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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 quality auditing systems and delivering exceptional customer service in a healthcare setting.
Highest-signal resume keywords
Customer Service ExperienceCRCR CertificationMedical Record ManagementInsurance VerificationQuality Auditing
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 ChecksPatient InstructionsAccount AuditsDemographic Information CollectionPoint-of-Service CollectionsBenefit Data EntryConsent Form DocumentationABN Software Screening
Soft Skills
Inquisitive MindsetOpen to Innovation
Tools & Technologies
Overlay ToolsTelephone SwitchboardQuality Auditing Systems
Certifications & Qualifications
CRCR
Industry Keywords
Patient AccessHealthcare ComplianceInsurance EligibilityThird Shift AvailabilityPatient Education
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
- Use overlay tools while delivering customer service measured by Press Ganey
- Operate the telephone switchboard
- 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 collections and past-due balances, including payment-plan options
- Explain consent and patient education forms, obtain signatures, and document witnesses
- Review insurance eligibility and select applicable plan codes
- Enter benefit data to support collections and billing processes
- Screen Medicare medical necessity using ABN software and distribute 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 be inquisitive and open to innovation, including AI
- Must reside and be authorized to work within the United States
- Must be available for full-time 3rd shift, 7:00 p.m.–7:30 a.m., with weekend and holiday rotation required
- Ability to walk room to room and push a 10-pound mobile computer station throughout the shift
Benefits
Comp & perks- Bonus incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive healthcare, time off, retirement, and well-being benefits
- Professional development opportunities
- Quarterly and annual incentive programs
- Career advancement opportunities