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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 ExperienceMedical Necessity ChecksCRCR CertificationInsurance 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 Record Number AssignmentQuality Auditing SystemsAccount AuditsInsurance Eligibility ReviewBenefit Data EntryAdvanced Beneficiary Notice (ABN) SoftwarePoint-of-Service PaymentsStatistical Data ReportingPre-Registration of Patient Accounts
Soft Skills
Inquisitive NatureOpenness to InnovationExcellent Communication
Tools & Technologies
Overlay ToolTelephone Switchboard
Certifications & Qualifications
CRCR
Industry Keywords
Patient AccessCompliance ChecksInsurance Information CollectionPatient Education FormsDemographic Information
About the role
Key responsibilities & impact- Perform admitting duties for all patients admitted for hospital services
- Assign accurate medical record numbers (MRNs)
- Complete medical necessity and compliance checks
- Provide patient instructions
- Collect insurance information
- Receive and process physician orders
- Utilize an overlay tool while providing excellent customer service
- Operate the telephone switchboard for incoming, outgoing, and inter-office calls
- Meet assigned point-of-service goals
- Use quality auditing and reporting systems to ensure accounts are corrected
- Conduct account audits and ensure forms are completed accurately and timely
- 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 liability information
- Collect point-of-service payments and past-due balances, including payment plan options
- Explain general consent forms and obtain 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 (ABN) software
- Distribute and document ABNs and other designated forms and pamphlets
Requirements
What you’ll need- 1+ years of customer service experience
- Must be inquisitive and demonstrate openness to innovation, including AI
- High School Diploma/GED required
- CRCR required within 9 months of hire
- Must reside in and be authorized to work within the United States
- Must be able to work on-site at Tower - Pottstown Hospital, Pottstown, PA
Benefits
Comp & perks- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits, including healthcare, time off, retirement, and well-being programs
- Career Advancement
- Professional development
- Quarterly and annual incentive programs
- Company-paid CRCR certification
- Work-life flexibility
- Reasonable accommodations for qualified individuals with disabilities