Patient Access & Billing Specialist

AdventHealth; Aurora (CO); On-site; USD 28,000 - 44,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

PTO

403-B retirement plan

Parental leave

Career development

Well-being resources

Mental health support

Pet benefits

Job summary

AdventHealth in Aurora, Colorado seeks a patient access specialist to perform Medicare compliance reviews, estimate patient responsibility, and coordinate with insurance for pre-authorizations. You will register patients, collect payments, and ensure accurate records while supporting multiple departments for a seamless patient experience.

The role emphasizes strong customer service, knowledge of EMR systems, and adherence to HIPAA and CMS guidelines; bilingual skills and prior revenue-cycle or

Qualifications

• 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 CMS EMTALA HIPAA and corporate policies.
• Understanding of HIPAA privacy rules and discretion with patient information.
• Knowledge of EMR systems and computer programs.
• Basic knowledge of medical terminology.
• Exposure to insurance benefits; ability to decipher benefit information.
• Bilingual – English/Spanish
• Experience in Customer Service field
• Exceptional customer service skills
• Advanced understanding of insurance knowledge and benefits
• Advanced understanding of hospital EMR system
• Intermediate medical terminology

Responsibilities

• Perform Medicare compliance reviews and prepare Advance Beneficiary Notices of Noncoverage.
• Create accurate estimates of patient financial responsibility and collect payments or arrange plans.
• Coordinate with utilization management for pre-authorization issues and provide necessary information to patients.
• Verify insurance eligibility and benefits; obtain pre-authorizations within timeframes.
• Register patients for services with accurate demographic and insurance data; minimize duplicate medical records.
• Provide timely coverage of assigned work areas and arrange relief as needed.
• Communicate between clinical, ancillary, and access departments to improve patient experience.
• Maintain thorough documentation of conversations with patients and insurers, including payer decisions.
• Attend department meetings and contribute to positive team dialogue.
• Provide PBX coverage and perform cashiering duties as required.

Education

Associate degree preferred

High school diploma required

Job description

AdventHealth in Aurora, Colorado seeks a patient access specialist to perform Medicare compliance reviews, estimate patient responsibility, and coordinate with insurance for pre-authorizations. You will register patients, collect payments, and ensure accurate records while supporting multiple departments for a seamless patient experience.

The role emphasizes strong customer service, knowledge of EMR systems, and adherence to HIPAA and CMS guidelines; bilingual skills and prior revenue-cycle or