Ensemble Health Partners
Senior Patient Access Specialist
Ensemble Health Partners, Bangor, Maine, United States, 04401
Senior Patient Access Specialist
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. The Senior Patient Access Specialist will work within the policies and processes that are being performed across the entire organization. Essential Job Functions include: 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. Utilizing quality auditing and reporting systems to ensure accounts are corrected. Developing 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. Developing staff schedules within the patient access department. Having on-call responsibilities for the department, including providing after-hours support and guidance. Collecting point of service payments and conducting audits of accounts. Explaining general consent for treatment forms to the patient/guarantor/legal guardian, obtaining necessary signatures and witness names. Reviewing eligibility responses in insurance verification system and appropriately selecting the applicable insurance plan code, entering benefit data into system to support POS (Point of Service Collections) and billing processes. Screening of medical necessity using the Advanced Beneficiary Notice (ABN) software. 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 award-winning company Ensemble Health Partners is a five-time winner of "Best in KLAS" 2020-2022, 2024-2025, Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024, 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024, Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024, Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023, Energage Top Workplaces USA 2022-2024, Fortune Media Best Workplaces in Healthcare 2024, Monster Top Workplace for Remote Work 2024, Great Place to Work certified 2023-2024. Innovation, Work-Life 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 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.
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. The Senior Patient Access Specialist will work within the policies and processes that are being performed across the entire organization. Essential Job Functions include: 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. Utilizing quality auditing and reporting systems to ensure accounts are corrected. Developing 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. Developing staff schedules within the patient access department. Having on-call responsibilities for the department, including providing after-hours support and guidance. Collecting point of service payments and conducting audits of accounts. Explaining general consent for treatment forms to the patient/guarantor/legal guardian, obtaining necessary signatures and witness names. Reviewing eligibility responses in insurance verification system and appropriately selecting the applicable insurance plan code, entering benefit data into system to support POS (Point of Service Collections) and billing processes. Screening of medical necessity using the Advanced Beneficiary Notice (ABN) software. 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 award-winning company Ensemble Health Partners is a five-time winner of "Best in KLAS" 2020-2022, 2024-2025, Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024, 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024, Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024, Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023, Energage Top Workplaces USA 2022-2024, Fortune Media Best Workplaces in Healthcare 2024, Monster Top Workplace for Remote Work 2024, Great Place to Work certified 2023-2024. Innovation, Work-Life 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 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.