Patient Access Specialist - PRN

Ensemble Health Partners · Effingham, IL · 3 wk ago

Healthcare$17–$18.15/hrPart-time

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 HSHS- St. Anthony's Hospital in Effingham, IL.

Job 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 a overlay tool while providing excellent customer service as measured by Press Ganey.
Operates the telephone switchboard to relay incoming, out-going and inter-office calls as applicable. Adheres to policies and provides excellent customer service in these interactions with the appropriate level of compassion.
Works within the policies and processes as they are being performed across the entire organization.
Responsible for point of service goals as assigned.
Utilizes quality auditing and reporting systems to ensure accounts are corrected. Activities may include accounts for other employees, departments, and facilities.
Conducts audits of accounts and assures that all forms are completed accurately, 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 witnesses name.
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.

Experience We Love

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 Qualifications

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

Employment Disclaimers

Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.

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. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.