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Senior Patient Access Specialist
Ensemble Health Partners. Perform admitting duties for all patients receiving services .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient access operations, including medical necessity checks, insurance verification, and revenue cycle management. Proficient in developing training materials and providing education to staff while ensuring compliance with health insurance requirements.
Highest-signal resume keywords
Revenue Cycle ManagementPatient Insurance ProcessesMedical TerminologyTraining DevelopmentCompliance Checks
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical Necessity ChecksInsurance VerificationCPT CodesPoint-Of-Service PaymentsAccount AuditsABN SoftwareData EntryStatistical ReportingPatient RegistrationBilling Processes
Soft Skills
InquisitiveOpen To InnovationCommunicationTeam CollaborationProblem Solving
Tools & Technologies
Overlay ToolQuality Auditing SystemsReporting SystemsTelephone Switchboard
Industry Keywords
Patient AccessHealth Insurance RequirementsAuthorizationsBenefits VerificationAdmissionsDenials
About the role
Key responsibilities & impact- Perform admitting duties for all patients receiving services
- Assign accurate MRNs
- Complete medical necessity and compliance checks
- Provide patient instructions and collect insurance information
- Receive and process physician orders using an overlay tool
- Operate the telephone switchboard
- Utilize quality auditing and reporting systems to correct accounts
- Serve as the department SMART
- Develop training materials and programs for new hires
- Provide continuing education to revenue cycle associates
- Develop staff schedules within the patient access department
- Provide on-call, after-hours support and guidance
- Work unscheduled times to cover staffing issues when needed
- Collect point-of-service payments in emergency, outpatient, and inpatient settings
- Conduct account audits and provide statistical data to Patient Access Leadership
- Explain consent and patient education forms and obtain required signatures
- Review insurance eligibility, select insurance plan codes, and enter benefit data
- Pre-register patient accounts and obtain demographic and insurance information
- Screen medical necessity using ABN software and distribute required forms
Requirements
What you’ll need- 1 to 3 years in a similar position
- Associate degree or equivalent experience
- 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 inquisitive and open to innovation, including AI
- Must reside in and be authorized to work within the United States
Benefits
Comp & perks- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits, including healthcare, time off, retirement, and well-being programs
- Career Advancement
- Professional certification relevant to the associate’s field
- Quarterly and annual incentive programs
- Professional development opportunities
- Work-life flexibility