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Consumer Access Specialist FT Day Virtual Hiring Event on May 4th from 9am to 4pm Tampa, Carrollwood, Wesley Chapel

Job Description


Description

Consumer Access Representative Full Time Day AdventHealth Tamap, Carrollwood, Wesley Chapel and West Florida Division 

Virtual Hiring Event Details: Scheduling Virtual Online Interviews for Full Time Consumer Patient Access positions for available at our Tampa, Carrollwood, Wesley Chapel or West Florida Division.  20 minute virtual interviews to be scheduled for Tuesday, May 4th from 9am to 4:00pm  

Top Reasons to Work at AdventHealth:

  • Immediate Benefits
  • Tuition Reimbursement
  • Paid Time Off
  • Competitive Pay

Work Hours/Shift:

Full Time Day

YOU ARE REQUIRED TO SUBMIT A RESUME WITH YOUR APPLICATION!

You Will Be Responsible For: 

General Duties:

  • 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
  • Monitors work queues throughout to day to ensure patient accounts are worked timely and in accordance with established service line leader expectations
  • Meets and exceeds productivity standards determined by department leadership
  • Meets attendance and punctuality requirements. Maintains schedule flexibility to meet department needs. Exhibits effective time management skills by monitoring time and attendance to limit use of unauthorized overtime 
  • Actively attends department meetings and promotes positive dialogue within the team

Insurance Verification/Authorization:

  • 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
  • Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information to the patient. Alerts physician offices to issues with verifying insurance
  • Obtains pre-authorizations from third-party payers in accordance with payer requirements and within established timeframe before scheduled appointments and during or after care for unscheduled patients. Accurately enters required authorization information in AdventHealth systems to include length of authorization, total number of visits, and/or units of medication
  • Obtains PCP referrals when applicable
  • 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

Patient Data Collection:

  • Minimizes duplication of medical records by using problem-solving skills to verify patient identity through demographic details
  • Identifies patients who may need Medicare Advance Beneficiary Notices of Noncoverage (ABNs)
  • Ensures patient accounts are assigned the appropriate payor plans
  • Ensures all financial assessments, eligibility, and benefits are updated and thorough to support post care financial needs. Uses utmost caution that obtained benefits, authorizations, and pre-certifications are correct and as accurate as possible to avoid rejections and/or denials. Maintains a current and thorough knowledge of utilizing online eligibility pre-certification tools made available

Payment Management:

  • Creates accurate estimates to maximize up-front cash collections and adds collections documentation where required
  • Calculates patients’ co-pays, deductibles, and co-insurance. Provides personalized estimates of patient financial responsibility based on their insurance coverage or eligibility for government programs prior to service for both inpatient and outpatient services
Qualifications

KNOWLEDGE AND SKILLS REQUIRED:

  • Mature judgement in dealing with patients, physicians, and insurance representatives
  • Working knowledge of Microsoft programs and familiarity with database programs
  • Ability to operate general office machines such as computer, fax machine, printer, and scanner
  • Ability to effectively learn and perform multiple tasks, and organize work in a systematic and efficient fashion
  • Ability to communicate professionally and effectively, both verbally and written
  • Ability to adapt in ever changing healthcare environment
  • Ability to follow complex instructions and procedures, with a close attention to detail
  • Adheres to government guidelines such as CMS, EMTALA, and HIPPAA and AdventHealth corporate policies

KNOWLEDGE AND SKILLS PREFERRED:

  • Understanding of HIPAA privacy rules and ability to use discretion when discussing patient related information that is confidential in nature as needed to perform duties
  • Knowledge of computer programs and electronic health record programs
  • Basic knowledge of medical terminology
  • Exposure to insurance benefits; ability to decipher insurance benefit information 
  • Bilingual – English/Spanish

EDUCATION AND EXPERIENCE REQUIRED:

  • High School diploma or GED

EDUCATION AND EXPERIENCE PREFERRED:

  • One year of relevant healthcare experience
  • One year of customer service experience
  • Prior collections experience
  • Associate’s degree

Job Summary:

Ensures patients are appropriately financially cleared for all appointments. Performs eligibility verification, obtains pre-cert and/or authorizations, clears registration errors and edits pre-bill, and performs 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.


This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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Job Description: Consumer Access Specialist FT Day Virtual Hiring Event on May 4th from 9am to 4pm Tampa, Carrollwood, Wesley Chapel

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Description Consumer Access Representative Full Time Day AdventHealth Tamap, Carrollwood, Wesley Chapel and West Florida Division  Virtual Hiring Event Details: Scheduling Virtual Onlin

Description

Consumer Access Representative Full Time Day AdventHealth Tamap, Carrollwood, Wesley Chapel and West Florida Division 

Virtual Hiring Event Details: Scheduling Virtual Online Interviews for Full Time Consumer Patient Access positions for available at our Tampa, Carrollwood, Wesley Chapel or West Florida Division.  20 minute virtual interviews to be scheduled for Tuesday, May 4th from 9am to 4:00pm  

Top Reasons to Work at AdventHealth:

  • Immediate Benefits
  • Tuition Reimbursement
  • Paid Time Off
  • Competitive Pay

Work Hours/Shift:

Full Time Day

YOU ARE REQUIRED TO SUBMIT A RESUME WITH YOUR APPLICATION!

You Will Be Responsible For: 

General Duties:

  • 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
  • Monitors work queues throughout to day to ensure patient accounts are worked timely and in accordance with established service line leader expectations
  • Meets and exceeds productivity standards determined by department leadership
  • Meets attendance and punctuality requirements. Maintains schedule flexibility to meet department needs. Exhibits effective time management skills by monitoring time and attendance to limit use of unauthorized overtime 
  • Actively attends department meetings and promotes positive dialogue within the team

Insurance Verification/Authorization:

  • 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
  • Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information to the patient. Alerts physician offices to issues with verifying insurance
  • Obtains pre-authorizations from third-party payers in accordance with payer requirements and within established timeframe before scheduled appointments and during or after care for unscheduled patients. Accurately enters required authorization information in AdventHealth systems to include length of authorization, total number of visits, and/or units of medication
  • Obtains PCP referrals when applicable
  • 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

Patient Data Collection:

  • Minimizes duplication of medical records by using problem-solving skills to verify patient identity through demographic details
  • Identifies patients who may need Medicare Advance Beneficiary Notices of Noncoverage (ABNs)
  • Ensures patient accounts are assigned the appropriate payor plans
  • Ensures all financial assessments, eligibility, and benefits are updated and thorough to support post care financial needs. Uses utmost caution that obtained benefits, authorizations, and pre-certifications are correct and as accurate as possible to avoid rejections and/or denials. Maintains a current and thorough knowledge of utilizing online eligibility pre-certification tools made available

Payment Management:

  • Creates accurate estimates to maximize up-front cash collections and adds collections documentation where required
  • Calculates patients’ co-pays, deductibles, and co-insurance. Provides personalized estimates of patient financial responsibility based on their insurance coverage or eligibility for government programs prior to service for both inpatient and outpatient services
Qualifications

KNOWLEDGE AND SKILLS REQUIRED:

  • Mature judgement in dealing with patients, physicians, and insurance representatives
  • Working knowledge of Microsoft programs and familiarity with database programs
  • Ability to operate general office machines such as computer, fax machine, printer, and scanner
  • Ability to effectively learn and perform multiple tasks, and organize work in a systematic and efficient fashion
  • Ability to communicate professionally and effectively, both verbally and written
  • Ability to adapt in ever changing healthcare environment
  • Ability to follow complex instructions and procedures, with a close attention to detail
  • Adheres to government guidelines such as CMS, EMTALA, and HIPPAA and AdventHealth corporate policies

KNOWLEDGE AND SKILLS PREFERRED:

  • Understanding of HIPAA privacy rules and ability to use discretion when discussing patient related information that is confidential in nature as needed to perform duties
  • Knowledge of computer programs and electronic health record programs
  • Basic knowledge of medical terminology
  • Exposure to insurance benefits; ability to decipher insurance benefit information 
  • Bilingual – English/Spanish

EDUCATION AND EXPERIENCE REQUIRED:

  • High School diploma or GED

EDUCATION AND EXPERIENCE PREFERRED:

  • One year of relevant healthcare experience
  • One year of customer service experience
  • Prior collections experience
  • Associate’s degree

Job Summary:

Ensures patients are appropriately financially cleared for all appointments. Performs eligibility verification, obtains pre-cert and/or authorizations, clears registration errors and edits pre-bill, and performs 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.


This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
....  read more -->>

AdventHealth Tampa

About the area
Whatever you’re looking for, you can find it in Tampa. As the second largest metropolitan area in Florida, it combines world-class shopping, dining and entertainment options with more than 165 parks and beaches to create the perfect place to live, work, and play. Over the years, Tampa has been included on many lists of “bests” including best city for the outdoors, best city for 20-somethings, safest cities for families with young children, best city for a healthy retirement, America’s manliest cities, best baseball city, and most playful city.




Our Culture

What is the culture like at AdventHealth
We have a friendly, Christian culture that inspires us to care for patients with uncommon compassion and uncompromising excellence. Because we believe that each person is created in the image of God with an inseparable connection between mind, body and spirit, our focus goes beyond treating illness toward helping people achieve optimal well-being so they can enjoy happy, healthy lives. This same philosophy of care is extended to our team members through personal interactions (team lunches, huddles, and prayer) and professional resources (ongoing education, comprehensive benefits, and employee wellness program) to help you be your best and provide the best possible care.




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