Senior Patient Access Specialist

ensemblehp; Greenville (SC); Sur place; USD 26 000 - 27 000; Plein temps

Avantages offerts par ce poste

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Career advancement

Résumé du poste

Ensemble Health Partners is seeking a Senior Patient Access Specialist to join our Patient Access team. The role involves patient data verification, insurance checks, and ensuring accurate registrations with a focus on high-quality customer service.

The position includes on-call duties, training responsibilities, and collaboration with other departments to support revenue cycle processes. Compensation is hourly with benefits and growth opportunities.

Qualifications

• Experience in Patient Access or healthcare revenue cycle is preferred.
• Strong customer service and communication skills are essential.
• Ability to work on-call and provide after-hours support.
• Familiarity with insurance verification and eligibility processes is a plus.

Responsabilités

• Assign MRNs and perform medical necessity or compliance checks and collect insurance details.
• Audit and report accounts using quality auditing systems.
• Develop training materials and programs for new hires in the department.
• Create staff schedules within the patient access department.
• Provide after-hours support as part of on-call duties.
• Assist with point of service collections and support POS/billing processes.
• Explain and distribute consent forms and patient education documents.

Connaissances

Customer service

Communication

Attention to detail

Time management

Outils

ABN software

Insurance verification system

Overlay tool

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:

CAREER OPPORTUNITY OFFERING:

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement

This position pays between $18.65 - $19.90/hr based on experience

Essential Job Functions:

• Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician order while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey. They will serve as the SMART for the department. They are to adhere to Ensemble Health Partners policies and provide excellent customer service in these interactions with the appropriate level of compassion. Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
• 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.
• A Senior Patient Access Specialist is responsible for the development of training materials and programs for new hires to the department, as well as providing continuing education to associates in all areas of the revenue cycle.
• A Senior Patient Access Specialist is responsible for the development of staff schedules within the patient access department.
• A Senior Patient Access Specialist will have on-call responsibilities for the department, including providing after-hours support and guidance. As part of on-call responsibilities, the Senior Patient Access Specialist may be responsible for working unscheduled times to cover staffing issues.
• Senior Patient Access Specialist are responsible for the collection of point of service payments. These activities may be conducted in emergency, outpatient, and inpatient situations including past due balances and offering payment plan options The Patient Access Specialist is expected to adhere to Ensemble Health Partners policies and provide excellent customer service in these interactions. 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. Senior Patient Access Specialists will be held accountable for point of service goals as assigned.
• 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, Observation Forms, 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 including pre-registration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information, insurance information, and all other patient information.
• Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to i