Consumer Access Spec PRN
About The Position
Our promise to you: 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. Schedule: PRN Shift: Day (United States of America) Address: 7700 S BROADWAY City: LITTLETON State: Colorado Postal Code: 80122 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.
Requirements
- High School Grad or Equiv (Required)
- Certified Healthcare Access Associate (CHAA) - Accredited Issuing Body
- Certified Revenue Cycle Rep (CRCR) - Accredited Issuing Body
Responsibilities
- 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.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
