Consumer Access Admin Specialist Zephyrhills

Consumer Access Admin Specialist Zephyrhills

Creates accurate estimates to maximize up-front cash collections and adds collections documentation where required. Calculates patients' co-pays, deductibles, and co-insurance, providing personalized estimates of financial responsibility prior to service. Advises patients of expected costs, collects payments, or makes appropriate payment agreements. Attempts to collect patient cost-sharing amounts and outstanding balances before service when necessary. Informs patients of convenient payment options and follows deferral procedures as required. Connects patients with financial counseling or Medicaid eligibility vendors and assists with Customer Service-related inquiries. Discusses financial arrangements for newborns with legal guardians, informs patients of the timeframe for enrolling a newborn in coverage, and provides necessary documentation. Performs cashiering functions such as collections and cash reconciliation with accuracy in support of pre-established legal and financial guidelines. Maintains a working relationship with clinical partners to ensure open communications between clinical, ancillary, and Consumer Access departments. Provides timely and continual coverage of assigned work area to offer prompt patient service and arranges relief coverage during extended time away from assigned registration area. Contacts insurance companies to obtain and verify insurance eligibility and benefits, correcting demographic, insurance, or authorization-related errors. Registers patients for all services, ensuring accuracy and consistently provides excellent customer service. Other duties as assigned.

Knowledge, Skills, and Abilities:

• Mature judgement in dealing with patients, physicians, and insurance representatives.
• Intermediate knowledge of Microsoft programs including Excel 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 AdventHealth corporate policies.
• Exceptional customer service skills.
• Advanced understanding of insurance knowledge and benefits.
• Advanced understanding of hospital electronic medical record (EMR) system.
• Basic medical terminology.
• Must be able to read, write, and speak conversational English.
• 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.
• Intermediate medical terminology.

Education:

• Associate [Preferred]
• High School Grad or Equiv [Required]

Field of Study: N/A

Work Experience:

• 1+ year consumer access or related experience [Required]
• 2+ years of direct consumer access experience [Preferred]

Additional Information: N/A

Licenses and Certifications:

• Certified Healthcare Access Associate (CHAA) [Preferred]
• Certified Revenue Cycle Rep (CRCR) [Preferred]

Physical Requirements: (Please click the link below to view work requirements) Physical Requirements

Pay Range: $17.63 $28.20

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