Patient Access Specialist - PRN

Overview

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. 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!

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 PRN position is on-site, and candidates must be able to work on-site at Adena - Fayette, Washington Court House, OH

• Patient Access staff are 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.
• Adhere to policies and provide excellent customer service in interactions with the appropriate level of compassion.
• Patient Access staff will be held accountable for point of service goals as assigned.
• Utilize quality auditing and reporting systems to ensure accounts are corrected. Conduct audits of accounts and ensure forms are completed accurately and timely to meet audit standards, providing statistical data to Patient Access leadership.
• Pre-registration of patient accounts prior to visits, including inbound and outbound calling to obtain demographic, insurance, and other patient information, including patient financial liabilities and collecting point of service collections and past due balances with payment plan options.
• Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures, and distribute patient education documents (e.g., Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and future service forms).
• Review eligibility responses in the insurance verification system and select applicable insurance plan codes, entering benefit data to support POS and billing processes to assist with a clean claim rate.
• Screen medical necessity using ABN software to inform Medicare patients of possible non-payment of tests and distribute ABNs as appropriate; document and distribute other designated forms and pamphlets.

• 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 Assessment 2024

Clarivate HBI Revenue Cycle Awards for strong performance 2020,

Energage Top Workplaces USA

Fortune Best Workplaces in Healthcare 2024

Monster Top Workplace for Remote Work 2024

Great Place to Work certified

• Associate Benefits – A comprehensive benefits package supporting health, time off, retirement, and well-being.
• Culture – Ensemble is a place where associates can do their best work and be their best selves, rooted in collaboration, growth, and innovation.
• Growth – Professional development including earning relevant certifications and tuition reimbursement.
• Recognition – Quarterly and annual incentive programs for employees who go beyond and raise the bar.

Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate based on race, color, sex, sexual orientation, gender, gender identity, religion, national…