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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 admissions, insurance processing, and compliance checks while providing exceptional customer service. Proficient in utilizing auditing systems and managing patient financial information effectively.
Highest-signal resume keywords
Patient AdmissionsInsurance ProcessingCustomer ServiceCRCR CertificationMedical Necessity 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 CollectionsAccount AuditsInsurance Eligibility ReviewData EntryStatistical ReportingPayment ProcessingConsent Form ManagementOverlay Tool UtilizationAdvanced Beneficiary Notice Software
Soft Skills
Inquisitive NatureOpen to InnovationEffective CommunicationCustomer Interaction
Tools & Technologies
Telephone SwitchboardQuality Auditing SystemsPatient Access Leadership Tools
Certifications & Qualifications
CRCR Certification
Industry Keywords
Patient AccessHealthcare ComplianceInsurance InformationDemographic Data CollectionPoint-of-Service Goals
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 customer service
- Collect insurance information and process physician orders
- Utilize an overlay tool
- 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 consent and patient education forms and obtain required 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 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
- High School Diploma/GED required
- CRCR required within 6 months of hire; company paid
- Must be inquisitive and open to innovation, including AI
- Must reside and be authorized to work within the United States
- Weekend and holiday rotation required
- Ability to walk from room to room and push a 10-pound mobile computer station throughout the shift
Benefits
Comp & perks- Bonus incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive healthcare, time off, retirement, and well-being programs
- Professional certification relevant to the field
- Quarterly and annual incentive programs
- Career advancement opportunities
- Work-life flexibility
- Professional development