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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-timePetersburg, VA, USA

About the Job

Requirements

  • One to three years of experience in a similar role.
  • An associate degree or equivalent experience.
  • Demonstrate inquisitiveness and openness to innovation, including artificial intelligence, to explore process improvements and reduce friction for patients and clients.
  • Understand revenue cycle processes, including admission, billing, payments, and denials.
  • Have comprehensive knowledge of patient insurance processes for obtaining authorizations and verifying benefits.
  • Have knowledge of health insurance requirements and medical terminology or CPT/procedure codes.

Responsibilities

  • Perform admitting duties for patients receiving services, including assigning accurate medical record numbers, completing medical necessity or compliance checks, providing patient instructions, collecting insurance information, and receiving and processing physician orders using an overlay tool.
  • Provide patient and colleague service in accordance with organizational policies and applicable regulatory requirements, and operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
  • Use quality auditing and reporting systems to identify and ensure correction of accounts, including accounts for other employees, departments, and facilities.
  • Develop training materials and programs for new department 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 for the department, including working unscheduled times 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 required signatures and witness names; and explain and distribute patient education documents and required forms.
  • Review insurance eligibility responses, select applicable insurance plan codes, and enter benefit data to support point-of-service collections and billing processes and clean claims.
  • 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 nonpayment for tests and distribute the notice when appropriate.
  • 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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