Patient Access Coordinator

2 hours ago

Nashua, New Hampshire, United States Ensemble Health Partners Full time
Job Title: Patient Access Specialist

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.

Job Summary:

The Patient Access Specialist is responsible for performing admitting duties for all patients admitted for services at the hospital. This includes 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.

Key Responsibilities:
  • 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.
  • Conduct audits of accounts and assure that all forms are completed accurate, timely to meet audit standards and provides 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.
  • Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures and witness's name.
  • Review eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes.
  • Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Requirements:
  • 1+ years of customer service experience
  • High School Diploma/GED Required
  • CRCR Required within 6 months of hire (Company Paid)
What We Offer:

We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our culture is rooted in collaboration, growth, and innovation. We invest in your professional development, offering tuition reimbursement and professional certification relevant to your field. We also offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws.

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