Patient Access Specialist

4 days ago


Apopka, Florida, United States AdventHealth Full time
About the Role

We are seeking a highly skilled Patient Access Specialist to join our team at AdventHealth. As a key member of our patient access department, you will play a critical role in ensuring that patients receive the best possible care by facilitating smooth and efficient access to our services.

Key Responsibilities
  • Insurance Verification and Authorization: Proactively contact insurance companies to obtain and verify insurance eligibility and benefits, and determine the extent of coverage within established timeframes.
  • Pre-Authorization and Registration: Obtain pre-authorizations from third-party payers in accordance with payer requirements and within established timeframes, and accurately enter required authorization information in AdventHealth systems.
  • Communication and Collaboration: Maintain close working relationships with clinical partners and physician offices to resolve issues with obtaining pre-authorizations, and conduct diligent follow-up on missing or incomplete pre-authorizations with third-party payers.
  • Financial Assessment and Benefits: Ensure patient accounts are assigned the appropriate payor plans, and ensure all financial assessments, eligibility, and benefits are updated and thorough to support post-care financial needs.
  • Documentation and Estimation: Thoroughly document all conversations with patients and insurance representatives, including payer decisions, collection attempts, and payment plan arrangements, and create accurate estimates to maximize up-front cash collections.
Requirements
  • Education and Experience: One (1) year experience in Patient Financial Services, Patient Access, Customer Service, or related area (registration, finance, collections, customer service, medical office, or contract management).
  • Knowledge and Skills: Ability to use discretion when discussing personnel and patient-related issues that are confidential in nature, proficiency in Microsoft Office Programs such as Outlook, Word, and Excel, and proficiency in performance of basic math functions.
  • Preferred Qualifications: Bi-lingual (English required and Spanish preferred), knowledge of Electronic Health Records (EHR), experience working with and obtaining insurance authorizations, and read and understand medical terminology.


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