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AdventHealth Lead Consumer Access Specialist Evenings in Tampa, Florida

Description

Lead Consumer Access Specialist AdventHealth Tampa

Location Address: 3100 East Fletcher Avenue Tampa, Florida 33613

Top Reasons to Work at AdventHealth Tampa

  • Florida Hospital Pepin Heart Institute, known across the country for its advances in cardiovascular disease prevention, diagnosis, treatment and research.
  • Surgical Pioneers – the first in Tampa with the latest robotics in spine surgery
  • Building a brand new, six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come
  • Awarded the Get With The Guidelines – Stroke GOLD Quality Achievement Award from the American Heart Association/American Stroke Association and have been recognized as a recipient of their Target: Stroke Honor Roll for our expertise in stroke care. We have also received certification by The Joint Commission in collaboration with the American Stroke Association as a Primary Stroke Center.

Work Hours/Shift:

Full Time Evenings Sunday - Wednesday 2:00pm - 12:30am

You Will Be Responsible For:

General Duties:

  • Proactively seeks assistance to improve any responsibilities assigned to their role
  • 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
  • Provides timely and continual coverage of assigned work area in order to offer prompt patient service and availability for all clinical partner registration needs. Arranges relief coverage during extended time away from assigned registration area
  • Meets and exceeds productivity standards determined by department leadership
  • Meets attendance and punctuality requirements. Maintains schedule flexibility to meet department needs.

* Insurance Verification/Authorization:*

  • 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

* Payment Management:*

  • Creates accurate estimates to maximize up-front cash collections and adds collections documentation where required
  • Calculates patients’ co-pays, deductibles, and co-insurance. Provides patients with personalized estimates of their financial responsibility based on their insurance coverage or eligibility for government programs prior to service for both inpatient and outpatient services
  • Advises patients of expected costs and collects payments or makes appropriate payment agreements in adherence to the AdventHealth TOS Collection Policy
  • Attempts to collect patient cost-sharing amounts (e.g., co-pays, deductibles)

* Quality Audits and Other Leadership Duties:*

  • Assists department supervisor with quality audits as needed
  • Demonstrates leadership skills through mentoring staff and assisting with departmental training as needed
  • Contributes to a positive work environment. Is open to change and is sensitive to department and organization needs
  • Acts as a liaison to various departments as a knowledge leader
  • Utilizes knowledge of and performs and educates team members on Guest Services functions to ensure the smooth operation of the Guest Services/Information department if applicable

Qualifications

What You Will Need:

KNOWLEDGE AND SKILLS REQUIRED:

  • Mature judgement in dealing with patients, physicians, and insurance representatives
  • Intermediate knowledge of Microsoft programs and familiarity with database programs
  • Ability to operate general office machines such as computer, fax machine, printer, and scanner
  • Ability to effectively learn and perform multiple tasks, and organize work in a systematic and efficient fashion
  • Ability to communicate professionally and effectively, both verbally and written
  • Ability to adapt in ever changing healthcare environment
  • Ability to follow complex instructions and procedures, with a close attention to detail
  • Adheres to government guidelines such as CMS, EMTALA, and HIPAA and AdventHealth corporate policies
  • Exceptional customer service skills
  • Advanced understanding of insurance knowledge and benefits
  • Advanced understanding of hospital electronic medical report (EMR) system
  • Basic medical terminology
  • Must be able to read, write, and speak conversational English

KNOWLEDGE AND SKILLS PREFERRED:

  • 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
  • Intermediate medical terminology
  • Bilingual – English/Spanish

EDUCATION AND EXPERIENCE REQUIRED:

  • One year of direct Patient Access experience
  • One year of customer service experience
  • Prior collections experience
  • High School diploma or GED

EDUCATION AND EXPERIENCE PREFERRED:

  • Two years of direct Patient Access experience
  • Associate’s degree in Health Services or completed coursework related to Health Services

LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:

  • Certified Healthcare Access Associate (CHAA)
  • Certified Revenue Cycle Representative (CRCR)

Job Summary:

Ensures patients are appropriately registered for all service lines. Performs 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. Works complex accounts and manages escalations from Consumer Access Representatives and Consumer Access Specialists

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 Tampa

Schedule: Full-time

Shift: 3 - Night

Travel: No

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.

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