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Patient Access Specialist - Pennington Gap, VA

Company: Ensemble Health Partners
Location: Pennington Gap
Posted on: January 16, 2022

Job Description:

Thank you for considering a career at Ensemble Health Partners!***Please note, this position will be located in Pennington Gap, VA. All candidates must sit on site at the hospital.***The Patient Access Representative 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.

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:

  • 1+ years of customer service experienceRequired Education: High School Diploma/GED RequiredCertification: CRCR Required within 6 months of hireScheduled Weekly Hours:40Work Shift:Days/Nights (United States of America)We'll also reward your hard work with:
    • Great health, dental and vision plans
    • Prescription drug coverage
    • Flexible spending accounts
    • Life insurance w/AD&D
    • Paid time off
    • Tuition reimbursement
    • And a lot moreEnsemble 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 our Human Resources Department at 877-692-7780 or . This department will make sure you get connected to a Human Resources representative that can assist you.EEO is the Law
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Keywords: Ensemble Health Partners, Knoxville , Patient Access Specialist - Pennington Gap, VA, Other , Pennington Gap, Tennessee

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