Senior Patient Access Specialist

Senior Patient Access Specialist

Ensemble Health Partners

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. We 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.

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• This position pays between $18.65 - $19.90/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 perform these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements, working within policies and processes applied across the organization.

• Assign accurate MRNs, complete medical necessity or compliance checks, provide proper patient instructions, collect insurance information, and process physician orders using 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, and audit activities may include accounts for other employees, departments, and facilities.
• Develop training materials and programs for new hires and provide continuing education to associates in all areas of the revenue cycle.
• Develop staff schedules within the patient access department.
• Assume on‑call responsibilities for the department, including providing after‑hours support and guidance when needed.
• Collect point‑of‑service payments in emergency, outpatient, and inpatient situations, including past‑due balances and payment‑plan options, and ensure accuracy and timely completion of forms and audit standards.
• Explain consent for treatment forms to patients or guarantors, obtain signatures and witness names, and distribute patient education documents such as Medicare notices and observation forms.
• Review eligibility responses in the insurance verification system, select applicable insurance plan codes, enter benefit data, and pre‑register patient accounts prior to visits, handling inbound and outbound calls for demographic information.
• Screen medical necessity using the Advanced Beneficiary Notice (ABN) software for Medicare patients, and distribute and document other designated forms and pamphlets.
• Perform any other job‑related duties as required by the supervisor and 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 processes for obtaining authorizations and benefits verification.
• Knowledge of health insurance requirements and medical terminology, CPT, or procedure codes.

• Associate Benefits – comprehensive health, time off, retirement, and well‑being programs.
• C…