Lead Consumer Access Specialist
adventhealth
Get more replies from employers
Send a job-specific resume in minutes.
Benefits offered by this job
Job summary
AdventHealth Parker is seeking a Patient Access Specialist to ensure smooth patient flow, verify insurance, and register patients for services. You will work with clinical teams to coordinate care and ensure accurate pre-authorizations.
Ideal candidates have 1+ year in customer service and revenue cycle, with strong communication and EMR skills. Bilingual English/Spanish is a plus, with on-site responsibilities in Parker, CO.
Qualifications
- Minimum 1 year of customer service experience.
- At least 1 year revenue cycle experience.
- Two or more years direct patient access experience preferred.
- Bilingual English/Spanish preferred.
Responsibilities
- Manages relationships with clinical partners for open communication.
- Verifies insurance eligibility and determines coverage for appointments.
- Obtains pre-authorizations from third-party payers.
- Registers patients with accurate demographic information.
- Ensures Medicare compliance reviews and accurate billing data.
Skills
Education
Tools
Job description
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.
- Benefits from Day One: 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
Full time
Day (United States of America)
9395 CROWN CREST BLVD, PARKER, Colorado, 80138
Manages relationships with clinical partners to ensure open communication between clinical, ancillary, and consumer access departments. Provides timely and continual coverage of assigned work areas to offer prompt patient service and availability for all clinical partner registration needs. Provides on-call support as needed. Contacts insurance companies to verify insurance eligibility and benefits, and determine coverage before scheduled appointments and during or after care for unscheduled patients. Obtains pre-authorizations from third-party payers and accurately enters required authorization information in the system. Registers patients for all services by obtaining critical demographic elements and ensuring accuracy. Performs Medicare compliance reviews, eligibility checks, and completes Medicare Secondary Payer Questionnaires. Ensures patient accounts are assigned the appropriate payor plans and updates financial assessments, eligibility, and benefits. Creates accurate estimates to maximize up-front cash collections and advises patients of expected costs, collecting payments or making appropriate payment agreements. Assists department supervisor with quality audits, mentoring staff, assisting with departmental training, and staff schedules. Coordinates with case management staff as necessary and ensures patients have logistical information necessary to receive their services. Documents all conversations with patients and insurance representatives in the appropriate fields. Actively attends department meetings and promotes positive dialogue within the team. Other duties as assigned.
- Mature judgement in dealing with patients, physicians, and insurance representatives
- Intermediate 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
- Exceptional customer service skills
- Advanced understanding of insurance knowledge and benefits
- Advanced understanding of hospital electronic medical report (EMR) system
- Basic medical terminology
- Must be able to read, write, and speak conversational English
- 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
- Intermediate medical terminology
- Bilingual – English/Spanish
- Associate [Preferred]
- High School Grad or Equiv [Required]
- in business or related field
- 1+ customer service experience [Required]
- 1+ revenue cycle experience [Required]
- 2+ direct patient access experience [Preferred]
- Certified Healthcare Access Associate (CHAA) [Preferred]
- Certified Revenue Cycle Rep (CRCR) [Preferred]
Physical Requirements - https://tinyurl.com/23km2677
$21.19 - $33.90
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
'/%3e%3cpath%20d='M101.744%2012.4726L102.894%2016.1947L99.0021%2013.2201L101.744%2012.4726ZM105.3%208.40937H100.488L99.0026%203.59473L97.5116%208.41047L92.7%208.40385L96.5965%2011.3834L95.1055%2016.1942L99.0021%2013.2196L101.408%2011.3834L105.3%208.40992V8.40937Z'%20fill='white'/%3e%3cdefs%3e%3clinearGradient%20id='paint0_linear_5593_1381'%20x1='90'%20y1='9.44471'%20x2='99'%20y2='9.44471'%20gradientUnits='userSpaceOnUse'%3e%3cstop%20stop-color='%2300AD70'/%3e%3cstop%20offset='0.998594'%20stop-color='%2300B67A'/%3e%3cstop%20offset='1'%20stop-color='%23DCDCE6'/%3e%3c/linearGradient%3e%3c/defs%3e%3c/svg%3e){kind=small}
