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Patient Access Associate Specialist

Ensemble Health PartnersRichmond, VA
Onsite

About The Position

This position is an entry-level career opportunity for a Patient Access Specialist champion. The role is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for performing these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization. Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

Requirements

  • 1+ years of customer service experience
  • High School Diploma/GED
  • CRCR Required within 9 months of hire

Responsibilities

  • Assigning accurate MRNs
  • Completing medical necessity / compliance checks
  • Providing proper patient instructions
  • Collecting insurance information
  • Receiving, and processing physician orders
  • Utilizing an overlay tool while providing excellent customer service as measured by Press Ganey
  • Operating the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable
  • Adhering to policies and providing excellent customer service in interactions with the appropriate level of compassion
  • Meeting point of service goals as assigned
  • Utilizing quality auditing and reporting systems to ensure accounts are corrected
  • Conducting audits of accounts and assuring that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership
  • Pre-registering patient accounts prior to patient visits, which may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options
  • Explaining general consent for treatment forms to the patient/guarantor/legal guardian, obtaining necessary signatures and witness’s name
  • Explaining and distributing patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services
  • Reviewing eligibility responses in insurance verification system and appropriately selecting the applicable insurance plan code, entering benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate
  • Accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate
  • Distributing and documenting other designated forms and pamphlets

Benefits

  • Bonus Incentives
  • Paid Certifications
  • Tuition Reimbursement
  • Comprehensive Benefits
  • Career Advancement
  • Healthcare
  • Time off
  • Retirement programs
  • Well-being programs

Career Resources

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