Consumer Access Specialist

Job Description

Performs Medicare compliance reviews and issues Advance Beneficiary Notices of Noncoverage as needed.
Creates accurate estimates for patient financial responsibility and collects payments or establishes payment plans.
Collaborates with utilization management staff for pre-authorization issues and ensures patients have necessary logistical information.
Contacts insurance companies to verify eligibility and benefits, and obtains pre-authorizations within established timeframes.
Registers patients for all services, ensuring accuracy and minimizing duplication of medical records.

Knowledge, Skills, And Abilities

• Mature judgement in dealing with patients, physicians, and insurance representatives
• Working knowledge of Microsoft programs and familiarity with database programs
• Ability to operate general office machines such as computer, fax machine, printer, and scanner
• Ability to effectively learn and perform multiple tasks, and organize work in a systematic and efficient manner
• Ability to communicate professionally and effectively, both verbally and written

Education

• [Preferred] Associate's Degree or Equivalent
• [Required] Field of Study: N/A

Work Experience

• [Preferred] 1+ years of customer service experience
• [Preferred] 1+ years of relevant healthcare experience
• [Preferred] 1+ years of revenue cycle experience

Additional Information

N/A

Licenses And Certifications

• Certified Healthcare Access Associate (CHAA) [Preferred]
• Certified Revenue Cycle Rep (CRCR) [Preferred]

Physical Requirements

View physical requirements

Pay Range

$19.77 - $31.64