Patient Access Specialist

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.

About the role

This is an entry-level, onsite role in Lewes, DE. The Patient Access Specialist performs admission duties for all patients admitted for services at the hospital, ensuring compliance with organizational mission, goals, and regulatory requirements.

• Assign accurate Medical Record Numbers (MRNs)
• Complete medical necessity and compliance checks
• Provide proper patient instructions and collect insurance information
• Receive and process physician orders
• Utilize overlay tools while delivering excellent customer service as measured by Press Ganey
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls
• Adhere to policies and provide compassionate customer service
• Meet point-of-service goals as assigned
• Pre-register patient accounts, including inbound/outbound calls to obtain demographic, insurance, and financial information
• Collect point-of-service payments and past-due balances, including setting up payment plans
• Explain and obtain signatures for general consent for treatment forms and other required documents (e.g., Important Message from Medicare, MOON form, ABN)
• Review insurance eligibility responses and enter benefit data to support billing processes
• Screen medical necessity using Advance Beneficiary Notice (ABN) software for Medicare patients
• Distribute and document designated forms and pamphlets
• Conduct quality audits of accounts to ensure accuracy and compliance with audit standards
• Provide statistical data to Patient Access leadership

Requirements

• High School Diploma or GED required
• CRCR Certification (Certified Revenue Cycle Representative) required within 6 months of hire (company-paid)
• 1+ years of customer service experience preferred
• Must be inquisitive and open to innovation, including AI-driven process improvements

Benefits

• Bonus incentives
• Paid certifications
• Tuition reimbursement
• Comprehensive benefits package (healthcare, time off, retirement, well-being programs)
• Career advancement opportunities
• Shift differential for select shifts
• Professional development and certification support
• Quarterly and annual incentive programs

Pay

$17.00 - $18.15/hour, based on experience.

Schedule

This is an onsite role in Lewes, DE. Shift details are available upon inquiry.

About Ensemble

Ensemble empowers employees to challenge the status quo and fosters a culture of collaboration, growth, and innovation. The company has received multiple awards, including:

• Five-time winner of “Best in KLAS” (2020-2022, 2024-2025)
• Black Book Research's Top Revenue Cycle Management Outsourcing Solution (2021-2024)
• 22 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 (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’s core values include customer obsession, embracing new ideas, and striving for excellence.