Senior Patient Access Specialist

Senior Patient Access Specialist

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!

The opportunity:

Career opportunity offering: bonus incentives, paid certifications, tuition reimbursement, comprehensive benefits, and career advancement.

This position pays between $18.65 - $19.90/hr based on experience. This position is an onsite role, and candidates must be able to work on-site at Tower - Phoenixville Hospital in Phoenixville, PA.

Essential Job Functions:

• 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.
• Operating the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
• Utilizing quality auditing and reporting systems to ensure accounts are corrected.
• Developing 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.
• Developing staff schedules within the patient access department.
• Having on-call responsibilities for the department, including providing after-hours support and guidance.
• Collecting point of service payments in emergency, outpatient, and inpatient situations including past due balances and offering payment plan options.
• Conducting audits of accounts and assuring that all forms are completed accurate, timely to meet audit standards and providing statistical data to Patient Access Leadership.
• Explaining general consent for treatment forms to the patient/guarantor/legal guardian, obtaining necessary signatures and witness's name.
• Explaining and distributing patient education documents.
• Reviewing eligibility responses in insurance verification system and appropriately selecting the applicable insurance plan code, entering 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.
• 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.

Job experience: 1 to 3 years. 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. Education level: associate degree or equivalent experience. 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.

Join an award-winning company. Five-time winner of "Best in KLAS" 2020-2022, 2024-2025. Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024. 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024. Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024. Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023. Energage Top Workplaces USA 2022-2024. Fortune Media Best Workplaces in Healthcare 2024. Monster Top Workplace for Remote Work 2024. Great Place to Work certified 2023-2024.

Bottom 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 View email address on click.appcast.io.

This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.

Employment disclaimers Ensemble