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, delivery, 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.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe every touch should be meaningful. That 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 based on experience

*** This position is an onsite role, and candidates must be able to work on‑site***

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.

• Patient access staff are responsible for 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 protected 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.
• Patient access staff will be held accountable for point‑of‑service goals as assigned.
• Utilize quality auditing DOE reporting systems to ensure accounts are corrected; conduct audits, confirm all forms are completed accurately and in a timely manner and provide statistical data to Patient Access leadership.
• Pre‑register patient accounts prior to visits, including inbound and outbound calls to obtain demographics, insurance and other patient information and their financial liabilities, collect pointundable collections as well as past‑due balances including payment‑plan options.
• Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures and witness names; distribute patient education documents such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms and other implemented forms.
• Review eligibility responses in the insurance verification system, select applicable insurance plan code, enter benefit data to support POS (point‑of‑service collections) and billing processes to assist with a clean claim rate.
Limnite‑screen medical necessity using ABN software, inform Medicare patients of possible non‑payment and distribute the ABN and other designated forms/pamphlets.

• 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” 2020‑2022, 2024‑2025

Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021‑2024

22 Healthcare Financial Management Association (HFMA) MAP Awards…