Senior Patient Access Specialist
About the role
The Senior Patient Access Specialist is responsible for performing admitting duties for all patients receiving services at Ensemble Health Partners. Additional duties can include training, scheduling, and other senior-level responsibilities. They are responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The position pays between $18.65 - $19.90/hr based on experience and is an onsite role at Bon Secours - Harbour View Medical Center in Suffolk, VA.
Responsibilities
- Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey.
- Serve as the SMART for the department, adhering to Ensemble Health Partners policies and providing excellent customer service in these interactions with the appropriate level of compassion.
- 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 to the department, as well as providing continuing education to associates in all areas of the revenue cycle.
- Develop staff schedules within the patient access department.
- Have on-call responsibilities for the department, including providing after-hours support and guidance, conducting audits of accounts, and ensuring accurate completion of forms.
- 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 the patient/guarantor/legal guardian, obtain necessary signatures, and distribute patient education documents.
- Review eligibility responses in insurance verification system and appropriately select the applicable insurance plan code, enter benefit data into system to support POS (Point of Service Collections), and assist with a clean claim rate.
- Absolutely screen medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of tests by Medicare and distribute the ABN as appropriate.
- Distribute and document other designated forms and pamphlets.
Requirements
- 1 to 3 Years of experience.
- 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
- 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.
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
Join an award-winning company: 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
Pay
This position pays between $18.65 - $19.90/hr based on experience.
Schedule
The position is an onsite role at Bon Secours - Harbour View Medical Center in Suffolk, VA.