Patient Access & Revenue Cycle Specialist

AdventHealth; Columbus (NC); On-site; USD 22,000 - 34,000; Full time

Job summary

AdventHealth in Columbus, NC is seeking a Patient Access/Revenue Cycle Associate to perform Medicare compliance reviews, calculate patient financial responsibility, and collect payments or set up plans. You will coordinate with utilization management for pre-authorization and verify insurance details.

Strong customer service, bilingual English/Spanish, and familiarity with EMR and billing systems are required. This is a full-time, day-weekend shift center, with benefits from day one.

Qualifications

• Performs Medicare compliance reviews and issues Advance Beneficiary Notices 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.

Responsibilities

• Manages communication between clinical, ancillary, and consumer access departments to enhance the patient experience.
• 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.

Skills

Mature judgement

Microsoft Office

EMR systems

Medical terminology

Insurance knowledge

Bilingual English/Spanish

Customer service

Attention to detail

Adaptability

Communication skills

Education

High school diploma or equivalent

Associate degree preferred

Tools

EMR software

Billing software

Job description

AdventHealth in Columbus, NC is seeking a Patient Access/Revenue Cycle Associate to perform Medicare compliance reviews, calculate patient financial responsibility, and collect payments or set up plans. You will coordinate with utilization management for pre-authorization and verify insurance details.

Strong customer service, bilingual English/Spanish, and familiarity with EMR and billing systems are required. This is a full-time, day-weekend shift center, with benefits from day one.