Patient Access Representative
1 month ago
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems. We are seeking a Patient Access Specialist to join our team at Mercy - Perrysburg Medical Center in Perrysburg, OH.
Job Responsibilities:- Perform admitting duties for all patients admitted for services at the hospital.
- Assign accurate MRNs, complete medical necessity / compliance checks, and provide proper patient instructions.
- Collect insurance information, receive, and process physician orders.
- Utilize an overlay tool while providing excellent customer service as measured by Press Ganey.
- 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 and colleagues.
- Hold accountability for point of service goals as assigned.
- Conduct audits of accounts and assure that all forms are completed accurate, timely to meet audit standards.
- Provide statistical data to Patient Access leadership.
- Pre-register patient accounts prior to patient visits, including inbound and outbound calling to obtain demographic, insurance, and other patient information.
- Collect 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 witness's name.
- 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 select the applicable insurance plan code, enter benefit data into system to support POS (Point of Service Collections) and billing processes.
- Accurately screen medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribute the ABN as appropriate.
- Distribute and document other designated forms and pamphlets.
- 1+ years of customer service experience.
- High School Diploma/GED Required.
- CRCR Required within 9 months of hire (Company Paid).
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
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