Patient Access Representative

2 weeks ago


Lewes, Delaware, United States Ensemble Health Partners Full time
Job Title: Patient Access Specialist

Ensemble Health Partners is seeking a highly skilled Patient Access Specialist to join our team. As a Patient Access Specialist, you will play a critical role in ensuring the smooth operation of our revenue cycle management solutions.

Job Responsibilities:
  • Assign accurate MRNs and complete medical necessity/compliance checks to ensure compliance with regulatory requirements.
  • Provide excellent customer service to patients and families, answering questions and addressing concerns in a compassionate and empathetic manner.
  • Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
  • Adhere to policies and procedures to ensure accurate and timely processing of patient information.
  • Pre-register patient accounts before visits, collecting demographic, insurance, and other patient information as needed.
  • Explain general consent for treatment forms to patients/guarantors/legal guardians and obtain necessary signatures and witness's name.
  • Review eligibility responses in the insurance verification system and select the applicable insurance plan code, entering benefit data into the system to support point of service collections and billing processes.
  • Screen medical necessity using the Advance Beneficiary Notice (ABN) software to inform Medicare patients of potential non-payment of tests by Medicare and distribute the ABN as appropriate.
  • Conduct audits of accounts to ensure accuracy and completeness, providing statistical data to Patient Access leadership.
Requirements:
  • High School Diploma/GED required.
  • CRCR Certification (Certified Revenue Cycle Representative) required within 6 months of hire.
  • 1+ years of customer service experience preferred.
What We Offer:
  • A comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family.
  • A culture that values collaboration, growth, and innovation.
  • Professional development opportunities, including certification and tuition reimbursement.
  • Quarterly and annual incentive programs for employees who go beyond and raise the bar for themselves and the company.

Ensemble Health Partners is an equal employment opportunity employer. We are committed to providing a work environment that is free from discrimination and harassment. If you require accommodation in the application process, please contact us.



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