Senior Patient Access Specialist

3 days ago


Montclair, New Jersey, United States Ensemble Health Partners Full time
Job Title: Senior Patient Access Specialist

Ensemble Health Partners is seeking a highly skilled Senior Patient Access Specialist to join our team. As a key member of our revenue cycle management team, you will be responsible for performing admitting duties for all patients admitted for services at our hospital.

Key Responsibilities:
  • Assign accurate MRNs, complete medical necessity / compliance checks, and provide proper patient instructions.
  • Collect insurance information, receive and process physician orders, and utilize a overlay tool while providing excellent customer service.
  • Operate the telephone switchboard to relay incoming, out-going and inter-office calls as applicable.
  • Conduct audits of accounts and assure that all forms are completed accurate, timely to meet audit standards.
  • 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 witnesses name.
  • Review eligibility responses in insurance verification system and appropriately select the applicable insurance plan code.
Requirements:
  • Certified Healthcare Access Associate (CHAA) and or CRCR, Certified Revenue Cycle Representative.
  • 2-3 years of experience in patient access or leadership role.
  • Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
  • Knowledge of Health Insurance requirements and medical terminology or CPT or procedure codes.
What We Offer:
  • A comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family.
  • A culture that puts people first, last and always, with opportunities for growth, innovation, and recognition.
  • A professional development program that includes certification and tuition reimbursement.

Ensemble Health Partners is an equal employment opportunity employer and provides reasonable accommodations to qualified individuals with disabilities. We are committed to diversity, equity, and inclusion in the workplace.



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