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Patient Access Specialist, Part-Time
Ensemble Health Partners. Perform admitting duties for 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 verification, and compliance checks while providing exceptional customer service. Proficient in utilizing auditing systems and managing patient accounts to ensure accurate billing and regulatory adherence.
Highest-signal resume keywords
Customer Service ExperienceMedical Necessity Compliance ChecksInsurance Information CollectionCRCR CertificationTelephone Switchboard Operation
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 AdmissionsMRN AssignmentAccount AuditsPre-Registration of Patient AccountsInsurance Eligibility ReviewBenefit Data EntryPoint-of-Service CollectionsOverlay Tool UtilizationQuality Auditing SystemsABN Software Screening
Soft Skills
InquisitivenessOpenness to Innovation
Certifications & Qualifications
CRCR
Industry Keywords
Regulatory CompliancePatient AccessPress GaneyInsurance Plan CodesPatient Education Forms
About the role
Key responsibilities & impact- Perform admitting duties for patients admitted for hospital services
- Assign accurate MRNs and complete medical necessity/compliance checks
- Provide patient instructions and collect insurance information
- Receive and process physician orders and utilize an overlay tool
- Provide customer service measured by Press Ganey
- Operate the telephone switchboard and relay 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 payment plan options
- Explain consent and patient education forms, obtain signatures, and witness signatures
- Review insurance eligibility 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/document designated 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 able to work on-site at Beebe Main Campus in Lewes, DE
- Must reside and be authorized to work within the United States
- Must demonstrate inquisitiveness and openness to innovation, including AI
- Ability to meet regulatory compliance requirements
- Ability to provide excellent customer service
- Ability to accurately assign MRNs, complete medical necessity/compliance checks, collect insurance information, process physician orders, and use an overlay tool
- Ability to operate a telephone switchboard
- Ability to conduct account audits and use quality auditing/reporting systems
- Ability to pre-register patient accounts and obtain demographic, insurance, and financial liability information
- Ability to explain consent forms and distribute patient education documents
- Ability to review insurance eligibility responses and enter benefit data
- Ability to screen medical necessity using ABN software
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 associate’s field
- Quarterly and annual incentive programs
- Career advancement opportunities
- Work-life flexibility
- Professional development
- Reasonable accommodations for qualified individuals with disabilities