Senior Healthcare Access Representative

2 weeks ago


Warren, United States Ensemble Health Partners Full time

Thank you for considering a career at Ensemble Health Partners. Ensemble Health Partners is a premier provider of technology-driven revenue cycle management solutions tailored for healthcare systems, including hospitals and associated physician groups.

We deliver comprehensive revenue cycle solutions alongside a wide array of specialized point solutions to clients nationwide.

Our mission is to maintain community health by ensuring the vitality of hospitals. We understand that healthcare demands a personal touch, and we are committed to making every interaction meaningful. This is why our workforce is the cornerstone of our identity.

The Opportunity:

CAREER OPPORTUNITY OFFERING:

  • Bonus Incentives
  • Paid Certifications
  • Tuition Reimbursement
  • Comprehensive Benefits
  • Career Advancement

Position Overview: The Senior Patient Access Specialist plays a crucial role in managing the admission processes for all patients receiving services.

Responsibilities include:

  • Assigning accurate Medical Record Numbers (MRNs)
  • Conducting medical necessity and compliance checks
  • Providing clear patient instructions
  • Collecting insurance details
  • Receiving and processing physician orders
  • Utilizing overlay tools while delivering exceptional customer service

Our Patient Access team is dedicated to adhering to organizational policies while ensuring compassionate service during every interaction.

Key responsibilities also encompass:

  • Meeting point of service goals
  • Utilizing quality auditing and reporting systems to rectify accounts
  • Conducting thorough audits to ensure compliance with standards
  • Pre-registering patient accounts prior to visits

The Senior Patient Access Specialist is also responsible for:

  • Explaining general consent forms to patients or guardians
  • Distributing essential patient education documents
  • Reviewing eligibility responses and entering benefit data to support billing processes
  • Screening medical necessity using the Advanced Beneficiary Notice (ABN) software

Employment Qualifications:

Preferred certifications include Certified Healthcare Access Associate (CHAA) and/or Certified Revenue Cycle Representative (CRCR), with company-sponsored training available.

Other Preferred Knowledge, Skills, and Abilities:

  • Associate's Degree in Healthcare Administration, Business Administration, or a related field
  • 2-3 years of experience in patient access or a leadership role

Essential Knowledge, Skills, and Abilities:

A solid understanding of the revenue cycle, including admissions, billing, payments, and denials, is required. Familiarity with the patient insurance process for obtaining authorizations and benefits verification is essential.

Join an award-winning organization recognized for excellence in the healthcare industry.

Benefits:

  • A comprehensive benefits package supporting the physical, emotional, and financial well-being of you and your family

Our Culture:

At Ensemble, we prioritize collaboration, growth, and innovation, ensuring our associates can perform at their best.

Growth Opportunities:

We invest in your professional development, offering opportunities for certification and tuition reimbursement.

Recognition:

We provide incentive programs for employees who excel and continuously raise the bar.

Ensemble Health Partners is an equal opportunity employer, committed to diversity and inclusion in the workplace.

We do not discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age, disability, military or veteran status, genetic information, or any other protected status.

Ensemble Health Partners also ensures reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws.



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