Senior Patient Access Specialist

Ensemble 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. Our mission is to keep communities healthy by keeping hospitals healthy, and we believe that every patient interaction should be meaningful.

Our O.N.E Purpose

Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding 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.

The Opportunity

• Bonus incentives
• Paid certifications
• Tuition reimbursement
• Comprehensive benefits
• Career advancement

Compensation

This position pays between $18.65 – $19.90 per hour based on experience.

Responsibilities

• Assign accurate MRNs, complete medical necessity or compliance checks, and provide proper patient instructions.
• Collect insurance information, receive and process physician orders using an overlay tool, and deliver excellent customer service measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, outgoing, and inter‑office calls.
• Utilize quality auditing and reporting systems to ensure accounts are corrected across employees, departments, and facilities.
• Develop training materials and programs for new hires and provide continuing education to associates throughout the revenue cycle.
• Create and maintain staff schedules within the patient access department.
• Handle on‑call responsibilities, including after‑hours support, guidance, and unscheduled coverage for staffing issues.
• Collect point‑of‑service payments in emergency, outpatient, and inpatient settings; manage past‑due balances and offer payment‑plan options.
• Conduct audits of accounts, ensure forms are completed accurately and timely, and provide statistical data to Patient Access Leadership.
• Explain general consent for treatment forms, obtain signatures, and distribute patient education documents (e.g., Medicare messages, observation forms, consent forms).
• Review eligibility responses, select appropriate insurance plan codes, and enter benefit data to support clean claim rates and pre‑registration of patient accounts.
• Screen medical necessity using Advanced Beneficiary Notice (ABN) software and distribute ABNs as needed.
• Distribute and document other designated forms and pamphlets as required.

Requirements

• 1–3 years of relevant experience.
• Associate degree or equivalent experience.

Preferred Knowledge, Skills, and Abilities

• Understanding of the revenue cycle, including admission, billing, payments, and denials.
• Comprehensive knowledge of patient insurance processes for authorizations and benefits verification.
• Familiarity with health‑insurance requirements.
• Knowledge of medical terminology, CPT, or procedure codes.
• Inquisitive mindset with openness to innovation, including AI, to improve processes and patient/client experiences.

Benefits

• Comprehensive health, dental, and vision coverage.
• Paid time off and flexible work arrangements.
• Retirement savings plans.
• Well‑being programs supporting physical, emotional, and financial health.
• Professional development: tuition reimbursement and support for earning relevant certifications.
• Quarterly and annual incentive programs recognizing exceptional performance.
• Culture focused on collaboration, growth, and innovation.

Awards & Recognitions

• 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 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).