Consumer Access Specialist Full Time Days

1106 Portercare Adventist Health System; United States; Vor Ort; USD 28.000 - 44.000; Vollzeit

Benefits dieser Stelle

Medical insurance

Dental insurance

Vision insurance

Disability insurance

401(k) / 403(b)

Paid parental leave

PTO 4 weeks

Career development

Well-being resources

Mental health resources

Pet benefits

Zusammenfassung

Porter Adventist Health System is seeking a patient access professional to perform Medicare compliance reviews, estimate patient financial responsibility, and collect or arrange payment plans in a busy hospital setting.

The role requires strong communication, familiarity with EMR systems, and bilingual English/Spanish abilities. On-site position in Colorado with full-time day schedule and benefits.

Qualifikationen

• 1+ year of customer service experience.
• 1+ year of healthcare experience preferred.
• Revenue cycle knowledge preferred.

Aufgaben

• Perform Medicare compliance reviews and handle ANOC forms.
• Estimate patient financial responsibility and collect or set up payment plans.
• Coordinate with utilization management for pre-authorization issues.
• Verify insurance eligibility and obtain pre-authorizations within timeframes.
• Register patients and ensure accurate demographic/insurance data.
• Maintain patient communications and assist with scheduling and coverage.

Kenntnisse

Customer service

HIPAA knowledge

Microsoft Office

EMR systems

Bilingual English/Spanish

Insurance knowledge

Communication skills

Ausbildung

High School Diploma or equivalent

Associate degree preferred

Tools

EMR software

Jobbeschreibung

Benefits

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

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]

Pay Range

Pay Range: $19.97 - $31.95

Equal Opportunity Employer

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

Mission

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we’re committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.