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Lead Patient Access Coordinator

2 months ago

Warren, United States Ensemble Health Partners Full time
Thank you for exploring a career opportunity with Ensemble Health Partners

Ensemble Health Partners stands as a premier provider of technology-driven revenue cycle management solutions tailored for healthcare systems, including hospitals and their associated physician groups. We deliver comprehensive revenue cycle solutions alongside a diverse array of specialized point solutions to clients nationwide.

Our mission is to maintain community health by ensuring the vitality of hospitals. We understand that healthcare demands a personal touch, and we are committed to making every interaction meaningful. This belief underscores the importance of our workforce, empowering them to innovate and challenge conventional practices, thereby making a significant impact.

The Opportunity:

CAREER OPPORTUNITY OFFERING:
  • Bonus Incentives
  • Paid Certifications
  • Tuition Reimbursement
  • Comprehensive Benefits
  • Career Advancement
***This position requires on-site presence at the designated healthcare facility.****

The Lead Patient Access Coordinator is tasked with executing admission responsibilities for all patients entering the healthcare facility for services. This role demands adherence to the organization's mission and objectives while ensuring compliance with all regulatory standards. The Coordinator will operate within established policies and procedures across the organization.
  • Patient Access personnel are responsible for accurately assigning Medical Record Numbers (MRNs), conducting medical necessity and compliance assessments, providing essential patient instructions, gathering insurance details, processing physician orders, and utilizing overlay tools while delivering exceptional customer service as evaluated by Press Ganey. They will manage the telephone switchboard to facilitate incoming, outgoing, and inter-office communications as necessary, adhering to policies and ensuring compassionate customer interactions. Patient Access personnel will be accountable for achieving designated point-of-service goals.
  • Lead Patient Access Coordinators will leverage quality auditing and reporting systems to rectify accounts. This may involve reviewing accounts for other staff, departments, and facilities. They will conduct audits to ensure all documentation is completed accurately and promptly to meet audit standards, providing statistical insights to Patient Access leadership.
  • Lead Patient Access Coordinators are responsible for pre-registering patient accounts prior to their visits. This may involve both inbound and outbound communications to gather demographic, insurance, and other pertinent patient information, including financial liabilities and collection of point-of-service payments as well as outstanding balances and payment plan options.
  • The Lead Patient Access Coordinator will clarify general consent for treatment forms to patients, guardians, or legal representatives, securing necessary signatures and witness information. They will explain and distribute patient education materials, including Important Messages from Medicare, Tricare, Observation Forms, MOON forms, Consent forms, and other relevant documents for upcoming services.
  • They will review eligibility responses within the insurance verification system, accurately selecting the relevant insurance plan codes and entering benefit data to support point-of-service collections and billing processes, thereby aiding in achieving a clean claim rate.
  • Responsible for the precise screening of medical necessity using Advanced Beneficiary Notice (ABN) software, they will inform Medicare patients of potential non-payment for tests by Medicare and distribute the ABN as necessary. They will also manage the distribution and documentation of other designated forms and informational pamphlets.
Employment Qualifications:
  • Certified Healthcare Access Associate (CHAA) and/or Certified Revenue Cycle Representative (CRCR). (Company Sponsored)
Other Preferred Knowledge, Skills, and Abilities:
  • Associate's Degree (2-Year)
  • Preferred Education - Specialty/Major: Healthcare Administration, Business Administration, or a related field.
  • Minimum Experience: 2-3 years in patient access or a leadership capacity.
  • Required Knowledge, Skills, and Abilities:
  • Comprehensive understanding of the Revenue Cycle, including admissions, billing, payments, and denials. In-depth knowledge of patient insurance processes for obtaining authorizations and verifying benefits. Familiarity with Health Insurance requirements and medical terminology or CPT/procedure codes.
Join an award-winning organization

Recognized as a three-time winner of "Best in KLAS"

Recipient of the 2022 Top Workplaces Healthcare Industry Award

Honored with the 2022 Top Workplaces USA Award

Achieved the 2022 Top Workplaces Culture Excellence Awards in:
  • Innovation
  • Work-Life Flexibility
  • Leadership
  • Purpose + Values
Ultimately, we believe in empowering individuals and equipping them with the necessary tools and resources to excel. Some of these include:
  • Associate Benefits - We provide a comprehensive benefits package designed to support the physical, emotional, and financial well-being of you and your family, encompassing healthcare, time off, retirement, and wellness programs.
  • Our Culture - Ensemble fosters an environment where associates can perform at their best and be their authentic selves. We prioritize people above all else, fostering a culture rooted in collaboration, growth, and innovation.
  • Growth - We are committed to your professional development. Each associate will earn a relevant professional certification and can benefit from tuition reimbursement.
  • Recognition - We offer quarterly and annual incentive programs for all employees who strive for excellence and continuously raise the bar for themselves and the organization.
Ensemble Health Partners is an equal opportunity employer. We adhere to a policy of non-discrimination 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. We also prohibit harassment of applicants or employees based on any of these protected categories.

Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local laws. If you require accommodation during the application process, please reach out for assistance.

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