Sr Consumer Access Specialist

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

• Medical, Dental, Vision Insurance
• Life Insurance, Disability Insurance (from Day One)
• 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

Full time, Day shift

Location

900 Hope Way, Altamonte Springs, Florida 32714

Responsibilities

• Maintain a working relationship with clinical partners to ensure open communications between clinical, ancillary, and consumer access departments, enhancing the patient experience.
• Provide timely and continual coverage of assigned work area to offer prompt patient service and availability for all clinical partner registration needs.
• Arrange relief coverage during extended time away from assigned registration area.
• Contact insurance companies by phone, fax, online portal, and other resources to obtain and verify insurance eligibility and benefits, determining extent of coverage within established timeframe before scheduled appointments and during or after care for unscheduled patients.
• Register patients for all services by obtaining critical demographic elements and ensuring accuracy.
• Perform Medicare compliance reviews, eligibility checks, and complete Medicare Secondary Payer Questionnaires.
• Ensure patient accounts are assigned the appropriate payer plans and update financial assessments, eligibility, and benefits.
• Create accurate estimates to maximize up-front cash collections and add collections documentation where required.
• Coordinate with case management staff as necessary (e.g., when pre-authorization cannot be obtained for an inpatient stay).
• Maintain the department invoice process including receiving, validating, filing, and processing invoices for payment.
• Document all conversations with patients and insurance representatives in the appropriate fields.
• Other duties as assigned.

Requirements

• Mature judgement in dealing with patients, physicians, and insurance representatives [Required]
• Intermediate knowledge of Microsoft programs and familiarity with database programs [Required]
• Ability to operate general office machines such as computer, fax machine, printer, and scanner [Required]
• Ability to effectively learn and perform multiple tasks, and organize work in a systematic and efficient fashion [Required]
• Ability to communicate professionally and effectively, both verbally and written [Required]
• Ability to adapt in ever-changing healthcare environment [Required]
• Ability to follow complex instructions and procedures, with close attention to detail [Required]
• Adhere to government guidelines such as CMS, EMTALA, and HIPAA and corporate policies [Required]
• Exceptional customer service skills [Required]
• Advanced understanding of insurance knowledge and benefits [Required]
• Advanced understanding of hospital electronic medical report (EMR) system [Required]
• Basic medical terminology [Required]
• Must be able to read, write, and speak conversational English [Required]
• Understanding of HIPAA privacy rules and ability to use discretion when discussing patient-related information [Preferred]
• Intermediate medical terminology [Preferred]
• Bilingual – English/Spanish [Preferred]

Qualifications

• High School Graduate or Equivalent [Required]
• Associate degree [Preferred]
• Field of study in business, education, Health Services Administration, or related field
• 1+ years customer service experience [Required]
• 1+ years revenue cycle experience [Required]
• 2+ years direct patient access [Preferred]

Licenses and Certifications

• Certified Healthcare Access Associate (CHAA) [Preferred]
• Certified Revenue Cycle Rep (CRCR) [Preferred]

Pay

$17.63 - $28.20 per hour

Physical Requirements

View work requirements at Physical Requirements.

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law. Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse.