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Patient Access Specialist
Ensemble Health Partners. Perform admitting duties for patients receiving hospital services .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient admissions, insurance verification, and compliance checks while providing exceptional customer service. Proficient in managing patient accounts, conducting audits, and utilizing quality auditing systems to ensure accuracy and regulatory adherence.
Highest-signal resume keywords
CRCR CertificationMedical Necessity ChecksPatient Account AuditsInsurance VerificationCustomer Service Experience
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 AssignmentPoint-of-Service CollectionsBenefit Data EntryConsent Form ExplanationABN Software Screening
Soft Skills
Inquisitive NatureOpenness to InnovationExcellent Communication
Tools & Technologies
Quality Auditing SystemsTelephone Switchboard
Certifications & Qualifications
CRCR Certification
Industry Keywords
Patient AccessCompliance RequirementsInsurance EligibilityDemographic InformationPayment Plans
About the role
Key responsibilities & impact- Perform admitting duties for patients receiving 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
- Operate the telephone switchboard and relay calls
- Meet point-of-service collection 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 financial information
- Collect point-of-service payments and past-due balances, including payment plan options
- Explain consent and patient education forms, obtain signatures, and witness signatures
- Review insurance eligibility and select appropriate plan codes
- Enter benefit data to support collections and billing processes
- Screen Medicare medical necessity using ABN software and distribute required forms
- Provide excellent customer service while meeting organizational, regulatory, and compliance requirements
Requirements
What you’ll need- 1+ years of customer service experience
- High School Diploma/GED required
- CRCR certification required within 6 months of hire
- Must be inquisitive and open to innovation, including AI
- Must reside in and be authorized to work within the United States
- Ability to work onsite in Stamford, CT
- Availability for assigned full-time shifts, including rotating weekends and holidays where applicable
Benefits
Comp & perks- Bonus incentives
- Paid professional certifications
- Tuition reimbursement
- Comprehensive healthcare, time off, retirement, and well-being benefits
- Career advancement opportunities
- Quarterly and annual incentive programs
- Professional development
- Company-paid CRCR certification within 6 months of hire
- Work-life flexibility