Consumer Access Specialist SR
AdventHealth Tampa Posted on 2022-11-18
| Salary | Not mentioned |
|---|---|
| Location | Tampa, FL 33613 |
| 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: Day Shift
Location: 3100 East Fletcher Avenue Tampa, Florida 33613
The community you’ll be caring for: AdventHealth Tampa
- AdventHealth 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.
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
- Alerts physician offices to issues with obtaining pre-authorizations. Conducts diligent follow-up on missing or incomplete pre-authorizations with third-party payers to minimize authorization related denials through phone calls, emails, faxes, and payer websites, updating documentation as needed
- Submits notice of admissions when requested by facility
- Corrects demographic, insurance, or authorization related errors and pre-bill edit
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, and
- 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:
We have celebrated many firsts in Tampa »s health care history since we opened our doors in 1968. Today, we continue to offer innovative medicine as we elevate health care in the region. Our diverse clinical specialties include cardiovascular care, neurosciences, orthopedics, women »s health, cancer and surgery. Our skilled surgeons not only utilize minimally invasive and robotic-assisted procedures, but they are also leaders in improving these advanced techniques. We are also home for the AdventHealth Pepin Heart Institute, known across the country for advances in cardiovascular disease prevention, diagnosis, treatment and research. And we »re continuing the make history. Through our clinical research program, we apply the very latest advancements in medical technology to medical treatments that can be used today. With the clinical expertise, innovation and compassion of our team members, we »re changing the way people look at health care. Taneja Center for Innovative Surgery, Surgical Tower Expansion (Opening 2021) • New 6-story surgical/patient care tower adding 314,000 square feet to the facility • Upon opening, 96 private patient rooms (with room to add additional 36) • Upon opening, 18 new operating rooms (with room to add additional 6) • $256 million investment Notable First, Best and Only Achievements • First in Tampa and among the first in the country to perform the TAVR procedure • First in Tampa to offer Watchman procedure to reduce stroke risk in patients with aFib • First in Tampa to utilize the Impella RP heart pump on patient with right-side heart failure • First and only facility in Tampa to offer molecular breast imaging • Home to the only surgeon in Florida doing ALPPS procedure for the liver • Highest minimally invasive robotic liver cases in the state of Florida • Only site in country offering single incision gallbladder surgery with epidural anesthesia • Pioneers of single incision laparoscopic (scar-less) surgery • One of the first/only facilities in Tampa Bay to have a 24/7 neuro-interventional radiologist to treat stroke and other life-threatening conditions of the nervous system • First and only hospital in the southeastern U.S. to use Synaptive Medical Inc.’s BrightMatter™ system with next generation Modus V digital microscope and robotic arm • Tampa’s first and AdventHealth’s only fully dedicated epilepsy monitoring unit equipped with telemedicine capabilities • Only accredited CARF Inpatient rehabilitation facility in north Hillsborough county • First accredited sleep lab in Tampa Bay by the American Academy of Sleep Medicine • AdventHealth Tampa and AdventHealth Carrollwood are only facilities in Tampa with accreditation with distinction by Undersea & Hyperbaric Medical Society
Follow us