Lead Consumer Access Specialist

AdventHealth; Tarpon Springs (FL); On-site; USD 26,000 - 42,000; Full time

Benefits offered by this job

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

Well-being Resources

Mental Health Resources and Support

Pet Benefits

Job summary

AdventHealth in Tarpon Springs, FL seeks a Patient Access/Revenue Cycle Specialist to manage clinical partner communications, verify insurance, obtain pre-authorizations, register patients, and ensure accurate demographics for services.

You will perform Medicare checks, assist with upfront cash collections, support audits, mentor staff, and coordinate with case management to ensure patients have the information they need to receive care.

Qualifications

• Associate degree preferred and high school diploma or equivalent required.
• 1+ year in customer service.
• 1+ year revenue cycle experience.
• 2+ direct patient access experience preferred.
• Familiarity with Medicare compliance and payer processes.

Responsibilities

• Manages relationships with clinical partners and ensures open communication between clinical, ancillary, and consumer access departments.
• Provides on-call support and verifies insurance eligibility and benefits before appointments.
• Registers patients, obtaining demographics and required information.
• Performs Medicare checks and Medicare Secondary Payer questionnaires.
• Creates estimates to maximize upfront cash collections and advises patients on costs.
• Assists with audits, staff mentoring, training, and scheduling; coordinates with case management.

Skills

Mature judgement

MS Office

Multitasking

Professional communication

Education

Associate degree preferred

High school diploma or equivalent required

Field of Study: Business

Tools

Database programs

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]

Physical Requirements:

Physical Requirements - https://tinyurl.com/23km2677

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.