Consumer Access Specialist
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At a glance
Job overview
AdventHealth is hiring a Consumer Access Specialist. AdventHealth seeks a Consumer Access Specialist to perform Medicare compliance reviews, create patient financial responsibility estimates, verify insurance eligibility, register patients, manage cash collections, and provide customer service during part‑time day shifts in Manchester, KY. The role supports coordination with utilization management, handles PBX duties, and contributes to positive patient experiences.
Key focus areas include Perform Medicare compliance reviews and issue Advance Beneficiary Notices of Noncoverage as needed., Create accurate estimates for patient financial responsibility and collect payments or establish payment plans., and Coordinate with utilization management staff for pre‑authorization issues and ensure patients receive necessary logistical information..
Successful candidates bring High School Grad Or Equivalent. Preferred (not required): Medicare Compliance Reviews, Advance Beneficiary Notices Of Noncoverage, Patient Financial Responsibility Estimates, and Payment Plans.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
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.
All the benefits and perks you need for you and your family:
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Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
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Paid Time Off from Day One
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403-B Retirement Plan
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4 Weeks 100% Paid Parental Leave
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Career Development
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Whole Person Well-being Resources
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Mental Health Resources and Support
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Pet Benefits
Schedule:
Part time
Shift:
Day (United States of America)
Address:
210 MARIE LANGDON DR
City:
MANCHESTER
State:
Kentucky
Postal Code:
40962
Job Description:
SHIFT: Wednesday 1pm-7pm Friday 10am-10:30p
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Performs Medicare compliance reviews and issues Advance Beneficiary Notices of Noncoverage as needed.
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Creates accurate estimates for patient financial responsibility and collects payments or establishes payment plans.
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Coordinates with utilization management staff for pre-authorization issues and ensures patients have necessary logistical information.
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Contacts insurance companies to verify eligibility and benefits, and obtains pre-authorizations within established timeframes.
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Registers patients for all services, ensuring accuracy and minimizing duplication of medical records.
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Collects critical demographic information from patients and confirms insurance details.
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Provides timely and continual coverage of assigned work areas during scheduled shifts, arranging relief coverage as needed.
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Manages communication between clinical, ancillary, and consumer access departments to enhance the patient experience.
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Consistently provides excellent customer service, documenting all patient and insurance representative conversations, including payer decisions and payment arrangements.
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Attends department meetings and promotes positive dialogue within the team.
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Provides coverage for PBX (Switchboard) as needed, including answering phones and transferring calls.
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Performs cashiering functions such as collections and cash reconciliation accurately.
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Other duties as assigned.
Knowledge, Skills, and Abilities:
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Mature judgement in dealing with patients, physicians, and insurance representatives
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Working knowledge of Microsoft programs and familiarity with database programs
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Ability to operate general office machines such as computer, fax machine, printer, and scanner
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Ability to effectively learn and perform multiple tasks, and organize work in a systematic and efficient fashion
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Ability to communicate professionally and effectively, both verbally and written
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Ability to adapt in ever-changing healthcare environment
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Ability to follow complex instructions and procedures, with a close attention to detail
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Adheres to government guidelines such as CMS, EMTALA, and HIPAA and corporate policies
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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
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Knowledge of computer programs and electronic health record programs
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Basic knowledge of medical terminology
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Exposure to insurance benefits; ability to decipher insurance benefit information
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Bilingual – English/Spanish
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Experience in Customer Service related field
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Exceptional customer service skills
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Advanced understanding of insurance knowledge and benefits
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Advanced understanding of hospital electronic medical report (EMR) system
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Intermediate medical terminology
Education:
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Associate Preferred
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High School Grad or Equiv Required
Work Experience:
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1+ customer service Preferred
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1+ relevant healthcare Preferred
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1+ revenue cycle Preferred
Licenses and Certifications:
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Certified Healthcare Access Associate (CHAA) Preferred
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Certified Revenue Cycle Rep (CRCR) Preferred
Pay Range:
$15.77 - $25.23
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Category: Patient Financial Services
Organization: AdventHealth Manchester
Schedule: Part time
Shift: Day
Req ID: 152965053
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