Consumer Access Specialist Relief Emergency Dept

AdventHealth - Shawnee, KS

Full-time

Shawnee, KS

Hospitals

About the position

As a Consumer Access Specialist at AdventHealth Shawnee Mission, you will play a crucial role in ensuring that patients are appropriately registered for all service lines. This position involves performing eligibility verification, obtaining pre-certifications and authorizations, making financial arrangements, and requesting and receiving payments for services. You will also be responsible for cashiering functions, clearing registration errors, and editing pre-bills, among other duties. Your role will require maintaining a close working relationship with clinical partners to ensure continual open communication between clinical, ancillary, and patient access departments. You will actively participate in extending exemplary service to both internal and external customers, accepting responsibility for maintaining respectful relationships with all stakeholders. In this position, you will verify medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicate relevant coverage and eligibility information to patients. You will alert physician offices to any issues with verifying insurance and minimize duplication of medical records by using problem-solving skills to verify patient identity through demographic details. Additionally, you will register patients for all services, including emergency room visits, outpatient services, inpatient admissions, observation, same-day surgeries, and outpatient care, while achieving department-specific goals for accuracy. You will create accurate estimates to maximize up-front cash collections and add necessary collections documentation. Calculating patients' co-pays, deductibles, and co-insurance will also be part of your responsibilities, as well as providing patients with personalized estimates of their financial responsibility based on their insurance coverage.

Responsibilities

• Ensures patients are appropriately registered for all service lines.
• Performs eligibility verification and obtains pre-certifications and authorizations.
• Makes financial arrangements and requests payments for services.
• Performs cashiering functions and clears registration errors.
• Maintains a close working relationship with clinical partners for open communication.
• Participates in extending exemplary service to internal and external customers.
• Verifies medical necessity in accordance with CMS standards.
• Communicates relevant coverage and eligibility information to patients.
• Alerts physician offices to issues with verifying insurance.
• Minimizes duplication of medical records by verifying patient identity.
• Registers patients for all services and achieves accuracy goals.
• Creates accurate estimates to maximize up-front cash collections.
• Calculates patients' co-pays, deductibles, and co-insurance.
• Provides patients with personalized estimates of their financial responsibility.

Requirements

• High school diploma or equivalent.
• 1-2 years of position-related experience.
• Preferred: Prior collections experience.
• One year of customer service experience.
• Associate's degree.

Benefits

• Vision, Medical & Dental Benefits from Day One
• Magnet® recognition from the American Nurses Credentialing Center
• Opportunity for professional growth and spiritual development
• Community-focused work environment.