Consumer Access Specialist
Company: AdventHealth
Location: Palm Harbor
Posted on: March 16, 2023
|
|
Job Description:
**Description** **All the benefits and perks you need for you
and your family:** + Benefits from Day One + Paid Days Off from Day
One + Student Loan Repayment Program + Career Development **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:** Part Time **Shift** : Day Shift **Location:** 1395 S
PINELLAS AVE, Tarpon Springs, 34689 **The community you'll be
caring for:** AdventHealth North Pinellas + Family-like culture +
Teamwork driven both inter Dept and multidisciplinary + Positive
working climate to support a well-balanced work life balance **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 and accepts responsibility
in maintaining relationships that are equally respectful to all.
Provides PBX (switchboard) coverage and support as needed. **The
value you'll bring to the team:** + 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. Alerts physician
offices to issues with verifying insurance + Obtains
pre-authorizations from third-party payers in accordance with payer
requirements and within established timeframe before scheduled
appointments and during or after care for unscheduled patients.
Accurately enters required authorization information in
AdventHealth systems to include length of authorization, total
number of visits, and/or units of medication + Obtains PCP
referrals when applicable + Alerts physician offices to issues with
obtaining pre-authorizations. Conducts diligent follow-up on
missing or incomplete pre-authorizations with third-party payers to
minimize authorization related denials through phone calls, emails,
faxes, and payer websites, updating documentation as needed +
Submits notice of admissions when requested by facility + Corrects
demographic, insurance, or authorization related errors and
pre-bill edit **Qualifications** **The expertise and experiences
you'll need to succeed:** + High School Diploma or equivalent +
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 +
Ability to effectively learn and perform multiple tasks, and
organize work in a systematic and efficient fashion 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 North Pinellas **Schedule:** 1 - Day **Shift:**
AdventHealth Palm Harbor ER **Req ID:** 23005759 We are an equal
opportunity employer and do not tolerate discrimination based on
race, color, creed, religion, national origin, sex, marital status,
age or disability/handicap with respect to recruitment, selection,
placement, promotion, wages, benefits and other terms and
conditions of employment.
Keywords: AdventHealth, Palm Harbor , Consumer Access Specialist, Other , Palm Harbor, Florida
Click
here to apply!
|