Sr. Patient Access Specialist

Ensemble Health Partners; Fredericksburg (VA); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Comprehensive benefits package

Professional development opportunities

Quarterly and annual incentive programs

Job summary

Ensemble Health Partners in Fredericksburg, VA is seeking a Senior Patient Access Specialist responsible for admitting patients, training staff, and ensuring compliance with policies. This role requires 1 to 3 years of relevant experience and understanding of revenue cycle dynamics.

The ideal candidate will engage actively in comprehensive patient interactions and contribute positively to the revenue cycle management efforts within the organization.

Qualifications

• 1 to 3 years of experience in a similar role.
• Comprehensive knowledge of patient insurance processes.
• Understanding of admission, billing, and denials.

Responsibilities

• Perform admitting duties for patients at Ensemble Health Partners.
• Train new hires and create staff schedules within the department.
• Ensure compliance with Ensemble policies and regulatory requirements.

Skills

Understanding of Revenue Cycle

Knowledge of Health Insurance requirements

Medical terminology understanding

Education

Associate degree or equivalent experience

Job description

## Sr. Patient Access SpecialistApplylocations: Fredericksburg, VA: MWHC - Mary Washington Hospitaltime type: Full timeposted on: Posted Todayjob requisition id: R047028**Thank you for considering a career at 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:**The Senior Patient Access Specialist is responsible for performing admitting duties for all patients receiving services at Ensemble Health Partners. Additional duties can include training, scheduling, and other senior-level responsibilities. They are responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The Senior Patient Access Specialist will work within the policies and processes that are being performed across the entire organization.**Essential Job Functions:*** 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 orders 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 inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.* This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.**Job Experience:** 1 to 3 years in a similar role**Other Preferred Knowledge, Skills, and Abilities:*** Understanding of Revenue Cycle including admission, billing, payments, and denials* Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification* Knowledge of Health Insurance requirements* Knowledge of medical terminology or CPT or procedure codes**Desired Education Level:** Associate degree or equivalent experience#LI-LL1**Join an award-winning company**Five-time winner of “Best in KLAS” 2020-2022, 2024-2025Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-202422 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023Energage Top Workplaces USA 2022-2024Fortune Media Best Workplaces in Healthcare 2024Monster Top Workplace for Remote Work 2024Great Place to Work certified 2023-2024* Innovation* Work-Life Flexibility* Leadership* Purpose + ValuesBottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:* **Associate Benefits –**We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.* **Our Culture** – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.* **Growth –** We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.* **Recognition –** We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.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].