PreAccess Physician Collaboration and Authorization

Adventhealth Imagingmid

HealthcarePhysician

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Quick Summary

Overview

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,

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HealthcarePhysician

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.

What We Offer

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✓Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

✓Paid Time Off from Day One

✓403-B Retirement Plan

✓4 Weeks 100% Paid Parental Leave

✓Career Development

✓Whole Person Well-being Resources

✓Mental Health Resources and Support

✓Pet Benefits

Day (United States of America)

9975 TAVISTOCK LAKES BLVD

ORLANDO

Florida

32827

Schedule: Monday - Friday 6:45am - 3:15pm

Location: AdventHealth Imaging Training Center - 25 South Terry Avenue Suite 220 Orlando FL 32805

Contacts insurance companies and physician offices by phone, fax, or online portal to obtain insurance benefits, eligibility, and secure authorization information. Ensures every effort is made to obtain authorization from payers to protect the financial stability of the hospital. Cross-trained between 2-5 areas, including imaging, surgery, inpatient, pre-registration, or rehab to assist in multiple areas as needed. Reviews clinical records when following up on authorization requests directly with payors. Escalates peer-to-peer requests to physician offices and assists in scheduling these requests to ensure an authorization decision is made prior to the date of service. Uses utmost caution to ensure obtained benefits, authorizations, and pre-certifications are accurate according to the actual test and procedure being performed. Documents all benefits, authorizations, pre-certifications, and financial obligations of patients clearly, accurately, and in detail to ensure expeditious processing of patient accounts. Delivers excellent customer service by contacting patients to inform them of authorization delays 48 hours prior to their date of service and answers all questions and concerns regarding authorization status. Pre-registers patients by obtaining demographic information, informing them of their financial responsibility, and collecting payment. Cancel and/or reschedules patients who may not want to proceed with service due to financial clearance. Maintains working knowledge of clinical and third-party payor verification terminology to determine benefit eligibility and authorization requirements for both complex and non-complex procedures/exams. Other duties as assigned.

Knowledge, Skills, and Abilities:
• Understanding of HIPAA privacy rules and adroit ability to use discretion when discussing patient related information that is confidential in nature as needed to perform duties [Required]
• Working knowledge of Microsoft programs and familiarity with database programs [Required]
• Ability to operate general office machines such as computers, facsimiles, copiers, and scanners [Required]
• Ability to effectively learn and perform multiple tasks, and organize work in a systematic and efficient fashion [Required]
• Ability to communicate professionally and effectively in English, both verbally and in written form [Required]
• Ability to be responsive to ever-changing matrix of hospital needs and act accordingly [Required]
• Ability to follow complex instructions and procedures, with a close attention to detail [Required]
• Familiarity with medical procedures, terminology & modality requirements [Required]
• 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 Scheduling experience [Preferred]
• Intermediate medical terminology [Preferred]
• Bilingual – English/Spanish [Preferred]
• Healthcare financial services experience [Preferred]

Education:
• Associate [Preferred]

Field of Study:
• or GED

Work Experience:
• 1+ customer service [Required]
• 1+ direct patient access [Required]
• 2+ direct patient access or customer service [Preferred]
• Prior collections [Required]

Additional Information:
• N/A

Licenses and Certifications:
• Certified Healthcare Access Associate (CHAA) [Preferred]
• Certified Revenue Cycle Rep (CRCR) [Preferred]

Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677

$18.69 - $29.89

Requirements

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Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse:
https://info.flclearinghouse.com/

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