Senior Patient Access Specialist

Ensemble Health Partners • Richmond, VA

19d • $19 - $20 • Onsite

About The Position

The Senior Patient Access Specialist performs patient admitting and access duties for patients receiving services at Ensemble Health Partners while meeting organizational policies, the company mission, and regulatory compliance requirements. The role may include training, scheduling, auditing, and other senior-level responsibilities. It is an onsite position at Bon Secours - St Mary's Hospital in Richmond, Virginia.

The specialist supports accurate registration and patient access by assigning medical record numbers, checking medical necessity and compliance, collecting and verifying insurance and demographic information, processing physician orders, explaining and distributing forms, and supporting pre-registration and clean claims. The role also includes collecting point-of-service payments, explaining payment plans, conducting account audits, providing excellent and compassionate customer service, and operating the telephone switchboard as applicable.

Senior-level duties include developing training materials and programs, providing continuing education, creating department staff schedules, serving as the department SMART, and providing on-call, after-hours, and occasional unscheduled staffing coverage. The specialist uses quality auditing and reporting systems, contributes statistical data to Patient Access Leadership, and is accountable for assigned point-of-service goals.

Requirements

• One to three years of experience in a similar role.
• Associate degree or equivalent experience.
• Must be inquisitive and open to innovation, including AI, to explore improved processes and reduce friction in patient and client experiences.

Nice To Haves

• 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 codes, or procedure codes.

Responsibilities

• Perform admitting and patient access duties, including accurately assigning medical record numbers and completing required medical necessity and compliance checks.
• Collect and verify patient demographic and insurance information, process physician orders, and provide appropriate patient instructions and customer service.
• 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 for other employees, departments, and facilities.
• Develop training materials and programs for new hires and provide continuing education to associates in revenue cycle areas.
• Develop staff schedules for the patient access department.
• Serve on call for the department, provide 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, provide statistical data to Patient Access Leadership, and meet assigned point-of-service goals.
• Explain general consent forms, obtain required signatures and witness names, and distribute patient education documents and required forms.
• Review insurance eligibility responses, select applicable insurance plan codes, and enter benefit data to support collections and billing.
• Support pre-registration, including inbound and outbound calls to obtain patient and insurance information.
• Screen medical necessity using Advanced Beneficiary Notice software, inform Medicare patients of potential non-payment, and distribute and document ABNs and other designated materials.

Benefits

• Bonus incentives and quarterly and annual incentive programs.
• Paid professional certifications.
• Tuition reimbursement.
• Comprehensive benefits supporting physical, emotional, and financial health, including healthcare, time off, retirement, and well-being programs.
• Career advancement and professional development opportunities.

What This Job Offers

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