Patient Access Specialist - Kingsport, TN
Company: Ensemble Health Partners
Location: Kingsport
Posted on: March 16, 2023
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Job Description:
Thank you for considering a career at Ensemble Health
Partners!
Ensemble Health Partners is a leading provider of
technology-enabled revenue cycle management solutions for health
systems, including hospitals and affiliated physician groups. They
offer end-to-end revenue cycle solutions as well as a comprehensive
suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We
recognize that healthcare requires a human touch, and we believe
that every touch should be meaningful. This is why our people are
the most important part of who we are. By empowering them to
challenge the status quo, we know they will be the difference
The Opportunity:
***This position is an onsite role, and candidates must be able to
work on-site at the hospital.****
We are searching for the next Patient Access Specialist champion.
This role is responsible for performing admitting duties for all
patients admitted for services at the hospital. They are
responsible for performing these functions while meeting the
mission and goals of the organization and all regulatory compliance
requirements. The Representative will work within the policies and
processes as they are being performed across the entire
organization.
Job Responsibilities:
---Patient Access staff are responsible for assigning accurate
MRNs, completing medical necessity / compliance checks, providing
proper patient instructions, collecting insurance information,
receiving and processing physician orders, and utilizing a overlay
tool while providing excellent customer service as measured by
Press Ganey. Operates the telephone switchboard to relay incoming,
out-going and inter-office calls as applicable. They are to adhere
to policies, and provide excellent customer service in these
interactions with the appropriate level of compassion. Patient
Access staff will be held accountable for point of service goals as
assigned.
---Patient Access staff are responsible for the utilization of
quality auditing and reporting systems to ensure accounts are
corrected. These activities may include accounts for other
employees, departments, and facilities. Conducts audits of accounts
and assures that all forms are completed accurate, timely to meet
audit standards and provides statistical data to Patient Access
leadership.
---Patient Access Staff are responsible for the pre-registration of
patient accounts prior to patient visits. This may include inbound
and outbound calling to obtain demographic, insurance, and other
patient information including the patient financial liabilities
including collecting point of service collections as well as past
due balances including payment plan options.
---The Patient Access Staff explains general consent for treatment
forms to the patient/guarantor/legal guardian, obtains necessary
signatures and witnesses name. Explains and distributes patient
education documents, such as Important Message from Medicare,
Important Message from Tricare, Observation Forms, MOON form,
Consent forms, and all forms implemented for future services.
---Reviews eligibility responses in insurance verification system
and appropriately selects the applicable insurance plan code,
enters benefit data into system to support POS (Point of Service
Collections) and billing processes to assist with a clean claim
rate.
---Responsible for accurately screening of medical necessity using
the Advanced Beneficiary Notice (ABN) software to inform Medicare
patients of possible non-payment of test by Medicare and
distribution of the ABN as appropriate. Responsible for
distribution and documentation of other designated forms and
pamphlets.
Experience We Love:
---1+ years of customer service experience
Required Qualifications:
---High School Diploma/GED Required
---CRCR Required within 6 months of hire
#Li-MF1
Join an award-winning company
Three-time winner of "Best in KLAS" 2020-2022
2022 Top Workplaces Healthcare Industry Award
2022 Top Workplaces USA Award
2022 Top Workplaces Culture Excellence Awards
Ensemble Health Partners is an equal employment opportunity
employer. It is our policy not to discriminate against any
applicant or employee based on race, color, sex, sexual
orientation, gender, gender identity, religion, national origin,
age, disability, military or veteran status, genetic information or
any other basis protected by applicable federal, state, or local
laws. Ensemble Health Partners also prohibits harassment of
applicants or employees based on any of these protected
categories.
Ensemble Health Partners provides reasonable accommodations to
qualified individuals with disabilities in accordance with the
Americans with Disabilities Act and applicable state and local law.
If you require accommodation in the application process, please
contact TA@ensemblehp.com.
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Keywords: Ensemble Health Partners, Kingsport , Patient Access Specialist - Kingsport, TN, Other , Kingsport, Tennessee
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