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.

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 correct accounts.
• Conduct audits to ensure forms are completed accurately and timely; provide statistical data to leadership.
• Pre-register patient accounts prior to visits via inbound/outbound calling to obtain demographic, insurance, and financial liability details, including point-of-service collections and past-due balances.
• Explain general consent for treatment forms, obtain signatures, and distribute patient education documents (e.g., Important Message from Medicare, MOON form, Observation Forms).
• Review eligibility responses and 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.

Requirements

• 1+ years of customer service experience.
• Inquisitive and open to innovation, including AI-driven process improvements.
• High School Diploma/GED required.
• CRCR certification required within 9 months of hire (company paid).

Pay

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

Schedule

This is an onsite role at Mercy – St Joseph Warren Hospital in Warren, OH.