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Senior Patient Access Specialist
Ensemble Health Partners. Perform admitting duties for all patients receiving services at the hospital .
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 utilizing auditing systems and developing training materials for staff within a healthcare setting.
Highest-signal resume keywords
Revenue Cycle ManagementPatient Insurance ProcessMedical TerminologyCPT CodesAuditing and Reporting Systems
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 VerificationBenefit Data EntryPoint-of-Service CollectionsCompliance ChecksMedical Necessity ScreeningStatistical Data AnalysisTraining DevelopmentSchedulingCPT Codes
Soft Skills
Customer ServiceCommunicationTeam CollaborationProblem SolvingAdaptability
Tools & Technologies
Overlay ToolABN SoftwareTelephone SwitchboardQuality Auditing Systems
Industry Keywords
Health Insurance RequirementsPatient AccessMedical NecessityAuthorizationsDenials
About the role
Key responsibilities & impact- Perform admitting duties for all patients receiving services at the hospital
- 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
- Utilize 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
- Collect point-of-service payments in emergency, outpatient, and inpatient situations
- Conduct account audits and provide statistical data to Patient Access Leadership
- Explain consent and patient education forms, obtain signatures, and distribute required 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 obtain demographic and insurance information
- Screen medical necessity using ABN software and distribute and document designated 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 process 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, VA
Benefits
Comp & perks- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits, including healthcare, time off, retirement, and well-being programs
- Career Advancement
- Professional certification relevant to the associate’s field
- Quarterly and annual incentive programs
- Work-Life Flexibility