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:4200 SUN N LAKE BLVDCity:SEBRINGState:FloridaPostal Code:33872Job Description:Manages relationships with clinical partners to ensure open communication between clinical, ancillary, and consumer access departments.
Provides timely and continual coverage of assigned work areas to offer prompt patient service and availability for all clinical partner registration needs. Provides on-call support as needed. Contacts insurance companies to verify insurance eligibility and benefits, and determine coverage before scheduled appointments and during or after care for unscheduled patients.
Obtains pre-authorizations from third-party payers and accurately enters required authorization information in the system. Registers patients for all services by obtaining critical demographic elements and ensuring accuracy. Performs Medicare compliance reviews, eligibility checks, and completes Medicare Secondary Payer Questionnaires.
Ensures patient accounts are assigned the appropriate payor plans and updates financial assessments, eligibility, and benefits. Creates accurate estimates to maximize up-front cash collections and advises patients of expected costs, collecting payments or making appropriate payment agreements. Assists department supervisor with quality audits, mentoring staff, assisting with departmental training, and staff schedules.
Coordinates with case management staff as necessary and ensures patients have logistical information necessary to receive their services. Documents all conversations with patients and insurance representatives in the appropriate fields. Actively attends department meetings and promotes positive dialogue within the team.
Other duties as assigned. Knowledge, Skills, and Abilities:Mature judgement in dealing with patients, physicians, and insurance representativesIntermediate 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 policiesExceptional customer service skillsAdvanced understanding of insurance knowledge and benefitsAdvanced understanding of hospital electronic medical report (EMR) systemBasic medical terminologyMust be able to read, write, and speak conversational EnglishUnderstanding of HIPAA privacy rules and ability to use discretion when discussing patient related information that is confidential in nature as needed to perform dutiesIntermediate medical terminologyBilingual – English/SpanishEducation:Associate [Preferred]High School Grad or Equiv [Required]Work
1+ customer service experience [Required]1+ revenue cycle experience [Required]2+ direct patient access experience [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:$18.20 - $29.12Background Screening Requirement (Florida Law)Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law. Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse:https://info.flclearinghouse.com/This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.