Patient Access Representative
4 days ago
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.
Key Responsibilities- Assign accurate MRNs, complete medical necessity / compliance checks, provide proper patient instructions, collect insurance information, receive and process physician orders, and utilize a overlay tool while providing excellent customer service as measured by Press Ganey.
- Operate the telephone switchboard to relay incoming, out-going and inter-office calls as applicable. Adhere to policies, and provide excellent customer service in these interactions with the appropriate level of compassion.
- Utilize quality auditing and reporting systems to ensure accounts are corrected. 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. This may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options.
- Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures and witnesses name. Explain and 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 selects the applicable insurance plan code, enters 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 distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.
- 1+ years of customer service experience
- High School Diploma/GED Required
Ensemble Associate to obtain CRCR certification within 9 months of hire - (Company Paid)
About Ensemble Health PartnersWe are an award-winning company, recognized for our commitment to excellence in revenue cycle management. Our team is dedicated to providing exceptional service to our clients and patients. We offer a comprehensive benefits package, opportunities for growth and development, and a collaborative work environment.
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