Patient Access & Revenue Specialist

AdventHealth; Shawnee (KS); On-site; USD 23,000 - 39,000; Full time

Benefits offered by this job

Benefits from Day One

Paid Time Off from Day One

403-B Retirement Plan

4 Weeks 100% Paid Parental Leave

Career Development

Whole Person Well-being Resources

Mental Health Resources and Support

Pet Benefits

Job summary

AdventHealth Shawnee Mission is hiring for an Emergency Department administrative/financial advocate role in Shawnee, Kansas. You will perform Medicare reviews, estimate patient responsibility, verify eligibility, and coordinate pre-authorizations, ensuring accurate billing and a smooth patient experience.

The position requires strong customer service, bilingual English/Spanish abilities, HIPAA compliance, and experience with EMR systems.

Qualifications

• Associate degree preferred; high school diploma required.
• Bilingual – English/Spanish.
• Experience in customer service in healthcare.
• Knowledge of medical terminology.
• Understanding of HIPAA and CMS guidelines.

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

Communication

Bilingual English/Spanish

HIPAA knowledge

EMR familiarity

Insurance knowledge

Multitasking

Detail-oriented

Education

Associate degree

High school diploma

Tools

Microsoft Office

EMR system

Database programs

Job description

AdventHealth Shawnee Mission is hiring for an Emergency Department administrative/financial advocate role in Shawnee, Kansas. You will perform Medicare reviews, estimate patient responsibility, verify eligibility, and coordinate pre-authorizations, ensuring accurate billing and a smooth patient experience.

The position requires strong customer service, bilingual English/Spanish abilities, HIPAA compliance, and experience with EMR systems.