Ensemble Health Partners

Patient Access Specialist

• Perform admitting duties for all patients admitted for hospital services
• Assign accurate MRNs
• Complete medical necessity and compliance checks
• Provide patient instructions and collect insurance information
• Receive and process physician orders
• Operate the telephone switchboard
• Meet point-of-service goals and collect payments, past-due balances, and payment-plan amounts
• Conduct quality audits and reporting to ensure account accuracy
• Pre-register patient accounts and obtain demographic, insurance, and financial information
• Explain consent and patient education forms and obtain signatures
• Review insurance eligibility and enter benefit data to support collections and clean claims
• Screen medical necessity using ABN software and distribute required forms
• Provide customer service in accordance with organizational policies and compliance requirements

Patient Access Associate Specialist

Director

• Build strong, trusted client relationships and serve as a strategic partner
• Develop a deep understanding of client KPIs and SLAs within the first 60 days
• Identify and execute opportunities to improve performance, satisfaction, and outcomes
• Oversee complex multi-client utilization review and utilization management operations
• Drive measurable improvements in performance, productivity, and SLA attainment
• Lead data-driven decision-making using dashboards and analytics tools
• Champion adoption of new technologies and investment capabilities
• Lead large-scale change initiatives across people, process, and technology
• Partner cross-functionally to implement process and system improvements
• Lead, develop, and mentor a global, multi-layered team of 125–175 employees
• Manage and empower at least 3 direct-report leaders
• Foster a high-performing culture aligned with organizational values
• Travel up to 25% as required

Director, Virtual Utilization Review

Counselor

• Perform benefit education and validation for inpatient patients
• Conduct face-to-face reviews of inpatient benefits, authorizations, and patient liabilities
• Accurately verify and calculate patient liabilities, including previous balances
• Collect copays, deductibles, coinsurance, and balances after financial assistance
• Assess patient insurance and financial information to determine liability
• Work patient access, insurance eligibility, and follow-up reports
• Facilitate daily in-house call reviews to validate payor sources and authorizations
• Complete pre-registration and registration tasks and attempt to collect financial liabilities
• Monitor missed collection opportunities and make at least three daily room-visit attempts when needed
• Note patient-liability accounts daily and make follow-up calls
• Send post-discharge letters detailing estimated liabilities and payment options
• Obtain signatures for consent to treat, observation, Important Message from Medicare, and registration forms
• Assist with insurance verification, Medicaid and charity processing, and eligibility tasks
• Run daily census reports to identify potential eligibility
• Collect and organize outpatient orders using Revenue Cycle system queues

Financial Counseling Specialist

• Perform admitting duties for all patients admitted for hospital services
• Assign accurate MRNs and complete medical necessity/compliance checks
• Provide patient instructions and collect insurance information
• Receive and process physician orders and utilize an overlay tool
• Operate the telephone switchboard and relay calls
• Meet assigned point-of-service goals
• Use quality auditing and reporting systems to correct accounts
• Conduct account audits and provide statistical data to Patient Access leadership
• Pre-register patient accounts before visits
• Make inbound and outbound calls to obtain demographic, insurance, and financial information
• Collect point-of-service payments and past-due balances, including payment plan options
• Explain consent and patient education forms, obtain signatures, and witness names
• Review insurance eligibility and enter benefit data to support collections and billing
• Screen medical necessity using ABN software and distribute required forms

• Perform admitting duties for all patients admitted for 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
• Operate the telephone switchboard
• Provide compassionate customer service
• Meet assigned point-of-service goals and collect patient balances
• Use quality auditing and reporting systems to correct accounts
• Conduct account audits and provide statistical data to Patient Access leadership
• Pre-register patient accounts through inbound and outbound calls
• Obtain demographic, insurance, and financial-liability information
• Explain consent and patient education forms and obtain signatures
• Review insurance eligibility and select applicable plan codes
• Enter benefit data to support point-of-service collections and billing
• Screen medical necessity using ABN software and distribute required forms

Analyst

• Maximize insurance reimbursement by identifying contractual variances between posted payments and expected reimbursement
• Analyze contractual reimbursement and communicate payment discrepancies to internal and external departments
• Identify trends in underpayments and determine effective paths to resolution
• Review large amounts of remittance data to locate charge or billing opportunities for revenue optimization
• Communicate directly with payors regarding outstanding underpayments
• File underpayment appeals and resolve account variances
• Identify root causes of underpayments, denials, and delayed payments
• Document activity in client host systems, Ensemble IQ, or other tracking systems
• Compile and analyze data and report findings and trends to leadership
• Collaborate with Managed Care, Billing, Coding, Revenue Integrity, and Payor Strategy departments
• Assist with client and payor escalations
• Use Ensemble IQ underpayment prediction rules to identify underpayments
• Complete assigned projects and self-directed initiatives
• Mentor associates and serve as a subject matter expert
• Meet productivity and quality standards

Senior Analyst, Revenue Recovery

• Perform admitting duties for all patients admitted for hospital services
• Assign accurate MRNs and complete medical necessity and compliance checks
• Provide patient instructions and collect insurance information
• Receive and process physician orders and use an overlay tool
• Operate the telephone switchboard and relay incoming, outgoing, and inter-office calls
• Meet point-of-service goals and provide compassionate customer service
• Use quality auditing and reporting systems to correct accounts
• Conduct account audits and provide statistical data to Patient Access leadership
• Pre-register patient accounts before visits
• Make inbound and outbound calls to obtain demographic, insurance, and financial liability information
• Collect point-of-service collections and past-due balances, including payment plan options
• Explain and obtain signatures for consent and treatment forms
• Distribute patient education documents and required forms
• Review insurance eligibility and select applicable insurance plan codes
• Enter benefit data to support point-of-service collections and billing processes
• Screen medical necessity using ABN software and distribute and document ABNs and other designated forms

Associate Specialist, Patient Access

• Perform admitting duties for all patients admitted for hospital services
• Assign accurate MRNs
• Complete medical necessity and compliance checks
• Provide patient instructions and deliver excellent customer service
• Collect insurance information and process physician orders
• Utilize an overlay tool
• Operate the telephone switchboard for incoming, outgoing, and inter-office calls
• Meet assigned point-of-service goals
• Use quality auditing and reporting systems to correct accounts
• Audit accounts and ensure forms are complete and timely
• Provide statistical data to Patient Access leadership
• Pre-register patient accounts before visits
• Make inbound and outbound calls to obtain demographic, insurance, and patient financial information
• Collect point-of-service collections and past-due balances, including payment plan options
• Explain consent and patient education forms, obtain signatures, and document witnesses
• Review insurance eligibility responses and select applicable insurance plan codes
• Enter benefit data to support point-of-service collections and billing processes
• Screen medical necessity using ABN software and distribute and document required forms

• Perform admitting duties for all patients admitted for hospital services
• Assign accurate MRNs
• Complete medical necessity and compliance checks
• Provide patient instructions and collect insurance information
• Receive and process physician orders
• Use an overlay tool while providing customer service
• Operate the telephone switchboard
• Meet assigned point-of-service goals
• Use quality auditing and reporting systems to correct accounts
• Conduct account audits and provide statistical data to Patient Access leadership
• Pre-register patient accounts before visits
• Make inbound and outbound calls to obtain demographic, insurance, and patient financial information
• Collect point-of-service payments and past-due balances and explain payment plan options
• Explain consent and patient education forms, obtain signatures, and document witnesses
• Review insurance eligibility responses and enter benefit data to support collections and billing
• Screen medical necessity using ABN software and distribute required forms

• Perform admitting duties for all patients admitted for hospital services
• Assign accurate MRNs
• Complete medical necessity and compliance checks
• Provide patient instructions and collect insurance information
• Receive and process physician orders
• Operate the telephone switchboard
• Provide compassionate customer service
• Meet assigned point-of-service goals
• Conduct account audits and provide statistical data to Patient Access leadership
• Pre-register patient accounts
• Obtain demographic, insurance, and patient financial liability information by inbound and outbound calls
• Collect point-of-service collections and past-due balances, including payment plan options
• Explain consent and patient education forms and obtain required signatures
• Review insurance eligibility and enter benefit data to support collections and billing
• Screen medical necessity using ABN software and distribute required forms

• Perform admitting duties for all patients admitted for 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
• Use overlay tools while providing customer service
• Operate the telephone switchboard
• Meet point-of-service goals
• Use quality auditing and reporting systems to correct accounts
• Conduct account audits and provide statistical data to Patient Access leadership
• Pre-register patient accounts before visits
• Make inbound and outbound calls to obtain demographic, insurance, and financial information
• Collect point-of-service collections and past-due balances, including payment plan options
• Explain consent and patient education forms, obtain signatures, and document witnesses
• Review insurance eligibility and enter benefit data to support collections and billing
• Screen medical necessity using ABN software and distribute required forms

• Perform admitting duties for all patients admitted for hospital services
• Assign accurate MRNs
• Complete medical necessity and compliance checks
• Provide patient instructions and collect insurance information
• Receive and process physician orders
• Operate the telephone switchboard
• Provide compassionate customer service
• Meet assigned point-of-service goals
• Use quality auditing and reporting systems to correct accounts
• Conduct account audits and provide statistical data to Patient Access leadership
• Pre-register patient accounts before visits
• Make inbound and outbound calls to obtain demographic, insurance, and financial-liability information
• Collect point-of-service payments and past-due balances, including payment-plan options
• Explain consent forms and obtain required signatures and witness names
• Distribute patient education documents and required forms
• Review insurance eligibility responses and select applicable insurance plan codes
• Enter benefit data to support point-of-service collections and billing processes
• Screen Medicare medical necessity using ABN software and distribute/document ABNs and other forms

• Manage patient registration and access processes within the healthcare revenue cycle
• Assign accurate medical record numbers and 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 and 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 department staff schedules
• Provide on-call, after-hours support and cover staffing issues as 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 and obtain required signatures
• Review insurance eligibility, select insurance plan codes, and enter benefit data
• Pre-register patient accounts and obtain demographic and insurance information
• Screen medical necessity using ABN software and distribute required forms

Senior Patient Access Specialist

• 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

General

• Interview uninsured and under-insured patients to determine eligibility for state Medicaid benefits or local financial assistance programs
• Assist with application processes to facilitate accurate and appropriate submissions
• Follow up on submitted applications to ensure timely billing or adjustment processing
• Review referred uninsured and under-insured patients for program eligibility opportunities
• Initialize and coordinate application processes
• Communicate with patients to obtain required application documents
• Follow submitted applications through determination, update insurance information, and ensure timely billing or adjustment posting
• Document relevant actions and communications in patient accounting systems
• Maintain working knowledge of state and federal program requirements and share information with colleagues and supervisors
• Develop relationships with county, state, and federal Medicaid caseworker partners
• Collaborate with revenue cycle departments and associates
• Perform other duties as assigned

Patient Access Associate Specialist

Director, Virtual Utilization Review

Financial Counseling Specialist

Patient Access Associate Specialist

Patient Access Associate Specialist

Senior Analyst, Revenue Recovery

Associate Specialist, Patient Access

Patient Access Associate Specialist

Patient Access Specialist

Patient Access Specialist

Patient Access Specialist

Patient Access Specialist

Senior Patient Access Specialist

Senior Patient Access Specialist

Senior Public Benefit Specialist