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Senior Specialist, Patient Access
Ensemble Health Partners. Perform admitting duties for all patients receiving services at Ensemble Health Partners .
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 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
Medical Necessity ChecksCPT CodesInsurance VerificationPoint-of-Service PaymentsAccount AuditsPatient RegistrationStatistical ReportingOverlay Tool UsageAdvanced Beneficiary Notice SoftwareCompliance Checks
Soft Skills
Customer ServiceInquisitive NatureOpenness to InnovationCommunication SkillsTeam Collaboration
Tools & Technologies
Quality Auditing SystemsTelephone SwitchboardPatient Access Software
Industry Keywords
Health Insurance RequirementsAdmissionsBillingPaymentsDenials
About the role
Key responsibilities & impact- Perform admitting duties for all patients receiving services at Ensemble Health Partners
- 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 associates across the revenue cycle
- Develop staff schedules within the patient access department
- Provide on-call, after-hours support and cover unscheduled staffing needs
- 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, select insurance plan codes, and enter benefit data
- Pre-register patient accounts and make inbound and outbound calls to obtain patient information
- Screen medical necessity using Advanced Beneficiary Notice software and distribute required forms
Requirements
What you’ll need- 1 to 3 years of job 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
- Must be inquisitive and demonstrate openness to innovation, including AI
- Must reside 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
- Career Advancement
- Professional development opportunities
- Quarterly and annual incentive programs
- Work-Life Flexibility
- Reasonable accommodations for qualified individuals with disabilities