Patient Access Associate Specialist - PRN

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

The Patient Access Associate Specialist plays a critical role in ensuring a seamless and positive patient experience by accurately managing patient registration and access processes within the healthcare revenue cycle. This role ensures data integrity, regulatory compliance, and a positive patient experience while directly influencing revenue cycle KPIs such as registration accuracy, point-of-service collections, and first-pass claim rates. Serves as the first point of contact for patients onsite in healthcare facilities and are essential in supporting clinical and financial operations for financial health through accurate data entry, auditing, and communication.

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.
• Adhere to policies and provide excellent customer service in interactions with the appropriate level of 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 to ensure all forms are completed accurately and timely to meet audit standards; 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, including 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 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 and appropriately select the applicable insurance plan code, enter benefit data into the system to support POS (Point of Service Collections) and billing processes to assist with 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.
• CRCR certification required within 6 months of hire (company paid).

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• Associate Benefits – Comprehensive benefits package designed to support physical, emotional, and financial health, including healthcare, time off, retirement, and well-being programs.
• Culture – A place where associates can do their best work and be their best selves, rooted in collaboration, growth, and innovation.
• Growth – Investment in professional development, including earning a professional certification relevant to the field and tuition reimbursement.
• Recognition – Quarterly and annual incentive programs for employees who go beyond and raise the bar.

Pay

$18.00 - $19.15/hr based on experience.

Schedule

This PRN position is on-site at Covenant - St Joseph Hospital - NH, Nashua, NH.

About Us

Ensemble is a five-time winner of “Best in KLAS” (2020-2022, 2024-2025), recognized by Black Book Research's Top Revenue Cycle Management Outsourcing Solution (2021-2024), and has received 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle (2019-2024). Ensemble is also a leader in Everest Group's RCM Operations PEAK Matrix Assessment (2024), a recipient of Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards (2020, 2022-2023), and has been named an Energage Top Workplaces USA (2022-2024), Fortune Media Best Workplaces in Healthcare (2024), and Monster Top Workplace for Remote Work (2024). Ensemble is Great Place to Work certified (2023-2024).