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Ensemble Health Partners

End-to-end revenue cycle management for hospitals

Patient Access Specialist

Clinical Support & Patient AdministrationUpdated on Oct 29
Full-timeWinchester, VA, USA

About the Job

Requirements

  • At least 1 year of customer service experience is required.
  • Must be inquisitive and demonstrate openness to innovation, including artificial intelligence, to explore better processes and ways to alleviate friction and improve patient and client experiences.
  • A high school diploma or GED is required.
  • CRCR certification is required within 6 months of hire; the company pays for it.

Responsibilities

  • Perform admitting duties for all patients admitted for hospital services while meeting the organization’s mission, goals, regulatory requirements, policies, and processes.
  • Assign accurate medical record numbers, complete medical necessity and compliance checks, provide patient instructions, collect insurance information, receive and process physician orders, and use an overlay tool while providing customer service measured by Press Ganey.
  • Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, follow policies, and provide compassionate customer service; meet assigned point-of-service goals.
  • Use quality auditing and reporting systems to ensure accounts are corrected, including accounts for other employees, departments, and facilities; audit accounts, ensure forms are completed accurately and on time to meet audit standards, and provide statistical data to Patient Access leadership.
  • Pre-register patient accounts before visits, including making inbound and outbound calls to obtain demographic, insurance, and other patient information and patient financial liabilities; collect point-of-service payments and past-due balances and offer payment-plan options.
  • Explain general consent-for-treatment forms to patients, guarantors, or legal guardians; obtain necessary signatures and witness signatures.
  • Explain and distribute patient education documents, including Medicare and Tricare Important Messages, Observation Forms, MOON forms, consent forms, and forms implemented 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 help maintain a clean claim rate.
  • Screen medical necessity using Advanced Beneficiary Notice software to inform Medicare patients about possible nonpayment 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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