Patient Access Specialist

Ensemble Health Partners; Bristol (CT); On-site; USD 23,000 - 25,000; Full time

Benefits offered by this job

Bonus Incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

Job summary

Ensemble Health Partners seeks an entry-level Patient Access Specialist to perform admitting duties for all hospital patients at Ballad. This on-site role requires accuracy, regulatory compliance, and strong customer service to support hospital operations.

The position emphasizes collecting insurance data, explaining consent forms, and ensuring smooth patient flow with POS and billing. Comprehensive benefits and tuition reimbursement accompany career advancement opportunities.

Qualifications

• 1+ years of customer service experience
• High School Diploma/GED Required
• CRCR Required within 6 months of hire (Company Paid)

Responsibilities

• Admitting duties for all patients admitted for services at the hospital and ensure compliance with organization goals and regulatory requirements.
• Operate the telephone switchboard and provide excellent customer service with appropriate compassion.
• Audit and report on accounts to ensure accuracy and timeliness, supporting POS and billing processes.
• Pre-register patient accounts, obtain demographic/insurance info, and discuss financial liabilities including payment plans.
• Explain and obtain signatures on consent forms and distribute patient education documents.
• Review insurance eligibility and select applicable plan codes to support POS and billing.

Skills

Customer service

Education

High School Diploma/GED

CRCR Certification

Job description

Job Description

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 and candidates must be able to work on-site***

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)