Senior Patient Access Specialist

Ensemble Health Partners • Midlothian, VA

19d • $19 - $20

About The Position

The Senior Patient Access Specialist performs admitting and patient access duties for patients receiving services at Ensemble Health Partners while meeting organizational policies, mission, and regulatory requirements. The role may also include training, scheduling, and other senior-level responsibilities, including serving as the department’s SMART and providing after-hours support through on-call coverage.

The specialist supports accurate patient registration, insurance verification, medical necessity and compliance checks, order processing, patient instructions, and point-of-service collections. They provide compassionate customer service, operate telephone switchboards as applicable, audit accounts and forms, and supply statistical data to Patient Access Leadership. The position also develops training materials and programs, supports staff education across the revenue cycle, and prepares department schedules. Pay is listed at $18.65–$19.90 per hour based on experience.

Requirements

• 1 to 3 years of job experience.
• Associate degree or equivalent experience.
• Knowledge 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.
• Must be inquisitive and open to innovation, including AI, to explore improved processes and reduce friction for patients and clients.

Nice To Haves

• Knowledge of medical terminology, CPT codes, or procedure codes.

Responsibilities

• Perform admitting and patient access duties for patients receiving services.
• Assign accurate medical record numbers (MRNs), complete medical necessity and compliance checks, provide patient instructions, collect insurance information, and receive and process physician orders using an overlay tool.
• Provide customer service measured by Press Ganey, adhere to organizational policies, and serve as the department’s SMART.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
• Use quality auditing and reporting systems to identify and ensure correction of 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 in revenue cycle areas.
• Develop staff schedules for the patient access department.
• Provide on-call departmental support, including after-hours 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 to meet audit standards, and provide statistical data to Patient Access Leadership.
• Meet assigned point-of-service collection goals.
• Explain general consent-for-treatment forms, obtain required signatures and witness names, and distribute patient education documents and designated forms and pamphlets.
• 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 Advanced Beneficiary Notice (ABN) software, inform Medicare patients of possible nonpayment, and distribute and document ABNs and other designated forms.

Benefits

• Bonus incentives and quarterly and annual incentive programs.
• Paid professional certifications.
• Tuition reimbursement.
• Comprehensive benefits, 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