Consumer Access Specialist

AdventHealth; Killeen (TX); On-site; USD 23,000 - 39,000; Full time

Job summary

AdventHealth in Killeen, TX seeks a PRN Patient Access Associate to evaluate patient financial responsibility, verify benefits, and support billing functions. The role involves coordinating with insurance, obtaining pre-authorizations, and registering patients for services.

You will handle cash collections, document communications with payers, and maintain exceptional customer service in a fast-paced healthcare setting. Bilingual abilities are a plus.

Qualifications

• Associate degree preferred; high school diploma required.
• Experience in customer service and healthcare revenue cycle preferred.
• Bilingual English/Spanish beneficial and HIPAA understanding.

Responsibilities

• Perform Medicare compliance reviews and financial responsibility estimates.
• Coordinate with utilization management for pre-authorization; verify eligibility.
• Register patients and collect payments; explain benefits and payment plans.
• Provide excellent customer service and document payer communications; support PBX as needed.

Skills

Mature judgement

Customer service

Insurance knowledge

Bilingual English/Spanish

EMR familiarity

Effective communicator

Multitasking

Attention to detail

Education

Associate degree

High school diploma

Tools

EMR systems

CRM software

Microsoft Office

Office equipment

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

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

2201 S CLEAR CREEK RD

City

KILLEEN

State

Texas

Postal Code

76549

Job Description

PRN Rate: $18.75/hour

Variable Shift Coverage: Days, Evenings, Nights, Weekends

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]

Work Experience

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

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

$17.33 - $27.72

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.