Consumer Access Specialist

Company: AdventHealth Daytona Beach
Location: Daytona Beach
Posted on: June 25, 2022

Job Description:

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

• Benefits from Day One
• Paid Days Off from Day One
• Career Development 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: Monday - Friday
  • The community you'll be caring for: AdventHealth Daytona Beach: 301 Memorial Medical Pkwy. Daytona Beach, FL 32117 The role you'll contribute: As a consumer access specialist, you will be responsible for performing the 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. Maintains a close working relationship with clinical partners to ensure continual open communication between clinical, ancillary, and patient access departments. The value you'll bring to the team:
    • 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
    • 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 QualificationsThe expertise and experiences you'll need to succeed:
      • High School Grad or Equivalent
      • Basic knowledge of medical terminology
      • Exposure to insurance benefits; ability to decipher insurance benefit information
      • One year of customer service experience This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Keywords: AdventHealth Daytona Beach, Daytona Beach , Consumer Access Specialist, Other , Daytona Beach, Florida