Senior Patient Access Specialist

CAREER OPPORTUNITY OFFERING Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $18.65 - $19.90/hr based on experience The Senior PatientAccess 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: Assign accurate MRNs, complete medical necessity or compliance checks, provide proper patient instructions, collect insurance information, receive and process physician orders while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey. Serve as the SMART for the department and adhere to Ensemble Health Partners' policies. Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable. Utilize quality auditing and reporting systems to ensure accounts are corrected for employees, departments, and facilities. Develop training materials and programs for new hires and provide continuing education to associates in all areas of the revenue cycle. Develop staff schedules within the patient access department. Have on‑call responsibilities, including after‑hours support and guidance, and may work unscheduled times to cover staffing issues. Collect point of service payments in emergency, outpatient, and inpatient settings, including past‑due balances and payment plan options. Conduct audits of accounts, assure all forms are completed accurately and timely to meet audit standards, and provide statistical data to Patient Access Leadership. Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures and witness names, and distribute patient education documents. Review eligibility responses in the insurance verification system, select applicable insurance plan codes, enter benefit data, and support POS (Point of Service Collections) and billing processes. Screen medical necessity using Advanced Beneficiary Notice (ABN) software, inform Medicare patients of possible non‑payment of tests, and distribute the ABN as appropriate. Distribute and document 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 Education Level: Associate degree or Equivalent Experience Required 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, CPT, or procedure codes. Must be inquisitive and demonstrate openness to innovation, including AI, to explore better processes and ways to alleviate friction and improve patient and client experiences. #J-18808-Ljbffr