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Senior Patient Access Specialist
Senior Patient Access SpecialistEnsemble Health Partners • Lewiston, Maine, USA
Senior Patient Access Specialist

Senior Patient Access Specialist

Ensemble Health Partners • Lewiston, Maine, USA
3 days ago
Job type
  • Full-time
Job description

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!

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 $18.15 - $19.40 / hr based on experience

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 :

  • 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 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 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. 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 pre-registration 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 non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.
  • 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 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

    Five-time winner of Best in KLAS

    Black Book Researchs 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 Groups RCM Operations PEAK Matrix Assessment 2024

    Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance-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 .

    This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related 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

    La FMLA Español

    E-Verify Participating Employer (English and Spanish)

    Know your Rights

    Required Experience :

    Senior IC

    Key Skills

    Active Directory,Identity & Access Management,LDAP,SAFe,Assistive Technologies,Authentication,Pediatrics Experience,NVDA,Sailpoint,SSH,SSO,Oracle

    Employment Type : Full-Time

    Experience : years

    Vacancy : 1

    Monthly Salary Salary : 18 - 19

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    Patient Specialist • Lewiston, Maine, USA

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