Associate Specialist, Patient Access (Morning Shift)

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.

About the role

This position is an onsite role at Ardent - Mountainside in Montclair, NJ. The Patient Access Specialist is responsible for performing admitting duties for all patients admitted for services at the hospital while meeting the mission and goals of the organization and all regulatory compliance requirements.

Responsibilities

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

Requirements

• 1+ years of customer service experience.
• Must be inquisitive and demonstrate openness to innovation, including AI, to explore better processes and improve patient and client experiences.
• High School Diploma or GED required.
• CRCR certification required within 9 months of hire (company paid).

Benefits

• Bonus incentives.
• Paid certifications.
• Tuition reimbursement.
• Comprehensive benefits package supporting physical, emotional, and financial health, including healthcare, time off, retirement, and well-being programs.
• Professional development opportunities, including earning a professional certification relevant to your field.
• Quarterly and annual incentive programs for recognition.

Pay

$17.00 - $18.15 per hour, based on experience.

Schedule

Morning shift: 6 AM to 6 PM, with every other weekend.

About Ensemble

Ensemble is an award-winning company recognized for excellence in revenue cycle management:

• 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).

Ensemble’s culture is rooted in collaboration, growth, and innovation, with a focus on empowering associates to do their best work and be their best selves. Core values include customer obsession, embracing new ideas, and striving for excellence.