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Ensemble Health Partners

End-to-end revenue cycle management for hospitals

Senior Patient Access Specialist

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeAlbuquerque, NM, USAIn-person

About the Job

Requirements

  • One to three years of job experience.
  • An associate degree or equivalent experience.
  • Understanding of the revenue cycle, including admission, billing, payments, and denials.
  • Comprehensive knowledge of the patient insurance process for obtaining authorizations and verifying benefits.
  • Knowledge of health insurance requirements.
  • Knowledge of medical terminology, Current Procedural Terminology, or procedure codes.

Responsibilities

  • Perform admitting duties for patients receiving services, including assigning accurate medical record numbers, completing medical necessity and compliance checks, providing patient instructions, collecting insurance information, and receiving and processing physician orders using an overlay tool.
  • Serve as the department's SMART, follow organizational policies, and provide compassionate customer service measured by Press Ganey.
  • Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
  • Use 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 department 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 after-hours support and guidance, and work unscheduled shifts when needed to cover staffing issues.
  • Collect point-of-service payments in emergency, outpatient, and inpatient settings, including past-due balances, and offer payment plan options.
  • Conduct account audits, ensure forms are completed accurately and on time to meet audit standards, and provide statistical data to Patient Access Leadership.
  • Meet assigned point-of-service goals.
  • Explain general consent for treatment forms to patients, guarantors, or legal guardians; obtain required signatures and witness names.
  • Explain and distribute patient education documents, including Important Message from Medicare, observation forms, consent forms, and forms adopted for future services.
  • Review eligibility responses in the insurance verification system, select the applicable insurance plan code, and enter benefit data to support point-of-service collections and billing processes and a clean claim rate.
  • Pre-register patient accounts before visits, including making inbound and outbound calls to obtain demographic, insurance, and other patient information.
  • Screen medical necessity using Advanced Beneficiary Notice software to inform Medicare patients of possible non-payment for tests and distribute the notice as appropriate.
  • Distribute and document other designated forms and pamphlets.

About the Company

Ensemble Health Partners

End-to-end revenue cycle management for hospitals

Ensemble Health Partners provides end-to-end revenue cycle management for hospitals and health systems. It handles the entire process from patient intake to final payment, with teams and technology embedded into the provider's operations and a revenue model tied to performance improvements. The company uses its proprietary EIQ platform (analytics, AI, and workflow automation) to optimize revenue cycle processes, reduce insurance denials, and speed cash collection, managing more than $39 billion in net patient revenue. Its approach differentiates it by being a true managed-services partner with full accountability for financial outcomes and a track record of meeting initial client goals. The overarching goal is to improve healthcare providers’ financial performance so they can focus on patient care.

Company size
5,001-10,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Cincinnati, OH
Founded
2014

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