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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 processes, and insurance verification. 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 TerminologyTraining DevelopmentQuality Auditing
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 CodesMedical Necessity ChecksPoint-of-Service PaymentsStatistical Data AnalysisABN SoftwareCompliance ChecksDemographic Data EntryBilling Processes
Soft Skills
Customer ServiceCommunicationTeam CollaborationProblem SolvingAdaptability
Tools & Technologies
Overlay ToolQuality Auditing SystemsTelephone Switchboard
Industry Keywords
Health Insurance RequirementsAuthorizationsBenefits VerificationPatient AccessRevenue Cycle Associates
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 ensure accounts are corrected
- Develop training materials and programs for new hires
- Provide continuing education to revenue cycle associates
- Develop staff schedules within the patient access department
- Provide on-call, after-hours support and guidance, including covering 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 required signatures
- Review insurance eligibility and enter benefit data to support collections and clean claims
- 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 or CPT or procedure codes
- Openness to innovation, including AI
- Must reside in and be authorized to work within the United States
Benefits
Comp & perks- Bonus incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive benefits including healthcare, time off, retirement, and well-being programs
- Professional development opportunities
- Quarterly and annual incentive programs
- Career advancement opportunities
- Work-life flexibility