Patient Access Associate Specialist - Part-time

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 and collect insurance information.
• Receive and process physician orders while utilizing an overlay tool.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls.
• Adhere to policies and deliver excellent customer service with compassion.
• Meet point-of-service goals as assigned.
• Utilize quality auditing and reporting systems to ensure accounts are corrected.
• Conduct audits of accounts to ensure forms are completed accurately and timely; provide statistical data to leadership.
• Pre-register patient accounts prior to visits, including inbound and outbound calling to obtain demographic, insurance, and financial liability information.
• Collect point-of-service collections and past-due balances, including payment plan options.
• Explain general consent for treatment forms, obtain necessary signatures, and distribute patient education documents (e.g., Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms).
• Review eligibility responses in the insurance verification system and enter benefit data to support POS collections and billing processes.
• Accurately screen medical necessity using ABN software; distribute ABNs as appropriate 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 improve processes and patient/client experiences.
• High School Diploma/GED required.
• CRCR certification required within 9 months of hire (company paid).

Benefits

• Bonus incentives.
• Paid certifications.
• Tuition reimbursement.
• Comprehensive benefits.
• Career advancement.

Pay

This position pays between $17.00 or higher based on experience.

Schedule

This part-time position is an onsite role at RSFH - BSSF Hospital, Charleston, SC.