Consumer Access Specialist

adventhealth

Manchester (KY)

On-site

USD 22,000 - 34,000

Part time

14 days+

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Benefits offered by this job

Benefits from Day One: Medical, Dental

Paid Time Off from Day One

4 Weeks 100% Paid Parental Leave

Career Development

Whole Person Well-being Resources

Mental Health Resources and Support

Pet Benefits

Job summary

AdventHealth in Manchester, KY is seeking a part-time Revenue Cycle/Customer Service representative to support patient access, billing, and insurance processes.

Responsibilities include Medicare reviews, estimating patient financial responsibility, and coordinating with insurers for pre-authorizations.

Qualifications

Mature judgement when dealing with patients, physicians, and insurance representatives
Proficiency with Microsoft Office and familiarity with database programs
Strong written and verbal communication skills and ability to handle multiple tasks
Ability to adapt in a changing healthcare environment
Knowledge of HIPAA privacy rules and ability to discuss confidential information appropriately
Bilingual – English/Spanish

Responsibilities

Performs Medicare compliance reviews and issues ABNs as needed.
Creates accurate estimates for patient financial responsibility and collects payments or sets up payment plans.
Coordinates with utilization management for pre-authorization issues and ensures patients have necessary information.
Contacts insurance companies to verify eligibility and obtain pre-authorizations within established timeframes.
Registers patients for all services with accuracy and minimizes duplicate medical records.
Collects demographic information and confirms insurance details.
Provides coverage for assigned work areas and arranges relief coverage as needed.
Manages communication between clinical, ancillary, and access departments to improve patient experience.
Documents all patient and payer conversations, including payments.
Attends department meetings and participates in team discussions.
Performs PBX coverage as needed (phone switchboard).
Performs cashiering functions such as collections and cash reconciliation.
Other duties as assigned.

Skills

Mature judgement

Microsoft Office

Communication skills

Adaptability

HIPAA knowledge

Bilingual English/Spanish

Customer service

Education

Associate degree preferred

High school diploma or equivalent required

Tools

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:

210 MARIE LANGDON DR

City:

MANCHESTER

State:

Kentucky

Postal Code:

40962

Job Description:

SHIFT: Wednesday 1pm-7pm Friday 10am-10:30p

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