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Senior Patient Access Specialist
2 months ago
We are seeking a highly skilled and experienced Senior Patient Access Specialist to join our team at Ensemble Health Partners. As a Senior Patient Access Specialist, you will be responsible for performing admitting duties for all patients receiving services at our organization. Additional duties may include training, scheduling, and other senior-level responsibilities.
Key Responsibilities:- Assign accurate medical records numbers, complete medical necessity or compliance checks, provide proper patient instructions, collect insurance information, receive, and process physician orders while utilizing an overlay tool
- Provide excellent customer service as measured by Press Ganey
- Adhere to Ensemble Health Partners policies and provide excellent customer service in interactions with patients and families
- Operate the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable
- Utilize quality auditing and reporting systems to ensure accounts are corrected
- Develop training materials and programs for new hires to the department, as well as provide continuing education to associates in all areas of the revenue cycle
- Develop staff schedules within the patient access department
- Provide on-call support and guidance for the department, including working unscheduled times to cover staffing issues
- Collect point of service payments, including past due balances and offering payment plan options
- Conduct audits of accounts and ensure all forms are completed accurately and timely to meet audit standards
- Provide statistical data to Patient Access Leadership and be held accountable for point of service goals as assigned
- Explain general consent for treatment forms to patients/guarantors/legal guardians, obtain necessary signatures and witness's name
- Review eligibility responses in insurance verification system and select the applicable insurance plan code, enter benefit data into system to support POS (Point of Service Collections) and billing processes
- Accurately screen medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribute the ABN as appropriate
- 1 to 3 years of experience in patient access or a related field
- Associate degree or equivalent experience
- 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
