Patient Access & Insurance Services Specialist

AdventHealth; Florida; On-site; USD 23,000 - 37,000; Part time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

PTO from day one

403(b) retirement plan

Parental leave

Career development

Well-being resources

Mental health resources

Pet benefits

Job summary

AdventHealth in Florida is seeking a Part-time position focused on Medicare compliance reviews and patient financial services. The role will handle estimating patient financial responsibility, registering patients, and coordinating with insurance providers to obtain pre-authorizations.

You will also manage reception duties, cashiering, and interdepartmental communications to support a smooth patient experience across clinical and administrative areas.

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.
• 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.
• 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

Insurance knowledge

EMR systems

Communication skills

Microsoft Office

HIPAA knowledge

Attention to detail

Education

Associate degree

High school diploma or equivalent

Tools

EMR system

Billing software

Job description

AdventHealth in Florida is seeking a Part-time position focused on Medicare compliance reviews and patient financial services. The role will handle estimating patient financial responsibility, registering patients, and coordinating with insurance providers to obtain pre-authorizations.

You will also manage reception duties, cashiering, and interdepartmental communications to support a smooth patient experience across clinical and administrative areas.