Patient Access Associate Specialist

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

We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all patients admitted for services at the hospital. The Representative will work within the policies and processes as they are being performed across the entire organization while meeting the mission and goals of the organization and all regulatory compliance requirements.

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, 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 patient 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 and explain 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 the applicable insurance plan code, and enter benefit data into the system to support POS (Point of Service Collections) and billing processes for a clean claim rate.
• Accurately 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.
• 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.
• High School Diploma/GED required.
• CRCR certification required within 6 months of hire (company paid).

Benefits

• Bonus incentives.
• Paid certifications.
• Tuition reimbursement.
• Comprehensive benefits package designed to support 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 employees who exceed expectations.

Pay

$17.00 - $18.15/hr based on experience.

Schedule

This position is an onsite role at Ardent - UT Health Quitman, Quitman, TX.

About Us

• 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 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.