Consumer Access Spec PRN

Texas Health Huguley FWS; Orlando (FL); Remote; USD 35,000 - 45,000; Full time

Job summary

A leading healthcare organization seeks a Consumer Access Specialist to manage patient registration and financial arrangements. This role ensures that patients are appropriately registered, verifies insurance eligibility, and maintains communication with clinical partners. Ideal candidates will have customer service experience and a high school diploma, with opportunities for professional growth in a supportive environment.

Benefits

Benefits from Day One

Paid Days Off from Day One

Student Loan Repayment Program

Mental Health Resources and Support

Pet Insurance

Debt-free Education

Qualifications

• One year of customer service experience required.
• High School diploma or GED required.
• Preferred: Healthcare and Patient Access experience.

Responsibilities

• Ensures patients are registered and eligibility verified.
• Communicates with insurance companies and resolves authorization issues.
• Calculates patient financial responsibilities and adheres to HIPAA regulations.

Skills

Customer Service

Communication

Education

High School diploma or GED

Job description

Job Description - Consumer Access Spec PRN (25019135)

Job Number: 25019135

Description

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Paid Days Off from Day One
• Student Loan Repayment Program
• Mental Health Resources and Support
• Pet Insurance*
• Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)

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: Full Time

Shift: Monday – Thursday, anywhere between 7am-7pm, and Fridays 7am-5pm as needed

Location: Remote

The community you’ll be caring for:

• Faith-based & mission-driven organization
• Central Florida’s premier multi-specialty medical group
• Comprehensive Employee Benefits such as Educational Reimbursement
• CREATION Health employee wellness and lifestyle programs
• Positive working climate to support work-life balance

The role you’ll contribute:

• Ensures patients are appropriately registered for all service lines. Performs eligibility verification, obtains pre-cert and/or authorizations, makes financial arrangements, requests and receives payments for services, performs cashiering functions, clears registration errors, and edits pre-bill, among other duties. Maintains close communication with clinical partners to ensure seamless coordination between clinical, ancillary, and patient access departments. Provides exemplary service to internal and external customers and maintains respectful relationships. Provides PBX (switchboard) coverage and support as needed.
• The value you’ll bring to the team:
• Proactively contacts insurance companies via phone, fax, online portal, and other resources to verify insurance eligibility and benefits, and determines coverage extent before scheduled appointments and during or after care for unscheduled patients.
• Obtains pre-authorizations from third-party payers in accordance with payer requirements within established timeframes, and accurately enters authorization details into AdventHealth systems.
• Maintains relationships with clinical partners and physician offices to resolve issues with pre-authorizations. Follows up diligently on missing or incomplete pre-authorizations to minimize denials, updating documentation as needed.
• Verifies patient identity to prevent duplication of medical records using demographic details.
• Ensures patient accounts are assigned the correct payor plans.
• Updates all financial assessments, eligibility, and benefits to support post-care financial needs. Ensures accuracy of benefits, authorizations, and pre-certifications to avoid rejections or denials. Uses online eligibility tools effectively.
• Documents all conversations with patients and insurance representatives, including payer decisions, collection attempts, and payment plans.
• Coordinates with case management staff as necessary, especially when pre-authorization cannot be obtained for inpatient stays.
• Adheres to HIPAA regulations by verifying caller authorization levels before sharing account information.
• Creates accurate estimates to maximize upfront cash collections and documents collections as required.
• Calculates patient co-pays, deductibles, and co-insurance, providing personalized financial responsibility estimates prior to services for inpatient and outpatient care.

Qualifications

The expertise and experiences you’ll need to succeed:

REQUIRED :

• One year of customer service experience
• High School diploma or GED

PREFERRED :

• One year of relevant healthcare experience
• One year of customer service experience
• One year of direct Patient Access experience