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
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