Patient Access Specialist - Full Time

Ensemble Health Partners; United States; On-site; USD 35,000 - 47,000; 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 the on-site role at Children’s Minnesota – St. Paul Hospital in St. Paul, MN. The role involves admitting duties, POS data entry, and ensuring regulatory compliance while delivering excellent customer service.

The ideal candidate has 1+ year of customer service experience, a high school diploma or GED, and CRCR certification within 9 months of hire. This is an onsite position with shift flexibility and benefits.

Qualifications

• 1+ years of customer service experience.
• Minimum Education: High School Diploma/GED.
• Required Certifications: CRCR within 9 months of hire (Company Paid).

Responsibilities

• Handle patient access tasks: MRN assignment, eligibility checks, and POS data entry.
• Operate the hospital switchboard and route calls with courtesy.
• Explain consent forms and obtain signatures from patients/guardians.
• Review insurance eligibility and support clean claim submissions.
• Perform pre-registration and collect patient demographics and balances.
• Support compliance and quality audits using reporting systems.

Skills

Customer service

Curiosity about AI

Education

High School Diploma/GED

Tools

ABN software

Insurance verification system

Job description

About Ensemble

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!

Company Purpose & Culture

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.

Role Overview

The Opportunity: ENTRY LEVEL CAREER OPPORTUNITY OFFERING: Bonus Incentives, Paid Certifications, Tuition Reimbursement, Comprehensive Benefits, Career Advancement. Shift Differentials for Select Shifts. This position pays between $17.00 - $22.80 based on experience. This position is an onsite role, and candidates must be able to work on-site at Children's Minnesota - St. Paul Hospital in St. Paul, MN. Shifts: Days, Evenings, Overnights including weekends and holidays.

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

• 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.

Qualifications

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).

Eligibility & Work Location

Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.

Work location: Children’s Minnesota – St. Paul Hospital, St. Paul, MN. This is an onsite position.

Compensation & Benefits

This position pays between $17.00 - $22.80 based on experience.

Shift Differentials for Select Shifts.

Bonus Incentives.

Paid Certifications.

Tuition Reimbursement.

Comprehensive Benefits.

Career Advancement opportunities.

This posting addresses state specific requirements to provide pay transparency.

Equal Opportunity & Inclusion

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.

Additional Information

We believe we foster an environment where talented individuals can excel and shine. Our team believes that people are the most important part of our success and that when we take care of our people, they pay it forward by providing our clients with excellent results and world-class service.