Patient Access Specialist Full Time

Ensemble Health Partners • Winchester, VA

3d • $17 - $18 • Onsite

About The Position

Ensemble is hiring an entry-level Patient Access Specialist to perform admitting duties for patients receiving hospital services. The role carries out these duties in accordance with the organization’s mission, goals, policies, processes, and regulatory requirements. The position is onsite at a hospital in Winchester, Virginia, and pays $17.00–$18.15 per hour based on experience.

The specialist supports patient registration and access, including pre-registration, collecting patient and insurance information, explaining and documenting required forms, screening medical necessity, and supporting point-of-service collections and billing processes. The position also includes telephone switchboard coverage, account audits, and delivering compassionate customer service to patients, clients, and colleagues.

This is an entry-level career opportunity offering bonus incentives, paid certifications, tuition reimbursement, comprehensive benefits, and career advancement. The CRCR certification is required within six months of hire and is company-paid.

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 inquisitive and open to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.
• Must reside and be authorized to work in the United States.

Responsibilities

• Perform admitting duties for patients receiving hospital services while meeting organizational goals, 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 providing customer service.
• 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 accounts, including accounts associated with other employees, departments, and facilities.
• Audit accounts, 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 and required documents, including Medicare and Tricare Important Messages, Observation Forms, MOON forms, consent forms, and forms 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 of possible non-payment for tests, 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.
• Professional development and career advancement opportunities.
• Quarterly and annual incentive programs.

What This Job Offers

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