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 and a comprehensive suite of point solutions to clients nationwide. The Patient Access Specialist role is an entry‑level, onsite position at Ballad – Johnson City Medical Center in Johnson City, TN, responsible for admitting patients, verifying insurance, collecting payments, and ensuring regulatory compliance while delivering excellent customer service.

Responsibilities

• Perform admitting duties for all patients admitted for services at the hospital.
• Assign accurate MRNs, complete medical necessity/compliance checks, provide patient instructions, collect insurance information, receive and process physician orders, and utilize an overlay tool while delivering excellent customer service (Press Ganey).
• Operate the telephone switchboard to relay incoming, outgoing, and inter‑office calls, adhering to policies and providing compassionate customer service.
• Utilize quality auditing and reporting systems to ensure accounts are corrected; conduct audits, verify forms are completed accurately and timely, and provide statistical data to Patient Access leadership.
• Handle pre‑registration of patient accounts prior to visits, including inbound/outbound calls to obtain demographic, insurance, and financial information; collect point‑of‑service and past‑due balances, and discuss payment plan options.
• Explain general consent for treatment forms to patients/guarantors/legal guardians, obtain necessary signatures and witness names.
• Explain and distribute patient education documents (Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and other forms for future services).
• Review eligibility responses in the insurance verification system, select applicable insurance plan codes, enter benefit data to support point‑of‑service collections and billing processes to assist with clean claim rates.
• Accurately screen medical necessity using Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non‑payment and distribute ABN as appropriate; distribute and document other designated forms and pamphlets.

Requirements

• 1+ years of customer service experience.
• Inquisitive mindset with openness to innovation, including AI, to explore better processes and reduce friction for patients and clients.
• High School Diploma or GED.
• CRCR certification required within 6 months of hire (company‑paid).

Benefits

• Bonus incentives.
• Paid certifications.
• Tuition reimbursement.
• Comprehensive benefits package (healthcare, time off, retirement, well‑being programs).
• Career advancement opportunities.

Pay

$17.00 – $18.15 per hour, based on experience.