Consumer Access Specialist Zephyrhills

1103 Team Member Services; Wesley Chapel (FL); Presencial; USD 22.000 - 37.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical

Dental

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off from Day One

403-B Retirement Plan

4 Weeks 100% Paid Parental Leave

Career Development Whole Person Well‑b

Mental Health Resources and Support

Pet Benefits

Descripción de la vacante

AdventHealth in Wesley Chapel, FL seeks an experienced Patient Access/Revenue Cycle specialist to review Medicare notices, estimate patient financial responsibility, and verify insurance benefits. You will register patients, collect demographics, and ensure accurate records while delivering outstanding service.

Ideal candidates are bilingual in English/Spanish with strong computer skills and HIPAA knowledge, committed to teamwork within a faith-based health system.

Formación

• 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 learn multiple tasks.
• Ability to communicate professionally and effectively, both verbally and written.
• Adheres to HIPAA and CMS rules; knowledge of EHR systems.
• Bilingual – English/Spanish.

Responsabilidades

• 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 and ensures necessary information.
• Verifies eligibility and benefits with insurers, obtains pre-authorizations within timelines.
• Registers patients for services, ensuring accuracy and avoiding duplicate records.
• Collects demographics and confirms insurance details.
• Provides coverage for assigned work areas during shifts and arranges relief as needed.
• Facilitates communication between clinical, ancillary, and access departments to improve patient experience.
• Maintains excellent customer service and documents payer conversations and payment arrangements.
• Attends department meetings and supports PBX coverage as needed.
• Performs cashiering tasks such as collections and cash reconciliation.
• Other duties as assigned.

Conocimientos

Mature judgement

Professional communication

Attention to detail

Learn multiple tasks

HIPAA knowledge

Bilingual English/Spanish

Microsoft Office

Educación

Associate degree preferred; High School Grad required

Herramientas

Microsoft Office

Electronic Health Record (EHR) programs

Descripción del empleo

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. All the benefits and perks you need for you and your family.

Benefits

• Medical
• Dental
• Vision Insurance
• Life Insurance
• Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule

Shift: 3p-11:30p Monday-Friday.

Full time. Shift: Day (United States of America).

Address: 5170 Chapel Commerce Dr City: Wesley Chapel State: Florida Postal Code: 33543

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

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

Pay Range: $16.79 - $26.86

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law. Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/

Equal Opportunity Employer

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

Mission

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.