Sr Consumer Access Specialist Wesley Chapel

AdventHealth; Wesley Chapel (FL); On-site; USD 25,000 - 39,000; Full time

Benefits offered by this job

Benefits from Day One: Medical, Dental

403-B Retirement Plan

Parental Leave (4 weeks)

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

AdventHealth in Wesley Chapel, FL seeks a patient access professional to maintain clinic partner communications and ensure accurate patient registration. You will verify insurance, assist with Medicare-related tasks, and coordinate with case management to optimize upfront cash collections.

The role emphasizes professional communication, attention to detail, and familiarity with EMR systems within a healthcare setting.

Qualifications

• Bachelor-level education not required; high school diploma or equivalent required.
• Minimum 1+ year of customer service experience; 1+ year revenue cycle exposure preferred.
• Knowledge of healthcare insurance processes and eligibility checks helpful.
• Basic medical terminology understood and used in daily tasks.

Responsibilities

• Maintain relationships with clinical partners to ensure open communication and prompt patient service.
• Arrange relief coverage during extended time away from registration area.
• Contact insurance companies to verify eligibility and benefits before scheduled appointments.
• Register patients by obtaining demographic information and ensuring accuracy.
• Perform Medicare eligibility checks and Medicare Secondary Payer questionnaires.
• Ensure correct payer plans and update eligibility and benefits in patient accounts.
• Create accurate estimates to maximize upfront cash collections and coordinate with case management as needed.
• Process invoices and maintain documentation for payment.
• Document all conversations with patients and insurance representatives.
• Perform other duties as assigned.

Skills

Mature judgement

Microsoft programs

Office machines

Multi-tasking

Professional communication

HIPAA knowledge

Customer service

Insurance knowledge

EMR systems

Medical terminology

English speaking

Bilingual (EN/ES)

Education

High School Grad or Equiv

Associate

Tools

EMR system

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: 2600 BRUCE B DOWNS BLVD

City: WESLEY CHAPEL

State: Florida

Postal Code: 33544

Job Description:

• Accountable for maintaining a working relationship with clinical partners to ensure open communications between clinical, ancillary, and consumer access departments, which enhances the patient experience Provides timely and continual coverage of assigned work area in order to offer prompt patient service and availability for all clinical partner registration needs.
• Arranges relief coverage during extended time away from assigned registration area.
• Contacts insurance companies by phone, fax, online portal, and other resources to obtain and verify insurance eligibility and benefits and determine extent of coverage within established timeframe before scheduled appointments and during or after care for unscheduled patients.
• 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 payer plans and updates finical assessments, eligibility, and benefits.
• Creates accurate estimates to maximize up-front cash collections and adds collections documentation where required Coordinates with case management staff as necessary (e.g., when pre-authorization cannot be obtained for an inpatient stay).
• Maintains the department invoice process including receiving, validating, filing, and processing invoices for payment.
• Documents all conversations with patients and insurance representatives in the appropriate fields.
• Other duties as assigned.

Knowledge, Skills, and Abilities:

• Mature judgement in dealing with patients, physicians, and insurance representatives [Required]
• Intermediate knowledge of Microsoft programs and familiarity with database programs [Required]
• Ability to operate general office machines such as computer, fax machine, printer, and scanner [Required]
• Ability to effectively learn and perform multiple tasks, and organize work in a systematic and efficient fashion [Required]
• Ability to communicate professionally and effectively, both verbally and written [Required]
• Ability to adapt in ever changing healthcare environment [Required]
• Ability to follow complex instructions and procedures, with a close attention to detail [Required]
• Adheres to government guidelines such as CMS, EMTALA, and HIPAA and corporate policies [Required]
• Exceptional customer service skills [Required]
• Advanced understanding of insurance knowledge and benefits [Required]
• Advanced understanding of hospital electronic medical report (EMR) system [Required]
• Basic medical terminology [Required]
• Must be able to read, write, and speak conversational English [Required]
• 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 [Preferred]
• Intermediate medical terminology [Preferred]
• Bilingual – English/Spanish [Preferred]

Education:

• Associate [Preferred]
• High School Grad or Equiv [Required]

Field of Study:

• in business, education, Health Services Administration, or related field

Work Experience:

• 1+ customer service experience [Required]
• 1+ revenue cycle experience [Required]
• 2+ direct patient access [Preferred]

Licenses and Certifications:

• Certified Healthcare Access Associate (CHAA) [Preferred]
• Certified Revenue Cycle Rep (CRCR) [Preferred]

Physical Requirements: (Please click the link below to view work requirements)

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

Pay Range:

$17.80 - $28.48

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/

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