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Ensemble Health Partners

End-to-end revenue cycle management for hospitals

Associate Specialist - Patient Access

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeClaremore, OK, USA

About the Job

Requirements

  • Understanding of revenue cycle processes, including admission, billing, payments, and denials.
  • Comprehensive knowledge of patient insurance processes for obtaining authorizations and verifying benefits.
  • Knowledge of health insurance requirements and medical terminology or CPT or procedure codes.
  • Must be inquisitive and open to innovation, including AI, to explore better processes and improve patient and client experiences.
  • Associate degree or equivalent experience.
  • One to three years of job experience.

Responsibilities

  • Assign accurate medical record numbers, complete medical necessity and compliance checks, provide patient instructions, collect insurance information, receive and process physician orders using an overlay tool, and provide customer service measured by Press Ganey.
  • Serve as the department's SMART, adhere to organizational policies and regulatory compliance requirements, provide compassionate customer service, and 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 hires and provide continuing education to associates across revenue cycle areas.
  • Develop staff schedules within the patient access department.
  • Provide on-call after-hours support and guidance, and work unscheduled times 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, provide statistical data to Patient Access Leadership, and meet assigned point-of-service goals.
  • Explain general consent-for-treatment forms to patients, guarantors, or legal guardians; obtain necessary signatures and witness names; and explain and distribute patient education documents, including Medicare notices, observation forms, consent forms, and other designated forms.
  • Review insurance eligibility responses, select applicable insurance plan codes, and enter benefit data to support point-of-service collections and billing processes and improve clean-claim rates.
  • 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, inform Medicare patients of possible nonpayment for tests, distribute the notices as appropriate, and distribute and document other designated forms and pamphlets.
  • Perform other job-related duties as required by the supervisor, subject to reasonable accommodation.

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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