Bilingual Healthcare Access & Billing Specialist

adventhealth; Chatsworth (GA); On-site; USD 22,000 - 35,000; Full time

Job summary

AdventHealth in Chatsworth, GA is seeking a patient financial services specialist to perform Medicare compliance reviews, verify eligibility, and assist with pre-authorizations, customer service, and accurate billing.

You will register patients, collect demographics, coordinate with multiple departments, and maintain HIPAA compliance while delivering compassionate service; bilingual English/Spanish is a plus.

Qualifications

• Mature judgement when dealing with patients, physicians, and insurers.
• Proficiency with Microsoft Office and database programs.
• Ability to operate standard office machines and manage multiple tasks with organization.
• Excellent verbal and written communication.
• HIPAA CMS and privacy rules knowledge.
• Bilingual English/Spanish abilities are preferred.
• Experience in Customer Service in healthcare settings.
• Advanced understanding of insurance benefits and billing processes.
• EMR systems familiarity.

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.
• Consistently documents patient and insurance 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.

Skills

Mature judgement

Microsoft Office

Verbal & written communication

Organizational skills

Attention to detail

HIPAA & CMS knowledge

Bilingual English/Spanish

Customer service

Healthcare knowledge

Education

Associate degree preferred

High school diploma or equivalent required

Tools

EMR systems

Database programs

Job description

AdventHealth in Chatsworth, GA is seeking a patient financial services specialist to perform Medicare compliance reviews, verify eligibility, and assist with pre-authorizations, customer service, and accurate billing.

You will register patients, collect demographics, coordinate with multiple departments, and maintain HIPAA compliance while delivering compassionate service; bilingual English/Spanish is a plus.