Consumer Access Spec PRN

AdventHealth; Littleton (CO); On-site; USD 28,000 - 44,000; Full time

Job summary

AdventHealth in Littleton, CO is seeking a PRN Patient Access/Revenue Cycle professional to perform Medicare compliance reviews, estimate patient financial responsibility, and coordinate with insurance providers for pre-authorizations. The role requires bilingual English/Spanish skills and strong customer service abilities.

You will register patients, verify benefits, and communicate clearly with patients and physicians to ensure accurate records and timely payments in a fast-paced healthcare

Qualifications

• Mature judgment 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 efficiently.
• Ability to communicate professionally and effectively, both verbally and written.
• Ability to adapt in ever-changing healthcare environment.
• Follow complex instructions with close attention to detail.
• Adheres to CMS, EMTALA, HIPAA and corporate policies.
• HIPAA privacy rules and discretion in handling confidential patient information.
• Knowledge of computer programs and electronic health record programs.
• Basic knowledge of medical terminology.
• Exposure to insurance benefits; ability to decipher benefits information.
• Bilingual – English/Spanish.

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 sets up payment plans.
• Coordinates with utilization management for pre-authorization issues and patient logistics.
• Contacts insurance companies to verify eligibility and benefits; obtains pre-authorizations within timeframes.
• Registers patients for all services, ensuring accuracy and minimizing duplication of medical records.

Skills

Mature judgment

Bilingual – English/Spanish

Professional communication

Organization / multitasking

HIPAA compliance awareness

Customer service mindset

Insurance knowledge

Medical terminology knowledge

Education

Associate degree (Preferred)

High School Grad or Equivalent (Required)

Tools

Microsoft Office

Database programs

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)

Address

7700 S BROADWAY

City

LITTLETON

State

Colorado

Postal Code

80122

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

(Please click the link below to view work 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.