Patient Access Specialist

Ensemble Health Partners•Germantown, TN
•$17 - $18•Onsite

About The Position

The Patient Access Specialist performs admitting duties for patients receiving hospital services while meeting organizational goals, mission, policies, processes, and regulatory compliance requirements. This is an onsite position at Methodist LeBonheur Germantown in Memphis, Tennessee. The role pays $17.00–$18.15 per hour, based on experience, and is presented as an entry-level career opportunity. The specialist supports patient registration and access, insurance verification, medical necessity and compliance checks, patient communications, point-of-service collections, and account quality auditing. The role also includes telephone switchboard duties, explaining and distributing patient forms and educational materials, and documenting account information accurately and promptly.

Requirements

  • At least 1 year of customer service experience.
  • High school diploma or GED.
  • CRCR certification required within 6 months of hire; the company pays for the certification.
  • Must be able to work onsite in Memphis, Tennessee, at Methodist LeBonheur Germantown.
  • Must reside and be authorized to work in the United States.

Responsibilities

  • Perform admitting duties for patients receiving hospital services while following organizational policies, processes, mission, 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 while providing customer service measured by Press Ganey.
  • 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; audit accounts, ensure forms are completed accurately and on time, 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 offering payment plan options.
  • Explain general consent-for-treatment forms to patients, guarantors, or legal guardians; obtain required signatures and record the witness's name.
  • Explain and distribute patient education documents and required forms, including Medicare and Tricare Important Messages, 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 to support point-of-service collections and billing processes.
  • Screen medical necessity using Advanced Beneficiary Notice (ABN) software, inform Medicare patients about possible nonpayment for tests, distribute ABNs as appropriate, and distribute and document other designated forms and pamphlets.

Benefits

  • Company-paid CRCR certification.
  • Tuition reimbursement.
  • Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
  • Quarterly and annual incentive programs.
  • Career advancement and professional development opportunities.
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