Patient Access Associate Specialist - PRN

First Roles; Cainhoy (SC); On-site; USD 19,000 - 28,000; Full time

Benefits offered by this job

Bonus Incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

Job summary

RSFH - Mt. Pleasant Hospital is seeking an entry-level Patient Access Associate Specialist to handle admitting duties for all patients admitted to the Mt. Pleasant, SC facility.

The role emphasizes accurate MRN assignment, insurance data collection, and timely processing of orders, with a focus on exceptional customer service. The position requires at least 1 year of customer service experience, a High School Diploma/GED, and CRCR certification within 9 months (company-paid).

Qualifications

• 1+ years of customer service experience.
• Willingness to innovate and embrace AI-driven improvements.

Responsibilities

• Perform patient admissions tasks including MRN assignment, medical necessity checks, insurance collection, and processing physician orders.
• Operate the hospital’s telephone switchboard and handle inter-office calls with professionalism.
• Adhere to policies and deliver compassionate customer service; meet POS goals.
• Audit and correct accounts using quality systems; provide statistics to Patient Access leadership.
• Pre-register patient accounts with demographic/insurance data and discuss financial liabilities and payment options.
• Explain consent forms, obtain signatures, and distribute patient education documents.
• Verify insurance eligibility and enter benefit data to support billing and POS processes.
• Review ABN guidance to inform Medicare patients of potential non-payment and distribute ABN forms as required.

Skills

Customer service

AI openness

Education

High School Diploma/GED

CRCR Certification

Job description

ENTRY LEVEL CAREER OPPORTUNITY OFFERING:

• Bonus Incentives


• Paid Certifications


• Tuition Reimbursement


• Comprehensive Benefits


• Career Advancement


• This position pays between $17.00 or higher based on experience.

This position is an onsite role, and candidates must be able to work on-site at RSFH - Mt. Pleasant Hospital , Mount Pleasant, SC

We are searching for the next Patient Access Associate 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:

• 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 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.


• Patient Access Staff are 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.


• The Patient Access Staff explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and 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 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


• 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.

Minimum Education:

• High School Diploma/GED Required

Certifications:

• CRCR Required within 9 months of hire (Company Paid)