Patient Access Specialist - PART TIME

About the role

The Opportunity: ENTRY LEVEL CAREER OPPORTUNITY OFFERING: Bonus Incentives, Paid Certifications, Tuition Reimbursement, Comprehensive Benefits, Career Advancement.

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 Mercy - St Joseph Warren Hospital in Warren, OH.

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.
• Is held accountable for point of service goals as assigned.
• Is responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected.
• Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership.
• Pre-registers patient accounts prior to patient visits. This may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options.
• Explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness’s name. Explains and distributes 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.
• Reviews 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.

Requirements

• 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.

Qualifications

• High School Diploma/ GED Required
• CRCR Required within 9 months of hire (Company Paid)

Benefits

• Associate Benefits – We offer a 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 – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Skills

• Customer Service
• Medical Necessity Screening
• Insurance Verification
• Medical Coding
• Medical Billing

Benefits

• Comprehensive Benefits
• Tuition Reimbursement
• Paid Certifications
• Professional Development
• Incentive Programs

Pay

This position pays between $17.00 - $18.15/hr based on experience.

Schedule

Hours are 230p-11p every other weekend and holiday rotation.