Patient Access & Insurance Navigator

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

Benefits offered by this job

Benefits from Day One

PTO from Day One

403-B Retirement Plan

Parental Leave

Job summary

AdventHealth in Greenwood Village, CO, is seeking a detail-oriented professional to perform Medicare compliance reviews and generate patient financial responsibility estimates. You will coordinate with utilization management for pre-authorizations, verify insurance benefits, and register patients for services while maintaining accurate medical records.

Beyond strong customer service, the role requires effective communication with insurance representatives and a commitment to HIPAA and privacy

Qualifications

• Mature judgement in dealing with patients, physicians, and insurance representatives.
• Ability to follow complex instructions and procedures.

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.
• 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.
• Provides coverage for PBX as needed, including answering phones and transferring calls.
• Performs cashiering functions such as collections and cash reconciliation accurately.

Skills

Mature judgement

Customer service

Professional communication

Attention to detail

Organization

Bilingual English/Spanish

Adaptability

Discretion with confidential info

Education

Associate degree (preferred)

High School Diploma (required)

Tools

Microsoft Office

EMR systems

Job description

AdventHealth in Greenwood Village, CO, is seeking a detail-oriented professional to perform Medicare compliance reviews and generate patient financial responsibility estimates. You will coordinate with utilization management for pre-authorizations, verify insurance benefits, and register patients for services while maintaining accurate medical records.

Beyond strong customer service, the role requires effective communication with insurance representatives and a commitment to HIPAA and privacy