Patient Access Specialist – Night/Weekend Shift (Medicare)

AdventHealth; Florida; On-site; USD 23,000 - 37,000; Full time

Benefits offered by this job

Benefits from Day One: Medical, Dental

Paid Time Off from Day One

403-B Retirement Plan

Parental leave

Career development

Well-being resources

Mental health resources

Pet benefits

Job summary

AdventHealth in Florida is seeking a full-time patient access specialist to perform Medicare compliance reviews, estimate patient financial responsibilities, and coordinate with utilization management for pre-authorization needs.

The role requires registering patients, verifying insurance details, and maintaining accurate demographic information while delivering high-quality customer service in a fast-paced hospital environment.

Qualifications

• Mature judgement when interacting with patients, physicians and insurance reps.
• Experience with customer service in healthcare or related field is preferred.
• Understanding of insurance benefits and EMR systems.

Responsibilities

• Performs Medicare compliance reviews and issues ABNs as needed.
• Creates accurate estimates for patient financial responsibility and collects payments.
• Coordinates with utilization management for pre-authorization issues.
• Verifies eligibility and benefits with insurance companies and obtains pre-authorizations.
• Registers patients for services with accuracy and minimal record duplication.
• Collects demographic information and confirms insurance details.
• Provides coverage for assigned work areas during shifts and arranges relief as needed.
• Facilitates communication between clinical, ancillary and access departments to improve patient experience.
• Documents all patient and payer conversations, including payment arrangements.
• Attends department meetings and participates in team discussions.
• Provides PBX coverage when needed, including handling calls.
• Performs cashiering tasks such as collections and cash reconciliation.
• Other duties as assigned.

Skills

Bilingual English/Spanish

Customer service

Insurance knowledge

HIPAA compliance

MS Office

Data entry

Communication

Education

Associate degree (preferred)

High school diploma or equivalent (required)

Tools

EMR software

Job description

AdventHealth in Florida is seeking a full-time patient access specialist to perform Medicare compliance reviews, estimate patient financial responsibilities, and coordinate with utilization management for pre-authorization needs.

The role requires registering patients, verifying insurance details, and maintaining accurate demographic information while delivering high-quality customer service in a fast-paced hospital environment.