Consumer Access Specialist - GC FT Days

• 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.All the benefits and perks you need for you and your family:Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability InsurancePaid Time Off from Day One403
• B Retirement Plan4 Weeks 100% Paid Parental LeaveCareer DevelopmentWhole Person Well-being ResourcesMental Health Resources and SupportPet BenefitsSchedule: Full timeShift:DayAddress:95 Doctors DrCity:HendersonvilleState:North CarolinaPostal Code:28792Job Description:Monday
• Friday from 7:45a
• 4:15p.Performs Medicare compliance reviews and issues Advance Beneficiary Notices of Noncoverage as needed.Creates accurate estimates for patient financial responsibility and collects payments or establishes payment plans.Coordinates with utilization management staff for pre-authorization issues and ensures patients have necessary logistical information.Contacts insurance companies to verify eligibility and benefits, and obtains pre-authorizations within established timeframes.Registers patients for all services, ensuring accuracy and minimizing duplication of medical records.Collects critical demographic information from patients and confirms insurance details.Provides timely and continual coverage of assigned work areas during scheduled shifts, arranging relief coverage as needed.Manages communication between clinical, ancillary, and consumer access departments to enhance the patient experience.Consistently provides excellent customer service, documenting all patient and insurance representative conversations, including payer decisions and payment arrangements.Attends department meetings and promotes positive dialogue within the team. Provides coverage for PBX (Switchboard) as needed, including answering phones and transferring calls.Performs cashiering functions such as collections and cash reconciliation accurately.Knowledge, Skills, and Abilities:Mature judgement in dealing with patients, physicians, and insurance representativesWorking knowledge of Microsoft programs and familiarity with database programsAbility to operate general office machines such as computer, fax machine, printer, and scannerAbility to effectively learn and perform multiple tasks, and organize work in a systematic and efficient fashionAbility to communicate professionally and effectively, both verbally and writtenAbility to adapt in ever-changing healthcare environmentAbility to follow complex instructions and procedures, with a close attention to detailAdheres to government guidelines such as CMS, EMTALA, and HIPAA and corporate policiesUnderstanding of HIPAA privacy rules and ability to use discretion when discussing patient-related information that is confidential in nature as needed to perform dutiesKnowledge of computer programs and electronic health record programsBasic knowledge of medical terminologyExposure to insurance benefits; ability to decipher insurance benefit informationBilingual – English/SpanishExperience in Customer Service related fieldExceptional customer service skillsAdvanced understanding of insurance knowledge and benefitsIntermediate medical terminologyEducation:Associate [Preferred]High School Grad or Equiv [Required]Work

1+ customer service [Preferred]1+ relevant healthcare [Preferred]1+ revenue cycle [Preferred]Licenses and

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

(Please click the link below to view work requirements)Physical Requirements - https://tinyurl.com/23km2677Pay Range:$16.11 - $25.78This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.