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Consumer Access Specialist
- AdventHealth (Tavares, FL)
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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 Insurance
+ Paid Time Off from Day One
+ 403-B Retirement Plan
+ 4 Weeks 100% Paid Parental Leave
+ Career Development
+ Whole Person Well-being Resources
+ Mental Health Resources and Support
+ Pet Benefits
Schedule:
Full time
Shift:
Day (United States of America)
Address:
1000 WATERMAN WAY
City:
TAVARES
State:
Florida
Postal Code:
32778
Job Description:
+ 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.
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 operate general office machines such as computer, fax machine, printer, and scanner
• 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
• Basic knowledge of medical terminology
• Exposure to insurance benefits; ability to decipher insurance benefit information
• Bilingual – English/Spanish
• Experience in Customer Service related field
• Exceptional customer service skills
• Advanced understanding of insurance knowledge and benefits
• Advanced understanding of hospital electronic medical report (EMR) system
• Intermediate medical terminology
Education:
• Associate [Preferred]
• 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]
**Physical Requirements:** _(Please click the link below to view work requirements)_
Physical Requirements - https://tinyurl.com/23km2677
Pay Range:
$16.63 - $26.60
_This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._
**Category:** Patient Financial Services
**Organization:** AdventHealth Daytona Beach
**Schedule:** Full time
**Shift:** Day
**Req ID:** 150711819
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