Patient Access Specialist- Part Time 2nd Shift

4 weeks ago

Perrysburg, Ohio, United States Ensemble Health Partners Full time
Unlock Your Potential as a Patient Access Specialist

At Ensemble Health Partners, we're dedicated to empowering our team members to excel in their roles. As a Patient Access Specialist, you'll play a vital part in our mission to keep communities healthy by keeping hospitals healthy. Your primary responsibility will be to perform admitting duties for all patients admitted for services at the hospital, ensuring that you meet the mission and goals of the organization and all regulatory compliance requirements.

Key Responsibilities:
  • Assign accurate MRNs, complete medical necessity / compliance checks, provide proper patient instructions, collect insurance information, receive, and process physician orders, and utilize an 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.
  • Adhere to policies and provide excellent customer service in these interactions with the appropriate level of compassion.
  • Be held accountable for point of service goals as assigned.
  • Utilize quality auditing and reporting systems to ensure accounts are corrected, including accounts for other employees, departments, and facilities.
  • Conduct audits of accounts and assure that all forms are completed accurately and timely to meet audit standards, providing statistical data to Patient Access leadership.
  • 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 as well as past due balances, including payment plan options.
  • Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures and witness's name, explain and distribute 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.
  • 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.
  • Accurately screen medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribute the ABN as appropriate, responsible for distribution and documentation of other designated forms and pamphlets.
Requirements:
  • 1+ years of customer service experience.
  • High School Diploma/GED Required.
  • CRCR Required within 9 months of hire (Company Paid).
About Ensemble Health Partners:

We're an award-winning company, recognized for our commitment to excellence and innovation. Our team members are empowered to thrive in a culture that values collaboration, growth, and innovation. We offer a comprehensive benefits package, professional development opportunities, and a supportive work environment that allows you to do your best work and be your best self.

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