Consumer Access Specialist Emergency Part Time Days

About the role

Joining AdventHealth is about extending the healing ministry of Christ. As a member of our team, you'll be valued for your unique experiences and contribute to the whole-person care of our patients.

Responsibilities

• 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.
• Collects critical demographic information from patients and confirms insurance details.
• Manages communication between clinical, ancillary, and consumer access departments to enhance the patient experience.
• Provides timely and continual coverage of assigned work areas during scheduled shifts, arranging relief coverage as needed.
• Attends department meetings and promotes positive dialogue within the team.
• Provides coverage for PBX (Switchboard) as needed, including answering phones and transferring calls.
• Performs cashiering functions such as collections and cash reconciliation accurately.
• Attends department meetings and promotes positive dialogue within the team.
• Other duties as assigned.

Requirements

• 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.
• To adapt in ever-changing healthcare environment.
• To follow complex instructions and procedures, with a close attention to detail.
• To adhere to government guidelines such as CMS, EMTALA, and HIPAA and corporate policies.
• To understand HIPAA privacy rules and use discretion when discussing patient-related information that is confidential in nature as needed to perform duties.
• To have basic knowledge of medical terminology.
• To have exposure to insurance benefits; ability to decipher insurance benefit information.
• To have bilingual skills in English and Spanish.
• To have exceptional customer service skills.
• To have advanced understanding of insurance knowledge and benefits.
• To have advanced understanding of hospital electronic medical report (EMR) system.
• To have intermediate medical terminology.

Qualifications

• Associate's degree preferred.
• High school diploma or equivalent required.
• No specific field of study required.
• 1+ year of customer service experience preferred.
• 1+ year of relevant healthcare experience preferred.
• 1+ year of revenue cycle experience preferred.

Skills

• Knowledge of computer programs and electronic health record systems.
• Basic understanding of medical terminology.

Benefits

Extensive benefits package including medical, dental, vision insurance, life insurance, disability insurance, paid time off, 403-B retirement plan, and more.

Schedule

Part-time, days, Monday - Thursday, 5:00pm - 9:00pm, 16 hours per week.

Pay

$17.40 - $27.84 per hour.

Additional Information

N/A

Licenses and Certifications

• Preferred: Certified Healthcare Access Associate (CHAA).
• Preferred: Certified Revenue Cycle Rep (CRCR).

Physical Requirements

View physical requirements here

Equal Opportunity Employer

This facility is an equal opportunity employer and complies with federal, state, and local anti-discrimination laws, regulations, and ordinances.