Senior Patient Access Specialist

Ensemble Health Partners • Kilmarnock, VA

5d • $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. The role may also include training, scheduling, and other senior-level responsibilities, and operates according to Ensemble policies, organizational processes, and regulatory requirements. This is an onsite position at Bon Secours - Rappahannock General Hospital in Kilmarnock, Virginia. The stated pay range is $18.65–$19.90, based on experience.

The position supports accurate patient registration, insurance verification, medical-necessity screening, patient education and consent documentation, point-of-service collections, and customer service. Senior-level duties also include developing training materials and programs, educating associates, creating staff schedules, auditing accounts, reporting results to Patient Access leadership, and providing on-call support, including possible unscheduled coverage.

Requirements

• 1 to 3 years of experience in a similar role.
• An associate degree or equivalent experience.
• Must be inquisitive and demonstrate openness to innovation, including AI, to explore better processes and reduce friction while improving patient and client experiences.

Nice To Haves

• 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.

Responsibilities

• Assign accurate medical record numbers (MRNs), complete medical necessity and compliance checks, collect insurance information, process physician orders using an overlay tool, provide patient instructions, and deliver customer service measured by Press Ganey.
• Serve as the department’s SMART and adhere to Ensemble Health Partners policies while interacting with patients and colleagues compassionately.
• 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 in revenue-cycle areas.
• Develop staff schedules for the patient access department.
• Provide on-call departmental support, including after-hours guidance and possible unscheduled coverage for staffing needs.
• Collect point-of-service payments in emergency, outpatient, and inpatient settings, including past-due balances; offer payment-plan options and meet assigned collection goals.
• Audit accounts, ensure forms are completed accurately and on time to meet audit standards, and provide statistical data to Patient Access leadership.
• Explain general treatment consent forms, obtain required signatures and witness names, and explain and distribute patient education documents and required forms.
• Review insurance eligibility responses, select applicable insurance plan codes, and enter benefit data to support point-of-service collections and billing processes.
• Support clean claims through pre-registration and 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 non-payment, distribute ABNs when appropriate, and distribute and document other designated forms and pamphlets.

Benefits

• Bonus incentives, including quarterly and annual incentive programs.
• Paid professional certifications relevant to the associate’s field.
• 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: Associate degree