Patient Access & Insurance Specialist (PRN)

AdventHealth; Ocala (FL); On-site; USD 23,000 - 37,000; Part time

Benefits offered by this job

Medical

Dental

Vision Insurance

Life Insurance

PTO from day one

403-B Retirement Plan

Parental Leave - 4 weeks

Career Development

Whole Person Well-being Resources

Mental Health Resources and Support

Pet Benefits

Job summary

AdventHealth in Ocala, FL is seeking a PRN Patient Access professional to perform Medicare compliance reviews, estimate patient financial responsibility, collect payments, and coordinate with insurance for pre-authorizations. You will register patients, verify demographics, and support multiple departments to ensure smooth patient experience.

This role requires strong communication, HIPAA compliance, and proficiency with EMR systems, with a commitment to exceptional customer service on a PRN

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, 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.
• Adheres to CMS, EMTALA, HIPAA and corporate policies.
• Understanding of HIPAA privacy rules and ability to use discretion when discussing patient-related information.
• Knowledge of computer programs and electronic health record programs.
• Basic knowledge of medical terminology.
• Exposure to insurance benefits; ability to decipher insurance benefit information.
• Experience in Customer Service related field.
• Exceptional customer service skills.
• Advanced understanding of insurance knowledge and benefits.
• Advanced understanding of hospital EMR systems.
• Intermediate medical terminology.

Responsibilities

• PRN (As Needed) Days/Evenings/Nights 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 compliance

EMR knowledge

Customer service

Multi-tasking

Insurance knowledge

Bilingual English/Spanish

Education

High School Diploma or equivalent

Tools

EMR systems

Job description

AdventHealth in Ocala, FL is seeking a PRN Patient Access professional to perform Medicare compliance reviews, estimate patient financial responsibility, collect payments, and coordinate with insurance for pre-authorizations. You will register patients, verify demographics, and support multiple departments to ensure smooth patient experience.

This role requires strong communication, HIPAA compliance, and proficiency with EMR systems, with a commitment to exceptional customer service on a PRN