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 and a comprehensive suite of point solutions. Ensemble’s mission is to keep communities healthy by keeping hospitals healthy, emphasizing a human touch in every interaction. The company values customer obsession, embracing new ideas, and striving for excellence. This is an onsite position at Mercy‑Defiance Hospital in Defiance, OH.

Responsibilities

• Perform admitting duties for all patients admitted for services at the hospital.
• Assign accurate MRNs, complete medical necessity/compliance checks, provide proper patient instructions, collect insurance information, receive and process physician orders, utilize an overlay tool while providing excellent customer service measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls.
• Adhere to policies and provide excellent customer service with appropriate compassion.
• Be accountable for point of service goals as assigned.
• Utilize quality auditing and reporting systems to ensure accounts are corrected; conduct audits of accounts, assure forms are completed accurately and timely, provide statistical data to Patient Access leadership.
• Perform pre‑registration of patient accounts prior to visits, including inbound/outbound calling to obtain demographic, insurance, and other patient information, collect point‑of‑service collections and past due balances, and discuss payment plan options.
• Explain general consent for treatment forms to patient/guarantor/legal guardian, obtain necessary signatures and witness’s name; explain and distribute patient education documents (Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms for future services).
• Review eligibility responses in insurance verification system, select applicable insurance plan code, enter benefit data to support POS collections and billing processes to assist with clean claim rate.
• Accurately screen medical necessity using Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non‑payment by Medicare and distribute ABN as appropriate; distribute and document other designated forms and pamphlets.

Requirements

• 1+ years of customer service experience.
• High School Diploma or GED.
• CRCR certification required within 9 months of hire (company paid).
• Inquisitive and demonstrate openness to innovation including AI to explore better processes and alleviate friction.

Benefits

• Comprehensive benefits package supporting physical, emotional, and financial health (healthcare, time off, retirement, well‑being programs).
• Paid certifications.
• Tuition reimbursement.
• Quarterly and annual incentive programs.
• Career advancement opportunities.

Pay

$17.00 - $18.15 per hour, based on experience.