Consumer Access Specialist Full Time Days
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.
- 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 fashion.
- 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 advanced understanding of hospital electronic medical report (EMR) system.
- To have intermediate medical terminology.
Qualifications
- Associate [Preferred]
- High School Grad or Equiv [Required]
Skills
- Knowledge of computer programs and electronic health record programs.
- Advanced understanding of insurance knowledge and benefits.
- Advanced understanding of hospital electronic medical report (EMR) system.
- Intermediate medical terminology.
Benefits
Includes benefits from day one such as medical, dental, vision insurance, life insurance, disability insurance, paid time off, 403-B retirement plan, and more. Additional benefits include whole person well-being resources, mental health resources and support, pet benefits, and more.
Pay
$17.40 - $27.84
Schedule
Full time, Shift Day (United States of America)
Additional Information
N/A
Licenses And Certifications
- Certified Healthcare Access Associate (CHAA) [Preferred]
- Certified Revenue Cycle Rep (CRCR) [Preferred]
Physical Requirements
View physical requirements
Additional Information
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.