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Senior Patient Access Specialist
Ensemble Health Partners. Perform admitting duties for 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 insurance verification, medical necessity checks, 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 TerminologyCPT CodesTraining 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
Medical Necessity ChecksInsurance VerificationPoint-Of-Service PaymentsAccount AuditsData EntryPatient RegistrationCompliance ChecksStatistical ReportingOverlay Tool UsageABN Software
Soft Skills
Openness To InnovationCommunication SkillsTeam CollaborationProblem-Solving
Tools & Technologies
Quality Auditing SystemsReporting SystemsTelephone Switchboard
Industry Keywords
Health Insurance RequirementsAdmissionsBillingPaymentsDenialsPatient Access
About the role
Key responsibilities & impact- Perform admitting duties for 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
- 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 patient access department staff schedules
- Provide on-call, after-hours support and guidance
- Work unscheduled times to cover staffing issues
- 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 signatures
- Review insurance eligibility and enter benefit data to support collections and billing
- 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 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, 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 benefits package including healthcare, time off, retirement, and well-being programs
- Professional development opportunities
- Quarterly and annual incentive programs
- Career advancement opportunities
- Work-life flexibility