Consumer Access Specialist
AdventHealth
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Benefits offered by this job
Job summary
AdventHealth in Daytona Beach, FL is seeking a full-time patient financial services professional to support Medicare compliance reviews and patient billing processes. The role involves estimating patient financial responsibility, collecting payments, and coordinating pre-authorizations with insurance providers.
The position requires strong HIPAA knowledge, exceptional customer service, and bilingual English/Spanish abilities.
Qualifications
- Experience in healthcare administration and patient financial services.
- Strong knowledge of insurance benefits and CMS/HIPAA requirements.
- Ability to communicate clearly with patients, providers, and insurers.
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 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.
Skills
Education
Tools
Job description
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
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.
- 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
Full time
Day (United States of America)
301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH
Florida
32117
- 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.
Remote: Monday-Friday 7am-3:30pm. Will be asked to work occasional weekends and holidays
- 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
- High School Grad or Equiv [Required]
- Physical Requirements - https://tinyurl.com/23km2677
$16.79 - $26.86
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: https://info.flclearinghouse.com/
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
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