Patient Access & Insurance Specialist

Team Member Services; Orlando (FL); On-site; USD 23,000 - 37,000; 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 (4 weeks)

Career development

Whole person well-being resources

Mental health resources

Pet benefits

Job summary

AdventHealth Waterford Lakes in Orlando, FL is seeking a Patient Access/Revenue Cycle professional to support Medicare compliance, register patients, verify insurance, and collect payments. This role requires strong customer service, bilingual capabilities, and collaboration across clinical and access teams.

Responsibilities include pre-authorizations, accurate data entry, and maintaining HIPAA-compliant communications. The position is full-time with day shift hours and opportunities for growth.

Qualifications

• Mature judgement when dealing with patients, physicians, and insurance representatives
• Knowledge of computer programs and EMR systems
• Ability to follow complex instructions with attention to detail
• Ability to learn and perform multiple tasks in a healthcare setting
• Adheres to CMS, EMTALA, and HIPAA guidelines and policies
• Understanding of HIPAA privacy rules and discretion when handling patient information
• Experience in customer service in a healthcare environment
• Excellent interpersonal communication skills
• Bilingual English/Spanish capabilities are a plus

Responsibilities

• Performs Medicare compliance reviews and issues ABNs as needed
• Creates accurate estimates of patient financial responsibility and collects payments or sets up payment plans
• Coordinates with utilization management for pre-authorization issues and provides necessary logistics information
• Contacts insurance companies to verify eligibility and benefits and obtains pre-authorizations within required timeframes
• Registers patients for services with accuracy and minimizes duplicates in medical records
• Collects demographic information and confirms insurance details
• Provides coverage for assigned work areas during shifts and arranges relief as needed
• Coordinates communication between clinical, ancillary and consumer access departments to improve patient experience
• Maintains thorough documentation of patient and payer conversations and decisions
• Attends department meetings and contributes to positive team discussions
• Covers PBX/Switchboard duties as needed, including answering and transferring calls
• Performs cashiering duties such as collections and cash reconciliation
• Performs other duties as assigned

Skills

Bilingual English/Spanish

Customer service

Communication skills

Microsoft Office

EMR familiarity

HIPAA knowledge

Medical terminology

Insurance knowledge

Detail oriented

Teamwork

Education

HS Diploma or equivalent

Associate degree (preferred)

Tools

EMR systems

Office software

Job description

AdventHealth Waterford Lakes in Orlando, FL is seeking a Patient Access/Revenue Cycle professional to support Medicare compliance, register patients, verify insurance, and collect payments. This role requires strong customer service, bilingual capabilities, and collaboration across clinical and access teams.

Responsibilities include pre-authorizations, accurate data entry, and maintaining HIPAA-compliant communications. The position is full-time with day shift hours and opportunities for growth.