Senior Patient Access Specialist

Ensemble Health Partners • Philadelphia, PA

5d • $19 - $20 • Onsite

About The Position

The Senior Patient Access Specialist performs admitting and patient access duties for patients receiving hospital services, following organizational policies, mission, goals, and regulatory requirements. The role supports accurate registration, medical necessity and compliance checks, patient instructions, insurance information collection, physician order processing, and excellent, compassionate customer service. It also operates the telephone switchboard as applicable and is accountable for assigned point-of-service goals.

The position uses quality auditing and reporting systems to review accounts and ensure corrections are made. Audits may cover accounts for other employees, departments, and facilities; the specialist verifies that forms are completed accurately and on time and provides statistical data to Patient Access leadership.

Responsibilities also include preregistering patients; contacting patients to obtain demographic, insurance, and other information; explaining financial liabilities and payment options; collecting point-of-service payments and past-due balances; and explaining and obtaining signatures for consent and patient education forms. The specialist reviews insurance eligibility responses, selects applicable plan codes, and enters benefit data to support collections and billing. The role also screens Medicare medical necessity using ABN software and distributes and documents applicable notices and other forms.

This is an onsite position at Tower - St. Christopher's Hospital for Children in Philadelphia, Pennsylvania. The stated pay range is $18.65–$19.90 per hour, based on experience.

Requirements

• Certified Healthcare Access Associate (CHAA) and/or Certified Revenue Cycle Representative (CRCR); the company pays for certification.
• Understanding of the revenue cycle, 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 codes, or procedure codes.
• Inquisitiveness and openness to innovation, including AI, to explore improved processes and reduce friction for patients and clients.

Nice To Haves

• Associate degree or two-year degree.
• Preferred major in healthcare administration, business administration, or a related field.
• Two to three years of experience in patient access or a leadership role.

Responsibilities

• Perform admitting duties for patients receiving hospital services while meeting organizational policies, goals, and regulatory requirements.
• Assign accurate medical record numbers (MRNs), perform medical necessity and compliance checks, provide patient instructions, collect insurance information, process physician orders, and use an overlay tool.
• Provide compassionate customer service, including handling telephone switchboard calls as applicable, and meet assigned point-of-service goals.
• Use quality auditing and reporting systems to audit accounts, ensure corrections, verify forms are accurate and timely, and provide statistical data to Patient Access leadership.
• Preregate patient accounts before visits, including making inbound and outbound calls to obtain demographic, insurance, and other patient information.
• Explain patient financial liabilities and payment-plan options, and collect point-of-service payments and past-due balances.
• Explain general consent forms, obtain required signatures and witness names, and explain and distribute patient education documents and designated notices and 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 Advanced Beneficiary Notice (ABN) software, inform Medicare patients of possible nonpayment for tests, and distribute and document ABNs and other designated forms.

Benefits

• Bonus incentives, including 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 opportunities.

What This Job Offers

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