Consumer Access Specialist PRN - Day

Consumer Access Specialist PRN Day

Join a patient-focused healthcare environment where exceptional service, accurate information, and efficient administrative processes help create a positive patient experience. As a Consumer Access Specialist, you will support the patient journey by managing registration, verifying insurance coverage, coordinating authorizations, and explaining financial responsibilities. You will play an important role in ensuring that patient records are accurate, payments are handled appropriately, and healthcare services are supported by reliable administrative processes. Working closely with clinical teams, insurance providers, and other departments, you will help resolve access-related issues and facilitate smooth communication. This PRN opportunity offers a daytime position with shifts scheduled within a broader operating window of 6 a.m. to midnight, depending on operational needs. It is an excellent fit for a customer-oriented professional who thrives in a dynamic healthcare setting and values accuracy, confidentiality, and compassionate service.

Accountabilities

• Patient Registration and Information Management: Register patients for healthcare services, collect accurate demographic information, verify insurance details, and minimize duplicate medical records.
• Insurance Verification and Authorizations: Contact insurance companies to confirm eligibility and benefits, obtain required pre-authorizations within established timeframes, and coordinate with utilization management teams to address authorization issues.
• Financial Counseling and Collections: Prepare accurate estimates of patient financial responsibility, explain expected costs, collect payments, and establish payment plans when appropriate.
• Medicare Compliance: Conduct Medicare compliance reviews and issue Advance Beneficiary Notices of Noncoverage when required, following applicable guidelines and procedures.
• Patient Communication and Customer Service: Provide professional, courteous assistance to patients, physicians, insurance representatives, and other stakeholders. Clearly communicate financial, insurance, and logistical information to support informed decision-making.
• Documentation and Recordkeeping: Document patient interactions, insurance communications, payer decisions, payment arrangements, and other relevant information accurately and promptly.
• Cashiering and Financial Reconciliation: Process patient payments, perform cashiering duties, and reconcile cash transactions accurately in accordance with established procedures.
• Cross-Functional Coordination: Facilitate communication between clinical teams, ancillary departments, and consumer access personnel to improve coordination and the overall patient experience.
• Operational Coverage: Maintain consistent coverage of assigned work areas during scheduled shifts, coordinate relief coverage when necessary, and provide switchboard support by answering and transferring calls as needed.
• Compliance and Confidentiality: Follow applicable government requirements, including CMS guidelines, EMTALA, HIPAA privacy rules, and organizational policies. Protect confidential patient information and exercise discretion in all communications.
• Team Collaboration: Participate in department meetings, contribute to constructive team communication, and adapt to changing operational priorities in a fast-paced healthcare environment.

Requirements

• Education: High school diploma or equivalent is required. An associate degree is preferred.
• Professional Experience: At least one year of customer service experience is preferred. Previous experience in healthcare or revenue cycle operations is also an advantage.
• Customer Service Skills: Excellent interpersonal skills, professional communication, and the ability to handle patient questions and concerns with maturity, empathy, and sound judgment.
• Insurance Knowledge: Understanding of insurance eligibility, benefits, and authorization procedures. Advanced knowledge of insurance coverage and benefits is advantageous.
• Healthcare Knowledge: Basic medical terminology is required, with intermediate medical terminology knowledge preferred. Familiarity with healthcare administrative processes and patient access procedures is beneficial.
• Technical Proficiency: Working knowledge of Microsoft Office applications, databases, electronic health record systems, and electronic medical record platforms. Familiarity with computers, printers, scanners, fax machines, and other standard office equipment is expected.
• Organization and Attention to Detail: Ability to manage multiple tasks, follow complex procedures, maintain accurate records, and organize work efficiently while meeting established deadlines.
• Communication Skills: Strong verbal and written communication skills, with the ability to explain financial and insurance information clearly and professionally.
• Adaptability and Problem-Solving: Ability to respond effectively to changing priorities, learn new systems and processes, resolve routine issues, and work collaboratively in a dynamic healthcare environment.
• Regulatory Compliance: Understanding of patient privacy requirements and the ability to follow applicable regulations, organizational policies, and confidentiality standards.
• Language Skills: English/Spanish bilingual ability is specified as a desired skill.
• Preferred Certifications: Certified Healthcare Access Associate (CHAA) and Certified Revenue Cycle Representative (CRCR) credentials are preferred.

Benefits

• Competitive Pay: Hourly pay range of $16.11$25.78, depending on applicable compensation factors.
• Remote Work Arrangement: The position is listed as fully remote.
• Flexible PRN Scheduling: As-needed employment with daytime shift classification and scheduling based on operational requirements. Actual shifts may fall within the 6 a.m. to midnight operating window.
• Healthcare Experience: Opportunity to develop expertise in patient access, insurance verification, healthcare compliance, and revenue cycle operations.
• Professional Development: Exposure to healthcare systems, patient financial services, and cross-functional hospital operations.
• Purpose-Driven Work: Opportunity to contribute to a patient-centered healthcare mission focused on compassionate service and improving community well-being.