Patient Access & Billing Specialist (Night/Weekend)

Team Member Services; Town of Auburndale (WI); On-site; USD 23,000 - 37,000; Full time

Benefits offered by this job

Medical Insurance from Day One

Dental Insurance from Day One

Vision Insurance from Day One

Life Insurance from Day One

Disability Insurance from Day One

4 Weeks Paid Parental Leave

403-B Retirement Plan

Career Development

Job summary

AdventHealth in Auburndale, FL is seeking a Patient Access/y Revenue Cycle professional to support Medicare compliance reviews, insurance eligibility verification, and patient financial counseling. You will coordinate with clinical teams and insurers to ensure timely pre-authorizations and accurate patient data, while delivering excellent customer service.

Responsibilities include registering patients, collecting demographics, and managing cash handling with accuracy.

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 government guidelines such as CMS, EMTALA, and HIPAA and corporate policies
• 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
• Knowledge of computer programs and electronic health record programs
• Basic knowledge of medical terminology
• Exposure to insurance benefits; ability to decipher insurance benefit information
• Bilingual - English/Spanish
• Experience in Customer Service related field
• Exceptional customer service skills
• Advanced understanding of insurance knowledge and benefits
• Advanced understanding of hospital electronic medical report (EMR) system
• Intermediate medical terminology

Responsibilities

• Performs Medicare compliance reviews and issues Advance Beneficiary Notices of Noncoverage as needed
• Creates accurate estimates for patient financial responsibility and collects payments or establishes payment plans
• Coordinates with utilization management staff for pre-authorization issues and ensures patients have necessary logistical information
• Contacts insurance companies to verify eligibility and benefits, and obtains pre-authorizations within established timeframes
• Registers patients for all services, ensuring accuracy and minimizing duplication of medical records
• Collects critical demographic information from patients and confirms insurance details
• Provides timely and continual coverage of assigned work areas during scheduled shifts, arranging relief coverage as needed
• Manages communication between clinical, ancillary, and consumer access departments to enhance the patient experience
• Performs cashiering functions such as collections and cash reconciliation accurately
• Other duties as assigned

Skills

Mature judgement

Bilingual English/Spanish

Communication skills

Microsoft Office

Healthcare knowledge

Customer service experience

Education

Associate degree preferred

High School Diploma required

Job description

AdventHealth in Auburndale, FL is seeking a Patient Access/y Revenue Cycle professional to support Medicare compliance reviews, insurance eligibility verification, and patient financial counseling. You will coordinate with clinical teams and insurers to ensure timely pre-authorizations and accurate patient data, while delivering excellent customer service.

Responsibilities include registering patients, collecting demographics, and managing cash handling with accuracy.