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 and a comprehensive suite of point solutions across the country. Ensemble’s mission is to keep communities healthy by keeping hospitals healthy, emphasizing a human touch in every interaction. The company’s O.N.E. Purpose focuses on Customer Obsession, Embracing New Ideas, and Striving for Excellence.

Responsibilities

• Perform admitting duties for all patients admitted for services at the hospital.
• 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 delivering excellent customer service measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, adhering to policies and providing compassionate customer service.
• Be held accountable for point‑of‑service goals as assigned.
• Utilize quality auditing and reporting systems to ensure accounts are corrected; conduct audits of accounts, verify forms are completed accurately and timely, and provide statistical data to Patient Access leadership.
• Perform pre‑registration of patient accounts prior to visits, including inbound/outbound calling to obtain demographic, insurance, and other patient information, and collect point‑of‑service collections, past‑due balances, and payment plan options.
• Explain general consent for treatment forms to patient/guarantor/legal guardian, obtain necessary signatures and witness names.
• Explain and distribute patient education documents (Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and other forms for future services).
• Review eligibility responses in the insurance verification system, select applicable insurance plan code, enter benefit data to support POS collections and billing processes for clean claim rates.
• Accurately screen medical necessity using Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non‑payment and distribute ABN as appropriate; distribute and document other designated forms and pamphlets.

Requirements

• 1+ years of customer service experience.
• High School Diploma or GED.
• CRCR certification required within 6 months of hire (company‑paid).
• Inquisitive mindset with openness to innovation, including AI, to explore better processes and reduce friction for patients and clients.

Benefits

• Comprehensive benefits package supporting physical, emotional, and financial health (healthcare, time off, retirement, well‑being programs).
• Bonus incentives.
• Paid certifications.
• Tuition reimbursement.
• Career advancement opportunities.
• Quarterly and annual recognition programs.

Pay

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

Schedule

Onsite role; must be able to work on‑site at Mercy – Dayton Springfield Emergency Center in Fairborn, OH.