Associate Specialist, Patient Access

About the role

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.

This is an entry-level career opportunity offering bonus incentives, paid certifications, tuition reimbursement, comprehensive benefits, and career advancement. This position pays between $17.00 - $18.15/hr based on experience. This position is an onsite role, and candidates must be able to work on-site at HSHS - St. Elizabeth's Hospital in O'Fallon, IL.

Responsibilities

• Assign accurate MRNs, complete medical necessity/compliance checks, provide proper patient instructions, collect insurance information, receive and process physician orders, and utilize an overlay tool while providing excellent customer service as measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable; adhere to policies and provide excellent customer service with appropriate compassion.
• Meet assigned point-of-service goals.
• Utilize quality auditing and reporting systems to ensure accounts are corrected, including accounts for other employees, departments, and facilities; conduct audits of accounts and assure all forms are completed accurately and timely to meet audit standards; provide statistical data to Patient Access leadership.
• Pre-register patient accounts prior to patient visits, including inbound and outbound calling to obtain demographic, insurance, and other patient information, including patient financial liabilities, collecting point-of-service collections as well as past due balances including payment plan options.
• Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures and witness name; explain and distribute 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.
• Review eligibility responses in insurance verification system and appropriately select applicable insurance plan code, enter benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
• Accurately screen medical necessity using Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribute the ABN as appropriate; distribute and document other designated forms and pamphlets.

Requirements

Experience We Love

• 1+ years of customer service experience
• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences

Required Qualifications

• High School Diploma/GED Required
• CRCR Required within 9 months of hire (Company Paid)

Benefits

We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.

• Associate Benefits – comprehensive package covering healthcare, time off, retirement, and well-being programs
• Professional certification relevant to your field (company paid)
• Tuition reimbursement
• Quarterly and annual incentive programs
• Bonus incentives
• Career advancement opportunities

Pay

This position pays between $17.00 - $18.15/hr based on experience.

Schedule

This position is an onsite role; candidates must be able to work on-site at HSHS - St. Elizabeth's Hospital in O'Fallon, IL.

Company recognition

• Five-time winner of “Best in KLAS” (2020-2022, 2024-2025)
• Black Book Research's Top Revenue Cycle Management Outsourcing Solution (2021-2024)
• 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle (2019-2024)
• Leader in Everest Group's RCM Operations PEAK Matrix Assessment (2024)
• Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance (2020, 2022-2023)
• Energage Top Workplaces USA (2022-2024)
• Fortune Media Best Workplaces in Healthcare (2024)
• Monster Top Workplace for Remote Work (2024)
• Great Place to Work certified (2023-2024)