AdventHealth
Consumer Access Specialist
AdventHealth, Chicago, Illinois, United States,
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
Shift:
Days, 9:00am - 5:30pm, w/rotating weekends and holidays
Location:
AdventHealth Hinsdale
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.
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.
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 by working error reports as requested by leadership.
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 if so.
Performs Medicare compliance review on all applicable Medicare accounts.
Properly identifies patients, ensures armband accuracy, inputs demographics information, and secures the required forms to ensure compliance with regulatory policies.
Creates accurate estimates to maximize up-front cash collections.
Calculates patients' co-pays, deductibles, and co-insurance.
Attempts to collect patient cost-sharing amounts before service.
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
Category:
Patient Financial Services
Organization:
UChicago Medicine AdventHealth Hinsdale
Schedule:
Full-time
Shift:
1 - Day
Req ID:
24036991
#J-18808-Ljbffr
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
Shift:
Days, 9:00am - 5:30pm, w/rotating weekends and holidays
Location:
AdventHealth Hinsdale
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.
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.
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 by working error reports as requested by leadership.
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 if so.
Performs Medicare compliance review on all applicable Medicare accounts.
Properly identifies patients, ensures armband accuracy, inputs demographics information, and secures the required forms to ensure compliance with regulatory policies.
Creates accurate estimates to maximize up-front cash collections.
Calculates patients' co-pays, deductibles, and co-insurance.
Attempts to collect patient cost-sharing amounts before service.
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
Category:
Patient Financial Services
Organization:
UChicago Medicine AdventHealth Hinsdale
Schedule:
Full-time
Shift:
1 - Day
Req ID:
24036991
#J-18808-Ljbffr