Patient Access Specialist

Ensemble Health Partners • Stamford, CT

5d • Onsite

About The Position

The Patient Access Specialist performs admitting duties for patients receiving hospital services while meeting the organization’s mission, goals, regulatory requirements, policies, and processes. The role supports patient access and revenue-cycle operations through registration, pre-registration, insurance verification, medical-necessity screening, collection of patient financial responsibility, and accurate documentation. It also provides compassionate customer service to patients, families, and callers and contributes to account quality through audits and reporting.

This is an onsite position in Stamford, Connecticut. The posting lists several full-time shifts, including schedules with rotating holidays and weekends. Pay is $17.00–$18.65 per hour, based on experience. CRCR certification is required within six months of hire and is company paid.

Requirements

• At least 1 year of customer service experience.
• High school diploma or GED.
• Must obtain CRCR certification within 6 months of hire; the company pays for the certification.
• Must be able to work onsite in Stamford, Connecticut.
• Must be inquisitive and open to innovation, including AI, to explore improved processes and reduce friction for patients and clients.

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 while providing customer service measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable, following policies and providing compassionate service.
• Meet assigned point-of-service goals.
• Use quality auditing and reporting systems to identify and correct account issues, 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 through 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 applicable forms, including Medicare and Tricare Important Messages, observation forms, MOON forms, consent forms, and forms implemented for future services.
• Review eligibility responses in the insurance verification system, 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.

Benefits

• Bonus incentives.
• Paid certifications.
• Tuition reimbursement.
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
• Quarterly and annual incentive programs for employees who exceed expectations.
• Professional development and career advancement opportunities.

What This Job Offers

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