Patient Access Specialist

Ensemble Health Partners • Philadelphia, PA

5d • Onsite

About The Position

The Patient Access Specialist performs admitting duties for patients receiving hospital services, following organizational policies, processes, mission, goals, and regulatory requirements. The role includes registering and pre-registering patients, verifying insurance and medical necessity, processing physician orders, collecting patient financial information and payments, explaining forms and instructions, and providing compassionate customer service. The position is onsite at Tower - St. Christopher's Hospital for Children in Philadelphia, Pennsylvania. It is described as an entry-level career opportunity and pays $17.00–$18.15 per hour based on experience.

Requirements

• High school diploma or GED.
• At least 1 year of customer service experience.
• Must be inquisitive and open to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.
• CRCR certification required within 9 months of hire; company paid.

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 customer service.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, following policies and providing compassionate customer service.
• Meet assigned point-of-service goals.
• Use quality auditing and reporting systems to identify and correct account issues, including accounts for 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 discuss 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 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 into the system to support point-of-service collections and billing.
• Screen medical necessity using Advanced Beneficiary Notice (ABN) software, inform Medicare patients of possible nonpayment for tests, and distribute ABNs when 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
• Quarterly and annual incentive programs
• Work-life flexibility

What This Job Offers

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