ENTRY LEVEL CAREER OPPORTUNITY OFFERING:

Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
$$ Shift Differential for Select Shifts $$
This position pays between $17.00 - $18.15 based on experience

***This position is an onsite role, and candidates must be able to work on-site at Clarion Hospital in Clarion, PA****

Available Shifts:

Part Time ER nights/ Every other weekend 10pm-6am and 1-2 days through the week (20 hours)
Full Time 2-week rotation, ER mid-morning/ shift hours 10am-8:30pm/ every other weekend rotation/ An 8am-4:30pm shift in OP every other week
Full Time 2-week rotation, ER days/ shift hours 6am-4:30pm/ every other weekend rotation/ 1 6a-4:30p shift in OP every other week

The Patient Access Specialist is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for fulfilling 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. By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare.

Job Responsibilities:

Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results
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 an overlay tool while providing excellent customer service as measured by Press Ganey.
Operates the telephone switchboard to relay incoming, outgoing, 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 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 and obtains necessary signatures and the witness's 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 the insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into the system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
Responsible for accurately screening medical necessity using the Advance Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of tests by Medicare and distribution of the ABN as appropriate.
Responsible for distribution and documentation of other designated forms and pamphlets.
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 accurately, and on time to meet audit standards and provides statistical data to Patient Access leadership.

Required Qualifications

High School Diploma/GED Required
CRCR Required within 6 months of hire (Company Paid)
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Experience We Love:

1+ years of customer service experience

#INDMP

Job Types: Full-time, Part-time

Pay: $17.00 - $18.15 per hour

Benefits:

401(k)
AD&D insurance
Adoption assistance
Dental insurance
Dependent health insurance coverage
Disability insurance
Employee assistance program
Employee mentoring program
Family leave
Flexible spending account
Health insurance
Health savings account
Life insurance
On-the-job training
Opportunities for advancement
Paid orientation
Paid sick time
Paid time off
Paid training
Professional development assistance
Tuition reimbursement
Vision insurance
Wellness program

Education:

High school or equivalent (Required)

Experience:

Customer service: 1 year (Required)

Work Location: In person

Ensemble Health Partners

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Patient Access Specialist - Clarion