Patient Access Specialist

Overview

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!

ENTRY LEVEL CAREER OPPORTUNITY OFFERING:

• 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 ON-SITE ROLE and candidates must be able to work on-site at Ballad - Johnson City Medical Center in Johnson City, TN.

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.

• The Patient Access Representative 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 an overlay tool while providing excellent customer service as measured by Press Ganey.
• Operate the telephone switchboard to relay calls and adhere to policies, providing excellent customer service with appropriate compassion. Patient Access staff will be held accountable for point of service goals as assigned.
• Utilize quality auditing and reporting systems to ensure accounts are corrected; 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 collect point of service payments and past due balances including payment plan options.
• Explain general consent for treatment forms, obtain signatures, and witness names.
• Explain and distribute patient education documents and forms relevant to future services.
• Review eligibility responses in the insurance verification system and select applicable insurance plan codes, entering benefit data to support POS and billing processes for clean claim rate.
• Screen medical necessity using ABN software to inform Medicare patients of possible non-payment and distribute ABN and other designated forms as appropriate.

• Experience: 1+ years of customer service experience
• Required
  
  Education:
  
  High School Diploma/GED Required
• Certification: CRCR Required within 6 months of hire (Company Paid)

Five-time winner of “Best in KLAS” , ;
Black Book Research's Top Revenue Cycle Management Outsourcing Solution ; HFMA MAP Awards for High Performance in Revenue Cycle ;
Everest Group's RCM Operations PEAK Matrix Assessment 2024; HBI Awards 2020, ;
Energage Top Workplaces USA ;
Fortune Best Workplaces in Healthcare 2024;
Monster Top Workplace for Remote Work 2024;
Great Place to Work certification .

• Innovation
• Work-Life Flexibility
• Leadership
• Purpose + Values

Bottom line, Ensemble Health Partners empowers people with tools and resources needed to thrive. A few examples include:

• Associate Benefits –…