Senior Specialist, Patient Access

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. 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 ***This position is an onsite role, and candidates must be able to work on-site at Beebe - Main Campus in Lewes, DE**** Job Description 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. 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 using overlay tools and delivering excellent customer service as measured by Press Ganey. Serve as SMART for the department. Utilize quality auditing and reporting systems to ensure accounts are corrected, including accounts for other 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. Provide on‑call responsibilities for the department, including after‑hours support and guidance, and work unscheduled times to cover staffing issues. Collect point‑of‑service payments in emergency, outpatient, and inpatient situations, including past‑due balances and payment plan options. Conduct audits of accounts, ensure all forms are completed accurately and on time, and provide statistical data to Patient Access Leadership. Hold accountability for point‑of‑service goals. Explain general consent for treatment forms to the patient/guarantor/legal guardian, obtain necessary signatures and witnesses’ names, and distribute patient education documents. Review eligibility responses in the insurance verification system, select the applicable insurance plan code, enter benefit data to support POS collections and billing, and pre‑register patient accounts before visits. Screen medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non‑payment and distribute the ABN. Document and distribute other designated forms and pamphlets. Perform additional job‑related duties as required by supervisors, subject to reasonable accommodation. Job Experience 1 to 3 Years 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 processes for authorizations and benefits verification. Knowledge of health insurance requirements and medical terminology or CPT/procedure codes. Inquisitive and open to innovation, including AI, to explore better processes and improve patient and client experiences. Benefits Associate Benefits – Comprehensive package supporting physical, emotional, and financial health, including healthcare, time off, retirement, and well‑being programs. Our Culture – Place where associates can do their best work and be their best selves, rooted in collaboration, growth, and innovation. Growth – Professional development with certifications and tuition reimbursement. Recognition – Quarterly and annual incentive programs for employees who exceed expectations. Equal Employment Opportunity 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 #J-18808-Ljbffr Dormont Manufacturing Co