Lead Patient Access & Insurance Navigator

1103 Team Member Services; Stati Uniti; In loco; USD 26.000 - 42.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

Paid time off from day one

403-B retirement plan

Parental leave

Career development

Whole person well-being resources

Mental health resources and support

Pet benefits

Descrizione del lavoro

AdventHealth in Tarpon Springs, Florida, is seeking a Patient Access Associate to manage clinical partner relationships, verify eligibility, obtain pre-authorizations, and register patients for services. You will support the revenue cycle, ensure accurate demographics, and assist with Medicare/compliance tasks in a fast-paced ambulatory setting.

The role requires 1+ customer service and 1+ revenue cycle experience, with 2+ direct patient access preferred.

Competenze

• Associate degree preferred; High School diploma required in business or related field.
• 1+ customer service experience required.
• 1+ revenue cycle experience required; 2+ direct patient access experience preferred.

Mansioni

• 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 for 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 information in the system.
• Registers patients for all services by obtaining demographic elements and ensuring accuracy.
• Performs Medicare compliance reviews, eligibility checks, and completes Medicare Secondary Payer Questionnaires.
• Ensures patient accounts are assigned 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 setting up payment agreements.
• Assists department supervisor with quality audits, mentoring staff, and staff schedules.
• Coordinates with case management staff and ensures patients have necessary logistical information to receive services.
• Documents all conversations with patients and insurance representatives in the system.
• Attends department meetings and promotes positive dialogue within the team.
• Other duties as assigned.

Conoscenze

Mature judgement

Microsoft Office

Office equipment operation

Multitasking

Professional communication

Formazione

Associate degree preferred

High School Diploma required

Descrizione del lavoro

AdventHealth in Tarpon Springs, Florida, is seeking a Patient Access Associate to manage clinical partner relationships, verify eligibility, obtain pre-authorizations, and register patients for services. You will support the revenue cycle, ensure accurate demographics, and assist with Medicare/compliance tasks in a fast-paced ambulatory setting.

The role requires 1+ customer service and 1+ revenue cycle experience, with 2+ direct patient access preferred.