Consumer Access Specialist Full Time Days

adventhealth; Florida; On-site; USD 28,000 - 44,000; Full time

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

Career Development

Whole Person Well-being Resources

Mental Health Resources and Support

Pet Benefits

Job summary

AdventHealth is seeking a patient access professional to perform Medicare compliance reviews, estimate patient financial responsibility, and coordinate with insurance providers for pre-authorizations. You will register patients, collect demographics, and ensure accurate insurance details while maintaining excellent customer service.

Responsibilities include coordinating between departments, documenting payer conversations, and covering PBX/cashier duties as needed in a full-time Day shift role

Qualifications

• Medicare compliance knowledge.
• Ability to verify eligibility and obtain pre-authorizations.
• Strong knowledge of patient demographics and insurance details.
• Experience with hospital or medical office settings.
• Bilingual English/Spanish helpful.

Responsibilities

• Perform Medicare compliance reviews and issue notices as needed.
• Estimate patient financial responsibility and collect payments or arrange plans.
• Coordinate with utilization management for pre-authorizations and provide required information.
• Verify insurance eligibility and obtain pre-authorizations within timeframes.
• Register patients accurately and minimize duplicate medical records.
• Collect demographic data and confirm insurance details.
• Provide coverage across assigned areas and arrange relief when needed.
• Communicate with clinical, ancillary, and access departments to improve patient experience.
• Document all patient/insurer conversations and payer decisions.
• Assist with PBX coverage and perform cashiering duties.

Skills

Mature judgement

MS Office

Office equipment

Multitasking

Communication

Adaptability

Attention to detail

HIPAA knowledge

EMR systems

Medical terminology

Bilingual EN/ES

Education

Associate degree

High school diploma

Tools

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 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:

6061 S Willow Dr

City:

Greenwood Village

State:

Colorado

Postal Code:

80111

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 [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:

$19.97 - $31.95

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