Patient Access Specialist - NIGHT SHIFT

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 Ballad - Holston Valley Medical Center in Kingsport, TN

Job Responsibilities

• Perform admitting duties for all patients admitted for services at the hospital while meeting the mission and goals of the organization and all regulatory compliance requirements.
• Work within the policies and processes as they are being performed across the entire organization.
• Assign accurate MRNs, complete medical necessity/compliance checks, provide proper patient instructions, collect insurance information, receive and process physician orders, and utilize a 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, adhering to policies and providing excellent customer service.
• Screen 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.
• Utilize quality auditing and reporting systems to ensure accounts are corrected, conducting audits of accounts and ensuring all forms are completed accurately, timely to meet audit standards, and providing statistical data to Patient Access leadership.
• Pre-register patient accounts prior to patient visits, including inbound and outbound calling to obtain demographic, insurance, and other patient information, including 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 witnesses names.
• Distribute and document other designated forms and pamphlets.

Experience

• 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

Required Certification

CRCR Required within 6 months of hire (Company Paid)

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Our culture is rooted in collaboration, growth, and innovation.
• We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Innovation

We believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

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.