Patient Access & Revenue Cycle Specialist

AdventHealth; Sebring (FL); On-site; USD 46,420,000 - 74,390,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off from Day One

403-B Retirement Plan

Parental Leave

Career Development

Whole Person Well-being Resources

Mental Health Resources and Support

Pet Benefits

Job summary

AdventHealth in Sebring, FL is seeking a Patient Access Specialist to perform Medicare compliance reviews, estimate patient financial responsibility, and coordinate pre-authorizations. The role supports accurate patient charging and efficient entry of financial data.

You will register patients for services, verify insurance details, collect demographics, and maintain communications across departments to improve the patient experience.

Qualifications

• Associate degree preferred; high school diploma required.
• Experience in customer service in healthcare preferred.
• Knowledge of Medicare compliance and billing processes.
• Familiarity with HIPAA and privacy rules.
• Spanish ability is a plus.
• Experience with revenue cycle tasks.

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

Mature judgement

Microsoft Office

Communication skills

HIPAA knowledge

Bilingual English/Spanish

Customer service

Attention to detail

Office equipment

Education

Associate degree preferred

High School Diploma required

Tools

EMR / EHR system

Database programs

Billing software

Job description

AdventHealth in Sebring, FL is seeking a Patient Access Specialist to perform Medicare compliance reviews, estimate patient financial responsibility, and coordinate pre-authorizations. The role supports accurate patient charging and efficient entry of financial data.

You will register patients for services, verify insurance details, collect demographics, and maintain communications across departments to improve the patient experience.