Patient Access Specialist
Ensemble Health Partners, Paducah, KY, United States
Job Responsibilities
Assign accurate MRNs, complete medical necessity and compliance checks, provide proper patient instructions, collect insurance information, receive and process physician orders, and utilize an overlay tool while delivering excellent customer service measured by Press Ganey.
Operate the telephone switchboard to relay incoming, outgoing, and inter‑office calls.
Adhere to policies and provide compassionate customer service in all interactions.
Accountable for point‑of‑service goals as assigned.
Utilize quality auditing and reporting systems to correct accounts, audit accounts for employees, departments, and facilities, and ensure all forms are complete, accurate, and timely to meet audit standards, providing statistical data to leadership.
Pre‑register patient accounts prior to visits, including inbound and outbound calls to obtain demographic, insurance, and other patient information and collect financial liabilities, point‑of‑service collections, and past‑due balances with payment plan options.
Explain consent for treatment forms to the patient or guarantor, obtain signatures and witness names, and distribute patient education documents such as Medicare, Tricare, Observation Forms, MOON form, and consent forms.
Review eligibility responses in the insurance verification system, select applicable insurance plan codes, and enter benefit data to support point‑of‑service collections and billing processes for a clean claim rate.
Accurately screen medical necessity using the Advanced Beneficiary Notice software, inform Medicare patients of possible non‑payment, and distribute ABN and other designated forms as appropriate.
Experience
1+ years of customer service experience.
Inquisitive and open to innovation, including exploring AI to improve processes and patient experiences.
Minimum Education
High School Diploma or GED required.
Certifications
CRCR required within 9 months of hire (company paid).
Compensation and Location
This position pays between $17.00 and $18.15 per hour, based on experience. The role is onsite, and candidates must be able to work on‑site at Mercy – Lourdes Hospital in Paducah, KY.
Benefits
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.
Focus on culture, growth, and innovation, providing professional development and tuition reimbursement.
Recognition through quarterly and annual incentive programs for high performance.
Ensemble 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 also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble provides reasonable accommodations to qualified individuals with disabilities under the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.
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Assign accurate MRNs, complete medical necessity and compliance checks, provide proper patient instructions, collect insurance information, receive and process physician orders, and utilize an overlay tool while delivering excellent customer service measured by Press Ganey.
Operate the telephone switchboard to relay incoming, outgoing, and inter‑office calls.
Adhere to policies and provide compassionate customer service in all interactions.
Accountable for point‑of‑service goals as assigned.
Utilize quality auditing and reporting systems to correct accounts, audit accounts for employees, departments, and facilities, and ensure all forms are complete, accurate, and timely to meet audit standards, providing statistical data to leadership.
Pre‑register patient accounts prior to visits, including inbound and outbound calls to obtain demographic, insurance, and other patient information and collect financial liabilities, point‑of‑service collections, and past‑due balances with payment plan options.
Explain consent for treatment forms to the patient or guarantor, obtain signatures and witness names, and distribute patient education documents such as Medicare, Tricare, Observation Forms, MOON form, and consent forms.
Review eligibility responses in the insurance verification system, select applicable insurance plan codes, and enter benefit data to support point‑of‑service collections and billing processes for a clean claim rate.
Accurately screen medical necessity using the Advanced Beneficiary Notice software, inform Medicare patients of possible non‑payment, and distribute ABN and other designated forms as appropriate.
Experience
1+ years of customer service experience.
Inquisitive and open to innovation, including exploring AI to improve processes and patient experiences.
Minimum Education
High School Diploma or GED required.
Certifications
CRCR required within 9 months of hire (company paid).
Compensation and Location
This position pays between $17.00 and $18.15 per hour, based on experience. The role is onsite, and candidates must be able to work on‑site at Mercy – Lourdes Hospital in Paducah, KY.
Benefits
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.
Focus on culture, growth, and innovation, providing professional development and tuition reimbursement.
Recognition through quarterly and annual incentive programs for high performance.
Ensemble 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 also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble provides reasonable accommodations to qualified individuals with disabilities under the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.
#J-18808-Ljbffr