Patient Access & Insurance Verification Specialist

adventhealth; Lenexa (KS); On-site; USD 24,000 - 39,000; Full time

Job summary

AdventHealth in Lenexa, Kansas is seeking a dedicated full-time front-end healthcare access specialist for a day-shift role. You will perform Medicare compliance reviews, estimate patient financial responsibility, verify benefits, handle pre-authorizations, and register patients for services in a fast-paced environment.

The role requires strong HIPAA knowledge, EMR proficiency, and customer service excellence, with emphasis on accurate documentation and patient communication within CMS

Qualifications

• Associate degree preferred; high school diploma required.
• 1+ year in customer service or healthcare revenue cycle preferred.
• Certified Healthcare Access Associate (CHAA) 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.

Skills

Mature judgement

MS Office

Database familiarity

Office equipment

Multitasking

Professional communication

HIPAA knowledge

Bilingual EN/ES

Customer service

Insurance benefits

EMR systems

Medical terminology

Education

Associate

High School Grad or Equiv

Tools

MS Office

EMR systems

Database programs

Job description

AdventHealth in Lenexa, Kansas is seeking a dedicated full-time front-end healthcare access specialist for a day-shift role. You will perform Medicare compliance reviews, estimate patient financial responsibility, verify benefits, handle pre-authorizations, and register patients for services in a fast-paced environment.

The role requires strong HIPAA knowledge, EMR proficiency, and customer service excellence, with emphasis on accurate documentation and patient communication within CMS