Consumer Access Specialist - PRN ED Weekend Days

AdventHealth; Carolina Village (NC); On-site; USD 22,000 - 36,000; Full time

Job summary

AdventHealth Hendersonville seeks a PRN Patient Access Associate. You will perform Medicare reviews, estimate patient financial responsibility, verify benefits, and obtain pre-authorizations to ensure timely care. You will register patients, collect demographics, maintain accurate records, and coordinate with clinical and billing teams to improve the patient experience.

Bilingual English/Spanish is preferred to assist diverse patients in a community-based setting.

Qualifications

• Associate degree preferred; high school diploma required.
• Experience in customer service or healthcare revenue cycle is expected.
• Bilingual English/Spanish is preferred to assist diverse patients.

Responsibilities

• Perform Medicare reviews and issue ANOC as needed.
• Estimate patient financial responsibility and collect or set up payment plans.
• Verify insurance benefits and obtain pre-authorizations.
• Register patients and collect demographics with accuracy.
• Provide excellent customer service and document payer communications.
• Coordinate with clinical and billing teams to improve the patient experience.

Skills

Mature judgement

MS Office

EMR system knowledge

Customer service

Bilingual EN/ES

Insurance knowledge

Professional communication

Team coordination

Education

Associate degree – preferred

High School diploma – required

Tools

EMR systems

Microsoft Office

Databases

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-Weekend (United States of America)

Address:

207 Linda Vista Dr

City:

Hendersonville

State:

North Carolina

Postal Code:

28792

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
  

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.