Patient Access Specialist - NIGHT SHIFT

Career at Ensemble Health Partners

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.

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 onsite role, and candidates must be able to work on-site at Ballad - Russell County Hospital in Lebanon, VA.

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.

Job Responsibilities

• 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 with appropriate compassion.
• Hold accountability for point-of-service goals as assigned.
• Utilize quality auditing and reporting systems to ensure accounts are corrected for patients and other employees, departments, and facilities.
• Conduct audits of accounts and assure all forms are completed accurately and timely to meet audit standards, providing statistical data to Patient Access leadership.
• Pre-register patient accounts prior to visits, including inbound/outbound calls to obtain demographics, insurance, and other patient information, including financial liabilities; collect point-of-service collections and past-due balances, including payment plans.
• Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures and witness names.
• Explain 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, entering benefit data to support POS (Point of Service Collections) and billing processes for a clean claim rate.
• Screen medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribute the ABN as appropriate.
• Distribute and document other designated forms and pamphlets.

Experience

• 1+ year of customer service experience

Minimum Education

• High School Diploma/GED

Required Certifications

• CRCR (Required within 9 months of hire, company paid)

• Five-time…