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Senior Patient Access Specialist
Ensemble Health Partners. Perform admitting duties for all patients receiving services at Ensemble Health Partners .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Revenue Cycle Management, including patient admissions, billing processes, and insurance verification. 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 ProcessMedical 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
Patient AdmissionsInsurance VerificationCPT CodesBenefit Data EntryPoint-of-Service CollectionsAccount AuditsMedical Necessity ChecksOverlay Tool UsageStatistical Data ReportingABN Software
Soft Skills
Customer ServiceInquisitive NatureOpenness to InnovationCommunication SkillsTeam Collaboration
Tools & Technologies
Quality Auditing SystemsReporting SystemsTelephone Switchboard
Industry Keywords
Health Insurance RequirementsAuthorizationsDenialsPatient EducationRevenue Cycle Areas
About the role
Key responsibilities & impact- Perform admitting duties for all patients receiving services at Ensemble Health Partners
- Assign accurate MRNs
- Complete medical necessity or compliance checks
- Provide proper patient instructions
- Collect insurance information
- Receive and process physician orders using an overlay tool
- Provide excellent customer service
- Operate the telephone switchboard
- Use quality auditing and reporting systems to ensure accounts are corrected
- Develop training materials and programs for new hires
- Provide continuing education to associates in revenue cycle areas
- Develop staff schedules within the patient access department
- Provide on-call, after-hours support and guidance
- Work unscheduled times to cover staffing issues as needed
- Collect point-of-service payments in emergency, outpatient, and inpatient settings
- Conduct account audits and provide statistical data to Patient Access Leadership
- Explain and obtain signatures for consent and patient forms
- Explain and distribute patient education documents
- 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 ABN software and distribute/document designated forms
Requirements
What you’ll need- 1 to 3 years experience in a similar role
- Associate degree or equivalent experience
- Understanding of Revenue Cycle including admission, billing, payments, and denials
- Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification
- Knowledge of health insurance requirements
- Knowledge of medical terminology or CPT or procedure codes
- Must be inquisitive and demonstrate openness 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 development
- Quarterly and annual incentive programs
- Work-Life Flexibility