Patient Access & Insurance Verification Specialist

Team Member Services; Town of Auburndale (WI); On-site; USD 23,000 - 37,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

Paid time off from day one

403(b) retirement plan

Parental leave - 4 weeks

Career development

Job summary

AdventHealth in Auburndale, FL, is seeking a dedicated patient access professional to support Medicare compliance, patient billing, and insurance coordination. You will verify eligibility, collect payments, and assist with pre-authorizations to ensure smooth patient flow.

The role requires strong communication, attention to detail, and bilingual English/Spanish abilities. Training on HIPAA and EMR systems is provided within a supportive team environment.

Qualifications

• Experience in customer service within healthcare is preferred.
• Understanding of HIPAA privacy rules and ability to maintain confidentiality.
• Ability to navigate EMR systems and patient data accurately.

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

HIPAA compliance

Communication

Bilingual English/Spanish

Microsoft Office

EMR systems

Education

Associate degree preferred

High school diploma required

Tools

EMR systems

Billing software

Job description

AdventHealth in Auburndale, FL, is seeking a dedicated patient access professional to support Medicare compliance, patient billing, and insurance coordination. You will verify eligibility, collect payments, and assist with pre-authorizations to ensure smooth patient flow.

The role requires strong communication, attention to detail, and bilingual English/Spanish abilities. Training on HIPAA and EMR systems is provided within a supportive team environment.