Patient Access Specialist

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. 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.

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 Ardent - UKH - St Francis in Topeka, KS.

Role: 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, 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.

• Perform admitting duties for patients, 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.
• Be held accountable for point of service goals as assigned.
• Utilize quality auditing and reporting systems to ensure accounts are corrected; this may include accounts for other employees, departments, and facilities.
• Conduct audits of accounts and ensure forms are completed accurately and timely to meet audit standards; provide statistical data to Patient Access leadership.
• Pre-register patient accounts prior to visits, including inbound/outbound calls to obtain demographic, insurance, and other patient information including financial liabilities and collecting point of service collections and past due balances with payment plan options.
• Explain general consent for treatment forms, obtain necessary signatures, and identify witnesses as required.
• Explain and distribute patient education documents and forms (e.g., Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms) and all forms implemented for future services.
• Review eligibility responses in the insurance verification system and select applicable plan codes; enter benefit data to support POS and billing processes to aid clean claim rate.
• Screen for medical necessity using ABN software for Medicare patients and distribute ABN as appropriate.
• Distribute and document other designated forms and pamphlets.

• 1+ years of customer service experience.
• Minimum Education:
  
  High School Diploma/GED.
• Required
  
  Certifications:
  
  CRCR required within 9 months of hire (Company Paid).

Awards & Recognitions

• 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
• Leader…