Consumer Access Specialist Call Center Position

adventhealth

Orlando (FL)

Remote

USD 23,000 - 37,000

Full time

14 days+

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Benefits offered by this job

Medical, Dental, Vision insurance

Life Insurance

Disability Insurance

Paid Time Off from Day One

403(b) Retirement Plan

Parental Leave

Job summary

AdventHealth in the Orlando area is seeking a Patient Access Specialist to perform Medicare compliance reviews, estimate patient financial responsibility, and coordinate with utilization management for pre-authorizations. The role requires accurate data entry, efficient insurance verification, and strong customer service skills.

Responsibilities include registering patients, collecting payments, arranging payment plans, and ensuring smooth communication between clinical and access departments.

Qualifications

Associate degree preferred; high school diploma required.
Experience in healthcare revenue cycle or patient access is preferred.
Knowledge of Medicare compliance processes and eligibility verification.

Responsibilities

Perform Medicare compliance reviews and prepare patient financial responsibility estimates.
Coordinate with utilization management for pre-authorizations and ensure timely payer decisions.
Register patients and collect payments; establish payment plans and document conversations.
Provide excellent customer service and maintain accurate records across departments.

Skills

Bilingual English/Spanish

Customer service

HIPAA knowledge

MS Office familiarity

EMR familiarity

Attention to detail

Communication skills

Education

Associate

High School diploma or equivalent

Tools

EMR systems

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.

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: 900 HOPE WAY

City: ALTAMONTE SPRINGS

State: Florida

Postal Code: 32714

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.

Shift/Schedule

Remote Monday-Friday shifts vary but must be available between 8am-8pm est.

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