Patient Access Associate Specialist

The Opportunity

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 Benefis - East Campus in Great Falls, MT.

Available Shifts

• Part Time Mon - Fri 4:30pm-8:30pm (20 hours)
• Full Time 8:30am-5pm availability Mon-Fri
• Full Time 7am-4:30pm Mon-Frid
• Full Time Float 5:30am-6pm Mon-Fri
• Full Time Wed-Sat 6am-4:30pm
• Full Time Thurs-Sun 10am-8:30pm
• Full Time Fri-Mon 10am-8:30pm
• Full Time 5:30am-5pm Mon-Fri
• Full Time 7am-3:30pm Mon-Fri

Job Responsibilities

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

• 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.
• Operating the telephone switchboard to relay incoming, out-going and inter-office calls as applicable. Adhering to policies and providing excellent customer service in these interactions with the appropriate level of compassion.
• Conducting audits of accounts and ensuring all forms are completed accurately, timely to meet audit standards and providing statistical data to Patient Access leadership.
• Pre-registering 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.
• Explaining general consent for treatment forms to the patient/guarantor/legal guardian, obtaining necessary signatures and witnesses name.
• Distributing 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.
• Reviewing eligibility responses in insurance verification system and appropriately selecting the applicable insurance plan code, entering benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
• Screens of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distributing the ABN as appropriate. Distributes and documents 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.

Required Education

A High School Diploma/GED.

Required Certification

CRCR Required within 9 months of hire (Company Paid).

About Ensemble

We are 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 2023-2024

Innovation

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

Recognition

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

Equal Employment Opportunity

We provide reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.