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Senior Patient Access Specialist
Ensemble Health Partners. Perform admitting duties for patients receiving services .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient admission processes, insurance verification, and revenue cycle management while providing exceptional customer service. Capable of developing training materials and conducting audits to ensure compliance with organizational policies and regulatory requirements.
Highest-signal resume keywords
Revenue Cycle ManagementPatient Insurance ProcessesMedical TerminologyOn-Call ResponsibilitiesCustomer Service
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient AdmissionInsurance VerificationCPT CodesBenefit Data EntryAccount AuditsCompliance ChecksPoint-of-Service CollectionsStatistical ReportingOverlay Tool UsageAdvanced Beneficiary Notice Software
Soft Skills
InquisitiveOpenness to Innovation
Tools & Technologies
Quality Auditing SystemsReporting SystemsTelephone Switchboard
Industry Keywords
Medical NecessityPatient AccessHealth Insurance RequirementsAuthorization ProcessesDenials Management
About the role
Key responsibilities & impact- Perform admitting duties for patients receiving services
- Assign accurate MRNs and complete medical necessity or compliance checks
- Provide patient instructions and collect insurance information
- Receive and process physician orders using an overlay tool
- Operate the telephone switchboard
- Use quality auditing and reporting systems to correct accounts
- Develop training materials and programs for new hires
- Provide continuing education to revenue cycle associates
- Develop staff schedules within the patient access department
- Provide after-hours support and guidance through on-call responsibilities
- Cover staffing issues during unscheduled times
- Collect point-of-service payments in emergency, outpatient, and inpatient settings
- Conduct account audits and provide statistical data to Patient Access Leadership
- Explain consent, Medicare, observation, and other patient forms; obtain signatures and witness names
- Review insurance eligibility responses and select applicable insurance plan codes
- Enter benefit data to support point-of-service collections and billing processes
- Pre-register patient accounts and make inbound and outbound calls to obtain patient information
- Screen medical necessity using Advanced Beneficiary Notice software and distribute required forms
- Provide excellent customer service while meeting organizational policies and regulatory requirements
Requirements
What you’ll need- 1 to 3 years of experience in a similar role
- Associate degree or equivalent experience
- Must reside and be authorized to work within the United States
- Understanding of 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
- Knowledge of medical terminology or CPT or procedure codes
- Must be able to work on-site at Bon Secours - Southside Freestanding ED in Petersburg, VA
- Must be inquisitive and demonstrate openness to innovation, including AI
- Ability to perform on-call responsibilities and work unscheduled times when needed
Benefits
Comp & perks- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive benefits package including healthcare, time off, retirement, and well-being programs
- Professional development opportunities
- Professional certification relevant to the associate’s field
- Quarterly and annual incentive programs
- Career advancement opportunities
- Work-life flexibility
- Recognition programs