Patient Access Specialist

The Opportunity

This position pays between $17.00 - $18.15/hr based on experience.
This position is located in Winchester, VA and candidates must sit on site at the hospital.

Job Responsibilities

• Performing admitting duties for all patients admitted for services at the hospital.
• Completing medical necessity / compliance checks.
• Providing proper patient instructions.
• Collecting insurance information.
• Receiving and processing physician orders.
• Utilizing a overlay tool while providing excellent customer service.
• Operating the telephone switchboard to relay incoming, out-going and inter-office calls.
• Assigning accurate MRNs.
• Collecting point of service collections and past due balances.
• 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.
• Auditing accounts and ensuring all forms are completed accurately, timely to meet audit standards.
• Pre-registering patient accounts prior to patient visits.
• Screening medical necessity using the Advanced Beneficiary Notice (ABN) software.
• Distributing and documenting other designated forms and pamphlets.

Experience

• 1+ years of customer service experience.
• Must be inquisitive and demonstrate openness to innovation including AI.

Required Education

• A High School Diploma/GED.

Required Certification

• CRCR
• Required within 6 months of hire (Company Paid).

About the Role

O.N.E Purpose: Customer Obsession, Embracing New Ideas, Striving for Excellence.

Benefits

• Comprehensive Benefits
• Career Advancement
• Associate Benefits – Comprehensive healthcare, time off, retirement, and well-being programs.
• Culture – Ensemble is a place where associates can do their best work and be their best selves.
• Growth – Professional certifications and tuition reimbursement.
• Recognition – Quarterly and annual incentive programs.

Qualifications

• 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
• InnovationWork-Life Flexibility
• Equal Employment Opportunity Employer