Jobs · OTHR · North Carolina

Consumer Access Specialist - PRN ED Weekend Nights

AdventHealth · Hendersonville, NC · 1 mo ago
OTHR$16.11–$25.78/hrFull-time

About the Role

Joining AdventHealth means being part of a community that believes in the wholeness of each person, uplifting others in body, mind, and spirit. You will thrive professionally and grow spiritually while extending the Healing Ministry of Christ, valued for your unique experiences and contributions.

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 receive necessary logistical information.
  • Contact insurance companies to verify eligibility and benefits, obtaining 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 deliver 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.

Requirements

  • 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 (computer, fax, printer, scanner).
  • Capability to learn and perform multiple tasks, organizing work systematically and efficiently.
  • Professional verbal and written communication skills.
  • Adaptability 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, HIPAA, and corporate policies.
  • Understanding of HIPAA privacy rules and discretion when discussing confidential patient information.
  • Knowledge of computer programs and electronic health record (EHR) systems.
  • Basic knowledge of medical terminology.
  • Exposure to insurance benefits and ability to decipher benefit information.
  • Bilingual – English/Spanish.
  • Experience in a customer‑service related field (preferred).
  • Experience in relevant healthcare settings (preferred).
  • Experience in revenue cycle functions (preferred).
  • Education: Associate degree (preferred) or High School graduate/equivalent (required).
  • Licenses/Certifications: Certified Healthcare Access Associate (CHAA) – preferred; Certified Revenue Cycle Rep (CRCR) – preferred.

Schedule

PRN Shift – Night‑Weekend (United States of America)

Pay

$16.11 – $25.78 per hour

Location: 207 Linda Vista Dr, Hendersonville, NC 28792

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