Patient Access Specialist - Part-time

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! 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.

Responsibilities

• Perform admitting duties for all patients admitted for services at the hospital.
• Perform these functions 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.
• Utilize an overlay tool while providing excellent customer service as measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, out-going and inter-office calls as applicable; adhere to policies and provide excellent customer service with appropriate level of compassion.
• Be held accountable for point of service goals as assigned.
• Utilize quality auditing and reporting systems to ensure accounts are corrected; may include accounts for other employees, departments, and facilities.
• Conduct audits of accounts and assure that all forms are completed accurately and timely to meet audit standards; provide statistical data to Patient Access leadership.
• Perform pre‑registration of patient accounts prior to patient visits, including inbound and outbound calling to obtain demographic, insurance, and other patient information, financial liabilities, point‑of‑service collections, past due balances, and payment plan options.
• Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures and witness name.
• Explain and distribute 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.
• Review eligibility responses in the insurance verification system, select the applicable insurance plan code, and enter benefit data into the system to support POS collections and billing processes to assist with a clean claim rate.
• Accurately 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.
• Distribute and document other designated forms and pamphlets.

Requirements

• 1+ years of customer service experience.
• Inquisitive and demonstrates openness to innovation, including AI, to explore better processes and alleviate friction to improve patient and client experiences.
• High School Diploma or GED.
• CRCR certification required within 6 months of hire (company‑paid).

Benefits

• Bonus incentives
• Paid certifications
• Tuition reimbursement
• Comprehensive benefits package (healthcare, time off, retirement, well‑being programs)
• Career advancement opportunities

Pay

$17.00 - $18.15 per hour based on experience.

Schedule

Part‑time, onsite role at Covenant – St Joseph Hospital, 444 Nashua St., Milford, NH 03055.