Consumer Access Specialist
AdventHealth Ocala Posted on 2022-11-18
| Salary | Not mentioned |
|---|---|
| Location | Ocala, FL 34471 |
| Type | Full-time |
Job Description
All the benefits and perks you need for you and your family:
- Benefits from Day One
- Paid Days Off from Day One
- Student Loan Repayment Program
- Career Development
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.
Schedule: Full Time
Shift: Night Shift
Location: 1500 SW 1st Ave Ocala, Florida 34471
The community you’ll be caring for: AdventHealth Ocala
- Horse Capital of the World – Home to the World Equestrian Center
- Affordable cost of living
- Destination for outdoor enthusiast (golf, kayaking, horseback riding, nature trails)
- Vibrant downtown area with award winning establishments
- Family friendly with many parks and recreations
- Driving distance to Gainesville, St. Augustine, Orlando, Tampa, Sarasota
- Part of the community since 1898, providing healthcare to Marion County for over 120 years
- AdventHealth Hospital Ocala offers a broad spectrum of services, with programs that are nationally recognized and accredited
- Spectacular springs throughout the county
The role you’ll contribute:
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. Maintains a close working relationship with clinical partners to ensure continual open communication between clinical, ancillary, and patient access departments. Actively participates in extending exemplary service to both internal and external customers and accepts responsibility in maintaining relationships that are equally respectful to all. Provides PBX (switchboard) coverage and support as needed.
The value you’ll bring to the team:
- 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
Qualifications
The expertise and experiences you’ll need to succeed:
- High School Diploma or equivalent
- Mature judgement in dealing with patients, physicians, and insurance representatives
- Working knowledge of Microsoft programs and familiarity with database programs
- Ability to operate general office machines such as computer, fax machine, printer
- Ability to effectively learn and perform multiple tasks, and organize work in a systematic and efficient fashion
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Company description:
AdventHealth Ocala, formerly Munroe Regional Medical Center, is a Joint Commission accredited 425-bed acute care hospital serving Ocala, Marion County, and the surrounding area. AdventHealth Ocala offers 24/7 Emergency Care, Diagnostic Testing, Inpatient and Outpatient Surgery, Women’s Services including Labor and Delivery, a Level II NICU, Bariatric Weight Loss Surgery, and Inpatient and Outpatient Therapy. AdventHealth Ocala also features a certified Chest Pain Center with specific accreditations for atrial fibrillation and heart failure.
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