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Consumer Access Specialist Central Scheduling FT Day Heart of Florida

Company: AdventHealth Heart of Florida
Location: Davenport
Posted on: November 22, 2021

Job Description:

DescriptionYOU ARE REQUIRED TO SUBMIT A RESUME WITH YOUR APPLICATION! Consumer Access Specialist ---AdventHealth ---Heart of Florida Location Address:----Work from Home Top Reasons to work at AdventHealth -----Heart of Florida

  • Close proximity to Walt Disney World
  • Various outdoor activities for families and children to enjoy
  • Beautiful local golf courses available year round
  • Faith-based work environment
  • Great benefits Work Hours/Shift:------Full Time Day (Monday --- Friday--between 8a-4:30p) You Will Be Responsible For:
    • Proactively 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
    • Meet department standard when obtaining--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
    • Maintain close working relationship with clinical partners and physician offices to resolve 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
    • Minimizes duplication of medical records by using problem-solving skills to verify patient identity through demographic details
    • Ensures patient accounts are assigned the appropriate payor plans
    • Ensures all financial assessments, eligibility, and benefits are updated and thorough to support post care financial needs. Uses utmost caution that obtained benefits, authorizations, and pre-certifications are correct and as accurate as possible to avoid rejections and/or denials. Maintains a current and thorough knowledge of utilizing online eligibility pre-certification tools made available
    • Thoroughly documents all conversations with patients and insurance representatives - including payer decisions, collection attempts, and payment plan arrangements
    • Coordinates with case management staff as necessary (e.g., when pre-authorization cannot be obtained for an inpatient stay) QualificationsWhat You Will Need: Required:
      • One year of customer service experience
      • High School diploma or GED Preferred:--
        • One year of relevant healthcare experience
        • One year of customer service experience
        • Prior collections experience
        • Associate degree GENERAL SUMMARY:-- Ensures patients are appropriately financially cleared for all appointments. Performs eligibility verification, obtains pre-cert and/or authorizations, clears registration errors and edits pre-bill, and performs 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.-- This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Keywords: AdventHealth Heart of Florida, Orlando , Consumer Access Specialist Central Scheduling FT Day Heart of Florida, Other , Davenport, Florida

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