Patient Access Coordinator
1 month ago
Ensemble Health Partners 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 as well as a comprehensive suite of point solutions to clients across the country.
As a Patient Access Specialist, you will play a critical role in ensuring the smooth and efficient flow of patients through our healthcare system. Your primary responsibility will be to perform 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.
Key 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 in these interactions with the appropriate level of compassion.
- Be held accountable for point of service goals as assigned.
- Utilize quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities.
- Conduct audits of accounts and assure that all forms are completed accurate, timely to meet audit standards and provide statistical data to Patient Access leadership.
- Pre-register 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.
- Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures and witness's name. Explain and 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 insurance verification system and appropriately select the applicable insurance plan code, enter benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
- Accurately screen medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribute the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.
- 1+ years of customer service experience
- High School Diploma/GED Required
- CRCR Required within 9 months of hire (Company Paid)
We are a company that believes in empowering people and giving them the tools and resources needed to thrive. 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. Our culture is rooted in collaboration, growth, and innovation. We invest in your professional development, and each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
We are 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. We also prohibit harassment of applicants or employees based on any of these protected categories.
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