Consumer Access Specialist PRN

adventhealth; Louisville (CO); On-site; USD 28,000 - 44,000; Part time

Job summary

AdventHealth in Louisville, CO is seeking a PRN patient access associate to support Medicare compliance tasks and patient financial interactions. The role involves collecting payments, scheduling pre-authorizations, and registering patients, with emphasis on accurate data and patient service.

The position requires strong communication and HIPAA accountability, bilingual English/Spanish, and experience in customer service within healthcare or revenue cycle settings. Day shift on-site.

Qualifications

• CMS, EMTALA, and HIPAA guidelines knowledge.
• Bilingual English/Spanish; customer service with patients.
• 1+ year in customer service (preferred).
• Experience in healthcare/revenue cycle (preferred).

Responsibilities

• Performs Medicare compliance reviews and issues ABNs as needed.
• Creates accurate estimates for patient financial responsibility and collects payments or sets payment plans.
• Coordinates with utilization management for pre-authorization issues and provides required information.
• Contacts insurers to verify eligibility/benefits and obtains pre-authorizations on time.
• Registers patients for services accurately and minimizes duplicate records.
• Collects demographics and confirms insurance details.
• Provides coverage during shifts and arranges relief as needed.
• Facilitates communication between clinical, ancillary, and access departments to enhance patient experience.
• Documents payer conversations and payment arrangements; delivers excellent customer service.
• Attends meetings and contributes to team dialogue.
• Gives PBX/call-center coverage as needed; performs cashiering duties.

Skills

Mature judgment

Microsoft Office

Office equipment

Multiple task management

Communication skills

HIPAA compliance

Customer service

Bilingual English/Spanish

Insurance knowledge

EMR/EHR systems

Education

High School Diploma or equivalent

Associate degree (preferred)

Tools

EMR system

Microsoft Office

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:

100 HEALTH PARK DR

City:

LOUISVILLE

State:

Colorado

Postal Code:

80027

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 - https://tinyurl.com/23km2677

Pay Range:

$19.97 - $31.95

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