Patient Access Specialist

Ensemble Health Partners • Tazewell, VA

2d • $17 - $18 • Onsite

About The Position

The Patient Access Specialist performs admitting duties for patients receiving hospital services while supporting the organization’s mission, goals, regulatory compliance requirements, policies, and processes. This onsite position is based at Carilion - Tazewell Hospital in Tazewell, Virginia. The position pays $17.00–$18.15 per hour, based on experience, and is presented as an entry-level career opportunity.

The role includes patient registration and pre-registration, insurance and eligibility verification, medical-necessity screening, collection of patient financial responsibilities, processing physician orders, explaining and distributing forms, and providing customer service to patients, families, colleagues, and callers. The specialist also uses auditing and reporting systems to correct accounts and support accurate, timely documentation and clean claims.

CRCR certification is required within six months of hire and is company-paid. The posting also describes paid certifications, tuition reimbursement, bonus incentives, career advancement, and a comprehensive benefits package.

Requirements

• At least 1 year of customer service experience.
• High school diploma or GED.
• CRCR certification required within 6 months of hire; certification is company-paid.
• Must be able to work onsite at Carilion - Tazewell Hospital in Tazewell, Virginia.
• Must reside in and be authorized to work in the United States.

Responsibilities

• Perform admitting duties for patients receiving hospital services while following organizational policies, processes, 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 delivering customer service.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, following applicable policies and providing compassionate customer 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.
• Conduct account audits, ensure forms are completed accurately and on time to meet audit standards, 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, collect point-of-service payments and past-due balances, and discuss 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 forms, including Medicare and Tricare Important Message notices, observation forms, MOON forms, consent forms, and forms implemented for future services.
• Review eligibility responses in the insurance verification system, select the appropriate insurance plan code, and enter benefit data to support point-of-service collections and billing.
• Screen medical necessity using Advanced Beneficiary Notice (ABN) software, inform Medicare patients of possible nonpayment for tests, distribute ABNs as appropriate, and distribute and document other designated forms and pamphlets.

Benefits

• Bonus incentives, including quarterly and annual incentive programs.
• Paid certifications.
• Tuition reimbursement.
• Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
• Career advancement and professional development opportunities.

What This Job Offers

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