Consumer Access Specialist Nights Wesley Chapel

Team Member Services; Wesley Chapel (FL); Sur place; USD 23 000 - 37 000; Plein temps

Avantages offerts par ce poste

Medical, Dental, Vision 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

Résumé du poste

AdventHealth in Wesley Chapel, FL seeks a patient access/revenue cycle professional to join our team. You will perform Medicare compliance reviews, estimate patient financial responsibility, coordinate pre-authorizations, verify insurance benefits, and register patients for services, ensuring accurate records and smooth care access.

We value excellent customer service, HIPAA compliance, and the ability to work nights and weekends in a fast-paced hospital setting.

Qualifications

• Associate degree preferred; High School diploma required.
• CHAA/CRCR certifications preferred but not required.
• Bilingual English/Spanish preferred.

Responsabilités

• Performs Medicare compliance reviews and issues ABNs as needed.
• Creates accurate estimates for patient financial responsibility and collects payments.
• Coordinates with utilization management for pre-authorization issues and ensures patients have necessary information.
• Verifies insurance eligibility and obtains pre-authorizations within established timeframes.
• Registers patients for all services with accuracy and minimal duplication of records.
• Maintains patient demographics and insurance details.
• Provides coverage for PBX and performs cashiering duties as needed.
• Delivers excellent customer service and documents communications with payers.

Connaissances

Mature judgement

Microsoft programs

Customer service

HIPAA compliance

Bilingual English/Spanish

Communication

Attention to detail

EMR system knowledge

Medical terminology

Insurance knowledge

Formation

Associate degree preferred

High School diploma or equivalent

CHAA certification preferred

CRCR certification preferred

Outils

EHR software

Description du poste

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.

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

• Full time
• Shift: Night-Weekend (United States of America)
• Address: 2600 BRUCE B DOWNS BLVD
• City: WESLEY CHAPEL
• State: Florida
• Postal Code: 33544

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

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

Pay Range

$16.79 - $26.86

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/

Equal Opportunity Employer

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