Consumer Access Specialist PRN

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, 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: PRN
Shift : Days
Location: 1500 SW 1 st Ave Ocala, Florida 34471

The community you'll be caring for: AdventHealth Ocala

• Horse Capital of the World - Home to the World Equestrian Center
• Affordable cost of living
• Destination for outdoor enthusiast (golf, kayaking, horseback riding, nature trails)
• Vibrant downtown area with award winning establishments
• Family friendly with many parks and recreations
• Spectacular springs throughout the county

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. Works complex accounts and manages escalations from Consumer Access Representatives and Consumer Access Specialists. Assists with departmental training and quality audits. Maintains a close working relationship with clinical partners to ensure continual open communication between clinical, ancillary and patient access departments. Anticipates and responds to the inquires and needs of clinical partners. 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. Ensures team success in active mentoring and meeting the stated monthly collection and accuracy goals. Monitors team performance. Carries out implementation of supervisor/manager directive.

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
• Alerts physician offices to 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
• 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.
• 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

Qualifications
The expertise and experiences you'll need to succeed :

• High School Grad or Equiv and 1+ year's experience

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