Medical Office Representative

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. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Benefits

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from 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

Responsibilities

• Manage the full lifecycle of insurance prior authorizations for medications, diagnostic imaging, and in-clinic procedures related to complex gynecologic conditions
• Serve as a liaison between insurance payers, providers, clinical staff, and ancillary departments to ensure timely authorization approvals, minimize treatment delays, and support optimal patient care
• Manage appeals, peer-to-peer reviews, and retroactive authorizations
• Maintain accurate documentation within the electronic medical record (EMR)
• Answer incoming phone calls, respond to inquiries, and direct calls appropriately
• Welcome patients; update, verify, and enter patient demographics, insurance, and billing information and process forms into appropriate systems
• Register patients for services, ensure accuracy, facilitate timely discharge, and maximize reimbursement
• Ensure all financial assessments, eligibility, and benefits memos are clear, updated, and thorough to support post-care financial needs
• Maintain a working relationship with clinical partners to ensure open communication between clinical, ancillary, and patient access departments, enhancing patient experiences
• Provide timely and continual coverage of assigned work area to offer prompt patient service and availability for all clinical partners’ registration needs
• Perform specialty services and duties as requested to ensure the smooth operation of the Guest Services departments
• Promote a safe work environment
• Communicate patients’ status to appropriate team members and keep patients apprised to maintain effective operational flow
• Provide education to patients regarding test locations, patient portal use, and follow-up (non-clinical) actions
• Request co-pays and/or outstanding balance at the time of check-in respectfully but firmly
• Other duties as assigned

Requirements

• Associate and/or higher-level education or completed coursework in health services administration or other related medical or business field
• High School diploma or equivalent (Required)
• Associate's Degree in Health Services Administration or other related medical or business field (Preferred)
• 1+ years of customer service and medical office or equivalent experience with medical terminology, coding, charge entry, and payment collection (Required)
• Prior collections experience (Preferred)
• Prior Authorization experience (Required)

Qualifications

• Certified Healthcare Access Associate (CHAA) (Preferred)

Pay

$19.38 - $31.01 per hour

Location

2555 S Downing St, Denver, Colorado 80210, United States of America

Physical Requirements

View work requirements