Consumer Access Specialist - FT ED 3rd Shift

AdventHealth; Hendersonville (NC); On-site; USD 21,986 - 35,170; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

Paid Time Off from Day One

403-B Retirement Plan

Parental Leave 4 weeks

Career Development

Whole Person Well-being Resources

Mental Health Resources and Support

Pet Benefits

Job summary

AdventHealth in Hendersonville, NC is hiring for a full-time night-shift role focused on Medicare compliance reviews, patient financial responsibilities, and insurance verification. You will coordinate with utilization management, register patients, and ensure accurate records while delivering excellent customer service.

The position requires strong knowledge of HIPAA/CMS guidelines, bilingual English/Spanish is a plus, and experience in a healthcare revenue-cycle or customer-service setting.

Qualifications

• Mature judgement when dealing with patients, physicians, and insurance representatives
• Proficient in Microsoft Office and familiarity with database programs
• Able to operate common office machines and learn multiple tasks efficiently
• Strong communication skills, both written and verbal, with attention to detail
• Understand HIPAA, CMS, EMTALA, and corporate policies and apply them in daily work
• Bilingual English/Spanish preferred
• Experience in customer service and healthcare revenue cycle preferred
• Knowledge of insurance benefits and EMR systems
• Intermediate medical terminology knowledge

Responsibilities

• Perform Medicare compliance reviews and issue notices of noncoverage when needed
• Estimate patient financial responsibility and manage payments or payment plans
• Coordinate with utilization management for pre-authorization issues
• Verify insurance eligibility and obtain pre-authorizations promptly
• Register patients accurately and minimize duplicate records
• Collect demographics and confirm insurance details
• Provide coverage across shifts and arrange relief as needed
• Support PBX and cashiering duties and document payer decisions and payments
• Communicate across clinical, ancillary, and access departments to improve patient experience
• Attend meetings and support team dialogue and professional standards

Skills

Mature judgement

Patient interaction

Microsoft Office

HIPAA & CMS knowledge

Bilingual English/Spanish

Customer service

EMR systems

Attention to detail

Communication skills

Problem solving

Education

Associate

High School Grad or Equivalent

Tools

EMR system tools

Office equipment

Job description

AdventHealth is a place where you can thrive professionally and grow spiritually by Extending the Healing Ministry of Christ. 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.

Schedule

Schedule: Full time

Shift

Shift: Night (United States of America)

Location

Address: 207 Linda Vista Dr

City: Hendersonville

State: North Carolina

Postal Code: 28792

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

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

Physical Requirements - https://tinyurl.com/23km2677

Pay Range

$15.96 - $25.53

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