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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 admission process for patients.
Key Responsibilities- Admitting Duties: Perform admitting duties for all patients admitted for services at the hospital, ensuring accurate and timely completion of medical necessity / compliance checks, patient instructions, insurance information, and physician orders.
- Customer Service: Provide excellent customer service as measured by Press Ganey, adhering to policies and providing compassion in interactions with patients, families, and healthcare providers.
- Point of Service Goals: Meet assigned point of service goals, including accounts receivable, patient satisfaction, and quality metrics.
- Quality Auditing and Reporting: Utilize quality auditing and reporting systems to ensure accurate and timely completion of accounts, providing statistical data to Patient Access leadership.
- Pre-Registration: Pre-register patient accounts prior to patient visits, including inbound and outbound calling to obtain demographic, insurance, and other patient information.
- Consent and Education: Explain general consent for treatment forms to patients/guarantors/legal guardians, obtain necessary signatures, and distribute patient education documents.
- Insurance Verification: Review eligibility responses in insurance verification system, selecting applicable insurance plan codes, entering benefit data into system to support POS (Point of Service Collections) and billing processes.
- Medical Necessity Screening: Accurately screen medical necessity using the Advanced Beneficiary Notice (ABN) software, informing Medicare patients of possible non-payment of tests by Medicare and distributing the ABN as appropriate.
- Customer Service Experience: 1+ years of customer service experience.
- Education: High School Diploma/GED required.
- Certifications: CRCR required within 6 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. We offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. 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.
Why Join Us?- Associate Benefits: We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family.
- Our Culture: We put people first, last, and always. Our culture is rooted in collaboration, growth, and innovation.
- Growth: We invest in your professional development, offering professional certifications and tuition reimbursement.
- Recognition: We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
