Senior Patient Access Specialist

Ensemble Health Partners seeks a Senior Patient Access Specialist to lead complex front-end revenue cycle activities for hospital and physician group partners. In this role, you will perform accurate patient registration, benefits and eligibility verification, and obtain prior authorizations to ensure timely reimbursement. You will provide compassionate financial counseling, explain coverage and payment options, and resolve access-related issues. Partnering closely with clinical, billing, and analytics teams, you will identify process improvements, mentor junior staff, and support a seamless, patient-centered financial experience aligned with Ensemble's mission-driven culture.

Responsibilities

• Perform accurate patient registration and demographic data collection across hospital and physician settings.
• Verify insurance eligibility, benefits, and coverage; obtain prior authorizations when required.
• Provide clear, compassionate financial counseling to patients and families regarding coverage, estimates, and payment options.
• Identify and resolve registration, insurance, and authorization issues that could delay care or reimbursement.
• Collaborate with clinical, billing, and analytics teams to improve front-end revenue cycle performance.
• Use EHR and revenue cycle systems to document, track, and update patient and insurance information with high accuracy.
• Monitor work queues and resolve outstanding accounts or access-related edits promptly.
• Support training and mentoring of junior patient access staff, sharing best practices and workflows.
• Ensure compliance with HIPAA, payer rules, and organizational policies in all patient interactions.
• Contribute to continuous process improvement initiatives that enhance patient financial experience and reduce denials.

Required Skills

• Patient registration
• Insurance verification
• Financial counseling
• Revenue cycle systems (EHR/EMR)
• Medical terminology
• Eligibility and benefits verification
• Prior authorization coordination
• Healthcare billing and reimbursement
• Data entry and accuracy
• Customer service in healthcare