Associate Specialist, Patient Access

About the role

The Patient Access Specialist champion role is an ENTRY LEVEL CAREER OPPORTUNITY at Ensemble. This position offers bonus incentives, paid certifications, tuition reimbursement, comprehensive benefits, and career advancement opportunities.

Responsibilities

• Perform admitting duties for all patients admitted for services at the hospital.
• Assign accurate MRNs, complete medical necessity/compliance checks, provide patient instructions, collect insurance information, receive and process physician orders, and utilize an overlay tool while providing excellent customer service.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, adhering to policies and providing excellent customer service.
• Conduct audits of accounts and ensure all forms are completed accurately, timely, and 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, and collect point of service collections and past due balances including payment plan options.
• Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures, and witness names.
• Distribute and document patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and other forms implemented for future services.
• Review eligibility responses in insurance verification system, appropriately select the applicable insurance plan code, enter benefit data into system to support POS (Point of Service Collections) and billing processes, and assist with a clean claim rate.
• Screen medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of tests by Medicare and distribute the ABN as appropriate.
• Distribute and document other designated forms and pamphlets.

Requirements

• 1+ years of customer service experience.
• Inquisitive and open to innovation, including AI, to explore better processes and ways to alleviate friction and improve patient and client experiences.

Qualifications

• High School Diploma/GED.
• CRCR certification required within 6 months of hire (company-paid).

Skills

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws.

Benefits

• Comprehensive benefits package including healthcare, time off, retirement, and well-being programs.
• Professional development opportunities through professional certifications and tuition reimbursement.
• Quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Pay

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

Schedule

Hours are 6a-6:30p 3 days a week, varied days and weekends. This position is an ONSITE role and candidates must be able to work on-site at Mercy - St Elizabeth Boardman Hospital in Boardman, OH.