Consumer Access Specialist

Team Member Services; Orlando (FL); On-site; USD 23,000 - 37,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

Paid time off from day one

403(b) retirement plan

Parental leave (4 weeks)

Career development

Whole person well-being resources

Mental health resources

Pet benefits

Job summary

AdventHealth Waterford Lakes in Orlando, FL is seeking a Patient Access/Revenue Cycle professional to support Medicare compliance, register patients, verify insurance, and collect payments. This role requires strong customer service, bilingual capabilities, and collaboration across clinical and access teams.

Responsibilities include pre-authorizations, accurate data entry, and maintaining HIPAA-compliant communications. The position is full-time with day shift hours and opportunities for growth.

Qualifications

• Mature judgement when dealing with patients, physicians, and insurance representatives
• Knowledge of computer programs and EMR systems
• Ability to follow complex instructions with attention to detail
• Ability to learn and perform multiple tasks in a healthcare setting
• Adheres to CMS, EMTALA, and HIPAA guidelines and policies
• Understanding of HIPAA privacy rules and discretion when handling patient information
• Experience in customer service in a healthcare environment
• Excellent interpersonal communication skills
• Bilingual English/Spanish capabilities are a plus

Responsibilities

• Performs Medicare compliance reviews and issues ABNs as needed
• Creates accurate estimates of patient financial responsibility and collects payments or sets up payment plans
• Coordinates with utilization management for pre-authorization issues and provides necessary logistics information
• Contacts insurance companies to verify eligibility and benefits and obtains pre-authorizations within required timeframes
• Registers patients for services with accuracy and minimizes duplicates in medical records
• Collects demographic information and confirms insurance details
• Provides coverage for assigned work areas during shifts and arranges relief as needed
• Coordinates communication between clinical, ancillary and consumer access departments to improve patient experience
• Maintains thorough documentation of patient and payer conversations and decisions
• Attends department meetings and contributes to positive team discussions
• Covers PBX/Switchboard duties as needed, including answering and transferring calls
• Performs cashiering duties such as collections and cash reconciliation
• Performs other duties as assigned

Skills

Bilingual English/Spanish

Customer service

Communication skills

Microsoft Office

EMR familiarity

HIPAA knowledge

Medical terminology

Insurance knowledge

Detail oriented

Teamwork

Education

HS Diploma or equivalent

Associate degree (preferred)

Tools

EMR systems

Office 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: 13691 E COLONIAL DR

City: ORLANDO

State: Florida

Postal Code: 32826

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

Education:

• Associate [Preferred]
• High School Grad or Equiv [Required]

Work Experience:

• 1+ customer service [Preferred]
• 1+ relevant healthcare [Preferred]
• 1+ revenue cycle [Preferred]

Additional Information:

Additional Licensure or certification requirements may apply depending on the specific unit or state in which this position is located. Please consult the relevant credential grid for detailed information regarding these requirements.

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:

$16.79 - $26.86

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening , including fingerprinting, as required by state law.

Applicants may review general information about Florida's background screening requirements at the Florida Care Provider Background Screening Clearinghouse : https://info.flclearinghouse.com/

Schedule:

Monday to Thursday 12pm to 10pm

Location:

AdventHealth Waterford Lakes ER - 13691 E Colonial Dr, Orlando, FL 32826