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Patient Access Representative
2 months 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 play a critical role in ensuring the smooth and efficient flow of patients through our healthcare system.
Key Responsibilities- Perform admitting duties for all patients admitted for services at the hospital, ensuring accurate and timely processing of patient information.
- Assign accurate Medical Record Numbers (MRNs) and complete medical necessity/compliance checks to ensure regulatory compliance.
- Provide excellent customer service to patients, families, and healthcare providers, responding to inquiries and resolving issues in a professional and courteous manner.
- Collect and process insurance information, physician orders, and other relevant documentation to ensure accurate billing and reimbursement.
- Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable, providing exceptional customer service and support.
- Adhere to policies and procedures, ensuring compliance with regulatory requirements and maintaining accurate records.
- Conduct quality audits and reporting to ensure accuracy and timeliness of patient accounts, identifying areas for improvement and implementing corrective actions.
- Pre-register patient accounts prior to visits, collecting demographic, insurance, and other relevant information to ensure seamless processing.
- Explain general consent for treatment forms to patients/guarantors/legal guardians, obtaining necessary signatures and witness information.
- Review eligibility responses in insurance verification systems, selecting applicable insurance plan codes and entering benefit data to support Point of Service (POS) collections and billing processes.
- Accurately screen medical necessity using Advanced Beneficiary Notice (ABN) software, informing Medicare patients of possible non-payment of tests and distributing ABNs as necessary.
- 1+ years of customer service experience
- High School Diploma/GED required
- Certified Revenue Cycle Representative (CRCR) certification required within 6 months of hire
Ensemble Health Partners is 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 clients.
