Consumer Access Specialist

AdventHealth; Littleton (CO); On-site; USD 28,000 - 44,000; Part time

Benefits offered by this job

Medical, dental, vision

Life insurance

401(k) plan

Paid time off from day one

Career development

Mental health resources

Pet benefits

Job summary

AdventHealth Littleton in Colorado is seeking a part-time Patient Access/Financial Counselor to perform Medicare compliance reviews, estimate patient financial responsibility, and collect payments or set up plans, while coordinating with utilization management and verifying insurance eligibility.

This role requires strong customer service, knowledge of HIPAA, CMS guidelines, and bilingual English/Spanish, with experience in healthcare revenue cycle and EMR systems.

Qualifications

• Mature judgment in dealing with patients, physicians and insurers.
• Solid knowledge of HIPAA guidelines and CMS rules.
• Strong communication in verbal and written form.
• Ability to learn and use EMR systems and basic medical terminology.
• Experience in customer service and insurance benefits basics.

Responsibilities

• Performs Medicare compliance reviews and issues ABNs as needed.
• Creates estimates for patient financial responsibility and collects payments or sets up plans.
• Coordinates with utilization management for pre-authorization issues.
• Contacts insurers to verify eligibility and obtain pre-authorizations.
• Registers patients for services with accuracy and avoids duplicate records.

Skills

Mature judgement

Microsoft Office

Communication skills

HIPAA compliance

Bilingual English/Spanish

Customer service

Insurance knowledge

EMR systems

Medical terminology

Attention to detail

Organizational skills

Education

Associate degree

High School Diploma

Tools

EMR systems

Microsoft Office

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 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:

Part 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

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.