Consumer Access Specialist PRN

adventhealth; Calhoun (GA); On-site; USD 21,890 - 35,032; Full time

Job summary

AdventHealth in Calhoun, GA is seeking a PRN Patient Financial Services Specialist to perform Medicare compliance reviews, estimate patient financial responsibility, and coordinate with insurance for pre-authorizations.

You will register patients for all services, collect payments or set up payment plans, and ensure accurate medical records while complying with applicable laws.

Qualifications

• Experience with Medicare and compliance processes.
• Ability to estimate patient financial responsibility.
• Coordinate with insurance and pre-authorization workflows.
• Register patients accurately and maintain records.

Responsibilities

• Performs Medicare compliance reviews and issues ABNs as needed.
• Creates accurate estimates for patient financial responsibility and collects payments or sets up plans.
• Coordinates with utilization management for pre-authorizations and provides logistics details.
• Verifies eligibility and benefits with insurance companies and obtains pre-authorizations timely.
• Registers patients for all services and maintains accurate medical records.

Skills

Medicare compliance

Insurance verification

Pre-authorization

Billing & payments

Education

High School Diploma or GED

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.

Schedule:

PRN

Shift:

24 Hours (United States of America)

Address:

1035 RED BUD RD NE

City:

CALHOUN

State:

Georgia

Postal Code:

30701

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.

Education:

• High School Grad or Equivalent [Required]

Pay Range:

$15.89 - $25.43

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