Senior Patient Access Specialist -3rd Shift

Ensemble Health Partners • Fairfield, OH

2d • Onsite

About The Position

The Senior Patient Access Specialist performs admitting duties for patients receiving hospital services while meeting organizational goals, policies, and regulatory requirements. The role includes assigning accurate medical record numbers (MRNs), completing medical necessity and compliance checks, providing patient instructions, collecting insurance information, receiving and processing physician orders, using an overlay tool, and delivering excellent customer service. The specialist may also operate the telephone switchboard and is accountable for assigned point-of-service goals.

Senior staff use quality auditing and reporting systems to review and correct accounts, including accounts handled by other employees, departments, and facilities. They conduct audits, verify that forms are complete and timely, and provide statistical data to Patient Access leadership.

The role includes preregistering patients, making inbound and outbound calls to obtain demographic and insurance information, explaining patient financial liabilities and payment options, and collecting point-of-service amounts and past-due balances. The specialist explains general consent forms, obtains required signatures and witnesses, and distributes and documents patient education materials and designated forms. They review insurance eligibility responses, select applicable plan codes, and enter benefit data to support collections and billing. They also screen Medicare medical necessity using ABN software and distribute ABNs when appropriate.

This is a full-time, onsite, third-shift position at Mercy - Fairfield Hospital in Fairfield, Ohio. The schedule is 9:00 p.m. to 5:30 a.m.; on-call duty and weekend rotation are required. Pay is $18.65–$19.90 per hour, based on experience.

Requirements

• 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 AI, to explore better processes and reduce friction in patient and client experiences.
• Must reside in and be authorized to work within the United States.

Nice To Haves

• Certified Healthcare Access Associate (CHAA) and/or Certified Revenue Cycle Representative (CRCR); certifications are company paid.
• Associate degree preferred.
• Education in healthcare administration, business administration, or a related field preferred.

Responsibilities

• Perform admitting duties for patients receiving hospital services and comply with organizational policies, goals, and regulatory requirements.
• Assign accurate MRNs; complete medical necessity and compliance checks; provide patient instructions; collect insurance information; and receive and process physician orders.
• Use an overlay tool and provide customer service to patients, clients, and colleagues.
• Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls, providing compassionate service.
• Meet assigned point-of-service goals.
• Use quality auditing and reporting systems to review and correct accounts, including those of other employees, departments, and facilities.
• Audit accounts, ensure forms are completed accurately and on time to meet audit standards, and provide statistical data to Patient Access leadership.
• Preregister patient accounts and make inbound and outbound calls to obtain demographic, insurance, and other patient information.
• Explain patient financial liabilities and payment plan options; collect point-of-service amounts and past-due balances.
• Explain general consent forms, obtain required signatures, and witness signatures as needed.
• Explain and distribute patient education documents and designated forms, including Medicare and Tricare notices, observation forms, MOON forms, and consent forms; document distribution as required.
• Review insurance eligibility responses, select applicable insurance plan codes, and enter benefit data to support point-of-service collections and billing.
• Screen medical necessity using ABN software, inform Medicare patients of possible nonpayment, and distribute ABNs when appropriate.

Benefits

• Bonus incentives
• Company-paid professional certification
• Tuition reimbursement
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs
• Professional development and career advancement
• Quarterly and annual incentive programs
• Reasonable accommodations for qualified individuals with disabilities

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed