Patient Access Specialist - PART TIME

Ensemble Health Partners; Roanoke (VA); Hybrid; USD 23,000 - 25,000; Full time

Benefits offered by this job

Bonus incentives

Tuition reimbursement

Comprehensive benefits

Job summary

Ensemble Health Partners in Roanoke, VA is seeking an entry-level Patient Access Representative to perform admitting duties for hospital services. You will collect insurance information, verify eligibility, assign MRNs, and support POS collections with compassionate service.

The role offers on-site work at Roanoke Memorial Hospital, a path to professional growth, tuition reimbursement, and a comprehensive benefits package.

Qualifications

• 1+ years of customer service experience.
• Ability to work on-site at Roanoke Memorial Hospital in Roanoke, VA.

Responsibilities

• Admitting duties for all patients admitted for services at the hospital.
• Assign MRNs, verify medical necessity/compliance, collect insurance information, process orders, and use an overlay tool while providing excellent customer service.
• Operate the telephone switchboard for calls.
• Adhere to policies and provide compassionate service.
• Meet point of service goals.
• Use auditing/reporting systems to correct accounts.
• Pre-register patient accounts prior to visits.
• Obtain demographic/insurance information and explain patient financial responsibilities.
• Explain consent forms and distribute patient education documents.
• Review eligibility in the insurance verification system and select applicable plan code for POS.
• Screen medical necessity using ABN software and issue ABN as appropriate.
• Distribute other designated forms and pamphlets.

Skills

Customer service

Communication

Empathy

Education

High School Diploma/GED

CRCR certification

Tools

ABN software

Insurance verification system

CRM system

Job description

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: 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 and candidates must be able to work on-site at Carilion - Roanoke Memorial Hospital in Roanoke, VA.

Job Responsibilities

• The Patient Access Representative is responsible for performing admitting duties for all patients admitted for services at the hospital.
• 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 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.

Required Education

High School Diploma/GED

Required Certification

CRCR Required within 6 months of hire (Company Paid)

Benefits

• Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement
• Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Join an award-winning company Five-time winner of "Best in KLAS" 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive.

Equal Opportunity

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.

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.

Accommodation

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].