Patient Access Specialist - PRN

Ensemble Health Partners • Lexington, VA

18h • Onsite

About The Position

The Patient Access Specialist performs admitting duties for patients receiving hospital services while meeting organizational goals, regulatory requirements, and established policies and processes. The role includes patient registration and pre-registration, insurance and benefit verification, medical necessity screening, point-of-service collections, processing physician orders, and providing patient instructions and forms. The specialist also supports telephone switchboard operations, audits accounts and documentation, and delivers compassionate customer service.

Requirements

• At least 1 year of customer service experience.
• High school diploma or GED.
• Obtain CRCR certification within 6 months of hire; certification is company-paid.
• Must be able to work onsite at Carilion - Rockbridge Hospital in Lexington, Virginia.
• Must reside and be authorized to work in the United States.

Responsibilities

• Perform admitting duties and pre-register patient accounts for hospital services.
• Assign accurate medical record numbers (MRNs), collect demographic and insurance information, receive and process physician orders, and complete medical necessity and compliance checks.
• Provide patient instructions and explain general consent forms; obtain required signatures and witness information.
• Explain and distribute patient education and designated forms, including Medicare and Tricare notices, observation forms, MOON forms, consent forms, and Advanced Beneficiary Notices (ABNs).
• Conduct inbound and outbound calls to obtain patient information and discuss financial liabilities, point-of-service collections, past-due balances, and payment plan options.
• Review insurance eligibility responses, select applicable plan codes, and enter benefit information to support collections and billing processes.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable, providing compassionate customer service.
• Meet assigned point-of-service goals and provide excellent customer service as measured by Press Ganey.
• Use quality auditing and reporting systems to identify and correct accounts, including accounts associated with other employees, departments, or facilities.
• Audit accounts, ensure forms are completed accurately and on time, and provide statistical data to Patient Access leadership.
• Screen Medicare medical necessity using ABN software and distribute and document ABNs as appropriate.

Benefits

• Bonus incentives
• Tuition reimbursement
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs
• Paid professional certification
• Career advancement and professional development
• Quarterly and annual incentive programs

What This Job Offers

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