Consumer Access Specialist FT Day at AdventHealth

Date Posted: 4/8/2021

Job Snapshot

  • Job Schedule
    Full-Time
  • Location:
    Tampa, FL
  • Date Posted:
    4/8/2021
  • Job ID:
    21002949
  • Job Family
    Accounting/Finance
  • Travel
    No
  • Shift
    1 - Day

Job Description


Description

Consumer Access Specialist FT Day (Admitting Department) AdventHealth Tampa

Location Address: 3100 East Fletcher Avenue Tampa, Florida 33613

Top Reasons to Work at AdventHealth Tampa

  • Florida Hospital Pepin Heart Institute, known across the country for its advances in cardiovascular disease prevention, diagnosis, treatment and research.
  • Surgical Pioneers – the first in Tampa with the latest robotics in spine surgery
  • Building a brand new, six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come
  • Awarded the Get With The Guidelines – Stroke GOLD Quality Achievement Award from the American Heart Association/American Stroke Association and have been recognized as a recipient of their Target: Stroke Honor Roll for our expertise in stroke care. We have also received certification by The Joint Commission in collaboration with the American Stroke Association as a Primary Stroke Center.

Work Hours/Shift:

Full Time Day

YOU ARE REQUIRED TO SUBMIT A RESUME WITH YOUR APPLICATION!

You Will Be Responsible For:

General Duties:

  • 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
  • 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

Insurance Verification/Authorization:

  • 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

Patient Data Collection:

  • Minimizes duplication of medical records by using problem-solving skills to verify patient identity through demographic details
  • Registers patients for all services (i.e. emergency room, outpatient, inpatient, observation, same day surgery, outpatient in a bed, etc.) and achieves the department specific goal for accuracy
  • Responsible for registering patients by obtaining critical demographic elements from patients (e.g., name, date of birth, etc.)
  • Confirms whether patients are insured and, if so, gathers details (e.g., insurer name, plan subscriber)
  • Performs Medicare compliance review on all applicable Medicare accounts in order to determine coverage. Identifies patients who may need Medicare Advance Beneficiary Notices of Noncoverage (ABNs). Issues ABN forms as needed

Payment Management:

  • Creates accurate estimates to maximize up-front cash collections and adds collections documentation where required
  • Calculates patients’ co-pays, deductibles, and co-insurance. Provides patients with personalized estimates of their financial responsibility based on their insurance coverage or eligibility for government programs prior to service for both inpatient and outpatient services
  • Advises patients of expected costs and collects payments or makes appropriate payment agreements in adherence to the AdventHealth TOS Collection Policy
  • Attempts to collect patient cost-sharing amounts (e.g., co-pays, deductibles) and outstanding balances before service.
  • Connects patients with financial counseling or Medicaid eligibility vendor as appropriate
Qualifications

What You Will Need:

KNOWLEDGE AND SKILLS REQUIRED:

  • Mature judgement in dealing with patients, physicians, and insurance representatives
  • Working knowledge of Microsoft programs and familiarity with database programs
  • Ability to operate general office machines such as computer, fax machine, printer, and scanner
  • Ability to effectively learn and perform multiple tasks, and organize work in a systematic and efficient fashion
  • Ability to communicate professionally and effectively, both verbally and written
  • Ability to adapt in ever changing healthcare environment
  • Ability to follow complex instructions and procedures, with a close attention to detail
  • Adheres to government guidelines such as CMS, EMTALA, and HIPPAA and AdventHealth corporate policies

KNOWLEDGE AND SKILLS PREFERRED:

  • 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
  • Knowledge of computer programs and electronic health record programs
  • Basic knowledge of medical terminology
  • Exposure to insurance benefits; ability to decipher insurance benefit information 
  • Bilingual – English/Spanish

EDUCATION AND EXPERIENCE REQUIRED:

  • One year of customer service experience
  • High School diploma or GED

EDUCATION AND EXPERIENCE PREFERRED:

  • One year of relevant healthcare experience
  • Prior collections experience
  • One year of customer service experience
  • One year of direct Patient Access experience
  • Associate’s degree

Job Summary:

Ensures patients are appropriately registered for all service lines. Performs eligibility verification, obtains pre-cert and/or authorizations, makes financial arrangements, requests and receives payments for services, performs cashiering functions, clears registration errors and edits pre-bill, and other duties as required. Maintains a close working relationship with clinical partners to ensure continual open communication between clinical, ancillary and patient access departments.


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

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