Demonstrates expertise in patient access operations, including medical necessity checks, insurance verification, and revenue cycle management. Proficient in developing training materials and providing customer service in healthcare settings.

Highest-signal resume keywords

Revenue Cycle ManagementPatient Insurance ProcessesMedical TerminologyTraining DevelopmentCustomer Service

About the role

Key responsibilities & impact

Perform admitting duties for patients receiving services at Ensemble Health Partners
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
Provide customer service measured by Press Ganey
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, Medicare, observation, and other patient 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
Pre-register patient accounts and make inbound and outbound calls to obtain patient information
Screen medical necessity using Advanced Beneficiary Notice software and distribute/document required forms

Requirements

What you’ll need

1 to 3 years experience in a similar role
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 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

Benefits

Comp & perks

$1500 Sign-On Bonus
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
Reasonable accommodations for qualified individuals with disabilities

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Medical Necessity ChecksInsurance VerificationCPT CodesPoint-of-Service CollectionsAccount AuditsBenefit Data EntryOverlay Tool UsageStatistical Data ReportingPatient RegistrationCompliance Checks

Soft Skills

InquisitiveOpenness to InnovationCommunicationCustomer Service OrientationTeam Collaboration

Tools & Technologies

Quality Auditing SystemsPress GaneyAdvanced Beneficiary Notice SoftwareTelephone Switchboard

Industry Keywords

Patient AccessHealthcare ComplianceInsurance EligibilityAdmissionsBillingPaymentsDenialsContinuing Education