Patient Access Specialist

Ensemble Health Partners • Richmond, VA

1d • Onsite

About The Position

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country, aiming to keep communities healthy by keeping hospitals healthy. Ensemble emphasizes a human touch in healthcare, believing every interaction should be meaningful, and empowers its people to challenge the status quo. The company's O.N.E Purpose focuses on Customer Obsession, Embracing New Ideas, and Striving for Excellence. This is an entry-level career opportunity offering bonus incentives, paid certifications, tuition reimbursement, comprehensive benefits, and career advancement. The Patient Access Specialist role is an onsite position at St Mary's Hospital in Richmond, responsible for performing admitting duties for all patients admitted for services, ensuring compliance with organizational goals and regulatory requirements, and working within established policies and processes.

Requirements

• 1+ years of customer service experience
• High School Diploma/GED
• CRCR Required within 9 months of hire

Responsibilities

• Assign accurate MRNs, complete medical necessity / compliance checks, provide proper patient instructions, collect insurance information, receive and process physician orders, and utilize an overlay tool while providing excellent customer service as measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable, adhering to policies and providing excellent customer service with appropriate compassion.
• Be held accountable for point of service goals as assigned.
• Utilize quality auditing and reporting systems to ensure accounts are corrected, which may include accounts for other employees, departments, and facilities.
• Conduct audits of accounts and assure that all forms are completed accurately and timely to meet audit standards, providing statistical data to Patient Access leadership.
• Pre-register patient accounts prior to patient visits, which may include inbound and outbound calling to obtain demographic, insurance, and other patient information, including patient financial liabilities, collecting point of service collections, and past due balances including payment plan options.
• Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures, and witness names.
• Explain and distribute patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.
• Review eligibility responses in the insurance verification system and appropriately select the applicable insurance plan code, entering benefit data into the system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
• Accurately screen medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of tests by Medicare and distribute the ABN as appropriate.
• Distribute and document other designated forms and pamphlets.

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs
• Career Advancement
• Quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees