Consumer Access Specialist PRN

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. You will be valued for who you are and the unique experiences you bring to our purpose-minded team.

Location: 2201 S Clear Creek Rd, Killeen, Texas 76549
Shift: Sunday–Thursday, 2:00pm - 10:30pm (Night Shift, PRN)
Department: Emergency Department

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.
• Coordinates 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.
• Provides timely and continual coverage of assigned work areas during scheduled shifts, arranging relief coverage as needed.
• Manages communication between clinical, ancillary, and consumer access departments to enhance the patient experience.
• 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.
• Provides coverage for PBX (Switchboard) as needed, including answering phones and transferring calls.
• Performs cashiering functions such as collections and cash reconciliation accurately.
• Other duties as assigned.

Requirements

• Performs mature judgment 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 in writing.
• Ability to adapt in an ever-changing healthcare environment.
• Ability to follow complex instructions and procedures with close attention to detail.
• Adheres 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 (EHR) programs.
• Basic knowledge of medical terminology.
• Exposure to insurance benefits; ability to decipher insurance benefit information.
• Bilingual (English/Spanish) preferred.
• Exceptional customer service skills.
• Advanced understanding of insurance knowledge and benefits.
• Advanced understanding of hospital electronic medical record (EMR) system.
• Intermediate medical terminology.

Qualifications

• High School Graduate or Equivalent [Required]
• Associate degree [Preferred]
• 1+ years customer service experience [Preferred]
• 1+ years relevant healthcare experience [Preferred]
• 1+ years revenue cycle experience [Preferred]
• Certified Healthcare Access Associate (CHAA) [Preferred]
• Certified Revenue Cycle Rep (CRCR) [Preferred]

Skills

Experience in a customer service-related field, exceptional customer service skills, and advanced understanding of insurance benefits and hospital EMR systems.

Pay

Pay Range: $17.16 - $27.45 per hour

Physical Requirements

For details on physical requirements, click here.