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Patient Access Representative
2 months ago
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 play a critical role in ensuring the smooth and efficient flow of patient information and services.
Key Responsibilities- Assign accurate Medical Record Numbers (MRNs) and complete medical necessity/compliance checks for all patients admitted for services.
- Provide proper patient instructions, collect insurance information, receive and process physician orders, and utilize an overlay tool while delivering exceptional customer service.
- Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
- Adhere to policies and provide excellent customer service in interactions with patients, families, and healthcare teams.
- Meet point of service goals as assigned and utilize quality auditing and reporting systems to ensure accurate accounts.
- Conduct audits of accounts and ensure all forms are completed accurately and timely to meet audit standards.
- Pre-register patient accounts prior to visits, including inbound and outbound calling to obtain demographic, insurance, and other patient 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, enter benefit data into systems to support POS collections and billing processes.
- Screen medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of tests and distribute ABNs as necessary.
- 1+ years of customer service experience.
- High School Diploma/GED required.
- Certified Revenue Cycle Representative (CRCR) certification required within 9 months of hire (company-paid).
We are a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. 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, professional development opportunities, and a culture that values collaboration, growth, and innovation. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional patient care, we encourage you to apply for this exciting opportunity.
