Consumer Access Specialist Full Time Day at AdventHealth

Date Posted: 2/9/2021

Job Snapshot

  • Job Schedule
    Full-Time
  • Location:
    Tavares, FL
  • Date Posted:
    2/9/2021
  • Job ID:
    20027464
  • Job Family
    Accounting/Finance
  • Travel
    No
  • Shift
    1 - Day

Job Description


Description
Consumer Access Specialist AdventHealth Waterman
 
Location Address: 1000 Waterman Way Tavares, Florida 32778
 
Top Reasons To Work At AdventHealth Waterman
Career growth and advancement potential
Health Insurance Coverage

High quality of life with low cost of living just outside of Orlando, Florida

Work Hours/Shift:
Full Time, Days
Mon - Fri
 
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
  • 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
  • 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)
  • 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

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

EDUCATION AND EXPERIENCE REQUIRED:

  • One year of relevant healthcare experience
  • One year of customer service experience
  • Prior collections experience
  • High School diploma or GED
 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. Actively participates in extending exemplary service to both internal and external customers and accepts responsibility in maintaining relationships that are equally respectful to all. Provides PBX (switchboard) coverage and support as needed. 


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

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