Full-Time
Patient Access Specialist
Updated on 7/21/2026
Ensemble Health Partners
5,001-10,000 employees
End-to-end revenue cycle management for hospitals
Compensation Overview
$17 - $18.15/hr
Suffolk, VA, USA
In Person
On-site at Bon Secours Harbour View Medical Center in Suffolk, Virginia.
 Administrative & Executive Assistance (1) |
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- High School Diploma/GED required
- 1+ years of customer service experience
- 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.
- CRCR certification required within 6 months of hire (Company Paid)
- The Patient Access Representative is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for performing these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.
- Responsible for assigning accurate Medical Record Numbers (MRNs), completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey.
- Operates the telephone switchboard to relay incoming, out-going and inter-office calls as applicable. They are to adhere to policies, and provide excellent customer service in these interactions with the appropriate level of compassion. Patient Access staff will be held accountable for point of service goals as assigned.
- Responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities. Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership.
- Responsible for the pre-registration of patient accounts prior to patient visits. This may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options.
- Explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witnesses name.
- Explains and distributes patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.
- Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
- Responsible for 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.
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
N/A
Total Funding
N/A
Headquarters
Huntersville, North Carolina
Founded
2014
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Simplify's Take
What believers are saying
- Strategic growth investment from Thoreau in June 2026 accelerates AI tech and personnel expansions for market leadership.
- New partnership with IU Health in June 2026 scales a high-performing revenue cycle model across major academic health systems.
- Cohere agentic AI now manages 40% of AR follow-up, boosting denial appeal speed 40% and overturn rates 15%.
What critics are saying
- Odber Health and Premium RCM undercut fixed-collection pricing, eroding margins in mid-market health systems within 12–18 months.
- Huu Health and Proton RCM deploy proprietary AI agents reducing denials 38%, displacing Ensemble clients in 9–15 months.
- CMS RCM Transparency Rule effective Jan 2027 mandates full data disclosure, exposing EIQ to fines and client churn in 6–12 months.
What makes Ensemble Health Partners unique
- Ensemble is the first end-to-end revenue cycle partner with native RCM agentic AI trained on decade award data.
- Its EIQ platform analyzes 100% of inpatient claims pre-bill using adaptive machine learning on 80 million annual claims.
- Ensemble meets 100% of year-one client goals and delivers 5% average net patient revenue lift across its partners.
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Benefits
Health Insurance
Professional Development Budget
Performance Bonus
Flexible Work Hours
Comprehensive Benefits
Growth & Insights and Company News
6 month growth
↑ 20%1 year growth
↑ 20%2 year growth
↑ 20%June 2026thoreau to make strategic growth investment in Ensemble. CINCINNATI, Ohio, June 17, 2026 (GLOBE NEWSWIRE) - Ensemble, the nation's leading end-to-end revenue cycle managed services partner for healthcare organizations, announced today that Thoreau, the healthcare investment platform founded by Matt Holt, has entered into an agreement to make a strategic growth investment in the company. Berkshire Partners, Warburg Pincus, and Bon Secours Mercy Health will continue as investors in Ensemble alongside Thoreau. Ensemble manages end-to-end revenue cycle operations for health systems nationwide, including more than 200 hospitals, spanning patient access, coding, claims management, denial prevention, accounts receivable follow-up, and the patient financial experience. Through a combination of certified revenue cycle operators, data-rich intelligence, and advanced AI, Ensemble helps healthcare organizations sustain best-practice revenue cycle operations so providers can focus on delivering exceptional care in their communities. The investment will support Ensemble's continued growth and accelerate investment in technology and people, building on Ensemble's position as the leading innovator in revenue cycle management. Ensemble has been named Best in KLAS for end-to-end revenue cycle outsourcing six times, and its clients received 35 HFMA MAP Awards. "There is tremendous opportunity to reduce the friction in healthcare for providers, patients, and everyone involved, and we want to remain at the forefront of the innovation that makes that possible," said Judson Ivy, Founder and CEO of Ensemble. "The addition of a strategic partner with this depth of experience in healthcare administration, technology, and services gives us additional capital and expertise to expand what we deliver for our clients and the communities they serve." "It has been a privilege to partner with Judson and the exceptional team at Ensemble," said Sam Spirn, Managing Director at Berkshire Partners. "Ensemble's relentless focus on customers and operational excellence has been the foundation of the company's success, and their embrace of AI and digital transformation has further strengthened the business and positioned it for continued leadership in the healthcare space. We are grateful for the opportunity to support such an outstanding organization and look forward to its ongoing success." "We are immensely proud of what Judson and the Ensemble team have achieved during our partnership. Ensemble's dedication to innovation and enhancing the patient experience has driven an exceptional track record of growth and customer satisfaction. It has been a privilege to support the company through this chapter, and we are deeply appreciative of the partnership we have shared. We wish Judson, the entire Ensemble team, and Thoreau continued success in the years ahead," said TJ Carella, Managing Director and Global Head of Healthcare, Warburg Pincus. This announcement builds on strong momentum for Ensemble, which now manages more than $55 billion in net patient revenue for health systems nationwide. The company continues to earn broad industry recognition for performance, innovation and client satisfaction, with recognition from leading analyst firms and national workplace awards. Backed by deep operational expertise and advanced AI, Ensemble delivers measurable improvements in financial performance, operational efficiency and patient experience for its clients. The closing of the transaction is subject to customary closing conditions and approvals. J.P. Morgan Securities LLC served as lead financial advisor to Ensemble, with Goldman Sachs & Co. LLC and Guggenheim Partners also serving as financial advisors. Ropes & Gray provided legal counsel to Ensemble. Kirkland & Ellis served as legal counsel and Lazard served as financial advisor to Thoreau. About Ensemble Ensemble manages end-to-end revenue cycle operations for health systems nationwide, including patient access, coding, claims management, denial prevention, accounts receivable follow-up and the patient financial experience. Through a combination of certified revenue cycle operators, data-rich intelligence and advanced AI, Ensemble helps healthcare organizations sustain best-practice revenue cycle operations and maximize their current technology so providers can focus on delivering exceptional care in their communities. For more information, visit EnsembleHP.com or contact [email protected]. About Berkshire Partners Berkshire Partners is a 100% employee-owned, multi-sector specialist investor in private and public equity, with a focus on U.S.-based, middle-market companies. For more than four decades, the firm's private equity team has invested in well-positioned, growing companies across services, healthcare, industrials, and technology. Berkshire is currently investing from its Fund XI, with approximately $7.8 billion in commitments. Since inception, Berkshire Partners has made more than 140 private equity investments and has consistently worked in close partnership with management teams to build enduring businesses. Stockbridge, the firm's public equity group, was founded in 2007 and manages a concentrated portfolio seeking attractive long-term investments. For additional information, visit www.berkshirepartners.com. About Warburg Pincus Warburg Pincus LLC is the pioneer of global growth investing. A private partnership since 1966, the firm has the flexibility and experience to focus on helping investors and management teams achieve enduring success across market cycles. Today, the firm has more than $100 billion in assets under management, and more than 215 companies in its active portfolio, diversified across stages, sectors, and geographies. Warburg Pincus has invested in more than 1,100 companies across its private equity, real estate, and capital solutions strategies. The firm is headquartered in New York with more than 15 offices globally. For more information, please visit www.warburgpincus.com or follow Berkshire Partners LLC. on LinkedIn and YouTube.
Ensemble, a US revenue cycle management services provider, has partnered with enterprise AI company Cohere to build the healthcare industry's first revenue cycle management-native large language model. The companies are creating a custom model informed by Ensemble's operational expertise and data, designed to handle complex healthcare financial operations more accurately than general-purpose LLMs. The model will be embedded into AI agents managing processes from patient intake to account resolution. Unlike standard approaches that rely on prompt engineering, this system is fine-tuned on real RCM tasks and trained using synthetic datasets in a HIPAA-compliant environment, without using identifiable patient data. The solution aims to enhance existing electronic health record systems by providing better context and guidance for navigating payer requirements whilst reducing administrative burden for healthcare providers.
The article discusses the transformative impact of technology on healthcare, highlighting Ensemble Health's billion-dollar valuation amid a shift towards AI, telehealth, and extended reality. AI advancements promise personalized medicine, while telehealth evolves with Remote Patient Monitoring. The metaverse emerges as a tool for training and therapy. Challenges include data privacy, interoperability, and cybersecurity. The goal is a more personalized, accessible, and proactive healthcare system.
What You Should Know:– Ensemble, a leading provider of end-to-end revenue cycle management (RCM), has partnered with Cohere, a security-first enterprise AI company, to introduce the first fully integrated agentic AI platform for revenue cycle orchestration in healthcare.– This collaboration merges Ensemble’s decade-long RCM expertise with Cohere’s enterprise-grade AI infrastructure to deliver faster, smarter, and more secure financial operations for hospitals and health systems.Advancing Revenue Cycle Intelligence with Secure, Scalable AI IntegrationEnsemble has integrated Cohere’s enterprise-grade AI models—trained on a decade of Ensemble’s high-performing revenue cycle outcomes—throughout its entire RCM infrastructure. This collaboration represents the inaugural healthcare deployment of Cohere’s North platform, establishing a new benchmark for secure, scalable agentic AI within clinical financial operations, all while ensuring full HIPAA compliance and data integrity.In contrast to traditional, narrowly focused AI tools, Ensemble and Cohere have co-engineered a horizontally deployed network of reasoning-based agents. These AI agents leverage contextual data analysis and adaptive decision-making frameworks to resolve multifaceted revenue cycle challenges, particularly in insurance reimbursement, without depending on inflexible rule sets.A human-in-the-loop architecture reinforces the platform’s operational integrity, embedding rigorous quality assurance mechanisms across every decision layer. Currently, this system autonomously manages more than 40% of accounts receivable (AR) follow-up tasks—previously handled manually—and is on track to expand into additional complex workflows, including prior authorization, utilization management, clinical coding, and denial prevention.The broader AI ecosystem features:• Generative AI trained on clinical documentation to enhance the accuracy and speed of denial appeals• Conversational AI modules designed to streamline patient interactions and reduce call resolution time• Predictive analytics tools for early identification of denial risks• Agent assistants that augment frontline staff productivityThese technologies are already delivering tangible operational benefits, including:• A 40% increase in the speed of denial appeal submissions• A 15% uplift in appeal overturn rates• A 35% reduction in patient call resolution times• Improved overall patient satisfaction metricsCohere was selected for its proven capacity to implement secure AI solutions in highly regulated environments. Its North infrastructure ensures seamless, secure integration across diverse platforms—including provider host systems, payer portals, and internal administrative tools—while upholding the highest standards of data privacy and system interoperability.Nick Frosst, Co-Founder of Cohere, remarked, “Working with Ensemble to bring secure AI into healthcare—where data privacy is a deeply personal issue—is an incredible opportunity. By working together, we’re setting a new standard for tackling some of healthcare’s toughest administrative challenges and showing how agentic AI makes a real-world difference.”
Cincinnati, OH, Oct. 16, 2024 (GLOBE NEWSWIRE) -- Ensemble, the partner of choice for end-to-end revenue cycle management for mid-sized to large healthcare organizations, has been named a Leader in Everest Group’s RCM Operations PEAK Matrix® Assessment 2024. According to the assessment, Ensemble is the highest-designated leader for market impact reflecting not only the strength of its vision, expertise and approach to technology, but the unmatched value delivered at scale to a rapidly growing and highly satisfied client base. “This latest recognition validates our commitment to client satisfaction, delivering a frictionless revenue cycle and providing significant value for leading healthcare systems across the country,” said Ensemble Founder, President and CEO Judson Ivy. “The healthcare revenue cycle is growing increasingly more complex due to changing regulations, reimbursement requirements and rapid shifts in payer policy. We are proud to be recognized as a leader for our excellence in improving financial outcomes and patient experiences so providers can hyper-focus on delivering high-quality care to their patients and communities.” According to Everest Group, Ensemble’s strengths include value delivered, vision and strategy, innovation and investments and scope of services offered