Texas Health Huguley FWS
Consumer Access Specialist PRN Days
Texas Health Huguley FWS, Bolingbrook, Illinois, United States, 60440
Job Description - Consumer Access Specialist PRN Days (24033154)Consumer Access Specialist PRN Days
(Job Number:
24033154)
DescriptionPerks you need for you and your family:Mental 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.Schedule:
PRN / As needed shiftsShift:
Days 9:00am - 5:30pm, w/rotating weekends and holidaysLocation:
AdventHealth BolingbrookThe 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 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 needsMeets and exceeds productivity standards determined by department leadershipContacts 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 patientObtains 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 patientsObtains PCP referrals when applicableAlerts physician offices to issues with obtaining pre-authorizationsCorrects demographic, insurance, or authorization related errors and pre-bill editsMeets or exceeds accuracy standards and ensures integrity of patient accounts by working error reports as requested by leadership and entering appropriate and accurate dataRegisters patients for all services and achieves the department specific goal for accuracyResponsible for registering patients by obtaining critical demographic elements from patientsConfirms whether patients are insured and gathers detailsPerforms Medicare compliance review on all applicable Medicare accountsCompletes Medicare Secondary Payer Questionnaire for Medicare beneficiariesCreates accurate estimates to maximize up-front cash collectionsCalculates patients' co-pays, deductibles, and co-insuranceAdvises patients of expected costs and collects payments or makes appropriate payment agreementsAttempts to collect patient cost-sharing amounts before serviceConnects patients with financial counseling or Medicaid eligibility vendor as appropriatePerforms cashiering functions such as collections and cash reconciliation with accuracyDiscusses financial arrangements for newborn(s) and informs patients of the necessary proceduresQualificationsThe expertise and experiences you’ll need to succeed:High School degree or equivalent requiredOne year or more of relevant healthcare experience preferredOne or more years of customer service experience preferredAssociate's degree preferredOrganization:
UChicago Medicine AdventHealth Great Lakes
#J-18808-Ljbffr
(Job Number:
24033154)
DescriptionPerks you need for you and your family:Mental 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.Schedule:
PRN / As needed shiftsShift:
Days 9:00am - 5:30pm, w/rotating weekends and holidaysLocation:
AdventHealth BolingbrookThe 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 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 needsMeets and exceeds productivity standards determined by department leadershipContacts 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 patientObtains 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 patientsObtains PCP referrals when applicableAlerts physician offices to issues with obtaining pre-authorizationsCorrects demographic, insurance, or authorization related errors and pre-bill editsMeets or exceeds accuracy standards and ensures integrity of patient accounts by working error reports as requested by leadership and entering appropriate and accurate dataRegisters patients for all services and achieves the department specific goal for accuracyResponsible for registering patients by obtaining critical demographic elements from patientsConfirms whether patients are insured and gathers detailsPerforms Medicare compliance review on all applicable Medicare accountsCompletes Medicare Secondary Payer Questionnaire for Medicare beneficiariesCreates accurate estimates to maximize up-front cash collectionsCalculates patients' co-pays, deductibles, and co-insuranceAdvises patients of expected costs and collects payments or makes appropriate payment agreementsAttempts to collect patient cost-sharing amounts before serviceConnects patients with financial counseling or Medicaid eligibility vendor as appropriatePerforms cashiering functions such as collections and cash reconciliation with accuracyDiscusses financial arrangements for newborn(s) and informs patients of the necessary proceduresQualificationsThe expertise and experiences you’ll need to succeed:High School degree or equivalent requiredOne year or more of relevant healthcare experience preferredOne or more years of customer service experience preferredAssociate's degree preferredOrganization:
UChicago Medicine AdventHealth Great Lakes
#J-18808-Ljbffr