Registration Representative

adventhealth

United States

On-site

USD 22,000 - 34,000

Full time

3 days ago
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Job summary

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

Qualifications

  • Provides eligibility and benefits verification for patient visits.
  • Assists with scheduling and verifies authorizations and pre-certifications.
  • Communicates with clinical teams and physician offices to submit required documents.
  • Maintains HIPAA compliance and protects patient information.
  • Uses Microsoft Office applications to document and track interactions.

Responsibilities

  • Review schedules and verify patient eligibility and benefits.
  • Collaborate with clinical teams to avoid denials and ensure timely care.
  • Enter data accurately and monitor physician orders and appointments.
  • Explain charges, payment options, and patient financial responsibility.

Skills

Customer service
Multitasking
Communication
English proficiency
Problem solving
Attention to detail
Team collaboration

Education

High School Diploma or GED
Technical school graduate

Tools

Outlook
Microsoft Word
Excel
EMR software
EPM software

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.

All the benefits and perks you need for you and your family:
  • Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
  • 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
Schedule:

Full time

Shift: Day (United States of America)

Address: 6325 Us Highway 27 N

City: Sebring

State: Florida

Postal Code: 33870

Job Description:

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.

Schedule:

SUN 9-3, MON 7-7, TUES 7-7, WED 7-5

Knowledge, Skills, and Abilities:
  • Ability to serve as hospital liaison for patient and family and to use discretion when discussing personnel/patient related issues that are confidential in nature
  • Strong multi-tasking skills; able to assimilate and react appropriately to a variety of stimuli incoming at one time
  • Ability to be responsive to ever-changing matrix of needs and act accordingly
  • Self-motivated and quick thinker
  • Computer skills including Outlook, Microsoft Word, and Excel
  • Ability to communicate professionally with an acceptable use of English and spelling
  • Ability to read and communicate effectively in English
  • Strong written and verbal communication skills
  • Proficient typing speed; proficient with Microsoft Office applications and computers
  • Multitask proficiently, using multiple computer systems, applications, and technology
  • Excellent customer service and satisfaction skills, ensures quality service is delivered to external and internal customers
  • Understanding of revenue cycle (Registration, Insurance Verification, Coding, Billing)
  • Understanding of regulatory guidelines such as CMS, HIPAA
  • Basic knowledge and ability in medical business office procedures
  • Basic knowledge of coding
  • Detail-oriented, demonstrate problem-solving skills, flexibility and adapts well to change
  • Explains charges and payment options and programs; collects monies due at time of service
  • Consistently meet or exceed established collection goals; must be able to confidently and professionally address the financial responsibility patients may have
  • Interpret and explain insurance benefits
Education:

High School Grad or Equiv [Preferred]

Field of Study:

or graduate of a technical school

or equivalent post-secondary technical school education

Work Experience:
  • 1+ experience with computers and epm and emr software [Preferred]
  • ICD-9 and CPT-4 coding experience [Preferred]
Licenses and Certifications:
  • Basic Life Support - CPR Cert (BLS) [Preferred]
Physical Requirements:

Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$15.61 - $24.97

Background Screening Requirement (Florida Law)

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/

Equal Opportunity Statement:

This facility is an equal opportunity employer and complies with federal, state and local

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