Consumer Access Specialist

adventhealth

New Britain (CT)

On-site

USD 23,419 - 35,817

Full time

14 days+

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Benefits offered by this job

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

Job summary

AdventHealth in Orlando, FL is seeking a patient access specialist to perform Medicare compliance reviews and manage patient financial responsibilities. You will verify insurance, obtain pre-authorizations, and register patients accurately while ensuring excellent customer service during transitions between departments.

The role requires strong communication, HIPAA knowledge, and the ability to handle multiple tasks in a busy hospital setting; shift is days, full-time.

Qualifications

Mature judgement when dealing with patients, physicians, and insurance representatives.
Ability to operate general office machines and learn multiple tasks efficiently.
Knowledge of HIPAA privacy rules and confidentiality in patient information.
Experience with Microsoft programs and EMR systems.

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 ensures patients have necessary information.
Verifies insurance eligibility and benefits and obtains pre-authorizations within timeframes.
Registers patients for services, ensuring accuracy and minimizing duplicate medical records.
Collects demographic information and confirms insurance details.
Delivers excellent customer service and documents all conversations with patients and payers.
Provides PBX coverage as needed and performs cashiering functions.

Skills

Customer service

Insurance knowledge

Bilingual English/Spanish

Communication skills

HIPAA compliance

EMR systems knowledge

Multitasking

Attention to detail

Office equipment

Microsoft Office

Education

High School Diploma

Associate degree

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

2501 N Orange Ave
Orlando
Florida 32804

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