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Consumer Access Specialist
2 months ago
All the benefits and perks you need for you and your family: Benefits from Day One for FT/PT positions Paid Days Off from Day One for FT/PT positions Student Loan Repayment Program for FT/PT positions Career Development Whole Person Wellbeing Resources Mental Health Resources and Support Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense) Schedule: Full Time Shift: Days Location: AdventHealth 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: Proactively seeks assistance to improve any responsibilities assigned to their role 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 Meets and exceeds productivity standards determined by department leadership 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 Verifies medical necessity in accordance with CMS standards and communicates relevant coverage/eligibility information to the patient Obtains pre-authorizations from third-party payers in accordance with payer requirements and accurately enters required authorization information in AdventHealth systems Obtains PCP referrals when applicable Alerts physician offices to issues with obtaining pre-authorizations and conducts diligent follow-up Corrects demographic, insurance, or authorization related errors and pre-bill edits Registers patients for all services and achieves the department specific goal for accuracy Confirms whether patients are insured and gathers details Performs Medicare compliance review on all applicable Medicare accounts Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries Creates accurate estimates to maximize up-front cash collections Calculates patients' co-pays, deductibles, and co-insurance Attempts to collect patient cost-sharing amounts and establishes payment plan arrangements Connects patients with financial counseling or Medicaid eligibility vendor as appropriate Performs cashiering functions such as collections and cash reconciliation Discusses financial arrangements for newborn(s) and communicates appropriate information to registration staff The expertise and experiences you’ll need to succeed: High School degree or equivalent required One year or more of relevant healthcare experience preferred Prior collections experience preferred One or more years of customer service experience preferred Associate's degree preferred Bilingual – English/Spanish preferred Category: Patient Financial Services Organization: UChicago Medicine AdventHealth Hinsdale Schedule: Full-time Shift: 1 - Day Req ID: 24030390 #J-18808-Ljbffr
