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Consumer Access Specialist FT Evenings

AdventHealth Sebring Wauchula Lake Placid

This is a Full-time position in Sebring, FL posted February 20, 2021.

DescriptionConsumer Access Specialist FT Evenings AdventHealth Sebring Location Address:4200 Sun ‘n Lake Boulevard Sebring, FL 33872 Top Reasons to Work at AdventHealth Sebring Faith Based & Mission driven Facility Largest Employer in the County Surrounded by beautiful Lakes, Golf Courses and Floridas oldest State Park Close knit community with a home town family feel 2 hours to just about any beach on either Coast Work Hours/Shift: Full-time Evenings YOU ARE REQUIRED TO SUBMIT A RESUME WITH YOUR APPLICATION!

You Will Be Responsible For: Accountable for maintaining a working relationship with clinical partners to ensure open communications between clinical, ancillary, and patient access departments, which enhances the patient experience Provides timely and continual coverage of assigned work area in order to offer prompt patient service and availability for all clinical partner registration needs.

Arranges relief coverage during extended time away from assigned registration area If applicable to facility, maintains knowledge of PBX (Switchboard), which includes: answering phones, transferring calls or providing alternative direction to the caller, paging overhead codes, and communicating effectively with clinical areas to ensure code coverage.

If applicable to facility, knowledge of alarm systems and protocols and expedites code phone response.

Maintains knowledge of security protocol Insurance Verification/Authorization: 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 Patient Data Collection: Minimizes duplication of medical records by using problem-solving skills to verify patient identity through demographic details Registers patients for all services (i.e.

emergency room, outpatient, inpatient, observation, same day surgery, outpatient in a bed, etc.) and achieves the department specific goal for accuracy Responsible for registering patients by obtaining criticaldemographic elements from patients (e.g., name, date of birth, etc.) Confirms whether patients are insured and, if so, gathers details (e.g., insurer name, plan subscriber) Payment Management: Creates accurate estimates to maximize up-front cash collections and adds collections documentation where required Calculates patients co-pays, deductibles, and co-insurance.

Provides patients with personalized estimates of their financial responsibility based on their insurance coverage or eligibility for government programs prior to service for both inpatient and outpatient services Advises patients of expected costs and collects payments or makes appropriate payment agreements in adherence to the AdventHealth TOS Collection Policy QualificationsWhat You Will Need: One year of relevant healthcare experience One year of customer service experience Prior collections experience High School diploma or GED 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 HIPPAA and AdventHealth corporate policies KNOWLEDGE AND SKILLS PREFERRED: 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 EDUCATION AND EXPERIENCE PREFERRED: One year of direct Patient Access experience Associates degree Job Summary: 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.

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