Patient Access Specialist - PRN

ensemblehp; Johnson City (TN); 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

ensemblehp is seeking a Patient Access Specialist for on-site work at Ballad - Johnson City Medical Center in Johnson City, TN. The role focuses on admitting duties, accurate MRN assignment, insurance data collection, and POS collections while upholding regulatory compliance and patient care standards.

The candidate should have 1+ year of customer service experience and be open to innovative processes, including AI-powered improvements.

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.
• High School Diploma/GED required.

Responsibilities

• Assign accurate MRNs and complete medical necessity/compliance checks while providing excellent customer service as measured by Press Ganey.
• Operate the telephone switchboard and relay calls with compassion and adherence to policies.
• Utilize quality auditing and reporting systems to correct accounts and provide statistical data to leadership.
• Pre-register patient accounts including collecting demographic, insurance, and other information and discuss patient liabilities and payment options.
• Explain general consent forms and obtain necessary signatures with witnessNames.
• Distribute patient education documents such as Medicare/Tricare notices and consent forms.
• Review eligibility responses in the insurance verification system and support POS and billing processes for clean claim rate.
• Screen medical necessity using ABN software and manage related forms and pamphlets.

Skills

Customer service

Communication

Adaptability

Education

High School Diploma/GED

Job description

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 an onsite role and candidates must be able to work on-site at Ballad - Johnson City Medical Center in Johnson City, TN****

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:

• 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.
• 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, which 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 witness surname.
• 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 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