Patient Access Specialist - PRN

Thank you for considering a career at Ensemble Health Partners!

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.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

• Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
• Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
• Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• This position pays between $17.00 - $18.15/hr based on experience

* This position is an onsite role, and candidates must be able to work on-site at HSHS - St. Elizabeth's Hospital in O'Fallen, IL****

We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for performing these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.

• Assign accurate MRNs, complete medical necessity/compliance checks, provide proper patient instructions, collect insurance information, receive and process physician orders, and utilize overlay tools 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 appropriate compassion.
• Hold accountable for point of service goals as assigned.
• Utilize quality auditing and reporting systems to ensure accounts are corrected, including accounts for other employees, departments, and facilities. Conduct audits and provide statistical data to Patient Access leadership.
• Pre-register patient accounts prior to visits, including inbound/outbound calling to obtain demographic, insurance, and other patient information and point of service collections.
• Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures and witness names, and distribute patient education documents.
• Review eligibility responses in the insurance verification system, select the applicable insurance plan code, and enter benefit data to support POS collection and billing processes.
• Accurately screen medical necessity using the Advanced Beneficiary Notice (ABN) software, inform Medicare patients of possible non-payment, and distribute ABN and other designated forms as appropriate.

• 1+ years of customer service experience

• High School Diploma/GED Required

• CRCR Required within 9 months of hire (Company Paid)

Five-time winner of “Best in KLAS” ,

Black Book Research's Top Revenue Cycle Management Outsourcing Solution

22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle

Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024

Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020,

Energage Top Workplaces USA

Fortune Media Best Workplaces in Healthcare 2024

Monster Top Workplace for…