Patient Access Specialist

The Opportunity

• ENTRY LEVEL CAREER OPPORTUNITY OFFERING: Bonus Incentives, Paid Certifications, Tuition Reimbursement, Comprehensive Benefits, Career Advancement
• 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 Bon Secours – Maryview Medical Center in Portsmouth, VA.

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 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.
• Adhere to policies and provide excellent customer service in these interactions with the appropriate level of compassion.
• Accountable for point‑of‑service goals as assigned.
• 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 timely to meet audit standards and provides statistical data to Patient Access leadership.
• Responsible for the pre‑registration of patient accounts prior to patient visits, which may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities, collecting point‑of‑service collections, and past‑due balances including payment‑plan options.
• Explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness’s name, explains and distributes patient education documents (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 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 experience

Minimum Education

• High School Diploma/GED Required

Required Certifications

• CRCR Required within 9 months of hire

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, 2022‑2023
• Energage Top Workplaces USA 2022‑2024
• Fortune Media Best Workplaces in Healthcare 2024
• Monster Top Workplace for Remote Work 2024
• Great Place to Work certified 2023‑2024

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.
• Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

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.

This posting addresses state‑specific requirements to provide pay transparency. 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.

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