Patient Access Specialist - Full Time

Ensemble Health Partners • Phoenixville, PA

2d • $17 - $18 • Onsite

About The Position

Ensemble is seeking a Patient Access Specialist to perform admitting duties for patients receiving hospital services. The position carries out these functions in alignment with the organization’s mission, goals, policies, processes, and regulatory requirements. The role is onsite at Tower - Phoenixville Hospital in King of Prussia, PA, and is described as an entry-level career opportunity. Pay is $17.00–$18.15 per hour, based on experience.

Patient Access Specialists support patients through registration and admission, insurance and medical-necessity checks, physician-order processing, patient education, and point-of-service collections. They also provide compassionate customer service, operate the telephone switchboard as applicable, and use auditing and reporting tools to maintain accurate accounts and support clean claims. The role requires openness to innovation, including exploring AI and other ways to improve processes and patient and client experiences.

CRCR certification is required within nine months of hire and is company paid. The position requires a high school diploma or GED.

Requirements

• 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 Tower - Phoenixville Hospital in King of Prussia, PA.
• Must be inquisitive and open to innovation, including AI, to explore improved processes and ways to reduce friction and improve 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 measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable, following policies and providing compassionate customer service.
• Meet assigned point-of-service goals.
• Use quality auditing and reporting systems to identify and correct accounts; 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 contacting patients to obtain demographic, insurance, and other information and explain financial liabilities; collect point-of-service payments and past-due balances and discuss payment-plan options.
• Explain general consent-for-treatment forms to patients, guarantors, or legal guardians; obtain required signatures and witness names; and explain and distribute patient education documents and applicable forms.
• 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, distribute ABNs as appropriate, and distribute and document other designated forms and pamphlets.

Benefits

• Bonus incentives and quarterly and annual incentive programs.
• Paid professional certification.
• Tuition reimbursement.
• Comprehensive benefits, including healthcare, time off, retirement, and well-being 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