Patient Access Associate Specialist

About the role

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. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful.

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.

Responsibilities

• Assign accurate MRNs and complete medical necessity/compliance checks.
• Provide proper patient instructions, collect insurance information, and receive/process physician orders.
• 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 with compassion.
• Adhere to policies and meet point-of-service goals as assigned.
• Utilize quality auditing and reporting systems to correct accounts, including audits for other employees, departments, and facilities.
• Conduct audits to ensure forms are completed accurately and timely, and provide statistical data to leadership.
• Pre-register patient accounts prior to visits, including inbound/outbound calls to obtain demographic, insurance, and financial liability information, and collect point-of-service and past-due balances (including payment plans).
• Explain general consent for treatment forms to patients/guarantors/legal guardians, obtain 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 future service forms.
• Review eligibility responses in the insurance verification system, select applicable insurance plan codes, and enter benefit data to support POS collections and billing processes for clean claim rates.
• Accurately screen medical necessity using ABN software for Medicare patients, distribute ABNs as appropriate, and document distribution of designated forms and pamphlets.

Experience We Love

• 1+ years of customer service experience.
• Inquisitive mindset and openness to innovation, including AI, to improve processes and patient/client experiences.

Minimum Education

• High School Diploma/GED required.

Certifications

• CRCR certification required within 9 months of hire (company paid).

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 (2023–2024).

Benefits

• Comprehensive benefits package supporting physical, emotional, and financial health, including healthcare, time off, retirement, and well-being programs.
• Professional development: each associate earns a relevant certification and can obtain tuition reimbursement.
• Recognition: quarterly and annual incentive programs for employees who exceed expectations.

Pay

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

Schedule

Full-time, Monday–Friday, 6:00 AM – 2:30 PM. Onsite role at Mercy – Clermont Hospital in Batavia, OH.