Senior Patient Access Specialist

Ensemble Health Partners • Petersburg, VA

19d • $19 - $20

About The Position

The Senior Patient Access Specialist performs patient admitting duties for individuals receiving services at Ensemble Health Partners while meeting organizational policies, the company mission, and regulatory compliance requirements. The role may also include training, scheduling, on-call support, and other senior-level responsibilities. The specialist supports patient access and revenue cycle operations and is expected to provide compassionate, high-quality customer service to patients, clients, and colleagues.

Responsibilities include accurate patient registration and medical record number assignment; medical necessity and compliance screening; processing physician orders; collecting and verifying insurance and demographic information; explaining and distributing forms and patient education materials; collecting point-of-service payments; and supporting clean-claim processes. The specialist also conducts account audits, reports quality issues and statistics, develops training materials, trains associates, and creates department schedules. On-call duties may include after-hours guidance and working unscheduled times to address staffing needs.

The position pays $18.65–$19.90 per hour, based on experience. The listed experience range is 1 to 3 years, and the education level is an associate degree or equivalent experience.

Requirements

• 1 to 3 years of job experience.
• Associate degree or equivalent experience.
• 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.
• Ability to provide compassionate and excellent customer service.
• Ability to meet regulatory compliance requirements and follow organizational policies.
• Ability to conduct account audits and meet assigned point-of-service goals.

Nice To Haves

• Knowledge of medical terminology, CPT codes, or procedure codes.
• Inquisitiveness and openness to innovation, including AI, to explore improved processes and reduce friction in patient and client experiences.

Responsibilities

• Perform admitting and patient access duties for patients receiving services.
• 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 the applicable overlay tool.
• Provide customer service and serve as the department SMART; operate the telephone switchboard to relay calls as applicable.
• Use quality auditing and reporting systems to identify and ensure correction of 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 support and after-hours 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 offer payment plan options.
• 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 forms, obtain required signatures and witness names, and distribute patient education and designated forms and pamphlets.
• Review insurance eligibility responses, select applicable plan codes, and enter benefit data to support collections and billing.
• Support pre-registration and make inbound and outbound calls to obtain demographic, insurance, and other patient information.
• Screen Medicare medical necessity using ABN software, inform patients of possible non-payment, and distribute and document ABNs and other required forms.

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.
• Professional development and career advancement opportunities.

What This Job Offers

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