Senior Patient Access Specialist

Ensemble Health Partners • Simpsonville, SC

11d • Onsite

About The Position

The Senior Patient Access Specialist performs admitting and patient access duties for patients receiving services at Ensemble Health Partners, while meeting the organization’s mission and regulatory compliance requirements. The role operates according to organization-wide policies and processes and may include senior-level responsibilities such as training, scheduling, auditing, and on-call support. This is an onsite position at Bon Secours - Five Forks Emergency Center in Simpsonville, South Carolina. The listed pay range is $18.65–$19.90, based on experience.

The position supports accurate patient registration and account processing, insurance verification, medical-necessity screening, point-of-service collections, and patient education. It also contributes to quality audits, staff training and continuing education, departmental scheduling, and after-hours coverage. The Senior Patient Access Specialist is expected to provide compassionate, excellent customer service and to be open to innovation, including the use of AI to improve processes and patient and client experiences.

Requirements

• One to three years of experience in a similar role.
• Associate degree or equivalent experience.
• Must be inquisitive and demonstrate openness to innovation, including AI, to explore improved processes and reduce friction for patients and clients.
• Must be able to work onsite at Bon Secours - Five Forks Emergency Center in Simpsonville, South Carolina.
• Must reside and be authorized to work in the United States.

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

• Assign accurate medical record numbers (MRNs), complete medical necessity or compliance checks, provide patient instructions, collect insurance information, and receive and process physician orders using an overlay tool.
• Provide excellent, compassionate customer service and adhere to Ensemble Health Partners policies and regulatory requirements.
• 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 within the patient access department.
• Fulfill departmental on-call responsibilities, including providing after-hours support and guidance and potentially covering unscheduled shifts to address 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 goals.
• Explain general consent for treatment forms to patients, guarantors, or legal guardians; obtain required signatures and witness names.
• Explain and distribute patient education documents, including Medicare Important Message, observation, consent, and other forms used for future services.
• Review insurance eligibility responses, select the applicable insurance plan code, and enter benefit data to support point-of-service collections and billing processes.
• Support clean claims by preregistering patient accounts and, when needed, making inbound and 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 for tests, and distribute ABNs as appropriate.
• Distribute and document other designated forms and pamphlets.
• Perform other job-related duties as required by a supervisor, subject to reasonable accommodation.

Benefits

• Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
• Bonus incentives and quarterly and annual incentive programs.
• Paid professional certifications relevant to the associate’s field.
• Tuition reimbursement.
• Career advancement and professional development opportunities.

What This Job Offers

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