Consumer Access Specialist

2 months ago

Orlando, United States AdventHealth Central Florida Full time

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
  • Whole Person Wellbeing Resources
  • Mental Health Resources and Support
  • Pet Insurance*
  • Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)

Our promise to you:

Joining AdventHealth is about being part of something bigger. Its 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: Full Time

Shift : Days

Location: 601 EAST ROLLINS STREET, Orlando, 32803

The community youll be caring for:

  • Faith based & mission driven organization
  • Central Floridas premier multi-specialty medical group
  • Comprehensive Employee Benefits such as Educational Reimbursement
  • CREATION Health employee wellness and lifestyle programs
  • Positive working climate to support a work life balance

The role youll contribute:

Ensures patients are appropriately financially cleared for all appointments. Performs eligibility verification, obtains pre-cert and/or authorizations, clears registration errors and edits pre-bill, and performs 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.

Job Keywords: Registration Representative, Authorization Representative, Patient Registration, PreAccess, Maitland

The value youll bring to the team:

  • Proactively 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
  • Meet department standard when obtaining 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
  • Maintain close working relationship with clinical partners and physician offices to resolve 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
  • Minimizes duplication of medical records by using problem-solving skills to verify patient identity through demographic details
  • Ensures patient accounts are assigned the appropriate payor plans
  • Ensures all financial assessments, eligibility, and benefits are updated and thorough to support post care financial needs. Uses utmost caution that obtained benefits, authorizations, and pre-certifications are correct and as accurate as possible to avoid rejections and/or denials. Maintains a current and thorough knowledge of utilizing online eligibility pre-certification tools made available
  • Thoroughly documents all conversations with patients and insurance representatives - including payer decisions, collection attempts, and payment plan arrangements
  • Coordinates with case management staff as necessary (e.g., when pre-authorization cannot be obtained for an inpatient stay)
  • Adheres to HIPAA regulations by verifying information to determine caller authorization level receiving information on account.
  • Creates accurate estimates to maximize up-front cash collections and adds collections documentation where required
  • Calculates patients co-pays, deductibles, and co-insurance. Provides personalized estimates of patient financial responsibility based on their insurance coverage or eligibility for government programs prior to service for both inpatient and outpatient services

Qualifications

The expertise and experiences youll need to succeed:

Required:

  • One year of customer service experience
  • High School diploma or GED

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Patient Financial Services

Organization: AdventHealth Orlando

Schedule: Full-time

Shift: 1 - Day

Req ID: 24034647

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.

  • Consumer Access Specialist PRN

    2 weeks ago

    Orlando, United States AdventHealth Full time

    All the benefits and perks you need for you and your family: Career Development Whole Person Wellbeing Resources Mental Health Resources and Support 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,...

  • Patient Access Specialist I

    1 month ago

    Orlando, Florida, United States Nemours Children's Health Full time

    About the RoleNemours Children's Health is seeking a highly skilled Patient Access Specialist I to join our team in Orlando, Florida. As a key member of our Patient Financial Services department, you will be responsible for providing exceptional service to our patients and families, ensuring accurate and timely registration processes, and maintaining the...

  • Pool Patient Access Specialist 1

    2 weeks ago

    Orlando, United States Tampa General Hospital Full time

    Job Description - Pool Patient Access Specialist 1 (240004LZ) Description: Registration of patients presenting to the hospital. Conducts patient interviews to obtain registration information and complete required forms. Ensures that all demographic and financial information is obtained, completed, and processed according to department policy and procedures....

  • Vascular Access Specialist

    1 month ago

    Orlando, Florida, United States Health First Full time

    Job Summary:To provide high-quality patient care as a Vascular Access Specialist, you will be responsible for assessing, planning, implementing, and evaluating patient care according to professional nursing standards. This role requires strong leadership skills, effective communication, and a commitment to delivering exceptional patient experiences.Key...

  • Patient Access Specialist

    4 weeks ago

    Orlando, United States AppleOne Full time

    Job DescriptionJob DescriptionPatient Access Specialist opportunity in Orlando, FL zip code 32819! Pay: $17/hour Length: Temp to Perm opportunity Schedule: M-F 8:30am to 5:00pm In Office opportunity - Orlando, FL 32819 - Southpark Circle – 100% onsite role Start date is Monday, November 11th, 2024- must be able to start on this date to be considered! Job...

  • RN Venous Access FT Nights Orlando

    1 week ago

    Orlando, United States AdventHealth Full time

    All the benefits and perks you need for you and your family: + Benefits from Day One + Paid Days Off from Day One + Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense) + Nursing Clinical Ladder Program Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community...

  • Transfer Access RN Case Manager

    5 months ago

    Orlando, United States Health First Full time

    POSITION SUMMARY: The Transfer Access RN Case Manager provides clinical expertise, medical communication and quality assessment for the timely facilitation and coordination of all direct admits, blood transfusions and chemotherapy across the IDN. Responsibilities also include facilitation and coordination of patients transferring in or out of Health First in...

  • Access Control Security Specialist

    6 days ago

    Orlando, Florida, United States Liberty Staffing USA Full time

    Job OverviewWe are seeking a highly skilled and experienced Installation and Maintenance Technician to join our Liberty Staffing USA team. As a key member of our team, you will be responsible for the installation, maintenance, and repair of security systems, including access control and CCTV systems.Key Responsibilities:Install and maintain access control...

  • RN Venous Access FT Nights Orlando

    2 weeks ago

    Orlando, United States AdventHealth Full time

    All the benefits and perks you need for you and your family: Benefits from Day One Paid Days Off from Day One Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense) Nursing Clinical Ladder Program Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community...

  • Patient Access Specialist I

    3 months ago

    Orlando, United States Nemours Children's Health Full time

    Job DescriptionNemours is seeking a Patient Access Specialist I (FULL-TIME), to join our Nemours Children's Health team in Orlando, Florida.This position will require open availability and travel to all locations as scheduled. Nemours Children's Hospital is the newest addition to the Nemours integrated healthcare system. Our 100-bed pediatric hospital also...

  • Patient Access Specialist I

    3 months ago

    Orlando, United States Nemours Children's Health Full time

    Job DescriptionNemours is seeking a Patient Access Specialist I (FULL-TIME), to join our Nemours Children's Health team in Orlando, Florida.This position will require open availability and travel to all locations as scheduled. Nemours Children's Hospital is the newest addition to the Nemours integrated healthcare system. Our 100-bed pediatric hospital also...

  • Patient Access Specialist I

    3 weeks ago

    Orlando, United States Nemours Children's Health Full time

    Job DescriptionNemours is seeking a Patient Access Specialist I (PART-TIME), to join our Nemours Children's Health team in Downtown Orlando, Florida.Nemours Children's Hospital is the newest addition to the Nemours integrated healthcare system. Our 100-bed pediatric hospital also features the area's only 24-hour Emergency Department designed just for kids as...

  • Patient Access Specialist

    2 weeks ago

    Orlando, United States LHH Full time

    Duration: 4 month role with possibility of becoming permanent.Salary: $20/hourHours: M-F 8am-5pm or M-F 9a-6pm or M-F 10am-7pmStart: 11/11Location: In-office in OrlandoRequired: Experience: Prior authorization (required), Healthcare & insurance experience preferred

  • Patient Access Specialist

    3 weeks ago

    Orlando, United States LHH Full time

    Duration: 4 month role with possibility of becoming permanent. Salary: $20/hour Hours: M-F 8am-5pm or M-F 9a-6pm or M-F 10am-7pm Start: 11/11 Location: In-office in Orlando Required: Experience: Prior authorization (required), Healthcare & insurance experience preferred

  • Payroll Specialist

    4 weeks ago

    Orlando, United States Creative Financial Staffing Full time

    Payroll Specialist$24.00-$26.00/hourLocated in Central Florida About the CompanyThis dedicated organization has been a beacon of support for children and families for over a century, creating safe and nurturing environments that empower youth to reach their potential. By providing essential services such as early childhood development, mental health...

  • Electrophysiology Specialist

    1 week ago

    Orlando, Florida, United States AdventHealth Central Florida Full time

    About the OpportunityWe are seeking a skilled Electrophysiologist to join our established private Cardiology practice in Central Florida. This is an excellent opportunity to work in a collegial team atmosphere with a strong focus on clinical excellence.The successful candidate will be a board-certified Electrophysiologist with a passion for delivering...

  • Culligan Water Treatment Specialist

    1 week ago

    Orlando, Florida, United States Culligan International Company Full time

    Job OverviewCulligan International Company is seeking a skilled Water Treatment Specialist to join our team. As a key member of our team, you will be responsible for installing, servicing, and repairing water treatment systems for residential customers.Key Responsibilities:Perform diagnostics and analysis to troubleshoot and repair equipment in a timely and...

  • Payroll Specialist FL

    4 days ago

    orlando, United States Creative Financial Staffing Full time

    Payroll Specialist$24.00-$26.00/hourLocated in Central Florida About the CompanyThis dedicated organization has been a beacon of support for children and families for over a century, creating safe and nurturing environments that empower youth to reach their potential. By providing essential services such as early childhood development, mental health...

  • Payroll Specialist FL

    5 days ago

    orlando, United States Creative Financial Staffing Full time

    Payroll Specialist$24.00-$26.00/hourLocated in Central Florida About the CompanyThis dedicated organization has been a beacon of support for children and families for over a century, creating safe and nurturing environments that empower youth to reach their potential. By providing essential services such as early childhood development, mental health...

  • Payroll Specialist FL

    2 days ago

    orlando, United States Creative Financial Staffing Full time

    Payroll Specialist$24.00-$26.00/hourLocated in Central Florida About the CompanyThis dedicated organization has been a beacon of support for children and families for over a century, creating safe and nurturing environments that empower youth to reach their potential. By providing essential services such as early childhood development, mental health...