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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 admissions, insurance verification, and compliance checks while providing exceptional customer service. Capable of utilizing auditing systems and managing point-of-service collections effectively.
Highest-signal resume keywords
Patient AdmissionsInsurance VerificationCustomer ServiceCRCR CertificationQuality Auditing
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 CollectionsAccount AuditsData EntryInsurance Plan Codes
Soft Skills
InquisitiveOpenness to Innovation
Tools & Technologies
Advanced Beneficiary Notice SoftwareQuality Auditing SystemsTelephone Switchboard
Certifications & Qualifications
CRCR
Industry Keywords
Patient AccessHealthcare ComplianceInsurance EligibilityDemographic InformationFinancial Liability
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 overlay tools while providing 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 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 financial liability information
- Collect point-of-service payments and past-due balances, including payment-plan options
- Explain and obtain signatures for consent and 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 Advanced Beneficiary Notice 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 (Company Paid)
- Must be able to work on-site at Mercy - Kings Mills Hospital in Mason, OH
- Must reside and be authorized to work within the United States
Benefits
Comp & perks- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive benefits package including healthcare, time off, retirement, and well-being programs
- Professional development and a professional certification relevant to the associate’s field
- Quarterly and annual incentive programs
- Career advancement opportunities
- Work-life flexibility