Patient Access Specialist
The Opportunity
Job Description
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
This position pays between $17.00 - $18.15/hr based on experience
This position is an onsite role and candidates must be able to work on-site
Job Responsibilities
The Patient Access Representative is responsible for performing admitting duties for all patients admitted for services at the hospital.
- Assigning accurate MRNs
- 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 as measured by Press Ganey
- Operating the telephone switchboard to relay incoming, out-going and inter-office calls as applicable
- Conducting audits of accounts and assuring that all forms are completed accurate, timely to meet audit standards and providing statistical data to Patient Access leadership
- Pre-registering patient accounts prior to patient visits
- Explaining general consent for treatment forms to the patient/guarantor/legal guardian, obtaining necessary signatures and witnesses name
- Explaining and 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, entering benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate
- Screens of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate
- Distribution and documentation of other designated forms and pamphlets
Experience
Must have 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
Required Education
A High School Diploma/GED is required
Required Certification
Required within 6 months of hire (Company Paid)
Join An Award-winning Company
- Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
- Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
- HFMA MAP Awards for High Performance in Revenue Cycle 2019-2024
- Everest Group's RCM Operations PEAK Matrix Assessment 2024
- Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
- Fortune Media Best Workplaces in Healthcare 2024
- Monster Top Workplace for Remote Work 2024
- Great Place to Work certified 2023-2024
Innovation
We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Growth
We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Equal Employment Opportunity
Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws.