Consumer Access Specialist Lead

AdventHealth; Florida; On-site; USD 26,000 - 42,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

Paid time off from day one

403-B retirement plan

Parental leave 4 weeks 100% paid

Career development

Whole person well-being resources

Mental health resources and support

Pet benefits

Job summary

AdventHealth in Lake Mary, FL seeks a Customer Service/Revenue Cycle Specialist to manage patient registration, verify benefits, and obtain pre-authorizations, ensuring accurate demographic data and prompt financial guidance.

You will collaborate with clinical partners, communicate with insurance providers, and support Medicare compliance while maintaining HIPAA standards in a fast-paced, patient‑focused environment. Day shift, on-site.

Qualifications

• 1+ year of customer service experience in healthcare or revenue cycle.
• Experience verifying insurance eligibility and benefits, and obtaining pre-authorizations.
• Ability to communicate professionally with patients, physicians, and insurers.

Responsibilities

• Manages relationships with clinical partners to ensure open communication between departments.
• Provides timely coverage for assigned work areas to ensure prompt patient service.
• Verifies insurance, obtains pre-authorizations, and updates required information in the system.
• Registers patients with accurate demographics and financial information; documents conversations.

Skills

Customer service

Communication skills

Microsoft Office

EMR systems

Bilingual English/Spanish

Attention to detail

HIPAA compliance

Education

Associate degree preferred

High School diploma required

Tools

EMR system knowledge

Office equipment (fax/scanner)

Job description

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:

950 RINEHART RD City: LAKE MARY State: Florida Postal Code: 32746

Job Description:

Manages relationships with clinical partners to ensure open communication between clinical, ancillary, and consumer access departments. Provides timely and continual coverage of assigned work areas to offer prompt patient service and availability for all clinical partner registration needs. Provides on-call support as needed. Contacts insurance companies to verify insurance eligibility and benefits and determine coverage before scheduled appointments and during or after care for unscheduled patients. Obtains pre-authorizations from third-party payers and accurately enters required authorization information in the system. Registers patients for all services by obtaining critical demographic elements and ensuring accuracy. Performs Medicare compliance reviews, eligibility checks, and completes Medicare Secondary Payer Questionnaires. Ensures patient accounts are assigned the appropriate payor plans and updates financial assessments, eligibility, and benefits. Creates accurate estimates to maximize up-front cash collections and advises patients of expected costs, collecting payments or making appropriate payment agreements. Assists department supervisor with quality audits, mentoring staff, assisting with departmental training, and staff schedules. Coordinates with case management staff as necessary and ensures patients have logistical information necessary to receive their services. Documents all conversations with patients and insurance representatives in the appropriate fields. Actively attends department meetings and promotes positive dialogue within the team. Other duties as assigned.

Knowledge, Skills, and Abilities:

• Mature judgement in dealing with patients, physicians, and insurance representatives
• Intermediate 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
• Exceptional customer service skills
• Advanced understanding of insurance knowledge and benefits
• Advanced understanding of hospital electronic medical report (EMR) system
• Basic medical terminology
• Must be able to read, write, and speak conversational English
• 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
• Intermediate medical terminology
• Bilingual – English/Spanish

Education:

• Associate [Preferred]
• High School Grad or Equiv [Required]

Field of Study:

• in business or related field

Work Experience:

• 1+ customer service experience [Required]
• 1+ revenue cycle experience [Required]
• 2+ direct patient access experience [Preferred]

Additional Information:

• Additional Licensure or certification requirements may apply depending on the specific unit or state in which this position is located. Please consult the relevant credential grid for detailed information regarding these requirements.

Licenses and Certifications:

• Certified Healthcare Access Associate (CHAA) [Preferred]
• Certified Revenue Cycle Rep (CRCR) [Preferred]

Physical Requirements:

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

Pay Range:

Pay Range: $18.87 - $30.19

Background Screening Requirement:

Background Screening Requirement (Florida Law) Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law. Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/

E‑EO / DEI Statement:

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

Company Culture:

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.