Patient Access Specialist - PT 28 Hours Weekly Emergency Department

Ensemble Health Partners•Winchester, VA
•$17 - $18•Onsite

About The Position

The Patient Access Specialist performs admitting and patient access duties for patients receiving hospital services, following organizational policies, processes, mission, goals, and regulatory requirements. The role supports accurate registration and clean billing by gathering and verifying patient and insurance information, completing medical necessity and compliance checks, processing physician orders, and providing patient instructions and forms. The position also supports point-of-service collection goals and delivers compassionate customer service to patients, colleagues, and other callers. This is an onsite role at Valley Winchester Medical Center. The schedule is a flexible day-shift floater assignment from 8 a.m. to 8 p.m., consisting of 12-hour shifts on a two-week rotation, for 28 hours weekly. Pay is $17.00–$18.15 per hour based on experience, plus differential. CRCR certification is required within six months of hire and is company paid.

Requirements

  • High school diploma or GED.
  • CRCR certification required within six months of hire; company paid.
  • Must be able to work onsite at Valley Winchester Medical Center.
  • Must be inquisitive and open to innovation, including AI, to explore improved processes and reduce friction in patient and client experiences.

Nice To Haves

  • One or more years of customer service experience.

Responsibilities

  • 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 excellent customer service.
  • Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
  • Adhere to policies and provide customer service with an appropriate level of compassion.
  • Meet assigned point-of-service goals.
  • Use quality auditing and reporting systems to ensure accounts are corrected, including accounts associated with 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.
  • 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 offer payment plan options.
  • Explain general consent-for-treatment forms to patients, guarantors, or legal guardians; obtain required signatures and witness names.
  • Explain and distribute patient education and required forms, including Medicare and Tricare notices, observation forms, MOON forms, consent forms, and forms implemented 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, distribute ABNs as appropriate, and 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
  • Quarterly and annual incentive programs
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