Patient Access & Insurance Coordinator

1103 Team Member Services; Sebring (FL); On-site; USD 22,000 - 36,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off from Day One

403-B Retirement Plan

Parental Leave

Career Development

Job summary

AdventHealth in Sebring, FL is seeking a patient access and revenue cycle professional for Medicare compliance, patient billing, and insurance coordination.

Responsibilities include verifying eligibility, pre-authorizations, registering patients, and ensuring accurate demographic data while delivering excellent customer service. Familiarity with EMR systems and bilingual English/Spanish is a plus.

Qualifications

• Medicare compliance reviews and pre-authorization coordination as needed.
• Strong customer service focus with accurate data entry and billing support.
• Familiarity with HIPAA privacy rules and handling confidential information.

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

Medicare compliance

Customer service

HIPAA privacy

EMR systems

Bilingual English/Spanish

Education

Associate degree

High School Diploma

Tools

Microsoft Office

EMR/EHR systems

PBX phone system

Job description

AdventHealth in Sebring, FL is seeking a patient access and revenue cycle professional for Medicare compliance, patient billing, and insurance coordination.

Responsibilities include verifying eligibility, pre-authorizations, registering patients, and ensuring accurate demographic data while delivering excellent customer service. Familiarity with EMR systems and bilingual English/Spanish is a plus.