Sr. Patient Access Specialist

About the role

Ensemble Health Partners 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. By empowering them to challenge the status quo, we know they will be the difference!

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.
• Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
• Utilizes quality auditing and reporting systems to ensure accounts are corrected, including accounts for other employees, departments, and facilities.
• Develops 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.
• Develops staff schedules within the patient access department.
• Works on-call responsibilities for the department, including providing after-hours support and guidance.
• Collects point of service payments, including past due balances and offering payment plan options.
• Conducts audits of accounts and assures that all forms are completed accurately, timely to meet audit standards and provides statistical data to Patient Access Leadership.
• Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of tests by Medicare and distribution of the ABN as appropriate.
• Responsible for distribution and documentation of other designated forms and pamphlets.

Requirements

The Senior Patient Access Specialist must have 1 to 3 years of experience and an associate degree or equivalent. Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification, as well as knowledge of Health Insurance requirements and medical terminology or CPT or procedure codes are preferred.

Qualifications

Understanding of Revenue Cycle including admission, billing, payments, and denials.

Skills

Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.

Benefits

Comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.

Pay

This position pays between $18.65 - $19.90 based on experience.

Schedule

Not specified.