Texas Health Huguley FWS
Consumer Access Specialist Outpatient
Texas Health Huguley FWS, La Grange, Illinois, United States, 60525
Job Description - Consumer Access Specialist Outpatient (24036996)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 hoursShift:
10:30am - 7:00pm, w/some rotating weekends and holidaysLocation:
AdventHealthThe 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 benefitsVerifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standardsObtains pre-authorizations from third-party payers in accordance with payer requirementsObtains PCP referrals when applicableAlerts physician offices to issues with obtaining pre-authorizationsCorrects demographic, insurance, or authorization related errors and pre-bill editsRegisters patients for all services and achieves 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 collectionsAdvises 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 provides guidance for enrollmentThe 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
together
we are even better.Schedule:
Full Time, 36 hoursShift:
10:30am - 7:00pm, w/some rotating weekends and holidaysLocation:
AdventHealthThe 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 benefitsVerifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standardsObtains pre-authorizations from third-party payers in accordance with payer requirementsObtains PCP referrals when applicableAlerts physician offices to issues with obtaining pre-authorizationsCorrects demographic, insurance, or authorization related errors and pre-bill editsRegisters patients for all services and achieves 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 collectionsAdvises 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 provides guidance for enrollmentThe 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