Senior Patient Access Specialist

Ensemble Health Partners • St. Paul, MN

2d • $25 - $27

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. The role may also include training, scheduling, and other senior-level responsibilities, and requires providing compassionate, high-quality service to patients, clients, and colleagues.

The specialist supports accurate registration and account processing, including assigning medical record numbers, collecting demographic and insurance information, processing physician orders, completing medical necessity and compliance checks, reviewing eligibility and benefits, pre-registering accounts, and helping support clean claims. The role also includes explaining and obtaining signatures on consent and patient education forms, screening Medicare medical necessity using ABN software, collecting point-of-service payments, conducting account audits, and documenting required forms and data.

Senior-level duties include developing training materials and programs, providing continuing education, developing departmental staff schedules, serving as a departmental SMART, and providing on-call and after-hours guidance. The specialist may work unscheduled hours to address staffing needs and operates the telephone switchboard as applicable. Compensation is listed at $25–$27 per hour based on experience, with a $1,500 sign-on bonus opportunity.

Requirements

• 1 to 3 years of experience in a similar role.
• Associate degree or equivalent experience.
• Understanding of revenue cycle processes, including admission, billing, payments, and denials.
• Comprehensive knowledge of patient insurance processes for obtaining authorizations and verifying benefits.
• Knowledge of health insurance requirements.
• Ability to meet assigned point-of-service goals and follow organizational policies and regulatory requirements.

Nice To Haves

• Knowledge of medical terminology, CPT codes, or procedure codes.
• Inquisitiveness and openness to innovation, including AI, to explore better processes and improve patient and client experiences.

Responsibilities

• Perform admitting and patient access duties for patients receiving services.
• Assign accurate medical record numbers, collect insurance information, process physician orders, and complete medical necessity or compliance checks.
• Provide patient instructions and excellent customer service, demonstrating appropriate compassion and meeting service expectations.
• 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 hires and provide continuing education to associates in revenue cycle areas.
• Develop staff schedules within the patient access department.
• Provide on-call responsibilities, after-hours support, and guidance; 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 and other designated documents.
• Review insurance eligibility responses, select applicable insurance plan codes, and enter benefit data to support collections and billing.
• Pre-register patient accounts and make inbound or outbound calls to obtain demographic, insurance, and other patient information.
• Screen medical necessity using ABN software, inform Medicare patients of possible nonpayment, and distribute and document ABNs and other designated forms.

Benefits

• $1,500 sign-on bonus opportunity.
• Bonus incentives, including quarterly and annual incentive programs.
• Paid certifications and professional certification relevant to the associate’s field.
• Tuition reimbursement.
• Comprehensive benefits package, 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