Senior Patient Access Specialist
About the role
The Senior Patient Access Specialist at Ensemble Health Partners is responsible for performing admitting duties for all patients receiving services, including training, scheduling, and other senior-level responsibilities. This position pays between $18.65 - $19.90 / hour based on experience and is an on-site role requiring candidates to work at Jupiter - Breast Center in Jupiter, FL.
Responsibilities
- Assigning accurate MRNs, completing medical necessity or compliance checks, providing patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool.
- Providing excellent customer service as measured by Press Ganey.
- Utilizing quality auditing and reporting systems to ensure accounts are corrected.
- Developing training materials and programs for new hires and providing continuing education to associates.
- Developing staff schedules within the patient access department.
- On-call responsibilities for the department, including providing after-hours support and guidance.
- Collecting point of service payments, including past due balances and offering payment plan options.
- Conducting audits of accounts and providing statistical data to Patient Access Leadership.
- Explaining general consent for treatment forms to the patient/guarantor/legal guardian, obtaining necessary signatures, and distributing patient education documents.
- Reviewing eligibility responses in insurance verification system and selecting the applicable insurance plan code.
- Distributing and documenting other designated forms and pamphlets.
Requirements
Understanding of Revenue Cycle including admission, billing, payments, and denials.
Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
Knowledge of Health Insurance requirements.
Knowledge of medical terminology or CPT or procedure codes.
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.
Qualifications
- 1 to 3 years in a similar position.
- Associate degree or equivalent experience.
Skills
- Understanding of Revenue Cycle including admission, billing, payments, and denials.
- Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
- Knowledge of Health Insurance requirements.
- Knowledge of medical terminology or CPT or procedure codes.
Benefits
Comprehensive benefits package including healthcare, time off, retirement, and well-being programs.
Professional certification relevant to their field and tuition reimbursement available.
Quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Pay
This position pays between $18.65 - $19.90 / hour based on experience.
Schedule
This position is an on-site role requiring candidates to work full-time from 8:30am-7:30pm M-F.