Consumer Access Specialist Emergency Weekend Evenings

About the role

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

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.
• Contact insurance companies to verify eligibility and benefits, and obtain 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.
• Consistently provides excellent customer service, documenting all patient and insurance representative conversations, including payer decisions and payment arrangements.
• Attends department meetings and promotes positive dialogue within the team.
• Performs 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.
• Able to effectively learn and perform multiple tasks, and organize work in a systematic and efficient fashion.
• Communicate professionally and effectively, both verbally and written.
• Adapt in ever-changing healthcare environment.
• Follow complex instructions and procedures, with a close attention to detail.
• Adhere to government guidelines such as CMS, EMTALA, and HIPAA and corporate policies.
• Understand HIPAA privacy rules and use discretion when discussing patient-related information that is confidential in nature as needed to perform duties.
• Knowledge of computer programs and electronic health record programs.
• Basic knowledge of medical terminology.
• Exposure to insurance benefits; ability to decipher insurance benefit information.
• Bilingual – English/Spanish.
• Experience in Customer Service related field.
• Exceptional customer service skills.
• Advanced understanding of insurance knowledge and benefits.
• Advanced understanding of hospital electronic medical report (EMR) system.
• Intermediate medical terminology.

Qualifications

• Education: Associate [Preferred], High School Grad or Equiv [Required], Field Of Study N/A
• Work Experience: 1+ customer service [Preferred], 1+ relevant healthcare [Preferred], 1+ revenue cycle [Preferred]

Skills

• Knowledge of computer programs and electronic health record programs.
• Basic knowledge of medical terminology.
• Exposure to insurance benefits; ability to decipher insurance benefit information.
• Bilingual – English/Spanish.
• Customer service skills.
• Insurance knowledge and benefits.
• EMR system understanding.

Benefits

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule

Part time Shift Day-Weekend (United States of America)

Pay

$17.40 - $27.84

Additional Information

N/A

Licenses and Certifications

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

Physical Requirements

View physical requirements

Equal Opportunity Employer

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