Consumer Access Specialist Overnight Sebring

About the role

Joining AdventHealth is about extending the healing ministry of Christ. You will be part of a community dedicated to the wholeness of each person, serving to uplift others in body, mind, and spirit.

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.
• 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.
• Effective learning and performing multiple tasks, organizing work systematically and efficiently.
• Professional and effective communication, both verbally and written.
• Adapting in ever-changing healthcare environment.
• Following complex instructions and procedures with a close attention to detail.
• Adhering to government guidelines such as CMS, EMTALA, and HIPAA and corporate policies.
• Understanding of HIPAA privacy rules and using discretion when discussing patient-related information.
• Basic knowledge of medical terminology.
• Exposure to insurance benefits; ability to decipher insurance benefit information.
• Bilingual – English/Spanish.
• Exceptional customer service skills.
• Advanced understanding of insurance knowledge and benefits.
• Advanced understanding of hospital electronic medical report (EMR) system.
• Intermediate medical terminology.

Qualifications

• Associate degree preferred.
• High school diploma or equivalent required.
• Field of study not specified.
• 1+ years of customer service experience preferred.
• 1+ years of relevant healthcare experience preferred.
• 1+ years of revenue cycle experience preferred.

Skills

• Knowledge of computer programs and electronic health record systems.
• Basic knowledge of medical terminology.
• Understanding of insurance benefits and processes.
• Ability to decipher insurance benefit information.
• Ability to follow complex instructions and procedures with attention to detail.
• Adaptability in a changing healthcare environment.
• Communication skills, both verbal and written.
• Customer service skills.
• Medical terminology knowledge.

Benefits

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

Pay

$16.04 - $25.67 per hour.

Schedule

Full time, night shift (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

Background Screening Requirement

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Equal Opportunity Employer

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