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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 proficiency in patient admission processes, including medical necessity checks, insurance verification, and compliance with healthcare regulations. Capable of utilizing quality auditing systems and providing exceptional customer service in a fast-paced environment.
Highest-signal resume keywords
Customer Service ExperienceMedical Necessity ChecksInsurance VerificationCRCR CertificationQuality Auditing Systems
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 ProcessesMedical Record Number AssignmentPoint-of-Service PaymentsAccount AuditsInsurance Plan Code SelectionDemographic Information CollectionConsent Form DocumentationABN Software Screening
Soft Skills
InquisitivenessOpenness to InnovationCommunication Skills
Tools & Technologies
Overlay ToolsTelephone SwitchboardQuality Auditing Systems
Certifications & Qualifications
CRCR Certification
Industry Keywords
Healthcare CompliancePatient AccessInsurance EligibilityFinancial Information Collection
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
- Use overlay tools while providing customer service
- Operate the telephone switchboard and relay 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 financial information
- Collect point-of-service payments and past-due balances, including payment-plan options
- Explain consent and patient education forms, obtain signatures, and document witnesses
- Review insurance eligibility responses, select insurance plan codes, and enter benefit data to support collections and billing
- Screen medical necessity using ABN software and distribute and document required forms
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 demonstrate inquisitiveness and openness to innovation, including AI
- Must reside in 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 benefits including healthcare, time off, retirement, and well-being programs
- Professional development
- Quarterly and annual incentive programs
- Career advancement opportunities
- Company-paid CRCR certification within 6 months of hire