This job was posted by https://joblink.maine.gov : For more information,
please see: https://joblink.maine.gov/jobs/1070454
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 St. Joseph Hospital in Bangor, ME ****
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 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 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 thepatient/guarantor/legal guardian,obtains necessary
signatures and witnesss 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 distrib tion
and documentation of other designated forms and pamphlets.
Experience We Love:
1+ years of customer service experience
Minimum Education:
High School Diploma/GED Required
Certifications:
CRCR Required within 6 months of hire (Company Paid)
Join an award-winning company
Three-time winner of Best in KLAS 2020-2022 and 2024
2022Top Workplaces Healthcare Industry Award
2022 Top Workplaces USA Award
2022 Top Workplaces Culture Excellence Awards
Innovation
Work-Life Flexibility
Leadership
Purpose + Values
Bottom line, we believe in empowering people and giving them the tools
and resources needed to thrive. A few of those include:
Associate Benefits We offer a comprehensive benefits package
designed to support the physical, emotional, and financial health of you
and your family, including healthcare, time off, retirement, and
well-being programs.&nbs