Senior Patient Access Specialist

ensemblehp; Lexington (VA); On-site; USD 26,000 - 28,000; Full time

Benefits offered by this job

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Career advancement

Job summary

Ensemble Health Partners seeks a Senior Patient Access Specialist to manage patient access tasks, verify coverage, collect demographics, and guide staff with training materials. You will handle physician orders, insurance data, and POS activities with a focus on accuracy and patient service.

The role includes on-call responsibilities and collaboration with leadership to ensure efficient revenue cycle operations and high-quality patient experiences.

Responsibilities

• Assign MRNs and complete medical necessity checks with accuracy.
• Collect insurance information and process physician orders with a helpful approach.
• Develop training materials for new hires and provide ongoing education to staff.
• Create staff schedules for the patient access department.
• Provide after-hours on-call support and guidance as needed.
• Perform POS collections and assist with clean claim rates and patient demographics.

Job description

About Ensemble

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

O.N.E Purpose

• Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
• Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
• Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement

This position pays between $18.65 - $19.90/hr based on experience

Senior Patient Access Specialist Responsibilities

• Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician order while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey. They will serve as the SMART for the department. They are to adhere to Ensemble Health Partners policies and provide excellent customer service in these interactions with the appropriate level of compassion. Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
• Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities.
• A Senior Patient Access Specialist is responsible for the development of training materials and programs for new hires to the department, as well as providing continuing education to associates in all areas of the revenue cycle.
• A Senior Patient Access Specialist is responsible for the development of staff schedules within the patient access department.
• A Senior Patient Access Specialist will have on-call responsibilities for the department, including providing after-hours support and guidance. As part of on-call responsibilities, the Senior Patient Access Specialist may be responsible for working unscheduled times to cover staffing issues.
• Senior Patient Access Specialist are responsible for the collection of point of service payments. These activities may be conducted in emergency, outpatient, and inpatient situations including past due balances and offering payment plan options The Patient Access Specialist is expected to adhere to Ensemble Health Partners policies and provide excellent customer service in these interactions.
• Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access Leadership. Senior Patient Access Specialists will be held accountable for point of service goals as assigned.
• Explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness's name. Explains and distributes patient education documents, such as Important Message from Medicare, Observation Forms, Consent forms, and all forms implemented for future services.
• Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate including pre-registration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information, insurance information, and all other patient information.
• Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to in