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Senior Patient Access Specialist

1 month ago

Lorain, United States Ensemble Health Partners Full time

Senior Patient Access Specialist Apply for locations: Lorain, OH, Mercy - Lorain Hospital

Time type: Full time

Posted on: Posted 17 Days Ago

Job requisition ID: R022759

Thank you for considering a career at Ensemble Health Partners

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end 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.

The Opportunity:

Bonus Incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

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 senior-level responsibilities. They are responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements.

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 orders while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey.

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 inter-office 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 on-call responsibilities for the department, including providing after-hours support and guidance. As part of on-call 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, including past due balances and offering payment plan options. They are expected to adhere to Ensemble Health Partners policies and provide excellent customer service in these interactions.

Explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness’s name, and distributes patient education documents.

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.

Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of tests by Medicare.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job-related 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 processes for obtaining authorizations and benefits verification.

Knowledge of Health Insurance requirements.

Knowledge of medical terminology or CPT or procedure codes.

Join an award-winning company:

Three-time winner of “Best in KLAS” 2020-2022

2022 Top Workplaces Healthcare Industry Award

2022 Top Workplaces USA Award

2022 Top Workplaces Culture Excellence Awards

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 well-being 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 TA@ensemblehp.com.

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About Us Ensemble Health Partners is dedicated to providing our clients with experienced healthcare finance and revenue cycle professionals. We believe that our core values of trust, integrity, loyalty, and service, married with the belief that our work is worthwhile, helps us build and sustain sincere relationships with our associates and clients. If you are a passionate, dedicated, and experienced revenue cycle, consulting, or finance professional and seek career and personal growth, we would love to hear from you. We believe we foster an environment where talented individuals can excel and shine. Our team believes that people are the most important part of our success and that when we take care of our people, they pay it forward by providing our clients with excellent results and world-class service.

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