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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, including medical record management, insurance verification, and compliance checks. Proficient in utilizing auditing systems and providing exceptional customer service in a healthcare setting.
Highest-signal resume keywords
Patient Admission DutiesMedical Record ManagementInsurance VerificationCustomer Service ExperienceCRCR Certification
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 CodesAdvanced Beneficiary Notice SoftwareStatistical ReportingPatient Financial Information CollectionPre-Registration of Patient AccountsQuality Auditing Systems
Soft Skills
Inquisitive MindsetOpen to InnovationExcellent Communication
Tools & Technologies
Overlay ToolTelephone Switchboard
Certifications & Qualifications
CRCR
Industry Keywords
HealthcarePatient AccessComplianceMedical RecordsInsurance Eligibility
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
- Utilize an overlay tool and provide excellent 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 ensure accounts are corrected
- 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 collections and past-due balances, including payment plan options
- Explain consent and patient education forms, obtain necessary signatures, and witness signatures
- 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 open 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 in and be authorized to work within the United States
- Ability to work onsite at Ardent - Hillcrest Pryor in Pryor, Oklahoma
- Ability to work PRN/mid shifts, 10 a.m.–10 p.m. or ER shifts, 7 a.m.–7 p.m., with rotating weekends
Benefits
Comp & perks- Bonus incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive healthcare, time off, retirement, and well-being benefits
- Professional certification relevant to the field
- Quarterly and annual incentive programs
- Career advancement opportunities
- Work-life flexibility
- Professional development
- Reasonable accommodations for qualified individuals with disabilities