Consumer Access Specialist PRN Weekend Nights

AdventHealth; Columbus (NC); On-site; USD 22,000 - 36,000; Part time

Job summary

AdventHealth in Columbus, NC seeks a PRN Night-Weekend Patient Access professional to support Medicare compliance reviews, estimate patient financial responsibility, and coordinate with insurers for pre-authorizations. You will register patients, gather demographics, and ensure accurate billing while maintaining excellent customer service.

The role requires knowledge of EMR systems, bilingual English/Spanish is a plus, and experience in revenue cycle or customer service is preferred.

Qualifications

• Associate degree preferred; high school diploma required.
• 1+ year of customer service experience.
• Experience in healthcare or revenue cycle preferred.
• Bilingual in English/Spanish is a plus.
• Certified CHAA or CRCR preferred.

Responsibilities

• Performs Medicare compliance reviews and issues ABNs 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 information to patients.
• Contacts insurance companies to verify eligibility and benefits and obtains pre-authorizations.
• Registers patients for services with accuracy and minimal duplicate records.
• Collects demographic and insurance details from patients.

Skills

Microsoft Office

Database familiarity

Customer service

Education

Associate degree (Preferred)

High School diploma or equivalent (Required)

Tools

EMR system

Job description

Our Promise To You Joining AdventHealth is about being part of something bigger. Its 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. Its 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 Night-Weekend (United States of America) Address 101 HOSPITAL DR City COLUMBUS State North Carolina Postal Code 28722 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] Field Of Study N/A Work Experience 1+ customer service [Preferred] 1+ relevant healthcare [Preferred] 1+ revenue cycle [Preferred] Additional Information N/A 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 $16.11 - $25.78 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.