Patient Access & Insurance Specialist

adventhealth; Mansfield (TX); On-site; USD 23,000 - 39,000; 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

4 Weeks 100% Paid Parental Leave

Career Development

Whole Person Well-being Resources

Mental Health Resources and Support

Pet Benefits

Job summary

Texas Health Mansfield in Mansfield, TX is seeking a full-time patient access professional focused on Medicare compliance reviews and patient financial counseling. Benefits include coverage from Day One, paid time off, and a 403-B plan.

The role supports pre-authorization processes, patient registration, and accurate documentation to minimize medical record duplication. The position requires strong customer service, HIPAA understanding, and bilingual English/Spanish abilities, with a Day shift

Qualifications

• Associate degree preferred; high school diploma required.
• Experience in customer service or healthcare settings preferred.
• Strong knowledge of insurance and benefits.
• Bilingual English/Spanish preferred.

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

Microsoft Office

Professional communication

HIPAA knowledge

Bilingual English/Spanish

Customer service

EMR systems knowledge

Medical terminology

Education

Associate [Preferred]

High School Grad or Equiv [Required]

Tools

EMR System

Microsoft Office

Job description

Texas Health Mansfield in Mansfield, TX is seeking a full-time patient access professional focused on Medicare compliance reviews and patient financial counseling. Benefits include coverage from Day One, paid time off, and a 403-B plan.

The role supports pre-authorization processes, patient registration, and accurate documentation to minimize medical record duplication. The position requires strong customer service, HIPAA understanding, and bilingual English/Spanish abilities, with a Day shift