Senior Patient Access Specialist
Senior Patient Access Specialist
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Job Description
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technologyenabled revenue cycle management solutions for health systems including hospitals and affiliated physician groups. They offer endtoend revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo we know they will be the difference!
O.N.E Purpose:
Customer Obsession:Consistently provide exceptional experiences for our clients patients and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas:Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence:Execute at a high level by demonstrating our Best in KLAS Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
CAREER OPPORTUNITY OFFERING:
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
This position pays between $16.00 $17.45 based on experience
***This position is an onsite role and candidates must be able to work onsite at Ardent Hillcrest Medical Center in Tulsa OK****
The Senior Patient Access Specialist is responsible for performing admitting duties for all patients receiving services at Ensemble Health Partners. Additional duties can include training scheduling and other seniorlevel responsibilities. They are responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The Senior Patient Access Specialist will work within the policies and processes that are being performed across the entire organization.
Essential Job Functions:
Patient Access staff are responsible for assigning accurate MRNs completing medical necessity or compliance checks providing proper patient instructions collecting insurance information receiving and processing physician order while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey. They will serve as the SMART for the department. They are to adhere to Ensemble Health Partners policies and provide excellent customer service in these interactions with the appropriate level of compassion. Operates the telephone switchboard to relay incoming outgoing and interoffice calls as applicable.
Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees departments and facilities.
A Senior Patient Access Specialist is responsible for the development of training materials and programs for new hires to the department as well as providing continuing education to associates in all areas of the revenue cycle.
A Senior Patient Access Specialist is responsible for the development of staff schedules within the patient access department.
A Senior Patient Access Specialist will have oncall responsibilities for the department including providing afterhours support and guidance. As part of oncall responsibilities the Senior Patient Access Specialist may be responsible for working unscheduled times to cover staffing issues.
Senior Patient Access Specialist are responsible for the collection of point of service payments. These activities may be conducted in emergency outpatient and inpatient situations including past due balances and offering payment plan options The Patient Access Specialist is expected to adhere to Ensemble Health Partners policies and provide excellent customer service in these interactions. Conducts audits of accounts and assures that all forms are completed accurate timely to meet audit standards and provides statistical data to Patient Access Leadership. Senior Patient Access Specialists will be held accountable for point of service goals as assigned.
Explains general consent for treatment forms to the patient/guarantor/legal guardian obtains necessary signatures and witnesss name. Explains and distributes patient education documents such as Important Message from Medicare Observation Forms Consent forms and all forms implemented for future services.
Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate including preregistration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information insurance information and all other patient information.
Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible nonpayment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.
Associates may be required to perform other jobrelated duties as required by their supervisor subject to reasonable accommodation.
Job Experience:
1 to 3 Years
Education Level:
Associate degree or Equivalent Experience
Other Preferred Knowledge Skills and Abilities:
Understanding of Revenue Cycle including admission billing payments and denials.
Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
Knowledge of Health Insurance requirements. Knowledge of medical terminology or CPT or procedure codes
Join an awardwinning company
Fivetime winner of Best in KLAS 202025
Black Book Researchs Top Revenue Cycle Management Outsourcing Solution
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle
Leader in Everest Groups RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance
Energage Top Workplaces USA
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified
Innovation
WorkLife Flexibility
Leadership
Purpose Values
Bottom line we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
- Associate Benefits We offer a comprehensive benefits package designed to support the physical emotional and financial health of you and your family including healthcare time off retirement and wellbeing programs.
- Our Culture Ensemble is a place where associates can do their best work and be their best selves. We put people first last and always. Our culture is rooted in collaboration growth and innovation.
- Growth We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
- Recognition We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race color sex sexual orientation gender gender identity religion national origin age disability military or veteran status genetic information or any other basis protected by applicable federal state or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process please contact .
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many jobrelated factors including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the roles range.
EEOC Know Your Rights
FMLA Rights English
Required Experience:
Senior IC
Employment Type
Full-Time
