Consumer Access Specialist PRN

AdventHealth; United States; Presencial; USD 28 000 - 44 000; Tempo parcial

Vantagens oferecidas por esta oferta de emprego

Equal opportunity employer

Mission-based workplace

Resumo da oferta

AdventHealth in Louisville, CO is seeking a PRN Scheduling representative to perform Medicare compliance reviews, estimate patient financial responsibility, and coordinate with various departments to ensure smooth patient access and billing processes.

Responsibilities include registering patients, verifying demographics and insurance, handling cashiering tasks, and ensuring proper documentation of payer communications.

Qualificações

• Associate degree or equivalent required.
• CHAA or CRCR certification preferred.
• 1+ year in healthcare revenue cycle or patient access.

Responsabilidades

• Perform Medicare compliance reviews and prepare ABNs as needed.
• Create estimates for patient financial responsibility and collect payments or arrange plans.
• Coordinate with utilization management for preauthorization issues.
• Verify insurance eligibility and obtain preauthorizations within timeframes.
• Register patients accurately and minimize duplicate medical records.
• Collect demographics and confirm insurance details.
• Provide coverage during shifts and arrange relief as needed.
• Communicate between clinical, ancillary and access departments to improve patient experience.
• Document payer conversations and payment arrangements.

Conhecimentos

Customer service

Bilingual English/Spanish

HIPAA compliance

EMR systems

CMS knowledge

Insurance verification

Microsoft Office

Data entry

Cash handling

Revenue cycle

Formação académica

Associate degree or equivalent

CHAA Certification

CRCR Certification

Ferramentas

EMR software

Descrição da oferta de emprego

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:

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

Pay Range:

$19.97 - $31.95

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.