Patient Access Specialist

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

This entry-level position is an onsite role at HSHS - St. John's Hospital in Springfield, IL. The Patient Access Specialist performs admitting duties for all patients, ensuring compliance with organizational mission, goals, and regulatory requirements.

Responsibilities

• Assign accurate Medical Record Numbers (MRNs) and complete medical necessity/compliance checks.
• Provide proper patient instructions, collect insurance information, and process physician orders.
• Utilize overlay tools while delivering excellent customer service as measured by Press Ganey.
• Operate the telephone switchboard to relay calls with adherence to policies and compassionate service.
• Meet point-of-service goals and utilize quality auditing/reporting systems to correct accounts.
• Conduct audits of accounts to ensure accuracy, timeliness, and compliance with audit standards.
• Pre-register patient accounts, including inbound/outbound calls to obtain demographic, insurance, and financial information.
• Collect point-of-service payments, past due balances, and offer payment plan options.
• Explain and obtain signatures for general consent for treatment forms and distribute patient education documents (e.g., Important Message from Medicare, MOON form, ABNs).
• Review insurance eligibility responses, select applicable plan codes, and enter benefit data to support billing processes.
• Screen for medical necessity using Advanced Beneficiary Notice (ABN) software for Medicare patients.

Requirements

• High School Diploma/GED required.
• CRCR certification required within 9 months of hire (company-paid).
• 1+ years of customer service experience.
• Openness to innovation, including AI, to improve processes and patient/client experiences.

Benefits

• Bonus incentives.
• Paid certifications.
• Tuition reimbursement.
• Comprehensive benefits package (healthcare, time off, retirement, well-being programs).
• Professional development opportunities, including relevant certifications.
• Quarterly and annual incentive programs for high performers.

Pay

$17.00 - $18.15/hour based on experience.

Schedule

Full-time, onsite at HSHS - St. John's Hospital in Springfield, IL. Available shifts:

• 7:00 PM – 3:30 AM, rotating weekends.
• 5:30 AM – 2:00 PM, rotating weekends.
• 10:30 PM – 7:00 AM, rotating weekends.
• Varied shifts.