Consumer Access Specialist - GC FT Days

adventhealth; Hendersonville (TN); On-site; USD 22,000 - 36,000; Full time

Job summary

AdventHealth Hendersonville is seeking a Customer Service/Revenue Cycle associate to support Medicare compliance, patient registration, and insurance coordination. This on-site role runs Monday through Friday, 7:45 a.m.

to 4:15 p.m., and requires accurate data handling and strong service orientation. The position emphasizes collaboration across departments to enhance the patient experience, with a focus on HIPAA compliance, billing accuracy, and timely communications.

Qualifications

• High school diploma required; associate degree preferred.
• 1+ years in customer service; healthcare experience preferred.
• Familiarity with revenue cycle processes and insurance terminology is beneficial.
• Bilingual English/Spanish is a plus and recommended.

Responsibilities

• Performs Medicare compliance reviews and issues ABNs.
• Creates estimates for patient financial responsibility and collects payments.
• Coordinates with utilization management for pre-authorization; provides necessary information to patients.
• Verifies insurance eligibility and obtains pre-authorizations within deadlines.
• Registers patients accurately and minimizes duplicate medical records.
• Collects demographic and insurance information; updates records.
• Maintains coverage of assigned work areas and arranges relief as needed.
• Facilitates communication between clinical, ancillary, and access departments to improve patient experience.
• Documents conversations with patients and insurers; records payer decisions and payment plans.
• Provides PBX coverage and handles calls as needed; performs cashiering and cash reconciliation.

Skills

Customer service

Insurance knowledge

Bilingual English/Spanish

HIPAA awareness

Communication

Organization

Education

High school diploma required

Associate degree preferred

Tools

Microsoft Office

EHR 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:

95 Doctors Dr

City:

Hendersonville

State:

North Carolina

Postal Code:

28792

Job Description:

Monday-Friday from 7:45a-4:15p.

• 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
• 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.