Patient Access Specialist - PRN

Ensemble Health Partners • Petersburg, VA

7d • Onsite

About The Position

Ensemble is hiring an entry-level Patient Access Specialist to perform admitting duties for patients receiving services at Bon Secours - Southside Regional Medical Center in Petersburg, Virginia. This is an onsite, PRN role. The specialist performs registration and patient access functions in accordance with organizational policies, processes, mission, goals, and regulatory requirements while providing compassionate customer service to patients, clients, and colleagues.

The role includes pre-registering patients, collecting and verifying demographic and insurance information, reviewing eligibility and benefit responses, screening medical necessity, processing physician orders, explaining and distributing required forms and educational materials, obtaining signatures, and collecting payments or discussing payment plans. The specialist also operates the telephone switchboard, meets assigned point-of-service goals, audits accounts and forms, and uses quality auditing and reporting systems to support accurate accounts and clean claims. A CRCR certification is required within nine months of hire and is company-paid.

Requirements

• At least 1 year of customer service experience.
• High school diploma or GED.
• 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; the company pays for the certification.
• Must be able to work onsite at Bon Secours - Southside Regional Medical Center in Petersburg, Virginia.
• Must reside and be authorized to work in the United States.

Responsibilities

• Perform admitting duties and pre-registration for patients receiving hospital services.
• Assign accurate medical record numbers (MRNs), complete medical necessity and compliance checks, provide patient instructions, collect insurance information, and receive and process physician orders.
• Use an overlay tool and provide excellent customer service, as measured by Press Ganey.
• 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 account issues, including accounts for other employees, departments, and facilities.
• Audit accounts, ensure forms are completed accurately and timely to meet audit standards, and provide statistical data to Patient Access leadership.
• Make inbound and outbound calls to obtain demographic, insurance, and other patient information, including information about financial liabilities.
• Collect point-of-service payments and past-due balances and discuss payment plan options.
• Explain general consent for treatment forms, obtain required signatures, and record the witness’s name.
• Explain and distribute patient education materials and required forms, including Medicare and Tricare notices, observation forms, MOON forms, consent forms, and other designated materials.
• 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 of possible non-payment, 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.
• Quarterly and annual incentive programs.
• Career advancement and professional development opportunities.

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED