Performs Medicare compliance reviews and issues Advance Beneficiary Notices of Noncoverage as needed. Creates accurate estimates for patient financial responsibility and collects payments or establishes payment plans. Coordinates with utilization management staff for pre-authorization issues and ensures patients have necessary logistical information. Contacts insurance companies to verify eligibility and benefits, and obtains pre-authorizations within established timeframes. Registers patients for all services, ensuring accuracy and minimizing duplication of medical records. Collects critical demographic information from patients and confirms insurance details.
Provides timely and continual coverage of assigned work areas during scheduled shifts, arranging relief coverage as needed. Manages communication between clinical, ancillary, and consumer access departments to enhance the patient experience. Consistently provides excellent customer service, documenting all patient and insurance representative conversations, including payer decisions and payment arrangements. Attends department meetings and promotes positive dialogue within the team.
Provides coverage for PBX (switchboard) as needed, including answering phones and transferring calls. Performs cashiering functions such as collections and cash reconciliation accurately. Other duties as assigned.
Knowledge, skills, and abilities
- Mature judgment 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 scanner
- Ability to effectively learn and perform multiple tasks and organize work in a systematic and efficient fashion
- Ability to communicate professionally and effectively, both verbally and in writing
- Ability to adapt in an ever-changing healthcare environment
- Ability to follow complex instructions and procedures with close attention to detail
- Adheres to government guidelines such as CMS, EMTALA, and HIPAA and corporate policies
- Understanding of HIPAA privacy rules and ability to use discretion when discussing 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
- Experience in a customer service-related field
- Exceptional customer service skills
- Advanced understanding of insurance knowledge and benefits
- Advanced understanding of hospital EMR systems
- Intermediate medical terminology
Education
- High school diploma or equivalent required
- Associate degree preferred
Experience
- 1+ year customer service preferred
- 1+ year relevant healthcare experience preferred
- 1+ year revenue cycle experience preferred
Certifications
- Certified Healthcare Access Associate (CHAA) preferred
- Certified Revenue Cycle Representative (CRCR) preferred
Benefits and perks
- Medical, dental, and vision insurance
- Life insurance
- Disability insurance
- Paid time off from day one
- 403(b) retirement plan
- 4 weeks 100% paid parental leave
- Career development
- Whole person well-being resources
- Mental health resources and support
- Pet benefits
Location
Orlando, Florida, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
3 weeks ago