Patient Access Associate Specialist

Ensemble Health Partners

Virginia

Hybrid

USD 23,000 - 25,000

Full time

14 days+

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Benefits offered by this job

Bonus incentives
Paid certifications
Tuition reimbursement
Comprehensive benefits
Career advancement

Job summary

Ensemble Health Partners is seeking a Patient Access Associate Specialist for on-site work at Ballad - Russell County Hospital in Lebanon, VA. The role focuses on admitting patients, verifying insurance, and providing excellent customer service while ensuring compliance and accurate data entry.

Key duties include MRN assignment, eligibility checks, ABN handling, and patient education. Requires strong communication and at least 1 year of customer service experience, with CRCR certification due

Qualifications

  • 1+ year of customer service experience.
  • High school diploma or GED.
  • CRCR certification required within 6 months of hire.

Responsibilities

  • Handle admitting duties for all hospital patients.
  • Verify demographic and insurance information and collect payments.
  • Assign MRNs and perform medical necessity/compliance checks.
  • Explain consent forms and patient education documents.
  • Use ABN software to inform Medicare patients of possible non-payment.
  • Respond to calls and provide compassionate customer service.
  • Support POS collections and billing processes to help clean claims.

Skills

Customer service
Communication
Empathy

Education

High School Diploma/GED

Tools

ABN software
Insurance verification system
Overlay tool
Phone switchboard

Job description

## Patient Access Associate SpecialistApply: Lebanon, VA: Ballad - Russell County Hospital: Full time: Posted Today: R052993**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/hr based on experience **\\*\\*\\*This position is an onsite role at Ballad - Russell County Hospital, 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:** 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.* Responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey.* Operates the telephone switchboard to relay incoming, out-going 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.* 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 accurate, timely to meet audit standards and provides statistical data to Patient Access leadership.* Responsible for the pre-registration of patient accounts prior to 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.* Explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witnesses 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 insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.* Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets. **Experience:*** 1+ years of customer service experience **Required Education:*** High School Diploma/GED Required **Certification:*** CRCR Required within 6 months of hire (Company Paid)
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