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Senior Patient Access Specialist
Ensemble Health Partners. Perform admitting duties for all patients admitted for hospital 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 record management, insurance verification, and revenue cycle processes. Proficient in utilizing auditing systems and providing exceptional customer service while ensuring compliance with healthcare regulations.
Highest-signal resume keywords
Certified Healthcare Access Associate (CHAA)Certified Revenue Cycle Representative (CRCR)Patient Access ExperienceRevenue Cycle KnowledgeMedical Terminology Knowledge
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 Record ManagementInsurance VerificationPatient Admission ProcessesBilling ProcessesPoint-of-Service CollectionsQuality AuditingCPT/Procedure CodesDemographic Data CollectionCompliance ChecksABN Software Usage
Soft Skills
Excellent Customer ServiceCommunication SkillsAttention to DetailOpenness to Innovation
Tools & Technologies
Overlay ToolQuality Auditing SystemsTelephone Switchboard
Certifications & Qualifications
Certified Healthcare Access Associate (CHAA)Certified Revenue Cycle Representative (CRCR)
Industry Keywords
Healthcare AdministrationRevenue CyclePatient AccessInsurance ProcessesMedical Necessity
About the role
Key responsibilities & impact- Perform admitting duties for all patients admitted for hospital services
- Assign accurate medical record numbers (MRNs)
- Complete medical necessity and compliance checks
- Provide patient instructions and collect insurance information
- Receive and process physician orders
- Use an overlay tool and provide excellent customer service
- Operate the telephone switchboard for incoming, outgoing, and inter-office calls
- Meet assigned point-of-service goals
- Use quality auditing and reporting systems to correct accounts
- Conduct account audits and ensure forms are completed accurately and timely
- Provide statistical data to Patient Access leadership
- Pre-register patient accounts before visits
- Make inbound and outbound calls to obtain demographic, insurance, and other patient information
- Collect point-of-service payments and past-due balances, including payment-plan options
- Explain consent and patient education 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
- Screen medical necessity using ABN software and distribute/document ABNs and other designated forms
Requirements
What you’ll need- Certified Healthcare Access Associate (CHAA) and/or Certified Revenue Cycle Representative (CRCR), company paid
- 2 Year/Associates Degree preferred
- Preferred major in healthcare administration, business administration, or related field
- 2–3 years of experience in patient access or a leadership role
- 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/procedure codes
- 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 package including healthcare, time off, retirement, and well-being programs
- Professional certification relevant to the associate’s field
- Quarterly and annual incentive programs
- Career advancement opportunities
- Professional development investment
- Work-life flexibility