Patient Access Specialist - PRN

Ensemble Health Partners • Berkeley Springs, WV

11d • $17 - $18 • Onsite

About The Position

Ensemble is hiring an entry-level Patient Access Specialist to perform admitting duties for patients receiving hospital services at Valley - War Memorial Hospital in Berkeley Springs, West Virginia. This is an onsite, PRN role. The specialist performs work in accordance with the organization’s mission, goals, policies, processes, and regulatory compliance requirements while providing compassionate, high-quality service to patients and colleagues.

The role supports patient registration and account preparation, including assigning accurate medical record numbers, checking medical necessity and compliance, gathering insurance and demographic information, processing physician orders, and collecting point-of-service payments and past-due balances. The specialist explains and distributes required forms and patient education materials, obtains signatures, reviews insurance eligibility and benefit information, and uses the appropriate systems to support clean claims and accurate accounts. The role also includes operating the telephone switchboard and auditing accounts and related documentation.

The position pays $17.00–$18.15 per hour based on experience. A high school diploma or GED is required, along with at least one year of customer service experience. CRCR certification is required within nine months of hire and is company paid.

Requirements

• At least one year of customer service experience.
• High school diploma or GED.
• CRCR certification required within nine months of hire; the company pays for the certification.
• Must be able to work onsite at Valley - War Memorial Hospital in Berkeley Springs, West Virginia.
• Must be inquisitive and open to innovation, including AI, to explore better processes and improve patient and client experiences.

Responsibilities

• Perform admitting duties for patients receiving hospital services while meeting organizational goals, policies, processes, and regulatory requirements.
• Assign accurate medical record numbers and complete medical necessity and compliance checks.
• 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, and handle interactions with compassion.
• Meet assigned point-of-service goals.
• Use quality auditing and reporting systems to identify and correct account issues; audit accounts, verify forms are complete and accurate, and provide statistical data to Patient Access leadership.
• Pre-register patient accounts before visits, including calling patients to obtain demographic, insurance, and other information.
• Explain patient financial liabilities, collect point-of-service payments and past-due balances, and discuss payment plan options.
• Explain general consent forms, obtain necessary signatures and witness names, and explain and distribute patient education documents and required forms.
• 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 software, inform Medicare patients of possible non-payment for tests, and distribute ABNs and other designated forms and pamphlets as appropriate.
• Demonstrate openness to innovation, including AI, to explore improved processes and reduce friction in patient and client experiences.

Benefits

• Company-paid CRCR certification.
• Tuition reimbursement.
• Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
• Professional development and opportunities for career advancement.
• Quarterly and annual incentive programs.
• Bonus incentives.

What This Job Offers

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