Senior Patient Access & Eligibility Lead

AdventHealth; Sebring (FL); On-site; USD 25,000 - 40,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off from Day One

403-B Retirement Plan

4 Weeks Parental Leave

Job summary

AdventHealth Sebring is seeking a patient access associate to manage relationships with clinical partners and ensure smooth registration processes for patients and services.

You will verify insurance eligibility, obtain pre-authorizations, and communicate estimated costs and payment options to patients, while maintaining HIPAA compliance and exceptional customer service.

Great teamwork, attention to detail, and bilingual English/Spanish skills are valued to serve a diverse patient population.

Qualifications

• 1+ customer service experience
• 1+ revenue cycle experience
• 2+ direct patient access experience

Responsibilities

• Manages relationships with clinical partners to ensure open communication between clinical, ancillary, and consumer access departments.
• Provides timely and continual coverage of assigned work areas to offer prompt patient service and availability for all clinical partner registration needs.
• Provides on-call support as needed.
• Contacts insurance companies to verify insurance eligibility and benefits, and determine coverage before scheduled appointments and during or after care for unscheduled patients.
• Obtains pre-authorizations from third-party payers and accurately enters required authorization information in the system.
• Registers patients for all services by obtaining critical demographic elements and ensuring accuracy.
• Performs Medicare compliance reviews, eligibility checks, and completes Medicare Secondary Payer Questionnaires.
• Ensures patient accounts are assigned the appropriate payor plans and updates financial assessments, eligibility, and benefits.
• Creates accurate estimates to maximize up-front cash collections and advises patients of expected costs, collecting payments or making appropriate payment agreements.
• Assists department supervisor with quality audits, mentoring staff, assisting with departmental training, and staff schedules.
• Coordinates with case management staff as necessary and ensures patients have logistical information necessary to receive their services.
• Documents all conversations with patients and insurance representatives in the appropriate fields.
• Actively attends department meetings and promotes positive dialogue within the team.
• Other duties as assigned.

Skills

Customer service

Revenue cycle

Patient access

Insurance verification

Pre-authorizations

HIPAA compliance

Education

Associate degree preferred

High school diploma or equivalent

Job description

AdventHealth Sebring is seeking a patient access associate to manage relationships with clinical partners and ensure smooth registration processes for patients and services.

You will verify insurance eligibility, obtain pre-authorizations, and communicate estimated costs and payment options to patients, while maintaining HIPAA compliance and exceptional customer service.

Great teamwork, attention to detail, and bilingual English/Spanish skills are valued to serve a diverse patient population.