Patient Access Specialist - PRN

Ensemble Health Partners • Tyler, TX

10d • Onsite

About The Position

The Patient Access Specialist performs admitting duties for patients receiving hospital services while supporting the organization’s mission, goals, policies, processes, and regulatory compliance requirements. This onsite role is based at Ardent - UT Health North Campus in Tyler, Texas. The position pays $17.00–$18.15 per hour based on experience and is described as a PRN, entry-level career opportunity.

The specialist supports accurate registration and patient access by assigning medical record numbers, completing medical necessity and compliance checks, collecting and verifying patient and insurance information, processing physician orders, providing patient instructions, and collecting point-of-service payments. The role also includes pre-registration, telephone switchboard operations, explaining and obtaining signatures for consent and other required forms, and communicating financial liabilities and payment options.

The specialist reviews insurance eligibility and benefit information, uses ABN software to notify applicable Medicare patients about potential nonpayment, distributes and documents designated forms and educational materials, and audits accounts for accuracy and completeness. The role requires customer service, compassion, and openness to innovation, including exploring AI and other ways to improve processes and patient and client experiences.

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 it.
• Must be able to work onsite at Ardent - UT Health North Campus in Tyler, Texas.
• Must reside and be authorized to work in the United States.
• Must be inquisitive and open to innovation, including AI.

Responsibilities

• Perform admitting duties for patients receiving hospital services while following organizational policies, processes, goals, and regulatory requirements.
• Assign accurate medical record numbers and complete medical necessity and compliance checks.
• Collect insurance information, receive and process physician orders, provide patient instructions, and use an overlay tool while delivering customer service measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, as applicable, with appropriate compassion and customer 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.
• Conduct account audits, confirm forms are completed accurately and on time, and provide statistical data to Patient Access leadership.
• Pre-register patient accounts and make inbound or 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, obtain required signatures, and record the witness’s name.
• Explain and distribute patient education and required documents, including Medicare and Tricare notices, observation and MOON forms, consent forms, and forms designated for future services.
• Review insurance eligibility responses, select the applicable insurance plan code, and enter benefit information to support collections and billing processes.
• Screen medical necessity using Advanced Beneficiary Notice (ABN) software, inform applicable Medicare patients of possible nonpayment, and distribute ABNs as appropriate.
• Distribute and document other designated forms and pamphlets.
• Explore innovative processes, including AI, to reduce friction and improve patient and client experiences.

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.

What This Job Offers

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