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 role adheres to Ensemble Health Partners' policies and provides excellent customer service.

Responsibilities

• Assign accurate MRNs, complete medical necessity or compliance checks, provide patient instructions, collect insurance information, receive, and process physician orders, and utilize an overlay tool.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls.
• Utilize quality auditing and reporting systems to ensure accounts are corrected.
• Develop training materials and programs for new hires and provide continuing education to associates.
• Develop staff schedules within the patient access department.
• Provide on-call support for the department, including after-hours support and guidance.
• Collect point of service payments, including past due balances and offering payment plan options.
• Conduct audits of accounts and provide statistical data to Patient Access Leadership.
• Explain general consent for treatment forms to patients/guarantors/legal guardians, obtain necessary signatures, and distribute patient education documents.
• Review eligibility responses in insurance verification systems and appropriately select the applicable insurance plan code.
• Distribute and document other designated forms and pamphlets.

Requirements

The ideal candidate must have 1 to 3 years of experience in a similar role, an associate degree or equivalent, and a comprehensive knowledge of patient insurance processes, including obtaining authorizations and benefits verification. They must also have a solid understanding of the revenue cycle, including admission, billing, payments, and denials.

Qualifications

Open to candidates with a bachelor's degree or higher, and a strong interest in innovation and continuous improvement. Must be inquisitive and demonstrate openness to exploring better processes and ways to improve patient and client experiences.

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.
• Ability to operate an overlay tool and utilize quality auditing and reporting systems.

Benefits

Ensemble offers a comprehensive benefits package, including healthcare, time off, retirement, and well-being programs. The company also provides professional certifications, tuition reimbursement, and quarterly and annual incentive programs. Ensemble is committed to creating a supportive and inclusive workplace culture.

Pay

The Senior Patient Access Specialist at Ensemble Health Partners is paid between $18.65 - $19.90/hr based on experience. Compensation decisions consider various job-related factors, including geographic location, knowledge, skills, relevant experience, education, licensure, internal equity, time in position, and candidate entry rate of pay.

Schedule

Flexible schedule to accommodate the needs of the role and the team. On-call responsibilities may be required.