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Patient Access Representative
2 months ago
We are seeking a highly skilled and detail-oriented Patient Access Representative to join our team at Ensemble Health Partners. As a Patient Access Representative, you will play a critical role in ensuring the smooth and efficient admission process for patients.
Key Responsibilities- Perform admitting duties for all patients admitted for services at the hospital, ensuring compliance with regulatory requirements and organizational policies.
- Assign accurate Medical Record Numbers (MRNs), complete medical necessity/compliance checks, and provide proper patient instructions.
- Collect insurance information, receive and process physician orders, and utilize an overlay tool to provide excellent customer service.
- Operate the telephone switchboard, relaying incoming, outgoing, and inter-office calls, while adhering to policies and providing exceptional customer service.
- Utilize quality auditing and reporting systems to ensure accurate accounts, conducting audits and providing statistical data to Patient Access leadership.
- Pre-register patient accounts prior to visits, including inbound and outbound calling to obtain demographic, insurance, and patient information.
- Explain general consent for treatment forms to patients/guarantors/legal guardians, obtaining necessary signatures and witnesses' names.
- Explain and distribute patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and other relevant documents.
- Review eligibility responses in insurance verification systems and select applicable insurance plan codes, entering benefit data into the system to support Point of Service (POS) collections and billing processes.
- Accurately screen medical necessity using the Advanced Beneficiary Notice (ABN) software, informing Medicare patients of possible non-payment of tests and distributing the ABN as necessary.
- 1+ years of customer service experience
- High School Diploma/GED Required
- CRCR Certification Required within 6 months of hire
We are a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. Our mission is to empower our people to challenge the status quo and make a meaningful difference in the lives of our patients and communities.
We offer a comprehensive benefits package, a culture of collaboration, growth, and innovation, and opportunities for professional development and recognition. Ensemble Health Partners is an equal employment opportunity employer and provides reasonable accommodations to qualified individuals with disabilities.