Senior Patient Access Specialist

Ensemble Health Partners • Petersburg, VA

6d • $19 - $20 • 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 company policies, regulatory requirements, and customer service standards. The role may also include training, scheduling, quality audits, point-of-service collections, and other senior-level department responsibilities. This is an onsite position at Bon Secours - Southside Freestanding ED in Petersburg, Virginia.

The specialist supports patient registration and revenue cycle processes by verifying and entering patient and insurance information, reviewing eligibility and benefits, processing physician orders, screening medical necessity, and explaining or distributing required patient forms. The role includes serving as the department SMART, operating the telephone switchboard as applicable, and providing compassionate service to patients, clients, and colleagues.

Senior-level duties include developing training materials and programs, providing continuing education, preparing staff schedules, and providing on-call and after-hours support. The specialist may work unscheduled shifts to cover staffing needs. The role also involves auditing accounts and reporting results to Patient Access leadership, ensuring records are complete and accurate, and meeting assigned point-of-service collection goals.

Requirements

• One to three years of experience in a similar role.
• An associate degree or equivalent experience.
• Must be inquisitive and open to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.
• Must be able to work onsite at Bon Secours - Southside Freestanding ED in Petersburg, Virginia.

Nice To Haves

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

Responsibilities

• Perform admitting and patient access functions, including assigning accurate medical record numbers, completing compliance checks, collecting insurance information, processing physician orders, and providing patient instructions.
• Provide excellent, compassionate customer service in accordance with Ensemble Health Partners policies and applicable regulatory requirements.
• Serve as the department SMART and 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 associated with other employees, departments, and facilities.
• Develop training materials and programs for new hires and provide continuing education to associates across revenue cycle areas.
• Develop staff schedules for the patient access department.
• Provide on-call, after-hours support and 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 payment plan options; meet assigned collection goals.
• Audit accounts, ensure forms are completed accurately and on time, and provide statistical data to Patient Access leadership.
• Explain general consent-for-treatment forms, obtain required signatures and witness names, and explain and distribute patient education documents and other required forms.
• Review insurance eligibility responses, select applicable insurance plan codes, and enter benefit information to support point-of-service 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 software, inform Medicare patients about possible non-payment, distribute ABNs as appropriate, and document distribution of other designated forms and pamphlets.

Benefits

• Bonus and 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: Mid Level
• Education Level: Associate degree