Consumer Access Specialist - ED Weekday Days

AdventHealth; Hendersonville (NC); On-site; USD 22,000 - 36,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off

403(b) Plan

Parental Leave

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

AdventHealth in Hendersonville, NC is hiring for a Full-time role focused on patient access and financial clearance. You will perform Medicare compliance tasks, determine patient financial responsibility, and coordinate pre-authorizations with insurance providers.

The position requires strong customer service, bilingual English/Spanish abilities, and proficiency with EMR and Microsoft Office. It offers day-shift hours and a comprehensive benefits package.

Qualifications

• 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 learn and perform multiple tasks and organize work efficiently.
• Ability to communicate professionally and effectively, both verbally and in writing.

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 information.
• Contacts insurance companies to verify eligibility and benefits and obtains pre-authorizations within timeframes.
• Registers patients for all services, ensuring accuracy and minimizing duplication of medical records.
• Collects demographic information and confirms insurance details.
• Provides coverage for assigned work areas during shifts and arranges relief as needed.
• Manages communication between clinical, ancillary, and consumer access departments to improve patient experience.
• Provides excellent customer service and documents conversations with patients and payers.
• Attends department meetings and covers PBX, including answering phones and cash reconciliation.

Skills

Customer service

Bilingual English/Spanish

HIPAA knowledge

EMR system

Verbal and written communication

Education

Associate degree

High school diploma

Tools

Microsoft Office

EMR systems

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

207 Linda Vista Dr

City

Hendersonville

State

North Carolina

Postal Code

28792

Job Description

SHIFT: 8a - 430p

• 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.

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: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/23km2677

Pay Range

$16.11 - $25.78

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