Consumer Access Specialist

AdventHealth Position

Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule: Full time

Shift: Day-Weekend (United States of America)

Address: 101 Hospital Dr

City: Columbus

State: North Carolina

Postal Code: 28722

Job Description

Performs Medicare compliance reviews and issues Advance Beneficiary Notices of Noncoverage as needed. Creates accurate estimates for patient financial responsibility and collects payments or establishes payment plans. Coordinates with utilization management staff for pre-authorization issues and ensures patients have necessary logistical information. Contacts insurance companies to verify eligibility and benefits, and obtains pre-authorizations within established timeframes. Registers patients for all services, ensuring accuracy and minimizing duplication of medical records. Collects critical demographic information from patients and confirms insurance details. Provides timely and continual coverage of assigned work areas during scheduled shifts, arranging relief coverage as needed. Manages communication between clinical, ancillary, and consumer access departments to enhance the patient experience. Consistently provides excellent customer service, documenting all patient and insurance representative conversations, including payer decisions and payment arrangements. Attends department meetings and promotes positive dialogue within the team. Provides coverage for PBX (Switchboard) as needed, including answering phones and transferring calls. Performs cashiering functions such as collections and cash reconciliation accurately. Other duties as assigned.

Knowledge, Skills, and Abilities

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 HIPAA and corporate policies

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

Experience in Customer Service related field

Exceptional customer service skills

Advanced understanding of insurance knowledge and benefits

Advanced understanding of hospital electronic medical report (EMR) system

Intermediate medical terminology

Education

Associate [Preferred]

High School Grad or Equiv [Required]

Field of Study

N/A

Work Experience

1+ customer service [Preferred]

1+ relevant healthcare [Preferred]

1+ revenue cycle [Preferred]

Additional Information

N/A

Licenses and Certifications

Certified Healthcare Access Associate (CHAA) [Preferred]

Certified Revenue Cycle Rep (CRCR) [Preferred]

Physical Requirements

Physical Requirements -

Pay Range: $16.11 - $25.78

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