Consumer Access Spec PRN

1106 Portercare Adventist Health System; Littleton (CO); On-site; USD 28,000 - 44,000; Part time

Job summary

AdventHealth in Littleton, Colorado, is seeking a PRN Day shift Medicare Compliance Associate. You will perform compliance reviews, prepare patient financial responsibility estimates, and coordinate with insurance providers for eligibility and pre-authorizations.

You will register patients for services, ensure data accuracy, and maintain HIPAA and CMS guideline compliance in a fast-paced healthcare setting.

Qualifications

• Mature judgement in dealing with patients, physicians, and insurance representatives.
• Proficiency with Microsoft programs and familiarity with database programs.
• Ability to learn and perform multiple tasks in a systematic, efficient way.
• Knowledge of HIPAA privacy rules and government guidelines.

Responsibilities

• Performs Medicare compliance reviews and issues ANOC/ABN as needed.
• Creates accurate estimates for patient financial responsibility and collects payments or plans.
• Verifies eligibility with insurance and secures pre-authorizations within timeframes.
• Registers patients for services with accuracy and minimal record duplication.

Skills

Mature judgement

Professional communication

Microsoft Office

Database programs

HIPAA knowledge

Insurance concepts

Bilingual English/Spanish

Customer service experience

Detail oriented

Education

High School Diploma

Associate degree (preferred)

Tools

Microsoft Office

EMR system

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.

Schedule: PRN Shift: Day (United States of America)

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
• Knowledge of computer programs and electronic health record programs
• Basic knowledge of medical terminology
• Exposure to insurance benefits; ability to decipher insurance benefit information
• Bilingual – English/Spanish
• Experience in Customer Service related field
• Exceptional customer service skills
• Advanced understanding of insurance knowledge and benefits
• Advanced understanding of hospital electronic medical report (EMR) system
• Intermediate medical terminology

Education:

• Associate [Preferred]
• High School Grad or Equiv [Required]

Field of Study:

• N/A

Work Experience:

• 1+ customer service [Preferred]
• 1+ relevant healthcare [Preferred]
• 1+ revenue cycle [Preferred]

Additional Information:

• N/A

Licenses and Certifications:

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

Physical Requirements:

• Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$19.97 - $31.95

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.