Patient Access Specialist - PART TIME

Ensemble Health Partners•Austintown, OH

22h•Onsite

About The Position

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. The company recognizes that healthcare requires a human touch and believes that every touch should be meaningful, empowering its people to challenge the status quo. The organization operates with an O.N.E Purpose focused on Customer Obsession, Embracing New Ideas, and Striving for Excellence. This position is an entry-level, part-time, onsite role responsible for performing admitting duties for all patients admitted for services at the hospital. The specialist will perform these functions while meeting the mission and goals of the organization and all regulatory compliance requirements, working within established policies and processes.

Requirements

1+ years of customer service experience
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences
High School Diploma/GED Required
CRCR Required within 9 months of hire (Company Paid)

Responsibilities

Assign accurate MRNs
Complete medical necessity / compliance checks
Provide proper patient instructions
Collect insurance information
Receive and process physician orders
Utilize an overlay tool while providing excellent customer service as measured by Press Ganey
Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable
Adhere to policies and provide excellent customer service with the appropriate level of compassion
Be accountable for point of service goals as assigned
Utilize quality auditing and reporting systems to ensure accounts are corrected, including accounts for other employees, departments, and facilities
Conduct audits of accounts and assure that all forms are completed accurate, timely to meet audit standards and provide statistical data to Patient Access leadership
Pre-register patient accounts prior to patient visits
Perform inbound and outbound calling to obtain demographic, insurance, and other patient information including patient financial liabilities, collecting point of service collections as well as past due balances including payment plan options
Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures and witness’s name
Explain and distribute patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services
Review eligibility responses in insurance verification system and appropriately select the applicable insurance plan code, enter benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate
Accurately screen medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribute the ABN as appropriate
Distribute and document other designated forms and pamphlets