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. 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. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are.

About the role

This position pays between $18.65 - $19.90 / hour based on experience. This is an on-site role at Tower - Pottstown Hospital in Pottstown, PA.

Available shifts: Full Time, 2pm - 11pm, Monday through Friday, with on-call and holiday rotation responsibilities.

The Senior Patient Access Specialist performs admitting duties for all patients receiving services, including training, scheduling, and other senior-level responsibilities. They ensure compliance with Ensemble Health Partners' policies and regulatory requirements while delivering excellent customer service.

Responsibilities

• Assign accurate Medical Record Numbers (MRNs) and complete medical necessity or compliance checks.
• Provide proper patient instructions, collect insurance information, and process physician orders using an overlay tool.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls.
• Utilize quality auditing and reporting systems to ensure account corrections, including accounts for other employees, departments, and facilities.
• Develop training materials and programs for new hires and provide continuing education to associates in all areas of the revenue cycle.
• Create staff schedules within the patient access department.
• Provide on-call support, including after-hours guidance and covering unscheduled staffing issues.
• Collect point-of-service payments, including past due balances and offering payment plan options in emergency, outpatient, and inpatient situations.
• Conduct audits of accounts to ensure forms are completed accurately and timely, providing statistical data to Patient Access Leadership.
• Explain general consent for treatment forms, obtain necessary signatures, and distribute patient education documents.
• Review eligibility responses in the insurance verification system and select applicable insurance plan codes to support point-of-service collections and billing processes.
• Pre-register patient accounts prior to visits, including inbound and outbound calls to obtain demographic and insurance information.
• Screen for medical necessity using Advanced Beneficiary Notice (ABN) software and inform Medicare patients of potential non-payment.
• Distribute and document designated forms and pamphlets.
• Adhere to Ensemble Health Partners policies and provide excellent customer service in all interactions.

Requirements

• 1 to 3 years of experience in a similar position.
• Associate degree or equivalent experience.

Skills

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

Benefits

• Bonus incentives.
• Paid certifications.
• Tuition reimbursement.
• Comprehensive benefits package supporting physical, emotional, and financial health.
• Career advancement opportunities.
• Professional certification relevant to the field.
• Quarterly and annual incentive programs for high performance.

About Ensemble

Ensemble is an award-winning company recognized for excellence in revenue cycle management:

• 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 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).

Ensemble values include:

• Customer Obsession: Providing exceptional experiences by understanding and exceeding expectations.
• Embracing New Ideas: Fostering innovation and creativity.
• Striving for Excellence: Delivering outstanding results through high-level execution.

Ensemble is committed to empowering its people with tools and resources to thrive, including work-life flexibility, leadership opportunities, and a culture rooted in collaboration and growth.