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Patient Access Specialist
Ensemble Health Partners. Perform admitting duties for all patients admitted for hospital services .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in patient admission processes, insurance verification, and compliance checks while providing exceptional customer service. Capable of utilizing auditing systems and managing patient accounts effectively.
Highest-signal resume keywords
Customer Service ExperienceCRCR CertificationMedical Necessity ChecksInsurance VerificationPoint-of-Service Collections
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient Admission DutiesMedical Necessity ChecksInsurance Eligibility ReviewAccount AuditingData EntryPoint-of-Service CollectionsPatient Financial Information CollectionConsent Form ExplanationAdvanced Beneficiary Notice SoftwareStatistical Data Reporting
Soft Skills
Inquisitive NatureOpenness to Innovation
Tools & Technologies
Overlay ToolQuality Auditing SystemsTelephone Switchboard
Certifications & Qualifications
CRCR Certification
Industry Keywords
Patient AccessComplianceHealthcare ServicesInsurance PlansPatient Education
About the role
Key responsibilities & impact- Perform admitting duties for all patients admitted for hospital services
- Assign accurate MRNs
- Complete medical necessity and compliance checks
- Provide patient instructions and collect insurance information
- Receive and process physician orders
- Utilize an overlay tool while providing customer service measured by Press Ganey
- Operate the telephone switchboard and relay calls
- Meet assigned point-of-service goals
- Use quality auditing and reporting systems to correct accounts
- Conduct account audits and provide statistical data to Patient Access leadership
- Pre-register patient accounts before visits
- Make inbound and outbound calls to obtain demographic, insurance, and patient financial information
- Collect point-of-service collections and past-due balances, including payment plan options
- Explain consent forms and obtain required signatures and witness names
- Explain and distribute patient education and regulatory forms
- Review insurance eligibility responses and select applicable insurance plan codes
- Enter benefit data to support point-of-service collections and billing processes
- Screen medical necessity using Advanced Beneficiary Notice software
- Distribute and document designated forms and pamphlets
Requirements
What you’ll need- 1+ years of customer service experience
- High School Diploma/GED Required
- CRCR Required within 6 months of hire (Company Paid)
- Must be inquisitive and demonstrate openness to innovation including AI
- Must reside and be authorized to work within the United States
- Full-time schedule, 10:30am–7pm, with weekend rotation required
- Ability to walk from room to room and push a 10-pound mobile computer station throughout the entire shift
Benefits
Comp & perks- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits, including healthcare, time off, retirement, and well-being programs
- Professional development and a professional certification relevant to the field
- Quarterly and annual incentive programs
- Career Advancement
- Work-Life Flexibility