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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 processing, and compliance checks while providing exceptional customer service. Proficient in utilizing auditing systems and managing patient financial information effectively.
Highest-signal resume keywords
Customer Service ExperienceCRCR CertificationMedical Necessity ChecksInsurance Information ProcessingPoint-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 AdmissionsMedical Necessity ChecksInsurance ProcessingAccount AuditsData EntryPoint-of-Service PaymentsBenefit Data EntryConsent Form ExplanationPatient Education Document DistributionAdvanced Beneficiary Notice Software
Soft Skills
InquisitivenessOpenness to Innovation
Tools & Technologies
Telephone SwitchboardQuality Auditing Systems
Certifications & Qualifications
CRCR
Industry Keywords
Patient AccessCompliance ChecksInsurance EligibilityDemographic InformationPayment Plans
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 customer service
- Collect insurance information and process physician orders
- 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 patient financial information
- Collect point-of-service payments and past-due balances, including payment plan options
- Explain consent forms and obtain required signatures and witness names
- Explain and distribute patient education documents and required forms
- 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
Requirements
What you’ll need- 1+ years of customer service experience
- Inquisitiveness and openness to innovation, including AI
- High School Diploma/GED required
- CRCR required within 9 months of hire
- Must reside and be authorized to work within the United States
- Ability to work onsite at Mercy - St Rita's Medical Center in Lima, OH
- Part-time availability for 1st and 2nd shift hours with weekend rotation required
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 within 9 months of hire
- Work-life flexibility