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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 verification, and compliance checks while providing exceptional customer service. Proficient in utilizing quality auditing systems and managing patient financial information effectively.
Highest-signal resume keywords
Customer Service ExperienceMedical Necessity ChecksCRCR CertificationInsurance VerificationPoint-of-Service Collections
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 AssignmentPatient Account Pre-registrationQuality AuditingStatistical Data ReportingInsurance Plan Code SelectionBenefit Data EntryConsent Form ExplanationPayment Plan Options ManagementABN Software Screening
Soft Skills
Compassionate Customer ServiceOpenness to Innovation
Tools & Technologies
Telephone SwitchboardQuality Auditing Systems
Certifications & Qualifications
CRCR Certification
Industry Keywords
Patient AccessCompliance ChecksInsurance EligibilityPoint-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
- Operate the telephone switchboard
- Provide compassionate customer service
- 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 ABN software and distribute required forms
Requirements
What you’ll need- 1+ years of customer service experience
- Openness to innovation, including AI, to explore better processes and improve patient and client experiences
- High School Diploma/GED required
- CRCR required within 9 months of hire (company paid)
- Must reside and be authorized to work within the United States
- Must be able to work on-site at Independence - Clarion Hospital in Clarion, PA
Benefits
Comp & perks- Bonus incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive benefits package including healthcare, time off, retirement, and well-being programs
- Professional development opportunities
- Quarterly and annual incentive programs
- Career advancement opportunities
- Company-paid CRCR certification
- Work-life flexibility
- Reasonable accommodations for qualified individuals with disabilities