Senior Patient Access & Revenue Cycle Liaison

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

Benefits offered by this job

Benefits from Day One

Paid Time Off from Day One

403-B Retirement Plan

4 Weeks Parental Leave

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

AdventHealth in Lake Placid, FL is seeking an experienced Healthcare Access Associate to manage clinical partner communications, verify eligibility, obtain pre-authorizations, and register patients for services.

You will support insurance coordination, explain costs to patients, and ensure accurate documentation while upholding HIPAA and CMS guidelines. Bilingual English/Spanish is preferred. This is a full-time day-shift position with benefits from day one.

Qualifications

• High school diploma or equivalent required.
• 1+ year of customer service experience required.
• 1+ year of revenue cycle experience required.
• 2+ direct patient access experience preferred.

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

Mature judgement

MS Office

Database programs

Office equipment

Multi-tasking

Communication

Adaptability

Attention to detail

HIPAA compliance

Customer service

Insurance knowledge

English literacy

Medical terminology

Bilingual English/Spanish

Education

Associate

High School Diploma or Equiv

Tools

Microsoft Office

Database software

Job description

AdventHealth in Lake Placid, FL is seeking an experienced Healthcare Access Associate to manage clinical partner communications, verify eligibility, obtain pre-authorizations, and register patients for services.

You will support insurance coordination, explain costs to patients, and ensure accurate documentation while upholding HIPAA and CMS guidelines. Bilingual English/Spanish is preferred. This is a full-time day-shift position with benefits from day one.