Patient Access Specialist Full Time

Ensemble RCM; Winchester (VA); Sur place; USD 23 000 - 25 000; Plein temps

Avantages offerts par ce poste

Bonus Incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

Résumé du poste

Ensemble RCM in Winchester, VA is seeking a Patient Access Specialist to join our team on-site at the hospital. You will handle pre-registration, insurance verification, and patient financial interactions while delivering excellent service and accuracy.

Requires 1+ year of customer service experience, a High School Diploma/GED, and CRCR certification within 6 months of hire. Competitive benefits and growth opportunities available.

Qualifications

• 1+ years of customer service experience.
• Strong communication and interpersonal skills.
• Ability to handle sensitive information with discretion.

Responsabilités

• Assigns MRNs, performs medical necessity checks, collects insurance information, and schedules patient-related tasks with accuracy.
• Operates telephone switchboard, provides compassionate customer service and meets POS goals.
• Audits accounts and ensures timely, accurate forms and data for leadership review.
• Pre-registers patient accounts, collects demographic and financial information, and communicates payment options.

Connaissances

Customer service

Formation

High School Diploma

Description du poste

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:

• 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 located in Winchester, VA and candidates must sit on site at the hospital

We are searching for the next Patient Access Specialist champion.

Job Responsibilities:

• 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 Pai