Patient Access Specialist - Ensemble RCM LLC

ENTRY LEVEL CAREER OPPORTUNITY OFFERING:

- Bonus Incentives - Paid Certifications - Tuition Reimbursement - Comprehensive Benefits - Career Advancement - This position pays between $17.25 - $18.45/hr based on experience 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

The Opportunity:

This position is an onsite role, and candidates must be able to work on-site at St

Joseph Hospital - NH

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:

- 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

- 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

- 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

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

- Patient Access Staff are responsible for the pre-registration of patient accounts prior to patient visits

This 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

- The Patient Access Staff explains general consent for treatment forms to thepatient/guarantor/legal guardian,obtains necessary signatures and witness's name

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 of 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 We Love:

1+ years of customer service experience

Minimum Education:

High School Diploma/GED Required

Certifications:

CRCR Required within 6 months of hire

(Company Paid)

Join an award-winning company

Three-time winner of Best in KLAS 2020-2022 2022Top Workplaces Healthcare Industry Award 2022 Top Workplaces USA Award 2022 Top Workplaces Culture Excellence Awards - Innovation - Work-Life Flexibility - Leadership - Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive

A few of those include: -

Associate Benefits

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We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs

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Our Culture

- Ensemble is a place where associates can do their best work and be their best selves

We put people first, last and always

Our culture is rooted in collaboration, growth, and innovation

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Growth -

We invest in your professional development

Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement

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Recognition -

We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company

Ensemble Health Partners is an equal employment opportunity employer

It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws

Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories

Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law

If you require accommodation in the application process, please contact [TA@ensemblehp.com]{rel="noreferrer" target="_blank"}

Please apply online using the link provided for immediate consideration.