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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 Revenue Cycle Management, including patient admissions, billing, and insurance verification. Proficient in developing training materials and providing customer service while ensuring compliance with health insurance requirements.
Highest-signal resume keywords
Revenue Cycle ManagementPatient Insurance ProcessMedical TerminologyOn-Call ResponsibilitiesTraining 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 AdmissionsInsurance VerificationCPT CodesCompliance ChecksQuality AuditingStatistical Data AnalysisPoint-of-Service PaymentsABN SoftwareMedical Necessity ScreeningBenefit Data Entry
Soft Skills
Customer ServiceInquisitive NatureOpenness to InnovationCommunication SkillsTeam Collaboration
Tools & Technologies
Overlay ToolTelephone SwitchboardQuality Auditing Systems
Industry Keywords
Revenue CycleHealth Insurance RequirementsAuthorizationsDenials ManagementPatient Access
About the role
Key responsibilities & impact- Perform admitting duties for all 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
- Provide customer service and serve as the department SMART
- 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 associates across the revenue cycle
- Develop staff schedules within the patient access department
- Provide after-hours support and guidance through on-call responsibilities
- 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 make inbound and outbound calls to obtain patient information
- Screen medical necessity using ABN software and distribute and document designated 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 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 and be authorized to work within the United States
- Ability to perform on-call responsibilities and work unscheduled times to cover staffing issues
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
- Work-life flexibility
- Professional development
- Reasonable accommodations for qualified individuals with disabilities