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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 expertise in patient registration, insurance verification, and compliance checks while providing exceptional customer service. Proficient in operating telephone switchboards and utilizing quality auditing systems to support billing processes.
Highest-signal resume keywords
Patient RegistrationInsurance VerificationMedical Necessity ScreeningCustomer ServiceCRCR Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical Record Number AssignmentCompliance ChecksPoint-of-Service CollectionsAccount AuditsDemographic Information CollectionInsurance Plan Code SelectionBenefit Data EntryConsent Form ExplanationPayment ProcessingQuality Auditing
Soft Skills
InquisitiveOpen to Innovation
Tools & Technologies
ABN SoftwareTelephone SwitchboardQuality Auditing Systems
Certifications & Qualifications
CRCR
Industry Keywords
Patient AccessMedical NecessityInsurance EligibilityPatient Education FormsPoint-of-Service Goals
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 and collect insurance information
- Receive and process physician orders
- Use overlay tools 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 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 payments and past-due balances, including payment plan options
- Explain and distribute consent, Medicare, Tricare, observation, MOON, and other patient education 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 ABN software and distribute and document required forms
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 open to innovation, including AI
- Must be able to work on-site at Beebe Main Campus in Lewes, DE
- Must reside in and be authorized to work within the United States
- Ability to perform accurate patient registration, insurance verification, medical necessity screening, and compliance checks
- Ability to operate telephone switchboard
- Ability to collect and process demographic, insurance, and financial information
- Ability to explain consent and patient education forms and obtain signatures
Benefits
Comp & perks- Bonus incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive benefits package including healthcare, time off, retirement, and well-being programs
- Career advancement opportunities
- Professional development
- Quarterly and annual incentive programs
- Company-paid CRCR certification