Job Description

Description

Consumer Access Representative AdventHealth Shawnee Mission

Location Address: 

Woodland Hills Building

7315 E Frontage Roald

Merriam, KS

Option to work remotely

Top Reasons to Work At AdventHealth Shawnee Mission

• Medical, Dental and Vision Benefits Available Day One
• Received Magnet® recognition from the American Nurses Credentialing Center in January 2019
• Providing faith-based, whole person care to Kansas City since 1962
• Excellent health benefits, an onsite childcare center and fitness facility  
• Tuition reimbursement to support continuing education
• Employee Referral Program
• Largest health care provider in Johnson County with three campuses

Work Hours/Shift:

Full Time Days

Monday – Friday

8:00AM – 4:30PM

You Will Be Responsible For:                     

• Proactively seeks assistance to improve any responsibilities assigned to their role
• Accountable for maintaining a working relationship with clinical partners to ensure open communications between clinical, ancillary, and patient access departments, which enhances the patient experience
• Monitors work queues throughout to day to ensure patient accounts are worked timely and in accordance with established service line leader expectations
• 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
• Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information to the patient. Alerts physician offices to issues with verifying insurance

Qualifications

What You Will Need:

• High School Diploma or Equivalent

Job Summary:

Ensures patients are appropriately financially cleared for all appointments. Performs eligibility verification, obtains pre-cert and/or authorizations, clears registration errors and edits pre-bill, and performs other duties as required. Maintains a close working relationship with clinical partners to ensure continual open communication between clinical, ancillary and patient access departments. Actively participates in extending exemplary service to both internal and external customers and accepts responsibility in maintaining relationships that are equally respectful to all.

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