Consumer Access Specialist PRN

AdventHealth; United States; On-site; USD 28,000 - 44,000; Part time

Job summary

AdventHealth is seeking a Patient Access Associate to support daily operations in a fast-paced health system environment. You will handle patient registrations, verify insurance details, collect payments, and coordinate with clinical and administrative teams to ensure smooth patient flow.

The role emphasizes compliance with HIPAA and CMS guidelines, bilingual communication in English and Spanish where needed, and accurate documentation across EMR systems.

Qualifications

• Associate degree or equivalent required or preferred.
• Experience in customer service in healthcare beneficial.
• Familiarity with insurance benefits and payer communications.
• Basic knowledge of medical terminology.

Responsibilities

• Performs Medicare compliance reviews and issues ABNs as needed.
• Creates estimates for patient financial responsibility and collects payments or arranges plans.
• Coordinates with utilization management for pre-authorization issues.
• Verifies insurance eligibility and obtains pre-authorizations as required.
• Registers patients for services and ensures accurate demographic and insurance data.
• Provides excellent customer service and documents conversations with patients and payers.

Skills

Customer service

HIPAA knowledge

Bilingual English/Spanish

MS Office

EMR systems

Insurance knowledge

Education

Associate or High School Diploma

Tools

EMR system

Microsoft Office

Phone/PBX system

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] Field of Study: N/A

Work Experience

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

Additional Information

Additional Licensure or certification requirements may apply depending on the specific unit or state in which this position is located. Please consult the relevant credential grid for detailed information regarding these requirements.

Licenses and Certifications

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

Physical Requirements

(Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/23km2677

Pay Range

$19.97 - $31.95

Equal Opportunity Employer

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.