Patient Access 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 as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy.

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.

This is an entry-level Patient Access Specialist role at Firelands Regional Medical Center in Sandusky, OH. This is not a desk job — you will walk from room to room and push a 10-pound mobile computer station throughout the entire shift. The role is responsible for performing admitting duties for all patients admitted for services at the hospital while meeting organizational mission, goals, and regulatory compliance requirements.

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 with appropriate compassion in all interactions.
• Meet assigned point-of-service goals.
• Utilize quality auditing and reporting systems to ensure accounts are corrected, including accounts for other employees, departments, and facilities; conduct audits and assure all forms are completed accurately and timely to meet audit standards; provide statistical data to Patient Access leadership.
• Pre-register patient accounts prior to 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 patient/guarantor/legal guardian, obtain necessary signatures and witness names.
• Explain and distribute patient education documents (e.g., 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 insurance verification system, select applicable insurance plan codes, 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 ABNs as appropriate.
• Distribute and document other designated forms and pamphlets.

Requirements

• Ability to walk from room to room and push a 10-pound mobile computer station throughout the entire shift.
• 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.

Qualifications

• High School Diploma or GED required.
• CRCR certification required within 9 months of hire (company paid).

Pay

This position pays between $17.00 – $18.15 per hour based on experience.

Schedule

Part-time, between 9:00 AM and 11:00 PM; weekend and holiday rotation required. Onsite at Firelands Regional Medical Center, Sandusky, OH.

Benefits

• Bonus incentives
• Paid certifications
• Tuition reimbursement
• Comprehensive benefits package (healthcare, time off, retirement, well-being programs)
• Career advancement opportunities
• Shift differential for select shifts
• Quarterly and annual incentive programs
• Professional certification relevant to field

Ensemble is a five-time “Best in KLAS” winner (2020–2022, 2024–2025), Black Book Research’s Top Revenue Cycle Management Outsourcing Solution (2021–2024), 22-time HFMA MAP Award recipient (2019–2024), Everest Group RCM Operations PEAK Matrix Assessment Leader (2024), Clarivate HBI Revenue Cycle Awards winner (2020, 2022–2023), Energage Top Workplaces USA (2022–2024), Fortune Media Best Workplaces in Healthcare (2024), Monster Top Workplace for Remote Work (2024), and Great Place to Work certified (2023–2024).