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Senior Patient Access Specialist
Ensemble Health Partners. Manage patient registration and access processes within the healthcare revenue cycle .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing patient registration and access processes within the healthcare revenue cycle, with a strong understanding of insurance verification, medical necessity checks, and compliance. Capable of developing training materials and providing ongoing education to staff while ensuring high-quality customer service.
Highest-signal resume keywords
Revenue Cycle ManagementPatient Insurance ProcessesMedical TerminologyQuality AuditingTraining Development
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 RegistrationMedical Record Number AssignmentInsurance VerificationCPT CodesABN SoftwareAccount AuditsPoint-of-Service PaymentsCompliance ChecksStatistical ReportingDemographic Data Entry
Soft Skills
Customer ServiceCommunicationTeam CollaborationProblem SolvingAdaptability
Tools & Technologies
Overlay ToolQuality Auditing SystemsReporting SystemsTelephone Switchboard
Certifications & Qualifications
Associate Degree
Industry Keywords
Healthcare Revenue CycleInsurance EligibilityAuthorizationsBenefits VerificationPatient Education
About the role
Key responsibilities & impact- Manage patient registration and access processes within the healthcare revenue cycle
- Assign accurate medical record numbers and complete medical necessity and compliance checks
- Provide patient instructions and collect insurance information
- Receive and process physician orders using an overlay tool
- Provide customer service and 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 department staff schedules
- Provide on-call, after-hours support and cover staffing issues as needed
- Collect point-of-service payments and offer payment plan options
- 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 of job experience
- 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
- Openness to innovation, including AI
- Ability to reside and be authorized to work within the United States
Benefits
Comp & perks- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive healthcare, time off, retirement, and well-being benefits
- Professional development opportunities
- Quarterly and annual incentive programs
- Career advancement opportunities
- Work-life flexibility
- Reasonable accommodations for qualified individuals with disabilities