Patient Access Representative

1 week ago


Fall River, Massachusetts, United States Ensemble Health Partners Full time

Job Summary:

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 be responsible for performing admitting duties for all patients admitted for services at the hospital.

Key Responsibilities:

  • Assign accurate Medical Record Numbers (MRNs) and complete medical necessity/compliance checks.
  • Provide proper patient instructions, collect insurance information, and process physician orders.
  • Utilize an overlay tool to ensure accurate and efficient patient registration.
  • Provide excellent customer service as measured by Press Ganey.
  • Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls.
  • Adhere to policies and provide excellent customer service in interactions with patients and staff.
  • Meet point of service goals as assigned.
  • Conduct audits of accounts and ensure accuracy and timeliness of forms.
  • Pre-register patient accounts prior to patient visits, including inbound and outbound calling to obtain demographic and insurance information.
  • Explain general consent for treatment forms to patients/guarantors/legal guardians, obtain necessary signatures, and witness names.
  • Review eligibility responses in insurance verification systems and select applicable insurance plan codes.
  • Accurately screen medical necessity using the Advanced Beneficiary Notice (ABN) software and distribute ABNs as necessary.

Requirements:

  • 1+ years of customer service experience.
  • High School Diploma/GED required.
  • Certified Registration Coordinator (CRCR) certification required within 6 months of hire.

About Ensemble Health Partners:

We are a leading provider of technology-enabled revenue cycle management solutions for health systems. Our mission is to empower our people to challenge the status quo and make a meaningful difference in the lives of our patients and communities. We offer a comprehensive benefits package, opportunities for growth and development, and a culture that values collaboration, innovation, and excellence.



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