Associate Specialist, Patient Access

Ensemble Health Partners; Town of Oconto Falls (WI); On-site; USD 23,419 - 25,003; Full time

Benefits offered by this job

Bonus Incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

Job summary

Ensemble Health Partners is searching for a Patient Access Specialist to work onsite at HSHS - St. Clare Hospital in Oconto Falls, WI. This role includes performing patient admitting duties, ensuring medical compliance, and providing support in insurance and financial collections.

Ideal candidates will possess excellent customer service skills and an understanding of medical necessity checks. The compensation ranges from $17 to $18.15 per hour, based on experience, and the position includes several benefits such as tuition reimbursement and bonus incentives.

Qualifications

• Experience in admitting duties for healthcare services.
• Ability to provide accurate patient instructions and collect necessary data.
• Knowledge of insurance verification systems and medical necessity compliance.

Responsibilities

• Perform admitting duties for all patients admitted for services.
• Assign accurate MRNs and complete medical necessity checks.
• Assist patients with insurance information and process physician orders.
• Screen medical necessity using software to inform Medicare patients.

Skills

Excellent customer service

Insurance information collection

Medical necessity compliance

Auditing and reporting systems

Job description

Opportunity

• Role: Patient Access Specialist
• Location: Onsite at HSHS - St. Clare Hospital, Oconto Falls, WI (must work on-site)
• Compensation: $17-18.15/hr based on experience
• Benefits:
  • Bonus Incentives
  • Paid Certifications
  • Tuition Reimbursement
  • Comprehensive Benefits
  • Career Advancement
• Shift Availability: Available shifts (not specified)

Job Responsibilities

• Perform admitting duties for all patients admitted for services at the hospital.

• Assign accurate MRNs, complete medical necessity/compliance checks, provide proper patient instructions, collect insurance information, receive and process physician orders, and utilize overlay tool while providing excellent customer service measured by Press Ganey.

• Operate telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.

• Adhere to policies and provide excellent customer service with appropriate compassion.

• Meet point of service goals as assigned.

• Utilize quality auditing and reporting systems to ensure accounts are corrected; conduct audits and assure all forms are completed accurately and timely; provide statistical data to leadership.

• Pre-register patient accounts prior to visits; conduct inbound/outbound calls to obtain demographic, insurance, and other patient information; determine patient financial liabilities; collect point of service collections and past due balances; offer payment plan options.

• Explain consent for treatment forms to patient/guarantor/legal guardian, obtain necessary signatures & witness name; distribute patient education documents including Medicare and Tricare messages, observation forms, MOON form, consent forms, and future service forms.

• Review eligibility responses in insurance verification system; select applicable insurance plan code; enter benefit data to support POS and billing processes to assist clean claim rates.

• Screen medical necessity using ABN software to inform Medicare patients of possible non-payment; distribute ABN and other designated forms and pamphlets.