Consumer Access Specialist PRN

adventhealth; Chatsworth (GA); On-site; USD 22,041 - 34,440; Full time

Job summary

AdventHealth in Chatsworth, GA is seeking a Patient Access/Revenue Cycle associate to register patients, verify insurance, and manage financial responsibilities. Responsibilities include coordinating with insurers and clinical teams to ensure accurate data and timely pre-authorizations.

The role emphasizes excellent customer service, HIPAA compliance, and accurate documentation in EMR systems, with a focus on efficient patient access in a fast-paced hospital setting.

Qualifications

• High School Diploma or equivalent required.
• Associate degree preferred.
• 1+ year of customer service or revenue cycle preferred.
• Knowledge of CMS, EMTALA, and HIPAA compliance advantageous.

Responsibilities

• Registers patients for services and collects accurate demographic and insurance information.
• Verifies eligibility and obtains pre-authorizations within set timeframes.
• Creates estimates of patient financial responsibility and collects payments or sets up payment plans.
• Performs Medicare compliance reviews and issues ABNs as needed.
• Maintains clear, accurate communication with patients, insurers, and clinical staff.

Skills

Customer service

Insurance knowledge

Attention to detail

Multitasking

Adaptability

CMS/EMTALA/HIPAA compliance

Education

Associate degree (preferred)

High School Diploma or equivalent (required)

Tools

Microsoft Office

EMR 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.

Schedule: PRN

Shift: Day (United States of America)

Address: 707 OLD DALTON ELLIJAY RD

City: CHATSWORTH

State: Georgia

Postal Code: 30705

Job Description:

Work Schedule: Thursday, Friday, Saturday 11p - 7a

• Registers patients for services while ensuring accurate demographic and insurance information and minimizing duplicate medical records.
• Contacts insurance companies to verify eligibility, benefits, and obtain pre-authorizations within established timeframes.
• Creates accurate estimates for patient financial responsibility and collects payments or establishes payment plans.
• Performs Medicare compliance reviews and issues Advance Beneficiary Notices of Noncoverage (ABNs) as needed.
• Provides excellent customer service by managing communication between patients, insurance representatives, and clinical departments while documenting all interactions 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 effectively learn and perform multiple tasks, and organize work in a systematic and efficient fashion
• 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
• Exposure to insurance benefits; ability to decipher insurance benefit information
• 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

Education

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

Field of Study

• N/A

Work Experience

• 1+ customer service [Preferred]
• 1+ relevant healthcare [Preferred]
• 1+ revenue cycle [Preferred]

Additional Information

• N/A

Licenses and Certifications

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

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.