Patient Access Specialist FT
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.
The Opportunity
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 at Tower - Reading Hospital in Wyomissing, PA.
Job Responsibilities
Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey.
Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
Adequately adheres to policies and provides excellent customer service in these interactions with the appropriate level of compassion.
Patients Access staff will be held accountable for point of service goals as assigned.
Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities.
Counsels on eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
Responsible for accurately screening 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.
Responsible for distribution and documentation of other designated forms and pamphlets.
Experience We Love
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.
Minimum Education
High School Diploma/GED Required
Certifications
RCCR Required within 9 months of hire (Company Paid)
Benefits
Comprehensive benefits package
Professional certifications
Tuition reimbursement
Quarterly and annual incentive programs
Professional development
Company Recognition
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
Join An Award-winning Company
Employment Disclaimers
Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.
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. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.