Senior Patient Access Specialist

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!

• 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.

CAREER OPPORTUNITY OFFERING

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• This position pays between $18.15 - $19.40/hr based on experience

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. They are responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The Senior Patient Access Specialist will work within the policies and processes that are being performed across the entire organization.

• Assign accurate MRNs, complete medical necessity or compliance checks, provide proper patient instructions, collect insurance information, receive and process physician orders, and utilize an overlay tool while delivering excellent customer service as measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, outgoing, and inter‑office calls as applicable.
• Utilize quality auditing and reporting systems to ensure accounts are corrected for own and other employees’ accounts.
• Develop training materials and programs for new hires and provide continuing education to associates in all areas of the revenue cycle.
• Create staff schedules within the patient access department.
• Provide on‑call responsibilities for the department, including after‑hours support and guidance.
• Collect point‑of‑service payments for inpatient, outpatient, and emergency situations, offer payment plan options, and conduct audits of accounts to meet audit standards.
• Explain general consent for treatment forms to patients or their legal guardians, obtain necessary signatures, distribute patient education documents, and handle all related forms.
• Review eligibility responses in the insurance verification system, select applicable insurance plan codes, enter benefit data, support point‑of‑service collections, and assist with a clean claim rate.
• Accurately screen medical necessity using the Advanced Beneficiary Notice (ABN) software and distribute ABN as appropriate.
• Document and distribute other designated forms and pamphlets as required.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job‑related duties as required by their supervisor, subject to reasonable accommodation.

1 to 3 Years

Associate degree or Equivalent Experience

• Understanding of Revenue Cycle including admission, billing, payments, and denials; comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
• Knowledge of Health Insurance requirements.
• Knowledge of medical terminology or CPT or procedure codes.