Consumer Access Specialist Nights Port Charlotte

Benefits

• Medical, Dental, and Vision Insurance effective Day One
• Life Insurance and Disability Insurance effective Day One
• Paid Time Off effective Day One
• 403(b) Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development opportunities
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule

Full-time, Night shift: 3:00 PM – 11:30 PM, Tuesday through Saturday.

Responsibilities

• Perform Medicare compliance reviews and issue Advance Beneficiary Notices of Noncoverage as needed.
• Create accurate estimates for patient financial responsibility and collect payments or establish payment plans.
• Coordinate with utilization management staff for pre-authorization issues and ensure patients have necessary logistical information.
• Contact insurance companies to verify eligibility and benefits, and obtain pre-authorizations within established timeframes.
• Register patients for all services, ensuring accuracy and minimizing duplication of medical records.
• Collect critical demographic information from patients and confirm insurance details.
• Provide timely and continual coverage of assigned work areas during scheduled shifts, arranging relief coverage as needed.
• Manage communication between clinical, ancillary, and consumer access departments to enhance the patient experience.
• Consistently provide excellent customer service, documenting all patient and insurance representative conversations, including payer decisions and payment arrangements.
• Attend department meetings and promote positive dialogue within the team.
• Provide coverage for PBX (Switchboard) as needed, including answering phones and transferring calls.
• Perform cashiering functions such as collections and cash reconciliation accurately.
• Perform 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
• Ability to adapt in ever-changing healthcare environment
• Ability to follow complex instructions and procedures, with close attention to detail
• Adherence to government guidelines such as CMS, EMTALA, and HIPAA and corporate policies
• Understanding of HIPAA privacy rules and ability to use discretion when discussing confidential patient-related information
• 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 record (EMR) system
• Intermediate medical terminology

Qualifications

• Education: Associate degree preferred; High School Graduate or Equivalent required
• Work Experience: 1+ year customer service preferred; 1+ year relevant healthcare experience preferred; 1+ year revenue cycle experience preferred
• Licenses and Certifications: Certified Healthcare Access Associate (CHAA) preferred; Certified Revenue Cycle Representative (CRCR) preferred
• Additional licensure or certification requirements may apply depending on the specific unit or state; consult the relevant credential grid for details.

Pay

$16.79 – $26.86 per hour.

Physical Requirements

Physical requirements apply; refer to the linked work requirements document for details.