Patient Access Specialist - PT

Overview

Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners 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 and emphasizes empowering people to challenge the status quo.

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.

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 Shenandoah Memorial Hospital.

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. The role operates within the organization’s mission, goals, and regulatory compliance requirements and follows policies and processes across the organization.

• Assign accurate MRNs, complete medical necessity / compliance checks, provide proper patient instructions, collect insurance information, receive and process physician orders, and utilize an overlay tool while delivering excellent customer service as measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
• Adhere to policies and provide excellent customer service with appropriate compassion.
• Meet point of service goals as assigned.
• Utilize quality auditing and reporting systems to ensure accounts are corrected; conduct audits, ensure forms are completed accurately and timely to meet audit standards, and provide statistical data to Patient Access leadership.
• Pre-register patient accounts prior to visits; may include inbound and outbound calls to obtain demographic, insurance, and other patient information including financial liabilities and point of service collections.
• Explain general consent for treatment forms, obtain signatures, and distribute patient education documents and forms implemented for future services.
• Review eligibility responses in the insurance verification system, select applicable plan codes, enter benefit data to support POS and billing processes to assist with a clean claim rate.
• Screen for medical necessity using ABN software for Medicare patients and distribute ABNs and other forms as appropriate.

• 1+ years of customer service experience

• High School Diploma/GED Required

• CRCR Required within 6 months of hire (Company Paid)

Five-time winner of “Best in KLAS” , ;
Black Book Research's Top Revenue Cycle Management Outsourcing Solution ; HFMA MAP Awards for High Performance in Revenue Cycle ;
Everest Group RCM Operations PEAK Matrix 2024; HBI Revenue Cycle Awards (2020, );
Energage Top Workplaces USA ;
Fortune Best Workplaces in Healthcare 2024;
Monster Top Workplace for Remote Work 2024;
Great Place to Work certified .

• Innovation

• Work-Life Flexibility

• Leadership

• Purpose + Values

Bottom line: we empower people with tools and resources to thrive, including:

• Associate Benefits – Comprehensive benefits supporting physical, emotional, and financial health, including healthcare, time off, retirement, and well-being programs.
• Our Culture – A culture rooted in collaboration, growth, and innovation where associates can do their best work.
• Growth – Professional development and tuition reimbursement;…