Patient Access Specialist - PRN

Ensemble Health Partners • Oconto Falls, WI

9d • $17 - $18 • Onsite

About The Position

The Patient Access Specialist performs admitting duties for patients receiving hospital services while supporting the organization’s mission, goals, regulatory compliance requirements, and established policies and processes. The role is onsite at HSHS - St. Clare Hospital in Oconto Falls, Wisconsin. It is identified as a PRN, entry-level opportunity and pays $17.00–$18.15 per hour, based on experience.

The specialist supports patients throughout registration and access, including gathering demographic and insurance information, verifying coverage and medical necessity, processing physician orders, explaining and collecting required forms and signatures, and handling point-of-service payments. The role also includes telephone switchboard duties, pre-registration, account auditing, and accurate documentation. Patient interactions should demonstrate compassion and excellent customer service.

Requirements

• At least 1 year of customer service experience.
• High school diploma or GED.
• Must be inquisitive and open to innovation, including AI, to explore better processes and improve patient and client experiences.
• CRCR certification required within 6 months of hire; certification is company-paid.

Responsibilities

• Perform admitting duties for patients receiving hospital services while meeting organizational goals, policies, and regulatory requirements.
• 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.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, following policies and providing compassionate customer service.
• Work toward assigned point-of-service goals.
• Use quality auditing and reporting systems to identify and correct accounts; conduct account audits, ensure forms are completed accurately and on time, 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, collect point-of-service payments and past-due balances, and provide payment plan options.
• Explain general consent-for-treatment forms to patients, guarantors, or legal guardians; obtain required signatures and record the witness’s name.
• Explain and distribute patient education documents and required forms, including Medicare and Tricare Important Message forms, Observation Forms, MOON forms, 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 processes.
• Screen medical necessity using Advanced Beneficiary Notice (ABN) software, inform Medicare patients of possible non-payment for tests, and distribute ABNs and other designated forms and pamphlets as appropriate.

Benefits

• Bonus incentives.
• Paid certifications.
• Tuition reimbursement.
• Comprehensive benefits package, 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