Consumer Access Specialist PRN

1103 Team Member Services; Springfield (MA); On-site; USD 23,000 - 37,000; Part time

Benefits offered by this job

Medical

Dental

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off from Day One

403-B Retirement Plan

Parental leave

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

AdventHealth in Riverview, FL seeks a patient access professional to perform Medicare compliance reviews, estimate patient financial responsibility, and coordinate with insurance providers to obtain pre-authorizations. You will register patients, verify eligibility, and support communications between clinical, billing, and access teams.

Excellent customer service and accuracy are essential. A High School Diploma is required, with Associate degree preferred and prior revenue cycle experience in

Qualifications

• Must have high school diploma or equivalent (Associate preferred).
• 1+ years in customer service or revenue cycle in healthcare.
• Experience with MS Office and patient data systems.
• Strong communication, organization, and problem-solving skills.

Responsibilities

• Perform Medicare compliance reviews and patient financial estimation.
• Coordinate with utilization management for pre-authorizations.
• Verify eligibility and benefits with insurers and obtain pre-authorizations.
• Register patients for services and collect demographic and insurance data.
• Communicate with clinical, billing, and access departments to ensure smooth patient flow.
• Provide coverage for PBX and handle cashiering duties as needed.

Skills

Mature judgement

Microsoft Office

Office equipment

Multi-tasking

Professional communication

Education

High school diploma

Associate degree preferred

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: PRN Shift: 24 Hours (United States of America)

Address: 9330 US HIGHWAY 301 S City: RIVERVIEW State: Florida Postal Code: 33578

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.

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]

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

Pay Range: $16.79 - $26.86

Background Screening Requirement (Florida Law)

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 Statement

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

Mission Statement

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we’re committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.