Consumer Access Specialist Virtual

AdventHealth - Daytona Beach, FL

Full-time

Daytona Beach, FL

Hospitals

About the position

The position involves ensuring that patients are properly registered for all service lines, performing eligibility verification, obtaining pre-certifications and authorizations, making financial arrangements, and managing payments for services. The role requires maintaining effective communication with clinical partners and providing exemplary service to both internal and external customers. Additionally, the position includes PBX (switchboard) coverage and support as needed.

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 effective communication.
• Provides PBX (switchboard) coverage and support as needed.
• Contacts insurance companies to verify eligibility and benefits.
• Verifies medical necessity in accordance with CMS standards.
• Alerts physician offices to issues with verifying insurance.
• Obtains pre-authorizations from third-party payers.
• Accurately enters required authorization information in AdventHealth systems.
• Conducts follow-up on missing or incomplete pre-authorizations.
• Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries.

Requirements

• One year of relevant healthcare experience.
• One year of customer service experience.
• Prior collections experience.
• High School diploma or GED.

Nice-to-haves

• One year of direct Patient Access experience.
• Associate's degree.

Benefits

• Benefits & Paid Days Off from Day One
• Whole Person Wellbeing Resources
• Career Growth