Consumer Access Rep PRN Evenings/Nights at AdventHealth

Date Posted: 1/29/2021

Job Snapshot

  • Job Schedule
    Per Diem
  • Date Posted:
    1/29/2021
  • Job ID:
    21002645
  • Job Family
    Accounting/Finance
  • Travel
    No
  • Shift
    3 - Night

Job Description


Description

Consumer Access Rep PRN Evenings/Nights – AdventHealth Hendersonville

Location Address: 100 Hospital Drive, Hendersonville, NC 28792

Top Reasons To Work At AdventHealth Hendersonville

Community Involvement

Located in the beautiful mountains of Western North Carolina

Great Benefits

Co-workers that feel like family

Faith Based

What 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
  • Monitors work queues throughout to day to ensure patient accounts are worked timely and in accordance with established service line leader expectations
  • Meets and exceeds productivity standards determined by department leadership
  • Meets attendance and punctuality requirements. Maintains schedule flexibility to meet department needs. Exhibits effective time management skills by monitoring time and attendance to limit use of unauthorized overtime 
  • Actively attends department meetings and promotes positive dialogue within the team

Insurance Verification/Authorization:

Patient Data Collection:

  • Minimizes duplication of medical records by using problem-solving skills to verify patient identity through demographic details
  • Identifies patients who may need Medicare Advance Beneficiary Notices of Noncoverage (ABNs)
  • Ensures patient accounts are assigned the appropriate payor plans
  • Ensures all financial assessments, eligibility, and benefits are updated and thorough to support post care financial needs. Uses utmost caution that obtained benefits, authorizations, and pre-certifications are correct and as accurate as possible to avoid rejections and/or denials. Maintains a current and thorough knowledge of utilizing online eligibility pre-certification tools made available
  • Thoroughly documents all conversations with patients and insurance representatives - including payer decisions, collection attempts, and payment plan arrangements
  • Coordinates with case management staff as necessary (e.g., when pre-authorization cannot be obtained for an inpatient stay)

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 personalized estimates of patient financial responsibility based on their insurance coverage or eligibility for government programs prior to service for both inpatient and outpatient services
Qualifications

What You Will Need:

  • 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:

  • High School diploma or GED

EDUCATION AND EXPERIENCE PREFERRED:

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

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.

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