Associate Specialist, Patient Access
Ensemble Health Partners, Westwood, NJ, United States
Overview
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. We offer end‑to‑end revenue cycle solutions and a comprehensive suite of point solutions to clients across the country. We are searching for the next Patient Access Specialist champion to perform admitting duties for all patients admitted for services at the hospital and to help meet the mission and goals of the organization while complying with regulatory requirements.
Responsibilities
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 providing 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 compassionate interactions.
Hold accountability for point‑of‑service goals as assigned.
Utilize quality auditing and reporting systems to ensure accounts are corrected; conduct audits of accounts and ensure all forms are completed accurately and timely, providing statistical data to Patient Access leadership.
Conduct pre‑registration of patient accounts prior to visits, including inbound and outbound calls to obtain demographic, insurance, and other patient information including financial liabilities, collect point‑of‑service collections, and past‑due balances with payment plan options.
Explain general consent for treatment forms, obtain necessary signatures and witness names, distribute 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.
Review eligibility responses in the insurance verification system, select the applicable insurance plan code, enter benefit data to support POS and billing processes to assist in a clean claim rate.
Accurately screen medical necessity using the Advanced Beneficiary Notice (ABN) software, inform Medicare patients of possible non‑payment by Medicare, distribute ABN appropriately, and document other designated forms and pamphlets.
Experience
1+ years of customer service experience.
Must be inquisitive and demonstrate openness to innovation, including AI, to explore better processes and ways to alleviate friction and improve patient and client experiences.
Minimum Education
High School Diploma/GED Required.
Certifications
CRCR Required within 9 months of hire (Company Paid).
Benefits
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits Package (healthcare, time off, retirement, and well‑being programs).
Career Advancement
Compensation
Hourly pay: $17.00 – $18.15/hour based on experience. Onsite role at Ardent – Pascack Valley in Westwood, NJ; candidates must be able to work on‑site.
Equal Employment Opportunity Statement
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 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.
Employment Disclaimers – Ensemble
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job‑related factors, including but not limited to geographic location, knowledge, skills, relevant experience, education, licensure, internal equity, and time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.
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Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. We offer end‑to‑end revenue cycle solutions and a comprehensive suite of point solutions to clients across the country. We are searching for the next Patient Access Specialist champion to perform admitting duties for all patients admitted for services at the hospital and to help meet the mission and goals of the organization while complying with regulatory requirements.
Responsibilities
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 providing 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 compassionate interactions.
Hold accountability for point‑of‑service goals as assigned.
Utilize quality auditing and reporting systems to ensure accounts are corrected; conduct audits of accounts and ensure all forms are completed accurately and timely, providing statistical data to Patient Access leadership.
Conduct pre‑registration of patient accounts prior to visits, including inbound and outbound calls to obtain demographic, insurance, and other patient information including financial liabilities, collect point‑of‑service collections, and past‑due balances with payment plan options.
Explain general consent for treatment forms, obtain necessary signatures and witness names, distribute 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.
Review eligibility responses in the insurance verification system, select the applicable insurance plan code, enter benefit data to support POS and billing processes to assist in a clean claim rate.
Accurately screen medical necessity using the Advanced Beneficiary Notice (ABN) software, inform Medicare patients of possible non‑payment by Medicare, distribute ABN appropriately, and document other designated forms and pamphlets.
Experience
1+ years of customer service experience.
Must be inquisitive and demonstrate openness to innovation, including AI, to explore better processes and ways to alleviate friction and improve patient and client experiences.
Minimum Education
High School Diploma/GED Required.
Certifications
CRCR Required within 9 months of hire (Company Paid).
Benefits
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits Package (healthcare, time off, retirement, and well‑being programs).
Career Advancement
Compensation
Hourly pay: $17.00 – $18.15/hour based on experience. Onsite role at Ardent – Pascack Valley in Westwood, NJ; candidates must be able to work on‑site.
Equal Employment Opportunity Statement
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 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.
Employment Disclaimers – Ensemble
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job‑related factors, including but not limited to geographic location, knowledge, skills, relevant experience, education, licensure, internal equity, and time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.
#J-18808-Ljbffr