Patient Access Specialist

Patient Access Specialist

Join to apply for the Patient Access Specialist role at Ensemble Health Partners
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Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. Our people are the most important part of who we are, and by empowering them to challenge the status quo, we know they will be the difference.

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• This position pays between $17.00 - $18.15 based on experience
• This position is an onsite role, and candidates must be able to work on-site at Bon Secours – St Francis Med Ctr – Richmond in Midlothian, VA

• Assign accurate MRNs, complete medical necessity/compliance checks, provide proper patient instructions, collect insurance information, receive and process physician orders, and 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 these interactions with the appropriate level of compassion.
• Be held accountable for point of service goals as assigned.
• Utilize quality auditing and reporting systems to ensure accounts are corrected, including audits of accounts for other employees, departments, and facilities. Conduct audits of accounts and assure that all forms are completed accurately and timely to meet audit standards and 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 and collect point of service collections and past due balances and payment plan options.
• Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures and witness’s name, 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 the insurance verification system and appropriately select the applicable insurance plan code, enter benefit data into the system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
• Screen medical necessity accurately using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of tests 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)

• Associate Benefits – Comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

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…