Lead Consumer Access Specialist

1103 Team Member Services; Tarpon Springs (FL); On-site; USD 26,000 - 41,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off from Day One

403(b) Retirement Plan

Parental Leave

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

AdventHealth in Tarpon Springs, FL is seeking staff to manage clinical partner communications and patient access workflows. You will verify insurance, obtain authorizations, and register patients accurately to support timely care.

Responsibilities include on-call coverage, documenting conversations, and assisting with audits and staff training. This position emphasizes compassionate service and compliance with Medicare and payer requirements.

Qualifications

• 1+ customer service experience required.
• 2+ direct patient access experience preferred.
• Experience with Medicare/insurance is a plus.

Responsibilities

• Manage relationships with clinical partners for open communication.
• Provide coverage of assigned work areas and on-call support as needed.
• Verify insurance eligibility and benefits prior to appointments.
• Obtain pre-authorizations from third-party payers and enter data accurately.
• Register patients with accurate demographics and ensure coding accuracy.
• Assist with quality audits and staff training as required.

Skills

Customer service

Revenue cycle

Patient access

Education

Associate degree preferred

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.

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

Schedule: Full time Shift: Day (United States of America) Address: 1395 S PINELLAS AVE City: TARPON SPRINGS State: Florida Postal Code: 34689

Job Description: 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.

Knowledge, Skills, and Abilities: 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

Education: Associate [Preferred] High School Grad or Equiv [Required] Field of Study: in business or related field

Work Experience: 1+ customer service experience [Required] 1+ revenue cycle experience [Required] 2+ direct patient access experience [Preferred]

Additional Information: N/A

Licenses and Certifications: Certified Healthcare Access Associate (CHAA) [Preferred] Certified Revenue Cycle Rep (CRCR) [Preferred]

Pay Range: $18.87 - $30.19

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/

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

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.