Consumer Access Specialist

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

Benefits offered by this job

Medical Insurance

Dental Insurance

Parental Leave

403(b) Retirement

Paid Time Off

Mental Health Resources

Pet Benefits

Job summary

AdventHealth in Aurora, CO is seeking a detail-oriented Patient Access/Revenue Cycle associate to perform Medicare compliance reviews and prepare estimates of patient financial responsibility. You will verify eligibility with insurers, obtain pre-authorizations, register patients, and coordinate across departments to ensure a smooth patient experience.

The role emphasizes exceptional customer service, accurate data entry, and adherence to HIPAA and CMS guidelines, with opportunities to support

Qualifications

• Mature judgement in dealings with patients, physicians, and insurers.
• Working knowledge of Microsoft programs; familiarity with database programs.
• Able to operate office machines (computer, fax, printer, scanner).
• Ability to learn multiple tasks and organize work efficiently.
• Professional written and verbal communication.
• Adapt in changing healthcare environment.
• Follow complex instructions with attention to detail.
• HIPAA privacy rules and confidentiality.
• Experience in customer service.
• Bilingual English/Spanish.
• Advanced understanding of insurance knowledge and benefits.
• EMR system proficiency.

Responsibilities

• Performs Medicare compliance reviews and issues ABNs as needed.
• Creates accurate estimates for patient financial responsibility and collects payments or arrange plans.
• Coordinates with utilization management for pre-authorization issues.
• Verifies insurance eligibility and benefits, and secures pre-authorizations.
• Registers patients for all services, ensuring data accuracy.
• Provides excellent customer service and documents conversations.
• Attends department meetings and supports team communication.
• Provides coverage for PBX and performs cashiering duties as needed.

Skills

Mature judgement

Microsoft Office

Office equipment

multitask

Professional communication

Adaptability

HIPAA compliance

EMR systems

Medical terminology

Insurance knowledge

Bilingual English/Spanish

Customer service

Education

Associate

High School Grad or Equiv

Tools

EMR System

Database programs

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

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

Full time

Shift

Day-Weekend (United States of America)

Address

6159 S Southlands Pkwy

City

Aurora

State

Colorado

Postal Code

80016

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. 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 provides excellent customer service, documenting all patient and insurance representative 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.

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.