Consumer Access Specialist Part Time

Benefits

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

Schedule

Part-time, Day shift

Location

301 Memorial Medical Pkwy, Daytona Beach, FL 32117

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

• High School Graduate or Equivalent (Required)
• 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 (computer, fax machine, printer, 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 in writing
• Ability to adapt in an 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 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 (preferred)
• Experience in Customer Service related field (preferred)
• Exceptional customer service skills (preferred)
• Advanced understanding of insurance knowledge and benefits (preferred)
• Advanced understanding of hospital electronic medical record (EMR) system (preferred)
• Intermediate medical terminology (preferred)
• Physical requirements apply — see Physical Requirements

Pay

$16.79 – $26.86 per hour