Patient Access Representative
2 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 play a critical role in ensuring the smooth and efficient flow of patients through our healthcare system.
Job Summary:The Patient Access Specialist is responsible for performing admitting duties for all patients admitted for services at the hospital. This includes assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey.
Key Responsibilities:- Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
- Adhere to policies and provide excellent customer service in these interactions with the appropriate level of compassion.
- 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, including inbound and outbound calling to obtain demographic, insurance, and other patient information.
- Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness's name.
- 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.
- Responsible for accurately screening of 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.
- 1+ years of customer service experience
- High School Diploma/GED Required
- CRCR Required within 9 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 keep communities healthy by keeping hospitals healthy, and we believe that every touch should be meaningful. We empower our people to challenge the status quo and be the difference.
We offer a comprehensive benefits package, including healthcare, time off, retirement, and well-being programs. Our culture is rooted in collaboration, growth, and innovation, and we invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. We also offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
We are an equal employment opportunity employer and prohibit harassment of applicants or employees based on any protected category. We provide reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.
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