Consumer Access Specialist Part Time

AdventHealth; Daytona Beach (FL); On-site; USD 23,000 - 37,000; Part time

Benefits offered by this job

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

Job summary

AdventHealth in Daytona Beach, FL is seeking a part-time Medicare compliance and patient financial services specialist. You will perform Medicare reviews, prepare estimates of patient responsibility, collect payments, and coordinate with utilization management for pre-authorizations, ensuring timely and accurate information for patients and insurers.

You will register patients, verify demographics and insurance details, maintain documentation of payer decisions, and provide exceptional customer

Qualifications

• High school diploma or equivalent required.
• Bilingual English/Spanish preferred.
• Experience in customer service and healthcare setting preferred.

Responsibilities

• Perform Medicare compliance reviews and prepare patient financial estimates.
• Collect payments and arrange payment plans.
• Coordinate with utilization management for pre-authorizations.
• Verify insurance eligibility and obtain pre-authorizations.
• Register patients and ensure accurate demographics.
• Provide excellent customer service and document conversations with payers.
• Cover PBX and perform cashiering duties as needed.
• Attend department meetings and support team communication.

Skills

Mature judgement

Microsoft knowledge

Office equipment

Multi-tasking

Professional communication

Healthcare adaptability

Attention to detail

HIPAA guidelines

HIPAA privacy

EMR knowledge

Medical terminology

Insurance benefits

Bilingual English/Spanish

Customer service

Insurance knowledge

EMR system proficiency

Medical terminology (intermediate)

Education

High School Grad or Equiv

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:

Part time

Shift:

Day (United States of America)

Address:

301 MEMORIAL MEDICAL PKWY

City:

DAYTONA BEACH

State:

Florida

Postal Code:

32117

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:

• High School Grad or Equiv [Required] 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/

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