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. 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.

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 $17.00 - $18.65/hr based on experience.
• This position is an onsite role and candidates must be able to work on-site.

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. They must meet the mission and goals of the organization as well as all regulatory compliance requirements. The Representative will work within the policies and processes as they are performed across the entire organization.

• The Patient Access Representative is responsible for performing admitting duties for all patients admitted for services at the hospital, meeting organizational mission and regulatory compliance requirements, and working within established policies and processes.
• Assign accurate MRNs, complete medical necessity/compliance checks, provide proper patient instructions, collect insurance information, 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, adhering to policies and providing compassionate customer service.
• Utilize quality auditing and reporting systems to ensure accounts are corrected: audit accounts for employees, departments, and facilities; complete all forms accurately and timely to meet audit standards and provide statistical data to Patient Access leadership.
• Pre‑register patient accounts prior to visits, including inbound and outbound calling to obtain demographic, insurance, and other patient information, and collect point‑of‑service collections, past‑due balances, and payment‑plan options.
• Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures, and witness name.
• Distribute patient education documents such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and any future service forms.
• Review eligibility responses in the insurance verification system, select the applicable insurance plan code, and enter benefit data to support POS collections and billing processes for a clean claim rate.
• Accurately screen medical necessity using Advanced Beneficiary Notice (ABN) software, inform Medicare patients of potential non‑payment, distribute ABN as appropriate, and document other designated forms and pamphlets.

• 1+ years of customer service experience.

• High School Diploma/GED required.

• CRCR required within 6 months of hire (company paid).

Five‑time winner of “Best in KLAS” 2020‑2022, 2024‑2025.
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021‑2024.
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