7 Consumer Access Specialist Patient Access PT Flex Orlando Jobs in Orlando, FL
AdventHealth Orlando is Hiring a Consumer Access Specialist Patient Access PT Flex Orlando Near Orlando, FL
- Located on a lush tropical campus, our flagship hospital, 1,368-bed AdventHealth Orlando
- serves as the major tertiary facility for much of the Southeast, the Caribbean and South America
- AdventHealth Orlando houses one of the largest Emergency Departments and largest cardiac catheterization labs in the country
- We are already one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year
- 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)
- Adheres to HIPAA regulations by verifying information to determine caller authorization level receiving information on account.
- Creates accurate estimates to maximize up-front cash collections and adds collections documentation where required
- Calculates patients’ co-pays, deductibles, and co-insurance. Provides personalized estimates of patient financial responsibility based on their insurance coverage or eligibility for government programs prior to service for both inpatient and outpatient services
What 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.
Job Keywords: Registration Representative, Authorization Representative, Patient Registration, PreAccess, Maitland
Job Summary
Full Time
Hospital
$37k-45k (estimate)
02/12/2023
05/17/2024
www.floridahospital.com
Orlando, Florida
15,000 - 50,000
Denis Nagle
$200M - $500M
Hospital
Related Companies
About AdventHealth Orlando
Founded in 1908, AdventHealth Orlando is a faith-based non-profit, tertiary, research and academic medical center that offers Orthopedic Care, Bariatric and Weight Care, Ear, Nose and Throat Care, Imaging Services, and more. The company is located in Orlando, Florida.
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