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Senior Patient Access Specialist
Ensemble Health Partners. Perform admitting duties for all patients receiving hospital services .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient admission processes, insurance verification, and revenue cycle management, while providing exceptional customer service and training for staff development.
Highest-signal resume keywords
Revenue Cycle ManagementPatient Insurance ProcessesMedical TerminologyCPT CodesCustomer Service
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 Number AssignmentMedical Necessity ChecksInsurance Eligibility VerificationPoint-of-Service Payment CollectionAccount AuditingStatistical Data ReportingPatient Pre-RegistrationABN Software Usage
Soft Skills
Excellent Customer ServiceTraining DevelopmentCommunication Skills
Tools & Technologies
Overlay ToolQuality Auditing SystemsReporting SystemsTelephone Switchboard
Industry Keywords
Health Insurance RequirementsAdmissionsBillingPaymentsDenials
About the role
Key responsibilities & impact- Perform admitting duties for all patients receiving 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 using an overlay tool
- Provide excellent 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 revenue cycle associates
- Develop patient access department staff schedules
- Provide on-call and after-hours support, including unscheduled coverage when 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, obtain signatures, and document required information
- Review insurance eligibility responses, select insurance plan codes, and enter benefit data
- Pre-register patient accounts and make inbound and outbound calls to obtain patient information
- Screen Medicare medical necessity using ABN software and distribute required forms
Requirements
What you’ll need- 1 to 3 years in a similar 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 or procedure codes
- Associate degree or equivalent experience
- Must reside and be authorized to work within the United States
- Ability to work on-site at MWHC - Mary Washington Hospital in Fredericksburg, Virginia
Benefits
Comp & perks- Bonus incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive benefits package including healthcare, time off, retirement, and well-being programs
- Career advancement
- Professional certification relevant to the field
- Quarterly and annual incentive programs
- Work-life flexibility