Consumer Access Specialist

AdventHealth; United States; On-site; USD 22,000 - 35,000; 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

Job summary

AdventHealth in Manchester, KY, is seeking a Part-time Patient Access Associate to support revenue cycle operations. You will perform Medicare compliance reviews, estimate patient financial responsibility, and coordinate with utilization management for pre-authorizations.

Responsibilities include registering patients, verifying demographics and insurance, and providing excellent customer service. Bilingual English/Spanish skills are highly valued in this role.

Qualifications

• Associate degree preferred or equivalent healthcare experience.
• High school diploma required or equivalent.
• Experience in customer service within healthcare is preferred.
• Knowledge of insurance benefits and billing processes is required.
• Bilingual English/Spanish is a strong plus.

Responsibilities

• 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 coverage for PBX and performs cashiering functions such as collections and cash reconciliation.

Skills

Bilingual English/Spanish

Customer service

Insurance knowledge

Microsoft Office

EMR systems

Attention to detail

Communication skills

Education

Associate degree preferred

High school diploma required

Tools

EMR system

Microsoft Office

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: Day-Weekend (United States of America) Address: 210 MARIE LANGDON DR City: MANCHESTER State: Kentucky Postal Code: 40962

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

Licenses and Certifications

• Certified Healthcare Access Associate (CHAA) Preferred
• Certified Revenue Cycle Rep (CRCR) Preferred

Pay Range

$15.93 - $25.48

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.