Consumer Access Specialist

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:

PRN

Shift:

Day (United States of America)

Address:

501 REDMOND RD NW

City:

ROME

State:

Georgia

Postal Code:

30165

Job Description:

Work Schedule: Days

• Verifies insurance eligibility and benefits, obtains pre-authorizations, and ensures compliance with Medicare and payer requirements.
• Registers patients accurately for services, confirms demographic and insurance information, and minimizes duplicate medical records.
• Creates patient financial estimates, collects payments, establishes payment plans, and performs cashiering and cash reconciliation functions.
• Coordinates communication between patients, insurance companies, clinical teams, and ancillary departments to support a positive patient experience.
• Provides excellent customer service by documenting patient and payer interactions, maintaining workflow coverage, and supporting PBX/switchboard operations as needed.

Knowledge, Skills, and Abilities:

• Mature judgement in dealing with patients, physicians, and insurance representatives
• Working knowledge of Microsoft programs and familiarity with database programs
• Ability to effectively learn and perform multiple tasks, and organize work in a systematic and efficient fashion
• Ability to communicate professionally and effectively, both verbally and written
• Ability to adapt in ever-changing healthcare environment
• Ability to follow complex instructions and procedures, with a close attention to detail
• Adheres to government guidelines such as CMS, EMTALA, and HIPAA and corporate policies
• Understanding of HIPAA privacy rules and ability to use discretion when discussing patient-related information that is confidential in nature as needed to perform duties
• Knowledge of computer programs and electronic health record programs
• Exposure to insurance benefits; ability to decipher insurance benefit information
• Advanced understanding of insurance knowledge and benefits
• Advanced understanding of hospital electronic medical report (EMR) system

Education:

• High School Grad or Equiv [Required]

Field of Study:

• N/A

Work Experience:

• 1+ customer service [Preferred]
• 1+ relevant healthcare [Preferred]
• 1+ revenue cycle [Preferred]

Additional Information:

• N/A

Licenses and Certifications:

• Certified Healthcare Access Associate (CHAA) [Preferred]
• Certified Revenue Cycle Rep (CRCR) [Preferred]

Pay Range:

$15.89 - $25.43

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.