Patient Access Specialist - PRN
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 Mercy - St. Elizabeth Boardman Hospital in Boardman, OH.
Job Responsibilities
- Perform admitting duties for all patients admitted for services at the hospital.
- 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.
- 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 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 and 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 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 We Love
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 is required.
Required Certification
A CRCR certification is required and must be obtained 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.
- A place where associates can do their best work and be their best selves, rooted in collaboration, growth, and innovation.
- Professional certifications relevant to their field and tuition reimbursement.
- Quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
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!