Patient Access Specialist

1 month ago


Chester, Virginia, United States Ensemble Health Partners Full time

Job Summary:

We are seeking a highly skilled Patient Access Specialist to join our team at Ensemble Health Partners. As a Patient Access Specialist, you will be 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.

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.
  • Distribute patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.
  • Review eligibility responses in insurance verification system and appropriately select the applicable insurance plan code, enter benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
  • Screen medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribute the ABN as appropriate.

Requirements:

  • 1+ years of customer service experience
  • High School Diploma/GED Required
  • CRCR Required within 9 months of hire

About Ensemble Health Partners:

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. We offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are.

What We Offer:

  • Bonus Incentives
  • Paid Certifications
  • Tuition Reimbursement
  • Comprehensive Benefits
  • Career Advancement

Why Work with Us:

We are a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. We invest in your professional development, offer quarterly and annual incentive programs, and provide a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family.



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