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Posted 3 weeks agoSenior Specialist, Patient Access
Pittsburgh, United StatesRemote
Requirements
- experience ***This position is an onsite role, and candidates must be able to work on-site in Pittsburgh, PA***
- Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Job
- Experience: 1 to 3 Years 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.
- Education Level: Associate degree or Equivalent
- Experience Other Preferred Knowledge, Skills, and Abilities : Understanding of Revenue Cycle including admission, billing, payments, and denials.
- Knowledge of medical terminology or CPT or procedure codes Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020,
- Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Benefits
- The Opportunity: CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive
- Benefits Career Advancement This position pays between $18.65 - $19.90/hr based on
- Essential Job Functions: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician order while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey.
- Explains and distributes patient education documents, such as Important Message from Medicare, Observation Forms, 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 including pre-registration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information, insurance information, and all other patient information.
- 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.
- Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
- Knowledge of Health Insurance requirements.
- 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.
- Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
- Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.
- A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.
Contact
- If you require accommodation in the application process, please contact TA@ensemblehp.com .
Additional details
- Thank you for considering a career at Ensemble! Ensemble 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! O.N.E Purpose: 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.
- The Senior Patient Access Specialist is responsible for performing admitting duties for all patients receiving services at Ensemble Health Partners.
- Additional duties can include training, scheduling, and other senior-level responsibilities.