Patient Access & Insurance Navigator

adventhealth; Sebring (FL); On-site; USD 22,000 - 35,000; Full time

Benefits offered by this job

Benefits from Day One

PTO from Day One

403-B Retirement Plan

4 Weeks 100% Paid Parental Leave

Career Development

Whole Person Well-being Resources

Mental Health Resources and Support

Pet Benefits

Job summary

AdventHealth in Sebring, FL is seeking a PRN Patient Access specialist to support Medicare compliance reviews, estimate patient financial responsibility, and coordinate pre-authorizations with insurance providers. You will register patients for services, verify insurance details, and assist with payer communications to ensure smooth patient flow.

The role requires strong customer service skills, knowledge of HIPAA, bilingual English/Spanish, and familiarity with EMR systems.

Qualifications

• Associate degree preferred; high school diploma required.
• Experience in customer service and healthcare revenue cycle preferred.
• Bilingual English/Spanish; knowledge of HIPAA.

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.
• 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

Customer service

Bilingual English/Spanish

HIPAA compliance

Communication skills

Education

Associate degree preferred

High school diploma or equivalent

Job description

AdventHealth in Sebring, FL is seeking a PRN Patient Access specialist to support Medicare compliance reviews, estimate patient financial responsibility, and coordinate pre-authorizations with insurance providers. You will register patients for services, verify insurance details, and assist with payer communications to ensure smooth patient flow.

The role requires strong customer service skills, knowledge of HIPAA, bilingual English/Spanish, and familiarity with EMR systems.