Consumer Access Specialist Birth Center Part Time Weekends

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.

Performs Medicare compliance reviews and issues Advance Beneficiary Notices of Noncoverage as needed. Creates accurate estimates for patient financial responsibility and collects payments or establishes payment plans. Coordinates with utilization management staff for pre-authorization issues and ensures patients have necessary logistical information. Contacts insurance companies to verify eligibility and benefits, and obtains pre-authorizations within established timeframes. Registers patients for all services, ensuring accuracy and minimizing duplication of medical records. Collects critical demographic information from patients and confirms insurance details. Provides timely and continual coverage of assigned work areas during scheduled shifts, arranging relief coverage as needed. Manages communication between clinical, ancillary, and consumer access departments to enhance the patient experience. Consistently provides excellent customer service, documenting all patient and insurance representative conversations, including payer decisions and payment arrangements. Attends department meetings and promotes positive dialogue within the team. Provides coverage for PBX (Switchboard) as needed, including answering phones and transferring calls. Performs cashiering functions such as collections and cash reconciliation accurately. Other duties as assigned.

• Demonstrates sound judgment when interacting with patients, physicians, insurance representatives, and other stakeholders.
• Working knowledge of Microsoft Office applications, database programs, and electronic health record (EHR/EMR) systems.
• Ability to use standard office equipment and technology required to perform the essential functions of the role.
• Ability to learn and manage multiple tasks while organizing work efficiently and systematically.
• Ability to communicate professionally and effectively, both verbally and in writing.
• Ability to adapt to changes in the healthcare environment.
• Ability to follow complex instructions and procedures with attention to detail.
• Adheres to applicable government requirements, including CMS, EMTALA, and HIPAA, as well as organizational policies.
• Understands HIPAA privacy requirements and maintains appropriate confidentiality of patient information.
• Basic to intermediate knowledge of medical terminology.
• Knowledge of insurance benefits and ability to interpret benefit information.
• Advanced knowledge of insurance benefits and related processes.
• Advanced knowledge of hospital electronic medical record systems.
• Demonstrates strong customer service skills and experience in a customer service-related environment.
• Bilingual proficiency in English and Spanish preferred, when relevant to the needs of the role.

• High school diploma or equivalent — Required
• Associate degree — Preferred

• 1+ year of customer service experience — Preferred
• 1+ year of relevant healthcare experience — Preferred
• 1+ year of revenue cycle experience — Preferred

• Reasonable accommodations may be provided to qualified individuals with disabilities to enable them to perform the essential functions of the position, in accordance with applicable law.

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

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.