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Patient Access Specialist

2 months ago

Bangor, United States Ensemble Health Partners Full time

ENTRY LEVEL CAREER OPPORTUNITY OFFERING:
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
Shift Differential for Select Shifts

The Patient Access Specialist is an onsite role, and candidates must be able to work on-site at St. Joseph Hospital in Bangor, ME. The following shifts are available:
Full Time
Part Time
PRN

The Patient Access Specialist is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for fulfilling these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.

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 an overlay tool while providing excellent customer service as measured by Press Ganey. Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable. They are to adhere to policies and provide excellent customer service in these interactions with the appropriate level of compassion. Patient Access staff will be held accountable for point of service goals as assigned.
Patient Access staff are responsible for the pre-registration of 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.
The Patient Access Staff explains general consent for treatment forms to the patient/guarantor/legal guardian and obtains necessary signatures and the witness's name. Explains and 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 the insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into the system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
Responsible for accurately screening medical necessity using the Advance Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of tests by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.
Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities. Conducts audits of accounts and assures that all forms are completed accurately, and on time to meet audit standards and provides statistical data to Patient Access leadership.

Required Qualifications
High School Diploma/GED Required
CRCR Required within 6 months of hire (Company Paid)

Experience We Love:
1+ years of customer service experience

Job Types: Full-time, Part-time, PRN

Benefits:
401(k)
Dental insurance
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Vision insurance
Schedule:
4 hour shift
8 hour shift
Monday to Friday
Weekends as needed

Application Question(s):
This is an Eary Career opportunity paying between $16 - $17.50/hr depending on experience and we offer Shift Differentials for 2nd Shift, Overnight Shifts, and Weekends. Are you open to this range?

Education:
High school or equivalent (Required)

Experience:
Customer Service: 1 year (Required)

Work Location: In person