Patient Access Specialist - Full Time

Ensemble Health Partners • Phoenixville, PA

1d • Onsite

About The Position

The Patient Access Specialist performs admitting duties for patients receiving hospital services while meeting the organization’s mission, goals, policies, processes, and regulatory requirements. The role includes accurate patient registration and medical-record number assignment, insurance and medical-necessity checks, patient instructions, physician-order processing, and compassionate customer service. The position is onsite at Tower - Phoenixville Hospital in King of Prussia, Pennsylvania, and is presented as an entry-level career opportunity. Pay is $17.00–$18.15 per hour, based on experience.

The specialist supports patient access before and during visits by collecting demographic, insurance, and financial information; explaining and obtaining signatures on applicable forms; reviewing insurance eligibility and entering benefit information; screening Medicare medical necessity using ABN software; and collecting point-of-service payments and past-due balances. The role also includes answering and routing telephone calls, auditing accounts and forms, documenting and distributing patient education materials, and using quality auditing and reporting systems. A CRCR certification is required within nine months of hire and is company-paid.

Requirements

• At least one year of customer service experience.
• High school diploma or GED.
• CRCR certification required within nine months of hire; the company pays for the certification.
• Must be able to work onsite at Tower - Phoenixville Hospital in King of Prussia, Pennsylvania.
• Must reside and be authorized to work in the United States.

Nice To Haves

• Inquisitiveness and openness to innovation, including AI, to explore improved processes and reduce friction for patients and clients.

Responsibilities

• Perform admitting and patient-access duties for patients receiving hospital services.
• Assign accurate medical record numbers and complete medical-necessity and compliance checks.
• Provide patient instructions, collect insurance information, receive and process physician orders, and use an overlay tool while delivering customer service.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, following policies and providing compassionate service.
• 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, verify forms are complete and accurate in a timely manner, and provide statistical data to Patient Access leadership.
• Pre-register patient accounts before visits, including making inbound and outbound calls to collect 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 or their guarantors/legal guardians and obtain required signatures and witness names.
• Explain and distribute patient education documents and required forms, including Medicare and Tricare notices, observation forms, MOON forms, and consent forms.
• Review insurance eligibility responses, select the applicable insurance plan code, and enter benefit data to support collections and billing.
• Screen medical necessity using Advanced Beneficiary Notice 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.
• Professional development and career advancement opportunities.
• Quarterly and annual incentive programs for employees who exceed expectations.

What This Job Offers

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