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Patient Access Representative

2 months ago


Westwood, New Jersey, United States Ensemble Health Partners Full time
About the Role

We are seeking a highly skilled and detail-oriented Patient Access Specialist to join our team at Ensemble Health Partners. As a Patient Access Specialist, you will play a critical role in ensuring the smooth and efficient flow of patient information and services.

Key Responsibilities
  • Admitting and Registration: Perform admitting duties for all patients admitted for services at the hospital, ensuring accurate and timely completion of medical necessity and compliance checks.
  • Patient Communication: Provide excellent customer service to patients, explaining general consent for treatment forms, obtaining necessary signatures, and distributing patient education documents.
  • Insurance Verification: Review eligibility responses in insurance verification systems, selecting applicable insurance plan codes, and entering benefit data into systems to support point-of-service collections and billing processes.
  • Medical Necessity Screening: Accurately screen medical necessity using the Advanced Beneficiary Notice (ABN) software, informing Medicare patients of possible non-payment of tests and distributing ABNs as necessary.
  • Documentation and Reporting: Conduct audits of accounts, ensuring accurate and timely completion of forms, and providing statistical data to Patient Access leadership.
Requirements
  • Customer Service Experience: 1+ year of customer service experience required.
  • Education: High School Diploma/GED required.
  • Certifications: CRCR certification required within 6 months of hire (company-paid).
About Ensemble Health Partners

We are a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. Our mission is to empower our people to challenge the status quo and make a meaningful impact in the lives of our patients and communities.

We offer a comprehensive benefits package, professional development opportunities, and a culture that values collaboration, growth, and innovation. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional patient care, we encourage you to apply for this exciting opportunity.