Consumer Access Specialist

1103 Team Member Services; Rome (GA); On-site; USD 22,000 - 34,000; Part time

Benefits offered by this job

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 Rome, GA is seeking a part-time Patient Access/Financial Services associate. You will perform Medicare compliance reviews, estimate patient financial responsibility, collect payments, and coordinate pre-authorizations.

You’ll register patients, verify insurance details, and ensure accurate medical records while supporting multiple departments. The role emphasizes strong customer service, HIPAA compliance, and proficient use of EMR and billing tools in a fast-paced healthcare

Qualifications

• Experience in customer service within healthcare or related field.
• Familiarity with HIPAA and privacy rules is required.
• Ability to learn and use EMR and billing systems efficiently.

Responsibilities

• SHIFT: Mon, Wed and Fri 5p-12:30a; perform Medicare compliance reviews and issue ABNs as needed.
• Create accurate estimates for patient financial responsibility and collect payments.
• Coordinate with utilization management for pre-authorization issues.
• Contact insurance to verify eligibility and obtain pre-authorizations.
• Register patients for services; ensure accuracy and avoid duplicate records.
• Provide coverage for PBX and perform cashiering tasks as needed.

Skills

Customer service

HIPAA compliance

Communication skills

Bilingual English/Spanish

EMR system knowledge

Medical terminology

Education

Associate degree preferred

High school diploma or equivalent

Tools

EMR software

Microsoft Office

Billing basics

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: Night (United States of America)

Address: 501 REDMOND RD NW

City: ROME

State: Georgia

Postal Code: 30165

Job Description:

• SHIFT: Mon, Wed and Fri 5p-12:30a 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

Pay Range:

$15.89 - $25.43

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

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we’re committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.