Senior Patient Access Specialist

Ensemble Health Partners • Simpsonville, SC

12d • $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, auditing, and other senior-level responsibilities. The specialist works within organization-wide policies and processes, meets regulatory compliance requirements, and provides compassionate customer service to patients, clients, and colleagues. This is an onsite role at Bon Secours - Five Forks Emergency Center in Simpsonville, South Carolina. The position pays $18.65–$19.90, based on experience.

The role includes patient registration and insurance-related work, medical-necessity and compliance checks, processing physician orders, point-of-service payment collection, and helping ensure accurate account documentation and clean claims. Senior responsibilities include developing and delivering training, preparing staff schedules, conducting account audits, reporting results, and providing on-call and after-hours support, including possible unscheduled coverage. The specialist may also operate the telephone switchboard as applicable.

Requirements

• 1 to 3 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 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 (MRNs), completing medical-necessity and compliance checks, collecting insurance information, processing physician orders, and providing patient instructions.
• Provide compassionate customer service and adhere to Ensemble Health Partners policies and regulatory requirements; serve as the department 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 account issues, including accounts associated with other employees, departments, or 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 hours when needed to cover staffing issues.
• Collect point-of-service payments in emergency, outpatient, and inpatient settings, including past-due balances, and offer payment plan options in accordance with policy.
• Audit accounts, ensure forms are completed accurately and on time, provide statistical data to Patient Access Leadership, and meet assigned point-of-service goals.
• Explain general consent for treatment 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, enter benefit data, and support point-of-service collection and billing processes.
• 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 (ABN) software, inform Medicare patients of potential non-payment, distribute ABNs as appropriate, and document distribution of other designated forms and pamphlets.
• Explore better processes and ways to reduce friction and improve patient and client experiences, including openness to innovation such as AI.

Benefits

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

What This Job Offers

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