Lead Patient Access Coordinator

2 weeks ago

Westwood, New Jersey, United States Ensemble Health Partners Full time
Thank you for considering a career at Ensemble Health Partners

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

Ensemble is dedicated to maintaining 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 that our workforce is the cornerstone of our identity. By empowering our employees to challenge conventional practices, we are confident they will drive positive change.

The Opportunity:

***This position requires on-site presence. Candidates must be prepared to work at designated medical facilities. Available positions and shifts include:
  • Shift: Full Time Mon - Fri 830am-5pm
  • Shift: Full Time Mon - Wed 930am-6pm, Th-Fri 7am-330pm
The Senior Admissions Specialist is tasked with executing admission responsibilities for all patients seeking services at the facility. This role involves fulfilling these duties while aligning with the organization's mission and objectives, as well as adhering to all regulatory compliance standards. The Senior Specialist will oversee the patient access team while ensuring adherence to established policies and procedures throughout the organization.
  • Patient Access personnel are responsible for accurately assigning Medical Record Numbers (MRNs), conducting medical necessity and compliance assessments, delivering appropriate patient instructions, gathering insurance details, processing physician orders, and utilizing overlay tools while providing exceptional customer service as evaluated by industry standards. They will manage the telephone switchboard to facilitate incoming, outgoing, and inter-office communications as necessary. Adherence to policies and delivering compassionate customer service during these interactions is essential. Patient Access staff will be accountable for achieving assigned point of service objectives.
  • Patient Access personnel will utilize quality auditing and reporting systems to ensure account accuracy. These tasks may involve accounts associated with other employees, departments, and facilities. They will conduct audits of accounts, ensuring all documentation is completed accurately and promptly to meet audit criteria, while providing statistical insights to Patient Access leadership.
  • Patient Access personnel are responsible for pre-registering patient accounts prior to visits. This may involve both inbound and outbound communications to collect demographic, insurance, and other pertinent patient information, including financial liabilities and collection of point of service payments as well as outstanding balances.
  • The Patient Access personnel will clarify general consent for treatment forms to patients, guarantors, or legal guardians, securing necessary signatures and witness names. They will explain and distribute patient education materials, such as Medicare and Tricare important messages, observation forms, consent forms, and any forms required for upcoming services.
  • They will review eligibility responses within the insurance verification system, accurately selecting the appropriate insurance plan codes and entering benefit data into the system to support point of service collections and billing processes, contributing to a high 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 and distribute the ABN as required. They will also be responsible for the distribution and documentation of other designated forms and informational pamphlets.
Required Education:
  • High School Diploma
  • 1 to 3 Years of experience in Patient Access, Registration, or within a hospital/medical office environment
Certifications:
  • CRCR certification required within 6 months of hire (Company Paid)
Other Preferred Knowledge, Skills and Abilities:
  • Understanding of the Revenue Cycle, including admissions, billing, payments, and denials.
  • Comprehensive knowledge of patient insurance processes for obtaining authorizations and verifying benefits.
  • Familiarity with Health Insurance requirements and medical terminology, including CPT or procedure codes.
Ensemble Health Partners is an equal employment opportunity employer.

We uphold a policy of non-discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age, disability, military or veteran status, genetic information, or any other legally protected status. Ensemble Health Partners also prohibits 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.

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