Consumer Access Specialist PRN - Day

Team Member Services; Columbus (NC); On-site; USD 22,000 - 36,000; Part time

Job summary

Team Member Services is seeking a detail-oriented Patient Access Specialist for a day shift in Columbus, NC. This PRN/staffing role handles Medicare compliance reviews, pre-authorizations, insurance verification, patient registration, and cashiering duties while delivering exceptional service.

You will coordinate with clinical and billing teams, maintain accurate records, and ensure HIPAA compliance. Strong communication, bilingual English/Spanish, and familiarity with EMR and Microsoft Office

Qualifications

• Associate degree preferred; high school diploma required.
• Experience in customer service and revenue cycle preferred.
• Bilingual English/Spanish is a plus.

Responsibilities

• Performs Medicare compliance reviews and issues ABN as needed.
• Creates accurate estimates for patient financial responsibility and collects payments or establishes payment plans.
• Coordinates with utilization management for pre-authorization issues and provides necessary logistics information to patients.
• Verifies eligibility and benefits with insurance companies and obtains pre-authorizations within required timeframes.
• Registers patients for all services, collecting demographic and insurance details accurately and avoiding duplicate records.
• Provides coverage for assigned work area during shifts and arranges relief as needed.
• Facilitates communication among clinical, ancillary, and consumer access departments to enhance patient experience.
• Maintains thorough documentation of patient and payer conversations, including payment arrangements.
• Attends department meetings and supports PBX coverage; performs cashiering tasks including collections and cash reconciliation.

Skills

Bilingual English/Spanish

Customer service

Insurance knowledge

HIPAA compliance

Communication skills

Attention to detail

Education

Associate degree (preferred)

High School Diploma or equivalent (required)

Tools

EMR systems

Microsoft Office

Health insurance portals

Job description

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.