly and annual incentive programs.

What This Job Offers

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