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. Candidates must sit on site at the hospital in Front Royal, VA.

Job Responsibilities

• Perform admitting duties for all patients admitted for services at the hospital.
• Assign accurate MRNs, complete medical necessity/compliance checks, provide patient instructions, collect insurance information, receive and process physician orders, and utilize an overlay tool while providing excellent customer service.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, adhering to policies and providing excellent customer service.
• Pre-register patient accounts prior to patient visits, including inbound and outbound calling to obtain demographic, insurance, and other patient information, collecting point of service collections, and past due balances including payment plan options.
• Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures, and witness names.
• Distribute and document patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and other forms implemented for future services.
• Review eligibility responses in insurance verification system, appropriately select the applicable insurance plan code, enter 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 tests by Medicare and distribute the ABN as appropriate.
• Distribute and document other designated forms and pamphlets.

Experience

• 1+ years of customer service experience.

Required Education

• A High School Diploma/GED.

Required Certification

• CRCR

Benefits

• Comprehensive benefits package.
• Professional certifications earned.
• Tuition reimbursement.
• Quarterly and annual incentive programs.
• Professional development opportunities.
• Flexible work-life balance.
• Equal employment opportunity.

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. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!