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AdventHealth Sebring in Florida is seeking an Eligibility and Benefits Specialist to proactively review schedules, verify eligibility and pre-certifications, and ensure accurate patient information. The role requires strong communication, attention to detail, and proficiency with EMR systems to support efficient patient access and scheduling.
You will collaborate with clinical teams to confirm plans, explain patient financial responsibilities, and assist with revenue cycle processes while
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.
Full time
Shift: Day (United States of America)
Address: 6325 Us Highway 27 N
City: Sebring
State: Florida
Postal Code: 33870
Proactively reviews schedules and performs eligibility and benefits verification and re-verification for patient visits, ensuring authorizations and pre-certifications are correct to avoid denials and cancellations. Works error reports daily, enters accurate data, and documents all attempts to collect or obtain missing documentation and meets or exceeds accuracy standards and upfront collection goals. Monitors patient wait and registration times, being sure to collaborate with clinical team, implement processes and remove barriers to delayed care. Acts as patient liaison and collaborates with clinical teams and physician offices to ensure timely completion and submission of documents such as plan of cares, status reports and authorization forms, as required by insurance. Screens and assists incoming telephone calls and visitors, routing them to appropriate personnel accurately and timely. Other duties as assigned. Schedules patients according to department, insurance and physician protocols, collects relevant clinical information to ensure accurate/timely appointments and verifies the accuracy of orders. Registers patients for all services, ensuring accurate patient demographics and account information and clearly explains authorizations, pre-certifications, benefit limitations and patient financial responsibility and collects patient payments.
SUN 9-3, MON 7-7, TUES 7-7, WED 7-5
High School Grad or Equiv [Preferred]
or graduate of a technical school
or equivalent post-secondary technical school education
Physical Requirements - https://tinyurl.com/23km2677
$15.61 - $24.97
Certain positions are subject to Florida Level 2 background screening , including fingerprinting, as required by state law.
Applicants may review general information about Florida's background screening requirements at the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/
This facility is an equal opportunity employer and complies with federal, state and local