Associate Specialist, Patient Access

Ensemble 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!

About the role

This position is an onsite role, and candidates must be able to work on-site at Ardent - Hillcrest Claremore in Claremore, OK. The Senior Patient Access Specialist is responsible for performing admitting duties for all patients receiving services at Ensemble Health Partners. Additional duties include training, scheduling, and other senior-level responsibilities while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements.

Responsibilities

• Assign accurate Medical Record Numbers (MRNs) and complete medical necessity or compliance checks.
• Provide proper patient instructions, collect insurance information, process physician orders using an overlay tool, and deliver excellent customer service as measured by Press Ganey.
• Serve as the Subject Matter Resource Trainer (SMART) for the department, adhering to Ensemble Health Partners policies.
• 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, including 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.
• Provide on-call support for the department, including after-hours guidance and covering unscheduled times for staffing issues.
• Collect point of service payments in emergency, outpatient, and inpatient situations, including past due balances and offering payment plan options.
• Conduct audits of accounts to ensure forms are completed accurately and timely, providing statistical data to Patient Access Leadership.
• Explain general consent for treatment forms, obtain necessary signatures, and distribute patient education documents.
• Review eligibility responses in the insurance verification system and enter benefit data to support Point of Service Collections (POS) and billing processes.
• Pre-register patient accounts prior to visits, including inbound and outbound calls to obtain demographic and insurance information.
• Accurately screen medical necessity using Advanced Beneficiary Notice (ABN) software and inform Medicare patients of possible non-payment.
• Distribute and document designated forms and pamphlets.
• Perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Requirements

• 1 to 3 years of relevant job experience.
• Associate degree or equivalent experience.
• Understanding of the revenue cycle, including admission, billing, payments, and denials.
• Comprehensive knowledge of the patient insurance process for obtaining authorizations and benefits verification.
• Knowledge of health insurance requirements and medical terminology or CPT/procedure codes.
• Inquisitive mindset with openness to innovation, including AI, to improve processes and patient/client experiences.

Benefits

• Bonus incentives.
• Paid certifications.
• Tuition reimbursement.
• Comprehensive benefits package supporting physical, emotional, and financial health.
• Career advancement opportunities.

Pay

$18.65 - $19.90/hr based on experience.

Schedule

• Monday-Friday: 7:00 AM - 3:30 PM / ER Thursday 1:00 PM - 7:00 PM.
• Thursday-Saturday: 7:00 AM - 7:00 PM / ER Thursday 1:00 AM - 7:00 AM.
• Thursday-Saturday: 7:00 PM - 7:00 AM.

About Ensemble

Ensemble is an award-winning company recognized for excellence in revenue cycle management:

• Five-time winner of “Best in KLAS” (2020-2022, 2024-2025).
• Black Book Research's Top Revenue Cycle Management Outsourcing Solution (2021-2024).
• 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle (2019-2024).
• Leader in Everest Group's RCM Operations PEAK Matrix Assessment (2024).
• Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance (2020, 2022-2023).
• Energage Top Workplaces USA (2022-2024).
• Fortune Media Best Workplaces in Healthcare (2024).
• Monster Top Workplace for Remote Work (2024).
• Great Place to Work certified (2023-2024).

Ensemble values include:

• Innovation and work-life flexibility.
• Leadership and a strong sense of purpose and values.
• Empowering associates with tools and resources to thrive.