Oncology Patient Access Specialist PRN

2 weeks ago

Kissimmee, Florida, United States AdventHealth Full time

Comprehensive Benefits for You and Your Family:

+ Immediate Benefits Enrollment

+ Paid Time Off from Day One

+ Student Loan Repayment Opportunities

+ Professional Development Programs

+ Holistic Wellbeing Resources

+ Mental Health Support Services

+ Pet Insurance Options*

+ Debt-free Education* (Tuition-free Certifications and Degrees)

Our Commitment to You:

Joining AdventHealth means becoming part of a larger mission. It’s about belonging to a community that values the holistic care of each individual and strives to uplift others in body, mind, and spirit. At AdventHealth, you will have the opportunity to excel professionally while nurturing your spiritual growth, all while contributing to the Healing Ministry of Christ. Here, you will be appreciated for your unique contributions and experiences, and together, we can achieve more.

Schedule: PRN

Shift: Flexible Schedule

Location: Central Florida

+ Faith-based and mission-driven organization

+ Premier multi-specialty medical group in Central Florida

+ Extensive Employee Benefits including Educational Reimbursement

+ Employee wellness and lifestyle programs

+ Supportive work environment promoting work-life balance

Your Role:

Ensure patients are financially cleared for all appointments. Responsibilities include eligibility verification, obtaining pre-certifications and authorizations, correcting registration errors, and performing additional duties as necessary. Maintain effective communication with clinical partners to ensure seamless interactions between clinical, ancillary, and patient access departments. Actively engage in providing exceptional service to both internal and external customers while fostering respectful relationships.

Your Contributions to the Team:

+ Proactively contact insurance providers to verify eligibility and benefits, ensuring coverage is determined within the required timeframe.

+ Meet departmental standards for obtaining pre-authorizations from third-party payers, accurately documenting authorization details in the system.

+ Collaborate closely with clinical partners and physician offices to resolve pre-authorization issues, following up diligently on any missing or incomplete authorizations.

+ Utilize problem-solving skills to verify patient identity and minimize duplication of medical records.

+ Ensure patient accounts are assigned to the correct payer plans and that all financial assessments are thorough and up-to-date.

+ Document all interactions with patients and insurance representatives, including payer decisions and payment arrangements.

+ Coordinate with case management staff as needed.

+ Adhere to HIPAA regulations, verifying caller authorization levels before disclosing account information.

+ Create accurate financial estimates to enhance upfront cash collections.

+ Calculate patient co-pays, deductibles, and co-insurance, providing personalized financial responsibility estimates prior to service.

Required Knowledge and Skills:

Ability to handle confidential personnel and patient-related issues with discretion. Adaptability to the dynamic needs of the healthcare environment. Self-motivated, detail-oriented, and capable of multitasking while prioritizing departmental needs. Proficient in Microsoft Office Suite.

Preferred Knowledge and Skills:

Bilingual (English required, Spanish preferred) in both written and verbal communication. Familiarity with Electronic Health Records (EHR) and experience in obtaining insurance authorizations. Understanding of medical terminology.

Qualifications:

Education and Experience Required:

Minimum of one year of experience in Patient Financial Services, Patient Access, Customer Service, or a related field.

Preferred Education and Experience:

Associate degree or higher-level education, or completed coursework. Two years of experience in oncology-related business operations, including specialty pharmacy, insurance verification, and authorization submission.

This facility is an equal opportunity employer and adheres to all applicable anti-discrimination laws. Compensation is determined based on skills, experience, and other relevant factors.

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