Associate Specialist, Patient Access - PRN

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.

The Opportunity

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

This position is an onsite role, and candidates must be able to work on-site at Independence - Butler Memorial Hospital in Butler, PA.

Job Responsibilities

• Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey.
• Operates the telephone switchboard to relay incoming, out-going and inter-office calls as applicable.
• Affixes to policies, and provide excellent customer service in these interactions with the appropriate level of compassion.
• Patients Access staff will be held accountable for point of service goals as assigned.
• Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities.
• Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership.
• Patient Access Staff are responsible for the pre-registration of patient accounts prior to patient visits. This 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.
• The Patient Access Staff explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witnesses name. Explains and distributes 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.
• Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
• Responsible for 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. Responsible for distribution and documentation of other designated forms and pamphlets.

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.

Minimum Education

A High School Diploma/GED is required.

Certifications

Required within 6 months of hire (Company Paid)

• CRCR

Join An Award-winning Company

• 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

Innovation

We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.

Growth

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.

Culture

Our culture is rooted in collaboration, growth, and innovation. We put people first, last and always.

Recognition

We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Inclusion & Diversity

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.

Employment Disclaimers

Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.

Equal Opportunity Employer

Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.

Reasonable Accommodations

We provide reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.

Contact Information

If you require accommodation in the application process, please contact TA@ensemblehp.com.