PRN Consumer Access Specialist

adventhealth; Chatsworth (GA); On-site; USD 22,000 - 35,000; Full time

Job summary

AdventHealth in Chatsworth, GA is seeking a patient financial services specialist to perform Medicare compliance reviews, verify eligibility, and assist with pre-authorizations, customer service, and accurate billing.

You will register patients, collect demographics, coordinate with multiple departments, and maintain HIPAA compliance while delivering compassionate service; bilingual English/Spanish is a plus.

Qualifications

• Mature judgement when dealing with patients, physicians, and insurers.
• Proficiency with Microsoft Office and database programs.
• Ability to operate standard office machines and manage multiple tasks with organization.
• Excellent verbal and written communication.
• HIPAA CMS and privacy rules knowledge.
• Bilingual English/Spanish abilities are preferred.
• Experience in Customer Service in healthcare settings.
• Advanced understanding of insurance benefits and billing processes.
• EMR systems familiarity.

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 documents patient and insurance 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

Verbal & written communication

Organizational skills

Attention to detail

HIPAA & CMS knowledge

Bilingual English/Spanish

Customer service

Healthcare knowledge

Education

Associate degree preferred

High school diploma or equivalent required

Tools

EMR systems

Database programs

Job description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule:

PRN

Shift:

Day (United States of America)

Address:

707 OLD DALTON ELLIJAY RD

City:

CHATSWORTH

State:

Georgia

Postal Code:

30705

Job Description:

• 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.

Knowledge, Skills, and Abilities:

• 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




• Ability to adapt in ever-changing healthcare environment




• Ability to follow complex instructions and procedures, with a close attention to detail




• Adheres to government guidelines such as CMS, EMTALA, and HIPAA and corporate policies




• Understanding of HIPAA privacy rules and ability to use discretion when discussing patient-related information that is confidential in nature as needed to perform duties




• Knowledge of computer programs and electronic health record programs




• Basic knowledge of medical terminology




• Exposure to insurance benefits; ability to decipher insurance benefit information




• Bilingual – English/Spanish




• Experience in Customer Service related field




• Exceptional customer service skills




• Advanced understanding of insurance knowledge and benefits




• Advanced understanding of hospital electronic medical report (EMR) system




• Intermediate medical terminology

Education:

• Associate Preferred


• High School Grad or Equiv Required

Work Experience:

• 1+ customer service Preferred


• 1+ relevant healthcare Preferred


• 1+ revenue cycle Preferred

Licenses and Certifications:

• Certified Healthcare Access Associate (CHAA) Preferred


• Certified Revenue Cycle Rep (CRCR) Preferred

Pay Range:

$15.89 - $25.43

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.