Consumer Access Specialist

adventhealth; La Grange (IL); On-site; USD 27,552 - 44,083; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Life Insurance

Disability Insurance

Paid Time Off

403(b) plan

Parental leave

Career development

Well-being resources

Mental health resources

Pet benefits

Job summary

AdventHealth in La Grange, IL is seeking a Patient Access Specialist to perform Medicare compliance reviews, verify patient benefits, and collect payments. The role includes coordinating with utilization management, registering patients, and handling pre-authorization issues to ensure a smooth patient experience.

This position emphasizes excellent customer service, HIPAA compliance, and strong multitasking skills in a fast-paced healthcare setting.

Qualifications

• Assists with Medicare compliance and patient financial responsibilities.
• Works with insurance to verify benefits and pre-authorizations.
• Registers patients and ensures accurate demographics.
• Maintains HIPAA compliance and confidentiality.

Responsibilities

• Coordinate with departments to enhance patient experience.
• Attend department meetings and promote positive dialogue.
• Provide PBX coverage and handle caller requests.
• Perform cashiering and cash reconciliation with accuracy.

Skills

Bilingual English/Spanish

Customer service

HIPAA privacy

MS Office

EMR systems

Insurance knowledge

Communication skills

Multitasking

Detail oriented

Education

Associate degree

High school diploma

Tools

EMR software

Microsoft Office

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.

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

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 Graduate or Equivalent [Required]

Field of Study

• N/A

Work Experience

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

Licenses and Certifications

• Certified Healthcare Access Associate (CHAA) [Preferred]
• Certified Revenue Cycle Rep (CRCR) [Preferred]

Physical Requirements

Physical requirements are available for review in the official job posting.

Pay Range

$19.77 - $31.64

Equal Opportunity Employer

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