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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, insurance verification, and compliance checks while providing exceptional customer service. Proficient in utilizing auditing systems and managing patient accounts to ensure accurate billing and collections.
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
Patient Admission DutiesMedical Record Number AssignmentQuality AuditingAccount AuditsInsurance Eligibility ReviewBenefit Data EntryPayment Plan OptionsConsent Form ExplanationDemographic Information CollectionStatistical Data Reporting
Soft Skills
Inquisitive NatureOpenness to Innovation
Tools & Technologies
ABN SoftwareOverlay ToolTelephone Switchboard
Certifications & Qualifications
CRCR Certification
Industry Keywords
Patient AccessCompliance ChecksPoint-of-Service GoalsInsurance Plan CodesPatient Education Forms
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 an overlay tool 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 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 offering payment plan options
- Explain consent and patient education forms, obtain 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 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 demonstrate openness to innovation, including AI
- Must be able to work on-site in Stamford, CT
- Must reside and be authorized to work within the United States
- Ability to work assigned full-time shifts, including rotating holidays and weekends where applicable
Benefits
Comp & perks- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive benefits package including healthcare, time off, retirement, and well-being programs
- Professional certification relevant to the field
- Quarterly and annual incentive programs
- Career advancement
- Work-life flexibility
- Professional development opportunities