Senior Patient Access Specialist

Ensemble Health Partners • Cincinnati, OH

1d • $19 - $20 • Onsite

About The Position

The Senior Patient Access Specialist performs admitting and patient access duties for patients receiving hospital services while meeting organizational goals, policies, and regulatory requirements. The role supports accurate patient registration, insurance and medical necessity checks, order processing, patient instructions, point-of-service collections, and customer service. It also operates the telephone switchboard as applicable.

The position includes auditing patient accounts and using quality auditing and reporting systems to identify and correct account issues. The specialist audits accounts across employees, departments, and facilities, ensures forms are complete and timely, and provides statistical data to Patient Access leadership.

The specialist pre-registers patients, including contacting patients to collect demographic, insurance, and other information and to explain financial liabilities, payment plans, and collection of point-of-service amounts or past-due balances. The role explains and obtains signatures for consent and other patient forms, distributes patient education documents, reviews insurance eligibility and benefit information, and screens Medicare medical necessity using ABN software.

This is an onsite position at Mercy - The Jewish Hospital in Cincinnati, Ohio. The schedule is first shift and includes a required on-call rotation. The position pays $18.65–$19.90 per hour, based on experience.

Requirements

• CHAA (Certified Healthcare Access Associate) and/or CRCR (Certified Revenue Cycle Representative); certification is company paid.
• 2–3 years of experience in patient access or a leadership role.
• 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.
• Must be inquisitive and open to innovation, including using AI to explore better processes and reduce friction for patients and clients.

Nice To Haves

• Two-year or associate degree.
• Preferred field of study: healthcare administration, business administration, or a related field.

Responsibilities

• Perform admitting duties for patients receiving hospital services in accordance with organizational policies, goals, 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 an overlay tool while providing excellent customer service.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
• Meet assigned point-of-service goals.
• Use quality auditing and reporting systems to audit accounts and ensure corrections are made, including accounts across employees, departments, and facilities.
• Ensure account forms are accurate and completed 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.
• Explain patient financial liabilities, collect point-of-service payments and past-due balances, and provide payment plan options.
• Explain general consent forms, obtain required signatures, and record the witness's name.
• Explain and distribute patient education and required forms, including Medicare and Tricare notices, observation and 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 Medicare medical necessity using ABN software, inform patients of possible Medicare non-payment, 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, 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