AdventHealth
Consumer Access Specialist Remote
AdventHealth, Altamonte Springs, Florida, United States, 32717
AdventHealth CorporateAll the benefits and perks you need for you and your family:Benefits from Day OneCareer DevelopmentWhole Person Wellbeing ResourcesMental Health Resources and SupportOur 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.Shift:
Full-time; Monday-Friday 9a-5:30pm estJob Location:
RemoteThe 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 that you bring to the team:Proactively seeks assistance to improve any responsibilities assigned to their roleAccountable for maintaining a working relationship with clinical partners to ensure open communications between clinical, ancillary, and patient access departments, which enhances the patient experienceProvides timely and continual coverage of assigned work area in order to offer prompt patient service and availability for all clinical partner registration needs. Arranges relief coverage during extended time away from assigned registration areaMeets and exceeds productivity standards determined by department leadershipMeets attendance and punctuality requirements. Maintains schedule flexibility to meet department needs. Exhibits effective time management skills by monitoring time and attendance to limit use of unauthorized overtimeIf applicable to facility, provides coverage for PBX (Switchboard) as needed, which includes: full shifts, breaks, and any scheduled/unscheduled coverage requirementsIf applicable to facility, maintains knowledge of PBX (Switchboard), which includes: answering phones, transferring calls or providing alternative direction to the caller, paging overhead codes, and communicating effectively with clinical areas to ensure code coverage. If applicable to facility, knowledge of alarm systems and protocols and expedites code phone response. Maintains knowledge of security protocolActively attends department meetings and promotes positive dialogue within the teamInsurance Verification/Authorization: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 patientsVerifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information to the patient. Alerts physician offices to issues with verifying insurancePatient Data Collection:Minimizes duplication of medical records by using problem-solving skills to verify patient identity through demographic detailsRegisters patients for all services (i.e. emergency room, outpatient, inpatient, observation, same day surgery, outpatient in a bed, etc.) and achieves the department specific goal for accuracyResponsible for registering patients by obtaining critical demographic elements from patients (e.g., name, date of birth, etc.)Confirms whether patients are insured and, if so, gathers details (e.g., insurer name, plan subscriber)Performs Medicare compliance review on all applicable Medicare accounts in order to determine coverage. Identifies patients who may need Medicare Advance Beneficiary Notices of Noncoverage (ABNs). Issues ABN forms as neededPerforms eligibility check on all Medicare inpatients to determine HMO status and available days. Communicates any outstanding issues with Financial Counselors and/or case management staffCompletes Medicare Secondary Payer Questionnaire for Medicare beneficiariesThe expertise and experiences you’ll need to succeed:High School Grad or Equiv and 1 years experiencePreferred Qualifications:One year of relevant healthcare experiencePrior collections experienceOne year of customer service experienceOne year of direct Patient Access experienceAssociate's degreeThis facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
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together
we are even better.Shift:
Full-time; Monday-Friday 9a-5:30pm estJob Location:
RemoteThe 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 that you bring to the team:Proactively seeks assistance to improve any responsibilities assigned to their roleAccountable for maintaining a working relationship with clinical partners to ensure open communications between clinical, ancillary, and patient access departments, which enhances the patient experienceProvides timely and continual coverage of assigned work area in order to offer prompt patient service and availability for all clinical partner registration needs. Arranges relief coverage during extended time away from assigned registration areaMeets and exceeds productivity standards determined by department leadershipMeets attendance and punctuality requirements. Maintains schedule flexibility to meet department needs. Exhibits effective time management skills by monitoring time and attendance to limit use of unauthorized overtimeIf applicable to facility, provides coverage for PBX (Switchboard) as needed, which includes: full shifts, breaks, and any scheduled/unscheduled coverage requirementsIf applicable to facility, maintains knowledge of PBX (Switchboard), which includes: answering phones, transferring calls or providing alternative direction to the caller, paging overhead codes, and communicating effectively with clinical areas to ensure code coverage. If applicable to facility, knowledge of alarm systems and protocols and expedites code phone response. Maintains knowledge of security protocolActively attends department meetings and promotes positive dialogue within the teamInsurance Verification/Authorization: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 patientsVerifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information to the patient. Alerts physician offices to issues with verifying insurancePatient Data Collection:Minimizes duplication of medical records by using problem-solving skills to verify patient identity through demographic detailsRegisters patients for all services (i.e. emergency room, outpatient, inpatient, observation, same day surgery, outpatient in a bed, etc.) and achieves the department specific goal for accuracyResponsible for registering patients by obtaining critical demographic elements from patients (e.g., name, date of birth, etc.)Confirms whether patients are insured and, if so, gathers details (e.g., insurer name, plan subscriber)Performs Medicare compliance review on all applicable Medicare accounts in order to determine coverage. Identifies patients who may need Medicare Advance Beneficiary Notices of Noncoverage (ABNs). Issues ABN forms as neededPerforms eligibility check on all Medicare inpatients to determine HMO status and available days. Communicates any outstanding issues with Financial Counselors and/or case management staffCompletes Medicare Secondary Payer Questionnaire for Medicare beneficiariesThe expertise and experiences you’ll need to succeed:High School Grad or Equiv and 1 years experiencePreferred Qualifications:One year of relevant healthcare experiencePrior collections experienceOne year of customer service experienceOne year of direct Patient Access experienceAssociate's degreeThis facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
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