Pre Access-Collections & Authorization Specialist

PreAccess Physician Collaboration and Authorization Specialist - AdventHealth Outpatient Imaging

All the benefits and perks you need for you and your family:

• Commitment to whole-person care, giving you the opportunity to help heal people in mind body and spirit.
• Excellent benefits, market-driven wages, and career development opportunities.
• Opportunities for advancement as we expand our network across the nation.

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: Full-Time

Shift : Tuesday-Friday 11am-8:30pm and Saturday 8am-4:30pm

Location: Partin Settlement Kissimmee Outpatient Imaging

The role you'll contribute:

The PreAccess Physician Collaboration and Authorization Specialist is responsible for upholding the financial stability of the organization by ensuring the payer receives all information needed to secure authorization prior to a patient receiving a pre-scheduled service. The Pre-Access Physician Collaboration and Authorization Specialist works in partnership with physician offices and other partners to ensure all payer requirements are met to secure an authorization. Maintaining knowledge of payer requirements for authorization and remaining up to date on medical and payer terminology is a key aspect of this role. This role also extends exceptional customer service to patients by contacting them to inform them of their authorization status and prepares them for their financial responsibility prior to their appointment. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

The value you'll bring to the team:

• Supports all aspects of financially clearing patients prior to their date of service for all facilities in the Central Florida Division and works in collaboration with the physician office to submit authorization.
• Contacts insurance companies, as well as physician offices, by phone, fax, or online portal to obtain insurance benefits, eligibility, and to secure and validate authorization information.
• Reviews clinical records when following up on authorization requests directly with a payor.
• Ensures all benefits, authorizations, pre-certifications, and financial obligations of patients, are documented clearly, accurately, precise, and detailed to ensure expeditious processing of patient accounts.
• Delivers excellent customer service by contacting patients to inform them of authorization delays 48 hours prior to their date of service and answers all questions and concerns patients may have regarding authorization status.
• Maintains working knowledge of clinical and third-party payor verification terminology to determine benefit eligibility interpretation of coverage.
• Adheres to HIPAA regulations by verifying pertinent information to determine caller authorization level receiving information on account.

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

Minimum qualifications:

• One year of direct Patient Access experience
• One year of customer service experience
• Prior collections experience
• High school diploma or GED

Preferred qualifications:

• Certified Healthcare Access Associate (CHAA)
• Certified Revenue Cycle Representative (CRCR)

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