Senior Patient Access Specialist - 2nd Shift

Ensemble Health Partners • Cincinnati, OH

1d • $19 - $20 • Onsite

About The Position

The Senior Patient Access Specialist performs admitting duties for patients receiving hospital services while following the organization’s mission, policies, processes, and regulatory requirements. The role supports patient access operations, provides compassionate customer service, and is accountable for assigned point-of-service goals.

The specialist performs patient registration and pre-registration, assigns accurate medical record numbers, completes medical necessity and compliance checks, obtains demographic and insurance information, processes physician orders, reviews eligibility responses, selects insurance plan codes, and enters benefit data to support collections and billing. The position also explains treatment and patient-education forms, obtains and witnesses required signatures, distributes designated documents, screens Medicare medical necessity using ABN software, and documents related forms and pamphlets.

Senior staff use quality auditing and reporting systems to review and correct accounts, including accounts associated with other employees, departments, and facilities. They conduct account audits, ensure forms are accurate and timely, and provide statistical information to Patient Access leadership. The position may involve inbound and outbound calls to obtain patient information and discuss financial liabilities, point-of-service collections, past-due balances, and payment plan options. It also operates the telephone switchboard to relay calls as applicable.

This is an onsite, second-shift position at Mercy - The Jewish Hospital in Cincinnati, Ohio, with an on-call rotation. The stated pay range is $18.65–$19.90 per hour, based on experience.

Requirements

• CHAA (Certified Healthcare Access Associate) and/or CRCR (Certified Revenue Cycle Representative); the posting notes these certifications are company paid.
• 2–3 years of experience in patient access or a leadership role.
• Understanding of revenue cycle functions, including admission, 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.
• Must be inquisitive and open to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.

Nice To Haves

• Associate degree; healthcare administration, business administration, or a related field is preferred.

Responsibilities

• Perform admitting duties for patients receiving hospital services while following organizational policies, processes, mission, and regulatory requirements.
• Assign accurate medical record numbers and complete medical necessity and compliance checks.
• Provide patient instructions, collect insurance information, receive and process physician orders, and use the overlay tool as applicable.
• Provide excellent, compassionate customer service and meet assigned point-of-service goals.
• 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.
• Conduct account audits, 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 inbound and outbound calls to obtain demographic, insurance, and other patient information.
• Discuss patient financial liabilities; collect point-of-service payments and past-due balances, including payment plan options.
• Explain general consent for treatment forms, obtain required signatures, and witness the signer’s name.
• Explain and distribute patient education documents and designated forms, including Medicare and Tricare notices, observation forms, MOON forms, and consent forms.
• Review insurance eligibility responses, select the applicable insurance plan code, and enter benefit data to support point-of-service collections and billing.
• Screen medical necessity using ABN software, inform Medicare patients of possible non-payment for tests, and distribute ABNs as appropriate.
• Distribute and document other designated forms and pamphlets.

Benefits

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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed