Consumer Access Specialist

AdventHealth; Mansfield (TX); On-site; USD 24,000 - 38,000; Part time

Job summary

Texas Health Mansfield is seeking a customer-focused professional for a PRN Day shift role. You will perform Medicare compliance reviews, estimate patient financial responsibility, and coordinate with insurance for pre-authorizations while ensuring accurate patient registration and billing processes.

Responsibilities include exceptional customer service, cross-department communication, and coverage for PBX, with emphasis on HIPAA privacy and accuracy in EMR documentation.

Qualifications

• Associate degree preferred.
• High school diploma or equivalent required.

Responsibilities

• Performs Medicare compliance reviews and issues Advance Beneficiary Notices as needed.
• Creates accurate estimates for patient financial responsibility and collects payments or sets up payment plans.
• Coordinates with utilization management for pre-authorization and provides necessary logistical information to patients.
• Verifies insurance eligibility and benefits; obtains pre-authorizations within set timeframes.
• Registers patients for services, ensures accuracy, and minimizes duplicate medical records.
• Collects demographic information and confirms insurance details.
• Provides coverage for PBX and handles cashiering tasks including collections and cash reconciliation.
• Maintains timely communication between departments to enhance patient experience.

Skills

Mature judgment

Microsoft Office

Office equipment

Multi-tasking

Professional communication

HIPAA compliance

Bilingual English/Spanish

Customer service

EMR system

Attention to detail

Education

Associate degree (preferred)

High school diploma or equivalent

Tools

EMR system

Microsoft Office

Job description

Our Promise To You

Joining Texas Health Mansfield 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. Texas Health Mansfield 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

Our Promise To You

Joining Texas Health Mansfield 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. Texas Health Mansfield 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

2300 LONESTAR RD

City

MANSFIELD

State

Texas

Postal Code

76063

Job Description

• PRN Shift***

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.