Patient Access Specialist - PRN Emergency Department

Ensemble Health Partners • Winchester, VA

3d • $17 - $18 • Onsite

About The Position

The Patient Access Specialist performs admitting duties for patients receiving hospital services, following organizational policies, processes, mission, goals, and regulatory requirements. The role involves registration and pre-registration, patient and insurance information gathering, medical-necessity and compliance checks, processing physician orders, point-of-service collections, form distribution, and providing compassionate customer service. The position is onsite at Valley Winchester Medical Center in Winchester, Virginia, and is PRN in the Emergency Department. The stated pay range is $17.00–$18.15 per hour based on experience, plus differential.

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 in Winchester, Virginia.
• Must be inquisitive and open to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.

Nice To Haves

• At least one year 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 customer service.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
• Follow policies and provide compassionate customer service during interactions.
• 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 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 to patients, guarantors, or legal guardians; obtain necessary signatures and witness names.
• Explain and distribute patient education documents and applicable forms, including Medicare and Tricare Important Messages, Observation Forms, MOON forms, consent forms, and forms implemented for future services.
• Review eligibility responses in the insurance verification system, 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

• Bonus incentives and quarterly and annual incentive programs.
• Company-paid professional certification; CRCR certification is required within six months of hire.
• Tuition reimbursement.
• Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
• Career advancement and professional development opportunities.

What This Job Offers

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