Consumer Access Specialist

AdventHealth; Littleton (CO); On-site; USD 28,000 - 43,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

PTO from Day One

403(b) retirement plan

Parental leave

Career development

Well-being resources

Mental health resources

Pet benefits

Job summary

AdventHealth in Littleton, Colorado, is seeking a patient access specialist for Medicare compliance reviews, estimating patient financial responsibility, and coordinating with insurance for pre-authorizations. This full-time role requires strong communication and HIPAA knowledge.

The position involves registering patients, collecting payments, and assisting patients with billing questions using EMR systems and Microsoft Office tools. Bilingual English/Spanish is a plus.

Qualifications

• Associate degree preferred
• High school diploma is required
• 1+ years in customer service or healthcare revenue cycle preferred
• Familiarity with insurance benefits and HIPAA
• Bilingual English/Spanish is a plus

Responsibilities

• Perform Medicare compliance reviews and issue ABNs when needed
• Estimate patient financial responsibility and collect payments or set up plans
• Coordinate with utilization management for pre-authorizations
• Verify insurance eligibility and obtain authorizations within timeframes
• Register patients for services accurately and avoid record duplication

Skills

Customer service

Bilingual English/Spanish

HIPAA compliance

MS Office / database software

EMR systems

Effective communication

Attention to detail

Education

Associate degree

High school diploma

Tools

EMR systems

Microsoft Office

Database software

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

Shift

Day (United States of America)

Address

7700 S BROADWAY

City

LITTLETON

State

Colorado

Postal Code

80122

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.

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 Equivalent [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

$19.97 - $31.95

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