✨ Fill and validate PDF forms with InstaFill AI. Save an average of 34 minutes on each form, reducing mistakes by 90% and ensuring accuracy. Learn more

Cash Application Specialist

Ensemble Health Partners Albuquerque, New Mexico
health insurance forms accounts medicare onsite hospitals healthcare patients compliance medical customer service data
December 3, 2023
Ensemble Health Partners
Albuquerque, New Mexico
Thank you for considering a career at Ensemble Health Partners
This position is a PRN and onsite role, and candidates must be able to work on-site at Lovelace Westside Hospital

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.

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 position is an onsite role at Ardent Lovelace Women's Hospital in Albuquerque, NM.

The Patient Access Specialist 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/legalguardian, 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.

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.

Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.

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 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
.
FMLA Rights - English
La FMLA Español

Job Types:
Part-time, Full-time
Dental insurance
Flexible spending account
Health savings account


Ability to commute/relocate:
Reliably commute or planning to relocate before starting work (Required)

Report this job

Similar jobs near me

Related articles