Ensemble Health Partners

Patient Access

• Assign accurate medical record numbers (MRNs)
• Complete medical necessity and compliance checks
• Provide patient instructions and excellent customer service
• Collect insurance information and process physician orders
• Operate the telephone switchboard
• Meet assigned point-of-service collection 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 and patient education forms and obtain required signatures
• Review insurance eligibility responses and select applicable insurance plan codes
• Enter benefit data to support collections and billing processes
• Screen Medicare medical necessity using ABN software and distribute required forms

Patient Access Associate

• Organize and coordinate assigned staff activities
• Handle and solve problems related to the area of assignment
• Coordinate registration and pre-registration duties
• Train, coach, educate, and develop Patient Access staff
• Monitor daily productivity and communicate with staff
• Produce and review reports on point of service, wait times, overtime, productivity, and other key metrics
• Assign and coordinate staff schedules, rotations, time off, and call-offs
• Track and monitor upfront collections, assign goals, and provide coaching or corrective action
• Participate in on-call rotation and provide administrative and educational guidance
• Develop department processes and procedures and conduct performance audits
• Act as a resource for staff and ancillary departments while promoting customer service
• Manage assigned implementation, tracking, and process-change projects
• Participate in facility activities and gather statistical information
• Assist with staff evaluations and maintain the time/attendance system
• Attend facility meetings as required
• Apply AI to process and technological improvements
• Assist the Patient Access Manager with day-to-day operations

Patient Access – Pre-Access Supervisor

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/under-insured patients for program eligibility opportunities and coordinate application processes
• Communicate with patients to obtain documents required for applications
• Track applications through determination, update insurance information, and ensure timely billing or adjustment posting
• Document relevant actions and communications in assigned patient accounting systems
• Maintain working knowledge of state and federal program requirements and share information with colleagues and supervisors
• Develop and maintain working relationships with county, state, and federal Medicaid caseworker partners
• Collaborate with revenue cycle departments and associates
• Perform other duties as assigned

Public Benefit Specialist

Patient Access Specialist

• Assign accurate MRNs
• Complete medical necessity and compliance checks
• Provide patient instructions
• Collect insurance information
• Receive and process physician orders
• Utilize an overlay tool while providing customer service
• Operate the telephone switchboard
• Adhere to policies and 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 collections and past-due balances, including payment plan options
• Explain consent and patient education forms and obtain required 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
• Screen medical necessity using ABN software
• Distribute and document designated forms and pamphlets

Patient Access Associate Specialist

• 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

Senior Patient Access Specialist

Insurance

• Support Insurance Authorization Specialist I and Insurance Verification Specialist I staff
• Select accurate medical records for patient safety
• Obtain and validate demographic and insurance information
• Work with insurance companies and physician offices to complete authorization requirements and secure payment
• Ensure active and eligible insurance coverage
• Assist the department supervisor with daily workflow, workload distribution, escalated issues, and system/process issue tracking
• Serve as a subject matter expert and answer questions
• Mentor and train new team members
• Identify appropriate clinical records and submit authorization requests based on plan requirements
• Liaise between ordering physicians and insurance companies to identify and communicate approval requirements
• Help the team achieve quality, customer service, and productivity standards
• Perform other duties as assigned

Senior Insurance Authorization Specialist

• Perform admission duties for 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
• Operate the telephone switchboard
• Provide customer service to patients, clients, and colleagues
• Pre-register patient accounts and obtain demographic, insurance, and financial-liability information
• Collect point-of-service payments and past-due balances, including payment-plan options
• Explain consent and patient education forms and obtain signatures
• Review insurance eligibility and enter benefit data to support point-of-service collections and clean claims
• Screen medical necessity using ABN software and distribute required forms
• Conduct account audits, correct accounts, and provide statistical data to Patient Access leadership

• 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
• Initiate and coordinate the application process
• Communicate with patients to obtain required application documents
• Follow submitted applications through determination
• Update applicable insurance information and ensure timely billing or adjustment posting
• Document relevant actions and communication steps in assigned patient accounting systems
• Maintain working knowledge of state and federal program requirements and share information with colleagues and supervisors
• Develop and maintain working relationships with county, state, and federal Medicaid caseworker partners
• Collaborate with revenue cycle departments and associates
• Perform other duties as assigned

• 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 operate the telephone switchboard
• Utilize quality auditing and reporting systems to ensure accounts are corrected
• Develop training materials and programs for new hires and provide continuing education
• Develop staff schedules within the patient access department
• Provide on-call, after-hours support and guidance, including covering 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, obtain signatures, and distribute required documents
• 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 ABN software and distribute and document designated forms

• Perform admitting duties for 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
• 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 and patient education forms, obtain signatures, and document witnesses
• 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 notices and forms

Engineering Manager

• Provide people, delivery, and technical leadership for a software engineering team
• Build and support scalable, secure, and resilient software solutions
• Translate product and technology priorities into executable plans, milestones, and team commitments
• Lead, coach, and develop software engineers through feedback, career development, and performance expectations
• Support workforce planning, recruiting, onboarding, and retention
• Own planning, design, development, testing, deployment, and ongoing support of software solutions
• Identify and remove delivery blockers, manage dependencies, and communicate risks and trade-offs
• Balance feature delivery with reliability, security, technical debt, and continuous improvement
• Guide technical design discussions, code and architecture reviews, and complex troubleshooting
• Ensure solutions meet standards for performance, maintainability, security, observability, and production readiness
• Promote automated testing, CI/CD, infrastructure-as-code, documentation, and root-cause analysis
• Collaborate with Product, Design, Architecture, Quality, Security, Infrastructure, and business partners
• Provide updates on delivery, technical risks, dependencies, and team capacity
• Incorporate technical considerations into planning and roadmap discussions
• Encourage cloud-native services, APIs, microservices, event-driven systems, automation, and infrastructure-as-code
• Evaluate AI-enabled development tools and emerging technologies
• Promote experimentation, learning, and measurable improvements to developer experience and software delivery

Manager, Software Engineering

• Interview uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or local Financial Assistance program
• 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/under-insured patients for program eligibility opportunities
• Initiate and coordinate the application process
• Communicate with patients to obtain documents accompanying applications
• Follow submitted applications through determination, update applicable insurance information, and ensure timely billing or adjustment posting
• Document relevant actions and communication steps in assigned patient accounting systems
• Maintain working knowledge of state and federal program requirements and share information with colleagues and supervisors
• Develop and maintain working relationships with county/state/federal Medicaid caseworker partners
• Collaborate with revenue cycle departments and associates
• Perform other duties as assigned

• Perform admitting duties for 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 patient financial 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 designated forms

Health Information Specialist

• Complete analysis/reanalysis of records accurately and timely
• Complete EMR Waiting for Documentation and Missing Document work queues when documentation is received
• Follow up with ancillary/nursing departments and providers regarding missing documentation or dictation
• Complete and update the unbilled spreadsheet and send it to management
• Review electronic medical records and create and assign charting deficiencies in the deficiency management system
• Manage analysis-specific electronic and manual work queues to ensure timely analysis and chart completion
• Add and reassign accounts to appropriate work queues according to company standards and workflow guidelines
• Identify systematic problems and route them to the Manager for facility resolution
• Report issues and trends that do not comply with facility or corporate policies and standards
• Document workflows, alterations, modifications, and process changes
• Perform other duties as assigned

Health Information Management Specialist

Counselor

• Review benefits and collect inpatient, observation, and bedded outpatient patient liabilities, including previous balances
• Obtain patient insurance and financial information to estimate and collect patient liabilities
• Meet assigned daily point-of-service collection goals
• Notify recently discharged patients within 7 days about unpaid estimated liabilities and document account-notated attempts
• Perform cashiering duties, including cash reconciliation and deposits
• Handle flat-rate contracts, bundled services, and self-pay options
• Communicate with stakeholders regarding case statuses and escalations
• Collaborate with Case Management and Utilization Management on regulatory forms
• Monitor missed collection opportunity reports and contact or visit listed inpatients at least three times daily
• Maintain client and Ensemble work queues, including unbilled edits
• Complete follow-up reports, next-day verification, and denial root-cause analysis
• Manage communications with in-house patients unable to make payments
• Complete registration-related consents and forms at or after admission
• Submit CFO escalations for uncollected estimated liabilities
• Assist eligibility specialists with insurance verification, Medicaid and charity processing, secondary coverage searches, self-pay coverage queries, and coordination-of-benefits education
• Work daily queues to complete, update, and clear unbilled accounts

Patient Access Associate

Patient Access – Pre-Access Supervisor

Public Benefit Specialist

Patient Access Associate Specialist

Senior Patient Access Specialist

Senior Insurance Authorization Specialist

Patient Access Associate Specialist

Public Benefit Specialist

Senior Patient Access Specialist

Patient Access Associate Specialist

Manager, Software Engineering

Public Benefit Specialist

Patient Access Associate Specialist

Health Information Management Specialist

Financial Counseling Specialist