Consumer Access Specialist

1103 Team Member Services; Town of Texas (WI); On-site; USD 24,000 - 38,000; Full time

Benefits offered by this job

Medical

Dental

Vision insurance

Life insurance

Disability insurance

PTO Day One

403-B plan

Parental leave

Career development

Well-being resources

Mental health support

Pet benefits

Job summary

Texas Health Huguley is seeking a patient access coordinator to manage Medicare compliance reviews, estimate patient financial responsibility, and coordinate with insurance for pre-authorizations. You will register patients, verify demographics, collect payments, and support smooth departmental operations.

The role requires strong customer service, HIPAA knowledge, and bilingual English/Spanish abilities, with a night-weekend shift and opportunities for growth within the health system.

Qualifications

• Mature judgement in dealing with patients, physicians, and insurance representatives.
• Understanding HIPAA privacy rules and discretion with confidential information.
• Basic knowledge of medical terminology and insurance benefits.
• Experience in customer service and familiarity with EMR systems.

Responsibilities

• Performs Medicare compliance reviews and issues ABNs as needed.
• Creates estimates for patient financial responsibility and collects payments or arranges plans.
• Coordinates with utilization management for pre-authorization issues.
• Contacts insurance to verify eligibility and obtain pre-authorizations.
• Registers patients for services, ensuring accuracy and avoiding duplicates.

Skills

Customer service

Verbal communication

Written communication

HIPAA compliance

Insurance knowledge

Mature judgement

Bilingual EN/ES

Microsoft Office

Attention to detail

Education

Associate degree

High School diploma

Tools

EMR system

Job description

Our promise to you: Joining Texas Health Huguley 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 Huguley 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.

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 & Location

• Full time
• Shift: Night-Weekend (United States of America)
• Address: 11801 SOUTH FWY
• City: BURLESON
• State: Texas
• Postal Code: 76028

Job Description

Friday-Sunday 5:00 pm - 5:30 am

• 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

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.

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.