Consumer Access PRN

1103 Team Member Services; DeLand (FL); On-site; USD 35,000 - 56,000; Part time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off from Day One

403(b) Retirement Plan

Parental Leave

Job summary

AdventHealth Deland is seeking a Patient Financial Services associate to perform Medicare compliance reviews, estimate patient financial responsibility, and secure pre-authorizations. You will coordinate with treatment teams and insurers to ensure timely, accurate billing and documentation.

The role requires mature judgement, strong communication skills, and familiarity with HIPAA and CMS guidelines in a fast-paced healthcare setting.

Qualifications

• High school diploma or equivalent is required.
• Mature judgement in dealing with patients, physicians, and insurance representatives.
• Professional and effective written and verbal communication.
• Familiarity with CMS, EMTALA, and HIPAA guidelines.

Responsibilities

• Performs Medicare compliance reviews and issues ABNs as needed.
• Creates accurate estimates for patient financial responsibility and collects payments.
• Coordinates with utilization management for pre-authorization issues.
• Contacts insurance companies to verify eligibility and obtain pre-authorizations.
• Registers patients for all services ensuring accuracy and reducing duplicate records.

Skills

Mature judgement

Microsoft Office

Office equipment

Multitasking

Professional communication

HIPAA & CMS awareness

Attention to detail

Compliance knowledge

Education

High School Diploma or equivalent

Tools

Microsoft Office

Database software

Office hardware

Job description

Our promise to you: 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.

All the benefits and perks you need for you and your family: 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: PRN Shift: 24 Hours (United States of America) Address: 701 W PLYMOUTH AVE City: DELAND State: Florida Postal Code: 32720

Job Description:

• 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.

Knowledge, Skills, and Abilities:

• Mature judgement 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 written
• Ability to adapt in ever-changing healthcare environment
• Ability to follow complex instructions and procedures, with a 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 patient-related information that is confidential in nature as needed to perform duties

Education:

High School Grad or Equivalent

Physical Requirements:

Pay Range: $16.79 - $26.86

Background Screening Requirement (Florida Law)

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:

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ.

As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit.

Though our facilities are spread across the country, this unwavering belief binds us together.

Across every office, exam and patient room, we’re committed to providing individualized, holistic care.

This is our Christian mission, and it inspires us to help make communities healthier and happier.