Patient Access Specialist - AFTERNOON SHIFT

Ensemble Health Partners • Christiansburg, VA

2d • Onsite

About The Position

Ensemble is hiring an entry-level Patient Access Specialist to perform admitting and patient-access duties for patients receiving hospital services. The role supports the organization’s mission, goals, regulatory requirements, and consistent policies and processes. This is an onsite position at Carilion - New River Valley in Christiansburg, Virginia, and pays $17.00–$18.15 per hour based on experience.

The specialist handles patient registration and pre-registration, insurance verification, medical-necessity and compliance checks, patient instructions and forms, point-of-service collections, and related account auditing. The position also involves operating the telephone switchboard as applicable and providing compassionate customer service to patients, colleagues, and other callers.

Requirements

• At least 1 year of customer service experience.
• High school diploma or GED.
• CRCR certification required within 6 months of hire; the company pays for it.
• Must be able to work onsite at Carilion - New River Valley in Christiansburg, Virginia.
• Must reside and be authorized to work in the United States.

Responsibilities

• Perform admitting duties for patients receiving hospital services while meeting organizational goals and regulatory requirements.
• Assign accurate medical record numbers (MRNs), complete medical-necessity and compliance checks, provide patient instructions, collect insurance information, and receive and process physician orders.
• Use the designated overlay tool and provide customer service measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable, following policies and providing compassionate 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, verify forms are accurately and timely completed to meet audit standards, and provide statistical data to Patient Access leadership.
• Pre-register patient accounts, including making inbound and outbound calls to obtain demographic, insurance, and other patient information.
• Explain patient financial liabilities and collect point-of-service payments and past-due balances, including offering payment plan options.
• Explain general consent-for-treatment forms, obtain required signatures, and record the witness’s name.
• Explain and distribute patient education documents and required forms, including Medicare and Tricare notices, observation forms, MOON forms, consent forms, and forms adopted 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 as appropriate.
• Distribute and document other designated forms and pamphlets.

Benefits

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

What This Job Offers

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