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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 flow of patient information and services.
Key Responsibilities- Assign accurate Medical Record Numbers (MRNs) and complete medical necessity/compliance checks for all patients admitted for services.
- Provide excellent customer service to patients, families, and healthcare providers, as measured by Press Ganey scores.
- Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
- Adhere to policies and procedures, and provide compassionate and empathetic interactions with patients and families.
- Meet point-of-service (POS) goals and objectives, and participate in quality auditing and reporting systems to ensure accurate and timely account resolution.
- Pre-register patient accounts prior to visits, including inbound and outbound calling to obtain demographic, insurance, and other patient information.
- Explain and obtain signatures on general consent for treatment forms, and distribute patient education documents as needed.
- Review eligibility responses in insurance verification systems and select applicable insurance plan codes, enter benefit data into systems to support POS and billing processes.
- Screen medical necessity using Advanced Beneficiary Notice (ABN) software, and distribute 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.
- A comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
- A culture that values collaboration, growth, and innovation.
- Professional development opportunities, including certification and tuition reimbursement.
- Quarterly and annual incentive programs for employees who exceed expectations.
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems. We are committed to empowering our employees to thrive and make a meaningful impact in the healthcare industry.