Consumer Access Specialist PRN - Day

AdventHealth; Columbus (NC); In loco; USD 22.000 - 36.000; Part-time

Descrizione del lavoro

AdventHealth in Columbus, NC seeks a flexible PRN coordinator to support patient access operations. You will perform Medicare compliance reviews, estimate patient financial responsibility, and coordinate with insurance and utilization management to secure pre-authorizations.

You’ll register patients, ensure accurate demographic data, and maintain smooth PBX coverage as needed. Strong customer service, HIPAA compliance, and EMR proficiency are essential.

Competenze

• 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 and organize work efficiently.
• Effective verbal and written communication, adaptable to change in healthcare.
• Adheres to CMS, EMTALA, HIPAA and corporate policies; maintains confidentiality.
• Bilingual – English/Spanish; experience in a customer service/acute care setting.
• Advanced understanding of insurance knowledge and benefits; EMR proficiency.
• Intermediate medical terminology; familiarity with insurance benefit information.

Mansioni

• Performs Medicare compliance reviews and issues ABNs as needed.
• Creates accurate estimates for patient financial responsibility and collects payments or sets up plans.
• Coordinates with utilization management for pre-authorization and provides necessary information.
• Verifies eligibility with insurance and obtains pre- authorizations within timeframes.
• Registers patients for services, collects demographic data, and confirms insurance details.
• Maintains coverage of assigned work areas and arranges relief when needed.
• Facilitates communication between clinical, ancillary, and access departments to improve patient experience.
• Documents conversations with patients and insurers, including payer decisions and payment plans.
• Attends department meetings and provides PBX coverage when required.
• Performs cashiering tasks such as collections and cash reconciliation.

Conoscenze

Mature judgement

MS Office

Customer service

Bilingual

HIPAA knowledge

EMR systems

Medical terminology

Insurance benefits knowledge

Formazione

Associate degree (preferred)

High School Diploma or Equivalent

Strumenti

EMR system

Descrizione del lavoro

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

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

101 HOSPITAL DR

City

COLUMBUS

State

North Carolina

Postal Code

28722

Job Description

Shift: Day roles are operating hours 6a-12a window - the shift could be early or mid‑day to the evening

• 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.

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

$16.11 - $25.78

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