Patient Access & Medicare Compliance Specialist

Team Member Services; United States; On-site; USD 22,000 - 35,000; Full time

Job summary

AdventHealth in Rome, GA is seeking a PRN, day-shift administrative roles focused on Medicare compliance and patient financials. The team supports pre-authorizations, eligibility checks, and accurate patient registration across services.

Ideal candidates have a high school diploma, mature judgement, strong MS Office skills, and the ability to multitask while communicating professionally with patients and providers.

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 machine, 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.

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 knowledge

Office equipment

Multitasking

Professional communication

Education

High School Diploma or equivalent

Job description

AdventHealth in Rome, GA is seeking a PRN, day-shift administrative roles focused on Medicare compliance and patient financials. The team supports pre-authorizations, eligibility checks, and accurate patient registration across services.

Ideal candidates have a high school diploma, mature judgement, strong MS Office skills, and the ability to multitask while communicating professionally with patients and providers.