Consumer Access Specialist

AdventHealth; Winter Park (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

PTO from Day One

403-B Retirement Plan

Parental Leave

Job summary

AdventHealth in Winter Park, FL is seeking a Patient Access/Financial Specialist to perform Medicare compliance reviews, register patients, verify insurance, and coordinate with authorizations. The role emphasizes accurate financial estimates, payer communications, and exceptional customer service across shifts.

Proficiency with EMR systems and HIPAA compliance is essential. The position offers full-time hours, day shift, and benefits from day one.

Qualifications

• Expertise in patient access and healthcare enrollment processes.
• Strong knowledge of insurance benefits and billing basics.
• Familiarity with HIPAA and privacy rules.
• Ability to communicate professionally with diverse stakeholders.
• Proven customer service experience in healthcare.

Responsibilities

• 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-authorizations.
• Verify insurance eligibility and benefits and obtain pre-authorizations.
• Register patients for services and ensure accuracy of records.
• Collect demographic and insurance details; minimize duplication of records.
• Provide coverage across assigned work areas during shifts.
• Coordinate between clinical, ancillary, and access teams to enhance patient experience.
• Deliver excellent customer service and document conversations with payers.
• Attend department meetings and promote positive team dialogue.
• Provide PBX coverage and perform cashiering tasks as needed.

Skills

Mature judgement

Microsoft programs

Office machines

Multitasking

Communication

HIPAA compliance

Bilingual English/Spanish

Customer service

Insurance knowledge

EMR system

Medical terminology

Interpersonal skills

Education

Associate [Preferred]

High School Grad or Equiv [Required]

Tools

EMR software

Microsoft Office

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

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 200 N LAKEMONT AVE

City WINTER PARK

State Florida

Postal Code 32792

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]

Field Of Study

• N/A

Work Experience

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

Additional Information

• N/A

Licenses And Certifications

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

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 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.