Texas Health Huguley FWS
Consumer Access Specialist
Texas Health Huguley FWS, Glendale Heights, Illinois, United States, 60139
Job Description - Consumer Access Specialist (24038198)Job Number:
24038198Description:All the benefits and perks you need for you and your family:Benefits from Day One for FT/PT positionsPaid Days Off from Day One for FT/PT positionsStudent Loan Repayment Program for FT/PT positionsMental Health Resources and SupportDebt-free Education (Certifications and Degrees without out-of-pocket tuition expense)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:
Full Time, 36 hours/weekShift:
Rotating Shifts/Schedule required - 12:30pm - 9:00pm, 2:00pm - 10:30pm and 3:00pm - 11:30pm, with rotating weekends and holidays.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. Provides PBX (switchboard) coverage and support as needed.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 and determine extent of coverage within established timeframe before scheduled appointments and during or after care for unscheduled patients.Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information to the patient.Obtains pre-authorizations from third-party payers in accordance with payer requirements and within established timeframe before scheduled appointments and during or after care for unscheduled patients.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.Registers patients for all services and achieves the department specific goal for accuracy.Responsible for registering patients by obtaining critical demographic elements from patients.Confirms whether patients are insured and gathers details.Performs Medicare compliance review on all applicable Medicare accounts.Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries.Creates accurate estimates to maximize up-front cash collections.Calculates patients' co-pays, deductibles, and co-insurance.Attempts to collect patient cost-sharing amounts and establishes payment plan arrangements for patients.Connects patients with financial counseling or Medicaid eligibility vendor as appropriate.Performs cashiering functions such as collections and cash reconciliation with accuracy.Qualifications:The expertise and experiences you’ll need to succeed:High School degree or equivalent required.One year or more of relevant healthcare experience preferred.One or more years of customer service experience preferred.Associate's degree preferred.Organization:
UChicago Medicine AdventHealth Great Lakes
#J-18808-Ljbffr
24038198Description:All the benefits and perks you need for you and your family:Benefits from Day One for FT/PT positionsPaid Days Off from Day One for FT/PT positionsStudent Loan Repayment Program for FT/PT positionsMental Health Resources and SupportDebt-free Education (Certifications and Degrees without out-of-pocket tuition expense)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:
Full Time, 36 hours/weekShift:
Rotating Shifts/Schedule required - 12:30pm - 9:00pm, 2:00pm - 10:30pm and 3:00pm - 11:30pm, with rotating weekends and holidays.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. Provides PBX (switchboard) coverage and support as needed.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 and determine extent of coverage within established timeframe before scheduled appointments and during or after care for unscheduled patients.Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information to the patient.Obtains pre-authorizations from third-party payers in accordance with payer requirements and within established timeframe before scheduled appointments and during or after care for unscheduled patients.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.Registers patients for all services and achieves the department specific goal for accuracy.Responsible for registering patients by obtaining critical demographic elements from patients.Confirms whether patients are insured and gathers details.Performs Medicare compliance review on all applicable Medicare accounts.Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries.Creates accurate estimates to maximize up-front cash collections.Calculates patients' co-pays, deductibles, and co-insurance.Attempts to collect patient cost-sharing amounts and establishes payment plan arrangements for patients.Connects patients with financial counseling or Medicaid eligibility vendor as appropriate.Performs cashiering functions such as collections and cash reconciliation with accuracy.Qualifications:The expertise and experiences you’ll need to succeed:High School degree or equivalent required.One year or more of relevant healthcare experience preferred.One or more years of customer service experience preferred.Associate's degree preferred.Organization:
UChicago Medicine AdventHealth Great Lakes
#J-18808-Ljbffr