Senior Patient Access Specialist

Ensemble Health Partners • Chillicothe, OH

9d • Onsite

About The Position

The Senior Patient Access Specialist performs admitting and patient access duties for patients receiving services at Ensemble Health Partners, following organizational policies and regulatory requirements. This on-site position is based at Adena - ARMC in Chillicothe, Ohio. The role also includes senior-level responsibilities such as training, scheduling, quality auditing, and on-call support. The position pays $18.65–$19.90 per hour, based on experience.

The specialist supports accurate patient registration and revenue cycle operations by verifying insurance and benefits, reviewing medical necessity, collecting patient information and point-of-service payments, processing physician orders, and explaining and distributing required forms. The role emphasizes compassionate customer service and accurate, timely documentation. Senior-level duties include developing training materials and staff schedules, providing continuing education, conducting account audits, and offering after-hours guidance and coverage when needed.

Requirements

• 1 to 3 years of experience in a similar position.
• Associate degree or equivalent experience.
• Understanding of the revenue cycle, including admissions, billing, payments, and denials.
• Comprehensive knowledge of patient insurance processes for obtaining authorizations and verifying benefits.
• Knowledge of health insurance requirements.
• Knowledge of medical terminology, CPT, or procedure codes.
• Inquisitiveness and openness to innovation, including AI, to explore improved processes and reduce friction for patients and clients.
• Ability to work on-site at Adena - ARMC in Chillicothe, Ohio.

Responsibilities

• Perform admitting and patient access duties, including assigning accurate medical record numbers, collecting insurance information, processing physician orders, and completing medical necessity or compliance checks.
• Provide patient instructions and customer service with appropriate compassion, while adhering to Ensemble Health Partners policies and regulatory requirements.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, as applicable.
• Use quality auditing and reporting systems to identify and correct accounts, including accounts associated with 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 for the patient access department.
• Provide on-call support and guidance after hours, and work unscheduled times when needed to address 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, confirm forms are accurately and promptly completed to meet audit standards, and provide statistical data to Patient Access Leadership.
• Meet assigned point-of-service goals.
• Explain general consent for treatment forms, obtain necessary signatures, and record the witness’s name.
• Explain and distribute patient education documents and required forms, including Medicare Important Message, observation, consent, and other designated forms and pamphlets.
• Review insurance eligibility responses, select applicable insurance plan codes, and enter benefit data to support point-of-service collections and billing.
• Pre-register patient accounts when applicable and make inbound or 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, and distribute ABNs as appropriate.
• Document the distribution of designated forms and pamphlets.

Benefits

• Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
• Bonus incentives and quarterly and annual incentive programs.
• Paid professional certifications relevant to the associate’s field.
• Tuition reimbursement.
• Career advancement and professional development opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree