Patient Access Specialist - Full Time

Ensemble Health Partners; Minneapolis (MN); On-site; USD 23,419 - 25,003; Full time

Benefits offered by this job

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Career advancement opportunities

Job summary

Ensemble Health Partners is seeking a Patient Access Specialist for their Minneapolis location. This onsite role involves ensuring accurate patient access by managing MRNs, verifying insurance eligibility, and delivering excellent customer service. Candidates should possess over a year of relevant experience and a high school diploma.

The position offers a pay rate between $17.00 and $18.15 per hour based on experience, along with bonuses, paid certifications, and benefits.

Qualifications

• 1+ years of customer service experience.
• Demonstrate openness to innovation including AI.
• Minimum Education: High School Diploma/GED.

Responsibilities

• Assign MRNs and complete medical necessity/compliance checks.
• Operate telephone switchboard and provide customer service.
• Pre-register patient accounts prior to visits.
• Review eligibility responses in insurance verification system.
• Distribute important documents and forms to patients.

Skills

Customer service experience

Inquisitive nature

Openness to innovation

Education

High School Diploma/GED

CRCR certification (within 9 months of hire)

Job description

Patient Access Specialist

This position is an onsite role, and candidates must be able to work on-site at Children's Minnesota Minneapolis Hospital in Minneapolis, MN. Shifts: Days, Evenings, Overnights including weekends and holidays.

Job Responsibilities

• Assign accurate MRNs and complete medical necessity/compliance checks, provide proper patient instructions, collect insurance information, receive and process physician orders, and utilize an overlay tool while delivering excellent customer service as measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, outgoing, and inter‑office calls as applicable; adhere to policies and provide excellent customer service with appropriate compassion.
• Hold accountability for assigned point‑of‑service goals.
• Use quality auditing and reporting systems to ensure accounts are corrected; conduct audits of accounts and ensure all forms are completed accurately and timely to meet audit standards, providing statistical data to Patient Access leadership.
• Pre‑register patient accounts prior to visits; perform inbound and outbound calling to obtain demographic, insurance, and other patient information, including patient financial liabilities, collections of point‑of‑service balances, and past‑due balances and payment plan options.
• Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures and witness’s name.
• Explain and distribute 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.
• Review eligibility responses in the insurance verification system, appropriately select the applicable insurance plan code, and enter benefit data into the system to support POS and billing processes for a clean claim rate.
• Accurately screen medical necessity using Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non‑payment of tests by Medicare and distribute ABN as appropriate.
• Distribute and document other designated forms and pamphlets.

Qualifications

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

Compensation & Benefits

This position pays between $17.00 and $18.15 per hour based on experience. The role offers bonus incentives, paid certifications, tuition reimbursement, comprehensive benefits, and career advancement opportunities.

Equal Opportunity & Disability Accommodation

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information, or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [e-mail].