National Medical Association
Consumer Access Specialist
National Medical Association, Glendale Heights, Illinois, United States, 60139
All the benefits and perks you need for you and your family:
Benefits from Day One for FT/PT positions
Paid Days Off from Day One for FT/PT positions
Student Loan Repayment Program for FT/PT positions
Career Development
Whole Person Wellbeing Resources
Mental Health Resources and Support
Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense)
Schedule:
Full Time, 36 hours/week
Shift:
Rotating Shifts/Schedule required - 12:30pm - 9:00pm, 2:00pm - 10:30pm and 3:00pm - 11:30pm, with rotating weekends and holidays
Location:
AdventHealth Glen Oaks
The role you’ll contribute:
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.
The value you’ll bring to the team:
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
Provides timely and continual coverage of assigned work area in order to offer prompt patient service and availability for all clinical partner registration needs
Meets and exceeds productivity standards determined by department leadership
Contacts insurance companies by phone, fax, online portal, and other resources to obtain and verify insurance eligibility and benefits
Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards
Obtains pre-authorizations from third-party payers in accordance with payer requirements
Obtains PCP referrals when applicable
Alerts physician offices to issues with obtaining pre-authorizations
Corrects demographic, insurance, or authorization related errors and pre-bill edits
Meets or exceeds accuracy standards and ensures integrity of patient accounts
Registers patients for all services and achieves department specific goal for accuracy
Confirms whether patients are insured and gathers details
Performs Medicare compliance review on applicable Medicare accounts
Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries
Creates accurate estimates to maximize up-front cash collections
Advises patients of expected costs and collects payments or makes appropriate payment agreements
Connects patients with financial counseling or Medicaid eligibility vendor as appropriate
Performs cashiering functions such as collections and cash reconciliation with accuracy
The expertise and experiences you’ll need to succeed:
High School degree or equivalent required
One year or more of relevant healthcare experience preferred
Prior collections experience preferred
One or more years of customer service experience preferred
Associate's degree preferred
Bilingual – English/Spanish preferred
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Benefits from Day One for FT/PT positions
Paid Days Off from Day One for FT/PT positions
Student Loan Repayment Program for FT/PT positions
Career Development
Whole Person Wellbeing Resources
Mental Health Resources and Support
Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense)
Schedule:
Full Time, 36 hours/week
Shift:
Rotating Shifts/Schedule required - 12:30pm - 9:00pm, 2:00pm - 10:30pm and 3:00pm - 11:30pm, with rotating weekends and holidays
Location:
AdventHealth Glen Oaks
The role you’ll contribute:
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.
The value you’ll bring to the team:
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
Provides timely and continual coverage of assigned work area in order to offer prompt patient service and availability for all clinical partner registration needs
Meets and exceeds productivity standards determined by department leadership
Contacts insurance companies by phone, fax, online portal, and other resources to obtain and verify insurance eligibility and benefits
Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards
Obtains pre-authorizations from third-party payers in accordance with payer requirements
Obtains PCP referrals when applicable
Alerts physician offices to issues with obtaining pre-authorizations
Corrects demographic, insurance, or authorization related errors and pre-bill edits
Meets or exceeds accuracy standards and ensures integrity of patient accounts
Registers patients for all services and achieves department specific goal for accuracy
Confirms whether patients are insured and gathers details
Performs Medicare compliance review on applicable Medicare accounts
Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries
Creates accurate estimates to maximize up-front cash collections
Advises patients of expected costs and collects payments or makes appropriate payment agreements
Connects patients with financial counseling or Medicaid eligibility vendor as appropriate
Performs cashiering functions such as collections and cash reconciliation with accuracy
The expertise and experiences you’ll need to succeed:
High School degree or equivalent required
One year or more of relevant healthcare experience preferred
Prior collections experience preferred
One or more years of customer service experience preferred
Associate's degree preferred
Bilingual – English/Spanish preferred
#J-18808-Ljbffr