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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 admission processes, insurance verification, and compliance checks while providing exceptional customer service. Proficient in utilizing technology for data entry and patient management, ensuring accuracy and adherence to regulatory standards.
Highest-signal resume keywords
Patient Admission ProcessesInsurance VerificationCRCR CertificationCustomer Service ExperienceRegulatory Compliance
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 Necessity ChecksPoint-of-Service CollectionsData EntryQuality AuditsInsurance Plan CodesABN Software ScreeningPatient Financial Information CollectionStatistical Data ReportingPre-Registration of Patient AccountsTelephone Switchboard Operation
Soft Skills
Inquisitive NatureOpenness to InnovationEffective CommunicationAttention to DetailCustomer Service Orientation
Tools & Technologies
Overlay ToolMobile Computer StationPatient Management Software
Certifications & Qualifications
CRCR Certification
Industry Keywords
Patient AccessHealthcare ComplianceMedical Records Number (MRN)Insurance EligibilityConsent Forms
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
- Use an overlay tool while providing customer service
- Operate the telephone switchboard and relay calls
- Meet assigned point-of-service goals
- Conduct quality audits and correct accounts
- 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 information
- Collect point-of-service collections and past-due balances, including payment plan options
- Explain consent and patient education forms and obtain signatures and witness names
- 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 required notices and forms
Requirements
What you’ll need- 1+ years of customer service experience
- High School Diploma/GED required
- CRCR required within 6 months of hire
- Must be inquisitive and demonstrate openness to innovation including AI
- Must reside and be authorized to work within the United States
- Ability to walk from room to room and push a 10-pound mobile computer station throughout the shift
- Ability to meet regulatory compliance requirements and organizational policies
Benefits
Comp & perks- Bonus Incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive benefits package 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