Senior Patient Access Specialist

Ensemble Health Partners; Phoenixville (Chester County); On-site; USD 25,692 - 27,414; Full time

Benefits offered by this job

Bonuses and incentive programs

Paid certifications and tuition reimbursement

Comprehensive benefits package

Career advancement opportunities

Job summary

Ensemble Health Partners is seeking a Senior Patient Access Specialist at its Tower – Phoenixville Hospital location. This role is pivotal in managing patient admissions and ensuring compliance with healthcare regulations. The ideal candidate will have 1 to 3 years of relevant experience, along with a solid understanding of revenue cycle processes and patient insurance.

Ideal candidates will possess an associate degree or equivalent experience, be knowledgeable about medical terminology, and have a readiness to embrace innovative solutions in healthcare.

Qualifications

• 1 to 3 years of experience in patient access or related revenue cycle functions.
• Comprehensive knowledge of patient insurance processes for authorizations and benefits verification.
• Demonstrated inquisitiveness and openness to innovation.

Responsibilities

• Assign accurate MRNs and complete medical necessity checks.
• Develop training materials and programs for new hires.
• Collect point-of-service payments and explain consent forms.

Skills

Patient access knowledge

Patient insurance processes

Medical terminology

Revenue cycle knowledge

Education

Associate degree or equivalent experience

Job description

Senior Patient Access Specialist

Location: Tower – Phoenixville Hospital, Phoenixville, PA (onsite)

Compensation

Pay: $18.65 - $19.90 per hour, based on experience.

Job Overview

The Senior Patient Access Specialist is responsible for performing admitting duties for all patients receiving services at Ensemble Health Partners. Additional duties include training, scheduling, and other senior-level responsibilities while meeting regulatory requirements.

Responsibilities

• Assign accurate MRNs, complete medical necessity or compliance checks, and provide accurate patient instructions.
• Collect insurance information, receive and process physician orders, and utilize overlay tool.
• Serve as the SMART for the department and maintain excellent customer service measured by Press Ganey.
• Operate the telephone switchboard to relay incoming, outgoing, and inter‑office calls.
• Utilize quality auditing and reporting systems to correct accounts.
• Develop training materials and programs for new hires and provide continuing education.
• Develop staff schedules within the patient access department.
• Provide on‑call responsibilities for the department, including after‑hours support and guidance.
• Collect point‑of‑service payments in various settings, offer payment plan options, and meet point‑of‑service goals.
• Conduct audits of accounts, ensure accuracy and timeliness to meet audit standards, and provide statistical data to leadership.
• Explain general consent for treatment forms, obtain signatures, and distribute education documents.
• Review insurance eligibility responses, select applicable insurance plan codes, and enter benefit data to support POS and billing processes.
• Screen medical necessity using Advanced Beneficiary Notice (ABN) software and distribute ABN as needed.
• Perform other job‑related duties as required by supervisor.

Qualifications

• 1 to 3 years of experience in patient access or related revenue cycle functions.
• Associate degree or equivalent experience.
• Knowledge of revenue cycle including admission, billing, payments, and denials.
• Comprehensive knowledge of patient insurance processes for authorizations and benefits verification.
• Knowledge of health insurance requirements, medical terminology, CPT, or procedure codes.
• Demonstrated inquisitiveness and openness to innovation, including AI applications.

Benefits

• Bonuses and incentive programs.
• Paid certifications and tuition reimbursement.
• Comprehensive benefits package (healthcare, time off, retirement, well‑being).
• Career advancement opportunities.

EEO Statement

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [e-mail].