Patient Access Specialist - PRN

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

• Assign accurate MRNs and complete medical necessity/compliance checks.
• Provide proper patient instructions, collect insurance information, and receive/process physician orders.
• Utilize an overlay tool while delivering excellent customer service as measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls with compassion.
• Meet point-of-service goals and use quality auditing/reporting systems to ensure account accuracy.
• Conduct audits of accounts, ensure forms are completed accurately and timely, and provide statistical data to leadership.
• Pre-register patient accounts prior to visits, including inbound/outbound calls to obtain demographic, insurance, and financial liability information, and collect point-of-service and past-due balances (including payment plans).
• Explain general consent for treatment forms, obtain signatures, and distribute patient education documents such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and other service-specific forms.
• Review eligibility responses and select applicable insurance plan codes, enter benefit data to support POS collections and billing processes for clean claim rates.
• Accurately screen medical necessity using ABN software for Medicare patients and distribute ABNs as appropriate; distribute and document 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 improve patient and client experiences.
• High School Diploma/GED required.
• CRCR certification required within 9 months of hire (company paid).

Benefits

• Bonus incentives.
• Paid certifications.
• Tuition reimbursement.
• Comprehensive benefits.
• Career advancement.

This position pays between $17.00 – $18.15 based on experience.

This is an onsite role; candidates must be able to work on-site at Bon Secours – Rappahannock General Hospital in Kilmarnock, VA.