Patient Access Specialist - PRN

Ensemble Health Partners • Pottstown, PA

22h • Onsite

About The Position

The Patient Access Specialist performs admitting duties for patients receiving hospital services while supporting the organization’s mission, goals, policies, processes, and regulatory compliance requirements. This is an entry-level PRN onsite role at Tower - Pottstown Hospital in Pottstown, Pennsylvania. The position pays $17.00–$18.15 per hour, based on experience.

The role includes patient registration and pre-registration, gathering and verifying patient and insurance information, processing physician orders, checking medical necessity and compliance, explaining forms and patient instructions, and collecting point-of-service payments and past-due balances. The specialist also supports telephone operations, audits accounts and forms, documents required information, and provides compassionate customer service to patients, guarantors, colleagues, and other callers.

A high school diploma or GED is required. One or more years of customer service experience is preferred, and the CRCR certification is required within nine months of hire; the company pays for the certification. The posting highlights bonus incentives, paid certifications, tuition reimbursement, comprehensive benefits, and career advancement opportunities.

Requirements

• High school diploma or GED.
• CRCR certification required within nine months of hire; company paid.
• Must be able to work onsite at Tower - Pottstown Hospital in Pottstown, Pennsylvania.
• Must reside and be authorized to work in the United States.

Nice To Haves

• One or more years of customer service experience.
• Inquisitiveness and openness to innovation, including AI, to explore better processes and improve patient and client experiences.

Responsibilities

• Perform admitting duties for patients receiving hospital services.
• Assign accurate medical record numbers (MRNs) and complete medical necessity and compliance checks.
• Provide patient instructions, collect insurance information, receive and process physician orders, and use an overlay tool while delivering customer service measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, following policies and providing compassionate service.
• Meet assigned point-of-service goals.
• Use quality auditing and reporting systems to identify and correct account issues, including accounts for other employees, departments, and facilities.
• Audit accounts, ensure forms are completed accurately and on time, and provide statistical data to Patient Access leadership.
• Pre-register patient accounts before visits, including making inbound and outbound calls to collect 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-for-treatment forms, obtain required signatures, and document the witness’s name.
• Explain and distribute patient education documents and applicable forms, including Medicare and Tricare notices, observation forms, the MOON form, and consent forms.
• Review insurance eligibility responses, select the applicable insurance plan code, and enter benefit data to support point-of-service collections and billing.
• Screen medical necessity using Advanced Beneficiary Notice (ABN) software, inform Medicare patients of possible non-payment, and distribute ABNs when appropriate.
• Distribute and document other designated forms and pamphlets.

Benefits

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

What This Job Offers

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