Patient Access & Eligibility Specialist

adventhealth; United States; On-site; USD 23,000 - 37,000; 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

Parental Leave (4 weeks)

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

AdventHealth is seeking an experienced healthcare insurance and patient access associate for evening shift coverage in Florida. The role involves Medicare compliance reviews, patient financial counseling, and coordinating with insurance providers to secure pre-authorizations and coverage.

You will register patients, verify demographics and insurance details, and maintain accurate records while delivering excellent customer service in a fast-paced hospital setting.

Qualifications

• Mature judgement when dealing with patients, physicians, and insurance reps.
• Strong communication and professional written/verbal skills.
• Bilingual English/Spanish required.
• Experience in customer service in healthcare.
• Knowledge of insurance processes and benefits.
• Familiarity with electronic medical records (EMR) systems.

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.
• Consistently provides excellent customer service, documenting all patient and insurance representative conversations, including payer decisions and payment arrangements.
• Attends department meetings and promotes positive dialogue within the team.
• Provides coverage for PBX (Switchboard) as needed, including answering phones and transferring calls.
• Performs cashiering functions such as collections and cash reconciliation accurately.
• Other duties as assigned.

Skills

Mature judgement

Communication skills

Bilingual English/Spanish

Customer service

Insurance knowledge

EMR systems

Education

High School Diploma or equivalent

Job description

AdventHealth is seeking an experienced healthcare insurance and patient access associate for evening shift coverage in Florida. The role involves Medicare compliance reviews, patient financial counseling, and coordinating with insurance providers to secure pre-authorizations and coverage.

You will register patients, verify demographics and insurance details, and maintain accurate records while delivering excellent customer service in a fast-paced hospital setting.