Consumer Access Specialist

AdventHealth; Palm Coast (FL); On-site; USD 35,000 - 56,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

PTO

403(b) Plan

Parental Leave

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

AdventHealth in Palm Coast, FL seeks a dedicated team member to perform Medicare compliance reviews, determine patient financial responsibility, and coordinate with insurance providers for pre-authorizations. You will register patients, gather demographic data, and collaborate with clinical and access teams to ensure a smooth patient experience.

This full-time role requires strong communication, HIPAA compliance, and familiarity with EMR systems, with opportunities for growth and ongoing

Qualifications

• Excellent customer service and communication skills.
• Comfort with Medicare compliance tasks and insurance coordination.
• Ability to learn and perform multiple tasks accurately.

Responsibilities

• Perform Medicare compliance reviews and NI/BEN notices as needed.
• Create estimates for patient financial responsibility and collect payments.
• Coordinate with utilization management for pre-authorization issues.
• Verify eligibility and benefits with insurance companies and obtain pre-authorizations.
• Register patients for services and minimize medical record duplication.
• Capture accurate demographic and insurance information.
• Provide coverage across assigned work areas during shifts and relay coverage as needed.
• Facilitate communication among clinical, ancillary, and access departments.
• Document payer decisions and payment arrangements; maintain excellent customer service.
• Assist PBX as needed and perform cashiering and cash reconciliation.

Skills

Mature judgement

Microsoft programs

Database programs

office equipment

multi-tasking

professional communication

HIPAA privacy

EMR systems

medical terminology

insurance knowledge

bilingual English/Spanish

Education

High School Grad or Equiv

Tools

Microsoft Office

EMR systems

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:

Full time

Shift:

Day (United States of America)

Address:

60 MEMORIAL MEDICAL PKWY

City:

PALM COAST

State:

Florida

Postal Code:

32164

Job Description:

Sunday through Thursday

7am-3:30pm

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:

• High School Grad or Equiv [Required]

Physical Requirements:

Physical Requirements (Please click the link below to view work requirements)

Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$16.79 - $26.86

Background Screening Requirement (Florida Law)

Certain positions are subject 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/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.