Patient Access Associate Specialist

ensemblehp; Greenville (SC); On-site; USD 23,000 - 25,000; Full time

Benefits offered by this job

Bonus incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

On-site role

Job summary

Ensemble is seeking an Entry Level Patient Access Specialist to perform admission duties at Bon Secours - St Francis - Eastside in Greenville, SC. You will collect insurance information, verify eligibility, explain consent forms, and provide patient education materials while delivering compassionate service.

This onsite role offers bonus incentives, paid certifications, tuition reimbursement, comprehensive benefits, and clear career advancement paths as part of a supportive team that values

Qualifications

• High School Diploma or GED required.
• CRCR Certification required within 6 months of hire (Company Paid).
• 1+ year of customer service experience; openness to innovation including AI.

Responsibilities

• Perform admission duties for patients admitted for services at the hospital.
• Complete medical necessity/compliance checks and verify insurance information.
• Explain general consent forms and provide patient education materials.
• Utilize ABN software to inform Medicare patients of potential non-payment.
• Audit and ensure accounts are accurate and report data to leadership.

Skills

Customer service

Education

High School Diploma/GED

CRCR Certification

Job description

Thank you for considering a career at Ensemble!

Ensemble 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!

O.N.E Purpose:

• 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.

The Opportunity:

• ENTRY LEVEL CAREER OPPORTUNITY OFFERING:
• 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 at Bon Secours - St Francis - Eastside in Greenville, SC ***

The Opportunity:

The Patient Access Specialist is responsible for performing admission duties for all patients admitted for services at the hospital. They are responsible for fulfilling 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 customer service as measured by Press Ganey.
• Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
• They are to 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.
• Patient Access staff are responsible for pre-registration of patient accounts before patient visits. This may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options.
• The Patient Access Staff explains general consent for treatment forms to the patient/guarantor/legal guardian and obtains necessary signatures and the witness's name. Explains and distributes 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.
• Reviews eligibility responses in the insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into the system to support (POS) Point of Service Collections and billing processes to assist with a clean claim rate.
• Responsible for accurately screening medical necessity using the Advance Beneficiary Notice (ABN) software to inform Medicare patients of potential non-payment of tests by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.
• Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities. Conducts audits of accounts and assures that all forms are completed accurately, and on time to meet audit standards and provides statistical data to Patient Access leadership.

Required Qualifications

• High School Diploma/GED Required
• CRCR Certification (Certified Revenue Cycle Representative) Required within 6 months of hire (Company Paid)

Experience We Love:

• 1+ years of customer service experience
• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Join an award-winning company

• 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 for High Perfor