Performs consumer access, registration, and financial counseling functions in a healthcare setting.
Responsibilities include:
- Perform Medicare compliance reviews and issue Advance Beneficiary Notices of Noncoverage as needed.
- Create accurate estimates for patient financial responsibility and collect payments or establish payment plans.
- Coordinate with utilization management staff regarding pre-authorization issues and ensure patients have necessary logistical information.
- Contact insurance companies to verify eligibility and benefits, and obtain pre-authorizations within established timeframes.
- Register patients for all services while ensuring accuracy and minimizing duplication of medical records.
- Collect critical demographic information from patients and confirm insurance details.
- Provide timely and continual coverage of assigned work areas during scheduled shifts, arranging relief coverage as needed.
- Manage communication between clinical, ancillary, and consumer access departments to enhance the patient experience.
- Document patient and insurance representative conversations, including payer decisions and payment arrangements.
- Attend department meetings and contribute to a positive team environment.
- Provide PBX/switchboard coverage as needed, including answering phones and transferring calls.
- Perform cashiering functions such as collections and cash reconciliation accurately.
- Complete other duties as assigned.
Requirements & Qualifications
Education
- High School Diploma or equivalent required
- Associate degree preferred
Experience
- 1+ year of customer service experience preferred
- 1+ year of relevant healthcare experience preferred
- 1+ year of revenue cycle experience preferred
Knowledge, Skills, and Abilities
- Mature judgment when dealing with patients, physicians, and insurance representatives
- Working knowledge of Microsoft programs and database programs
- Ability to operate general office machines such as computers, fax machines, printers, and scanners
- Ability to learn and perform multiple tasks and organize work efficiently
- Ability to communicate professionally and effectively, verbally and in writing
- Ability to adapt to an ever-changing healthcare environment
- Ability to follow complex instructions and procedures with close attention to detail
- Understanding of CMS, EMTALA, HIPAA, and corporate policies
- Knowledge of HIPAA privacy rules and ability to use discretion with confidential patient information
- Knowledge of computer programs and electronic health record systems
- Basic knowledge of medical terminology
- Exposure to insurance benefits and ability to decipher benefit information
- Bilingual English/Spanish preferred
Licenses and Certifications
- Certified Healthcare Access Associate (CHAA) preferred
- Certified Revenue Cycle Representative (CRCR) preferred
Benefits & Perks
Benefits and Perks
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Disability insurance
- Paid time off from day one
- 403(b) retirement plan
- 4 weeks of 100% paid parental leave
- Career development opportunities
- Whole person well-being resources
- Mental health resources and support
- Pet benefits
Location
Florida, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 month ago
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