Adventist Health

The Payment Specialist is responsible for payment posting activities for AdventHealth services, including posting insurance and patient payments, managing patient refunds, and handling correspondence. The role requires effective problem-solving and maintaining productivity and quality standards. | Candidates should be proficient in MS Office and have strong communication skills, attention to detail, and familiarity with insurance plans and EOBs. Knowledge of medical terminology and basic understanding of the Epic patient accounting system is also required. | All the benefits and perks you need for you and your family: Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support 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. Shift: Monday- Friday Fulltime Job Location: Remote The role you will contribute: The Payment Specialist is part of a Centralized Payment Posting team responsible for payment posting activities for the majority of AdventHealth services provided. These activities include posting insurance and patient payments, managing patient refunds and credit balances, patient and insurance correspondence, reconciliation, and other miscellaneous functions. AdventHealth services included in the Centralized Payment Posting activities are hospital, physician, urgent care, home health, hospice, among others. The value you will bring to the team: Receive payments from third party payor lockbox and mail correspondence and post payments to patient claims in the patient accounting system Review electronic remittances and resolve electronic posting exceptions and variances, posting payments to corresponding patient claims Interpret Explanation of Benefits (EOBs) and transfer remaining patient and secondary insurance liability to the appropriate payor or next responsible party Distinguish unidentified payments and post the payments to designated unidentified cash accounts Post and process all zero-balance EOBs daily Contact payors when additional information is necessary to address a payment posting issue Perform effectively in fast-paced environment and demonstrate strong problem-solving skills Achieve and maintain performance consistent with requirements for productivity, quality, and service levels Develop and maintain productive team-oriented relationships through individual contacts and group meetings Achieve superior customer satisfaction by embracing and exemplifying the AdventHealth service standards Perform other duties as assigned Available outside of normal business hours for occasional support needs The expertise and experiences you’ll need to succeed: " Proficient in MS Office Suite (Outlook, Excel, Word) Ability to problem solve Professional and effective in communication skills Demonstrate a strong attention to detail and thoroughness Effectively utilize available and relevant technical tools and resources (e.g. Microsoft Excel and other relevant software) Strong data entry skills" Familiarity with insurance plans and EOBs Medical terminology, knowledge of insurance and reimbursement procedures Basic understanding of Epic patient accounting system Understanding of complexity around line level payment posting for physician posting Knowledge of HCFA 1500 and UB04

The Payment Specialist is responsible for payment posting activities for AdventHealth services, including posting insurance and patient payments, managing refunds, and handling correspondence. The role requires effective problem-solving and maintaining productivity and quality standards. | Candidates should be proficient in MS Office and have strong communication skills, attention to detail, and familiarity with insurance plans and EOBs. Knowledge of medical terminology and basic understanding of the Epic patient accounting system is also required. | All the benefits and perks you need for you and your family: Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support 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. Shift: Monday- Friday Fulltime Job Location: Remote The role you will contribute: The Payment Specialist is part of a Centralized Payment Posting team responsible for payment posting activities for the majority of AdventHealth services provided. These activities include posting insurance and patient payments, managing patient refunds and credit balances, patient and insurance correspondence, reconciliation, and other miscellaneous functions. AdventHealth services included in the Centralized Payment Posting activities are hospital, physician, urgent care, home health, hospice, among others. The value you will bring to the team: Receive payments from third party payor lockbox and mail correspondence and post payments to patient claims in the patient accounting system Review electronic remittances and resolve electronic posting exceptions and variances, posting payments to corresponding patient claims Interpret Explanation of Benefits (EOBs) and transfer remaining patient and secondary insurance liability to the appropriate payor or next responsible party Distinguish unidentified payments and post the payments to designated unidentified cash accounts Post and process all zero-balance EOBs daily Contact payors when additional information is necessary to address a payment posting issue Perform effectively in fast-paced environment and demonstrate strong problem-solving skills Achieve and maintain performance consistent with requirements for productivity, quality, and service levels Develop and maintain productive team-oriented relationships through individual contacts and group meetings Achieve superior customer satisfaction by embracing and exemplifying the AdventHealth service standards Perform other duties as assigned Available outside of normal business hours for occasional support needs The expertise and experiences you’ll need to succeed: " Proficient in MS Office Suite (Outlook, Excel, Word) Ability to problem solve Professional and effective in communication skills Demonstrate a strong attention to detail and thoroughness Effectively utilize available and relevant technical tools and resources (e.g. Microsoft Excel and other relevant software) Strong data entry skills" Familiarity with insurance plans and EOBs Medical terminology, knowledge of insurance and reimbursement procedures Basic understanding of Epic patient accounting system Understanding of complexity around line level payment posting for physician posting Knowledge of HCFA 1500 and UB04

The Loss Control Manager acts as a consultative resource for risk management information across all AHS entities. This role involves developing programs to evaluate and reduce clinical and non-clinical risks to enhance quality of care and asset protection. | Candidates must have at least 2 years of related experience and be a Registered Nurse (RN). The position requires effective communication and collaboration skills to work with various stakeholders. | AdventHealth Corporate All the benefits and perks you need for you and your family: · Benefits from Day One · Career Development · Whole Person Wellbeing Resources · Mental Health Resources and Support 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. Shift: Monday- Friday Job Location: Remote The role you will contribute: This position acts as a consultative resource for risk management related information for all AHS entities/facilities. This position is responsible for developing and maintaining system-wide programs and processes to evaluate and reduce both clinical and non-clinical risks with the goal of increasing quality of care and protection of assets across all AHS facilities/entities through data gathering, analysis, benchmarking, educational initiatives, action plans, auditing, monitoring and other activities. This position is also responsible for the development of system-wide risk management standards where indicated. The value you will bring to the team: Timely and appropriately responds to inquiries or requests from AHS facility/entity risk managers or other personnel. Timely and appropriately responds to inquiries or requests from AHS corporate departments or personnel Timely and appropriately responds to inquiries or requests from external parties when necessary. Effectively represents AHS Risk Management on committees as assigned or required. Works collaboratively with the Data Systems Coordinator and Risk Master data where indicated. Effectively assists AHS facility/entity risk managers with projects as assigned or requested. Makes appropriate recommendations for loss control initiatives based on Risk Master data. Works collaboratively with the Risk Management team on corporate loss control initiatives as outlined in the AHS Loss Control Plan. Works collaboratively and effectively with AHS facilities/entities in the implementation of AHS corporate loss control initiatives. Works collaboratively and effectively with external consultants in the design, planning and implementation of corporate loss control initiatives. Facilitates distribution of reporting of assessments and outcomes of assessment reports following AHS loss control initiatives. Works collaboratively and effectively to provide assistance to AHS entities/facilities in their efforts to address formal recommendations or opportunities for improvement identified as a result of assessments or other AHS loss control initiatives. Coordinates production and ensures accuracy for AHS management of assessments/reports of the effectiveness of AHS loss control initiatives. Facilitates appropriate and effective risk management-related educational opportunities for AHS facilities/entities. Prepares and provides risk management-related presentations as assigned or requested. Assists with the timely development of Risk Alert draft advisories and coordinates distribution of approved Risk Alert advisories. Contributes to the timely and effective planning and coordination of annual AHS Risk Management Workshop for AHS facility/entity risk managers. Timely and effectively coordinates the registration of Annual ASHRM Conference for all AHS facility/entity risk managers The expertise and experiences you’ll need to succeed: 2+ Related Experience Required Registered Nurse (RN) Required

The Loss Control Manager acts as a consultative resource for risk management information across all AHS entities and is responsible for developing programs to evaluate and reduce risks. This role involves data gathering, analysis, and collaboration with various teams to implement loss control initiatives. | Candidates must have at least 2 years of related experience and be a Registered Nurse (RN). The position requires effective communication and collaboration skills to work with various stakeholders. | AdventHealth Corporate All the benefits and perks you need for you and your family: · Benefits from Day One · Career Development · Whole Person Wellbeing Resources · Mental Health Resources and Support 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. Shift: Monday- Friday Job Location: Remote The role you will contribute: This position acts as a consultative resource for risk management related information for all AHS entities/facilities. This position is responsible for developing and maintaining system-wide programs and processes to evaluate and reduce both clinical and non-clinical risks with the goal of increasing quality of care and protection of assets across all AHS facilities/entities through data gathering, analysis, benchmarking, educational initiatives, action plans, auditing, monitoring and other activities. This position is also responsible for the development of system-wide risk management standards where indicated. The value you will bring to the team: Timely and appropriately responds to inquiries or requests from AHS facility/entity risk managers or other personnel. Timely and appropriately responds to inquiries or requests from AHS corporate departments or personnel Timely and appropriately responds to inquiries or requests from external parties when necessary. Effectively represents AHS Risk Management on committees as assigned or required. Works collaboratively with the Data Systems Coordinator and Risk Master data where indicated. Effectively assists AHS facility/entity risk managers with projects as assigned or requested. Makes appropriate recommendations for loss control initiatives based on Risk Master data. Works collaboratively with the Risk Management team on corporate loss control initiatives as outlined in the AHS Loss Control Plan. Works collaboratively and effectively with AHS facilities/entities in the implementation of AHS corporate loss control initiatives. Works collaboratively and effectively with external consultants in the design, planning and implementation of corporate loss control initiatives. Facilitates distribution of reporting of assessments and outcomes of assessment reports following AHS loss control initiatives. Works collaboratively and effectively to provide assistance to AHS entities/facilities in their efforts to address formal recommendations or opportunities for improvement identified as a result of assessments or other AHS loss control initiatives. Coordinates production and ensures accuracy for AHS management of assessments/reports of the effectiveness of AHS loss control initiatives. Facilitates appropriate and effective risk management-related educational opportunities for AHS facilities/entities. Prepares and provides risk management-related presentations as assigned or requested. Assists with the timely development of Risk Alert draft advisories and coordinates distribution of approved Risk Alert advisories. Contributes to the timely and effective planning and coordination of annual AHS Risk Management Workshop for AHS facility/entity risk managers. Timely and effectively coordinates the registration of Annual ASHRM Conference for all AHS facility/entity risk managers The expertise and experiences you’ll need to succeed: 2+ Related Experience Required Registered Nurse (RN) Required

The Consumer Access Specialist ensures patients are appropriately registered for all service lines, performs eligibility verification, and manages financial arrangements. They maintain communication with clinical partners and provide exemplary service to both internal and external customers. | Candidates must have a high school diploma or equivalent and at least one year of relevant experience. They should possess mature judgment, effective communication skills, and a working knowledge of Microsoft programs and medical terminology. | All the benefits and perks you need for you and your family: Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support 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. Shift: Monday- Friday, 8:30a-5pm EST Job Location: Remote The role you will 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 will bring to the team: General Duties: Proactively seeks assistance to improve any responsibilities assigned to their role Accountable for maintaining a working relationship with clinical partners to ensure open communications between clinical, ancillary, and patient access departments, which enhances the patient experience Provides timely and continual coverage of assigned work area in order to offer prompt patient service and availability for all clinical partner registration needs. Arranges relief coverage during extended time away from assigned registration area Meets and exceeds productivity standards determined by department leadership Meets attendance and punctuality requirements. Maintains schedule flexibility to meet department needs. Exhibits effective time management skills by monitoring time and attendance to limit use of unauthorized overtime If applicable to facility, provides coverage for PBX (Switchboard) as needed, which includes: full shifts, breaks, and any scheduled/ unscheduled coverage requirements If applicable to facility, maintains knowledge of PBX (Switchboard), which includes: answering phones, transferring calls or providing alternative direction to the caller, paging overhead codes, and communicating effectively with clinical areas to ensure code coverage. If applicable to facility, knowledge of alarm systems and protocols and expedites code phone response. Maintains knowledge of security protocol Actively attends department meetings and promotes positive dialogue within the team Insurance Verification/Authorization: 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 edits Meets or exceeds accuracy standards and ensures integrity of patient accounts by working error reports as requested by leadership and entering appropriate and accurate data Patient Data Collection: Minimizes duplication of medical records by using problem-solving skills to verify patient identity through demographic details Registers patients for all services (i.e. emergency room, outpatient, inpatient, observation, same day surgery, outpatient in a bed, etc.) and achieves the department specific goal for accuracy Responsible for registering patients by obtaining critical demographic elements from patients (e.g., name, date of birth, etc.) Confirms whether patients are insured and, if so, gathers details (e.g., insurer name, plan subscriber) Performs Medicare compliance review on all applicable Medicare accounts in order to determine coverage. Identifies patients who may need Medicare Advance Beneficiary Notices of Noncoverage (ABNs). Issues ABN forms as needed Performs eligibility check on all Medicare inpatients to determine HMO status and available days. Communicates any outstanding issues with Financial Counselors and/or case management staff Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries Properly identifies patients, ensures armband accuracy, inputs demographics information, and secures the required forms to ensure compliance with regulatory policies 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 Delivers excellent customer service by contacting patients to inform them of authorization delays 48 hours prior to their date of service and answers all questions and concerns patients may have regarding authorization status Ensures consistent monitoring of interdepartmental tracking tools to proactively identify patients that require registration to be completed. 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) Ensures patients have logistical information necessary to receive their services (e.g., appointment and time, directions to facility) Payment Management: Creates accurate estimates to maximize up-front cash collections and adds collections documentation where required Calculates patients’ co-pays, deductibles, and co-insurance. Provides patients with personalized estimates of their financial responsibility based on their insurance coverage or eligibility for government programs prior to service for both inpatient and outpatient services Advises patients of expected costs and collects payments or makes appropriate payment agreements in adherence to the AdventHealth TOS Collection Policy Attempts to collect patient cost-sharing amounts (e.g., co-pays, deductibles) and outstanding balances before service. Establishes payment plan arrangements for patients per established AdventHealth policy; clearly communicates due dates and amount of each installment. Collects payment plan installments, out-of-pocket costs, outstanding previous balances, and any other applicable amount from patients per policy. Informs patients of any convenient payment options (e.g., portal, mobile apps) and follows deferral procedure as required Connects patients with financial counseling or Medicaid eligibility vendor as appropriate Contacts patient to advise them of possible financial responsibility and connects them with a financial counselor if necessary Performs cashiering functions such as collections and cash reconciliation with accuracy in support of the pre-established legal and financial guidelines of AdventHealth when required Discusses financial arrangements for newborn(s), informs patient of the timeframe for enrolling a newborn in coverage, provides any documentation or guidance for the patient to enroll their child prior to or after the anticipated delivery date, and communicates appropriate information to registration staff as needed The expertise and experiences you’ll need to succeed: High School Grad or Equiv Required 1+ experience Required 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 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 written Ability to adapt in ever changing healthcare environment Ability to follow complex instructions and procedures, with a close attention to detail Adheres to government guidelines such as CMS, EMTALA, and HIPPAA and AdventHealth corporate policies Understanding of HIPAA privacy rules and ability to use discretion when discussing patient related information that is confidential in nature as needed to perform duties Knowledge of computer programs and electronic health record programs Basic knowledge of medical terminology Exposure to insurance benefits; ability to decipher insurance benefit information Bilingual – English/Spanish" Preferred Qualifications: 1+ of relevant healthcare experience Preferred Prior collections experience Preferred 1+ of customer service experience Preferred 1+ of direct Patient Access experience Preferred Associate Preferred

The Consumer Access Specialist ensures patients are appropriately registered for all service lines, performs eligibility verification, and manages financial arrangements. They maintain communication with clinical partners and provide exemplary service to both internal and external customers. | Candidates must have a high school diploma or equivalent and at least one year of experience in a relevant field. They should possess mature judgment, effective communication skills, and the ability to adapt in a changing healthcare environment. | All the benefits and perks you need for you and your family: Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support 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. Shift: Monday- Friday, 8:30a-5pm EST Job Location: Remote The role you will 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 will bring to the team: General Duties: Proactively seeks assistance to improve any responsibilities assigned to their role Accountable for maintaining a working relationship with clinical partners to ensure open communications between clinical, ancillary, and patient access departments, which enhances the patient experience Provides timely and continual coverage of assigned work area in order to offer prompt patient service and availability for all clinical partner registration needs. Arranges relief coverage during extended time away from assigned registration area Meets and exceeds productivity standards determined by department leadership Meets attendance and punctuality requirements. Maintains schedule flexibility to meet department needs. Exhibits effective time management skills by monitoring time and attendance to limit use of unauthorized overtime If applicable to facility, provides coverage for PBX (Switchboard) as needed, which includes: full shifts, breaks, and any scheduled/ unscheduled coverage requirements If applicable to facility, maintains knowledge of PBX (Switchboard), which includes: answering phones, transferring calls or providing alternative direction to the caller, paging overhead codes, and communicating effectively with clinical areas to ensure code coverage. If applicable to facility, knowledge of alarm systems and protocols and expedites code phone response. Maintains knowledge of security protocol Actively attends department meetings and promotes positive dialogue within the team Insurance Verification/Authorization: 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 edits Meets or exceeds accuracy standards and ensures integrity of patient accounts by working error reports as requested by leadership and entering appropriate and accurate data Patient Data Collection: Minimizes duplication of medical records by using problem-solving skills to verify patient identity through demographic details Registers patients for all services (i.e. emergency room, outpatient, inpatient, observation, same day surgery, outpatient in a bed, etc.) and achieves the department specific goal for accuracy Responsible for registering patients by obtaining critical demographic elements from patients (e.g., name, date of birth, etc.) Confirms whether patients are insured and, if so, gathers details (e.g., insurer name, plan subscriber) Performs Medicare compliance review on all applicable Medicare accounts in order to determine coverage. Identifies patients who may need Medicare Advance Beneficiary Notices of Noncoverage (ABNs). Issues ABN forms as needed Performs eligibility check on all Medicare inpatients to determine HMO status and available days. Communicates any outstanding issues with Financial Counselors and/or case management staff Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries Properly identifies patients, ensures armband accuracy, inputs demographics information, and secures the required forms to ensure compliance with regulatory policies 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 Delivers excellent customer service by contacting patients to inform them of authorization delays 48 hours prior to their date of service and answers all questions and concerns patients may have regarding authorization status Ensures consistent monitoring of interdepartmental tracking tools to proactively identify patients that require registration to be completed. 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) Ensures patients have logistical information necessary to receive their services (e.g., appointment and time, directions to facility) Payment Management: Creates accurate estimates to maximize up-front cash collections and adds collections documentation where required Calculates patients’ co-pays, deductibles, and co-insurance. Provides patients with personalized estimates of their financial responsibility based on their insurance coverage or eligibility for government programs prior to service for both inpatient and outpatient services Advises patients of expected costs and collects payments or makes appropriate payment agreements in adherence to the AdventHealth TOS Collection Policy Attempts to collect patient cost-sharing amounts (e.g., co-pays, deductibles) and outstanding balances before service. Establishes payment plan arrangements for patients per established AdventHealth policy; clearly communicates due dates and amount of each installment. Collects payment plan installments, out-of-pocket costs, outstanding previous balances, and any other applicable amount from patients per policy. Informs patients of any convenient payment options (e.g., portal, mobile apps) and follows deferral procedure as required Connects patients with financial counseling or Medicaid eligibility vendor as appropriate Contacts patient to advise them of possible financial responsibility and connects them with a financial counselor if necessary Performs cashiering functions such as collections and cash reconciliation with accuracy in support of the pre-established legal and financial guidelines of AdventHealth when required Discusses financial arrangements for newborn(s), informs patient of the timeframe for enrolling a newborn in coverage, provides any documentation or guidance for the patient to enroll their child prior to or after the anticipated delivery date, and communicates appropriate information to registration staff as needed The expertise and experiences you’ll need to succeed: High School Grad or Equiv Required 1+ experience Required 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 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 written Ability to adapt in ever changing healthcare environment Ability to follow complex instructions and procedures, with a close attention to detail Adheres to government guidelines such as CMS, EMTALA, and HIPPAA and AdventHealth corporate policies Understanding of HIPAA privacy rules and ability to use discretion when discussing patient related information that is confidential in nature as needed to perform duties Knowledge of computer programs and electronic health record programs Basic knowledge of medical terminology Exposure to insurance benefits; ability to decipher insurance benefit information Bilingual – English/Spanish" Preferred Qualifications: 1+ of relevant healthcare experience Preferred Prior collections experience Preferred 1+ of customer service experience Preferred 1+ of direct Patient Access experience Preferred Associate Preferred

The Consumer Access Specialist ensures patients are appropriately registered for all service lines, performs eligibility verification, and manages financial arrangements. They maintain communication with clinical partners and provide exemplary service to both internal and external customers. | Candidates should have a high school diploma or equivalent and at least one year of relevant experience. Preferred qualifications include an associate degree and experience in healthcare, collections, and patient access. | All the benefits and perks you need for you and your family: · Benefits from Day One · Career Development · Whole Person Wellbeing Resources · Mental Health Resources and Support 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. Shift: Monday- Friday, 8:30a-5pm CST Job Location: Remote The role you will 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 will bring to the team: General Duties: Proactively seeks assistance to improve any responsibilities assigned to their role Accountable for maintaining a working relationship with clinical partners to ensure open communications between clinical, ancillary, and patient access departments, which enhances the patient experience Provides timely and continual coverage of assigned work area in order to offer prompt patient service and availability for all clinical partner registration needs. Arranges relief coverage during extended time away from assigned registration area Meets and exceeds productivity standards determined by department leadership Meets attendance and punctuality requirements. Maintains schedule flexibility to meet department needs. Exhibits effective time management skills by monitoring time and attendance to limit use of unauthorized overtime If applicable to facility, provides coverage for PBX (Switchboard) as needed, which includes full shifts, breaks, and any scheduled/ unscheduled coverage requirements If applicable to facility, maintains knowledge of PBX (Switchboard), which includes answering phones, transferring calls or providing alternative direction to the caller, paging overhead codes, and communicating effectively with clinical areas to ensure code coverage. If applicable to facility, knowledge of alarm systems and protocols and expedites code phone response. Maintains knowledge of security protocol * Actively attends department meetings and promotes positive dialogue within the team Insurance Verification/Authorization: · 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 edits · Meets or exceeds accuracy standards and ensures integrity of patient accounts by working error reports as requested by leadership and entering appropriate and accurate data Patient Data Collection: Minimizes duplication of medical records by using problem-solving skills to verify patient identity through demographic details Registers patients for all services (i.e. emergency room, outpatient, inpatient, observation, same day surgery, outpatient in a bed, etc.) and achieves the department specific goal for accuracy Responsible for registering patients by obtaining critical demographic elements from patients (e.g., name, date of birth, etc.) Confirms whether patients are insured and, if so, gathers details (e.g., insurer name, plan subscriber) Performs Medicare compliance review on all applicable Medicare accounts in order to determine coverage. Identifies patients who may need Medicare Advance Beneficiary Notices of Noncoverage (ABNs). Issues ABN forms as needed Performs eligibility check on all Medicare inpatients to determine HMO status and available days. Communicates any outstanding issues with Financial Counselors and/or case management staff Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries Properly identifies patients, ensures armband accuracy, inputs demographics information, and secures the required forms to ensure compliance with regulatory policies 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 Delivers excellent customer service by contacting patients to inform them of authorization delays 48 hours prior to their date of service and answers all questions and concerns patients may have regarding authorization status Ensures consistent monitoring of interdepartmental tracking tools to proactively identify patients that require registration to be completed. 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) Ensures patients have logistical information necessary to receive their services (e.g., appointment and time, directions to facility) Payment Management: Creates accurate estimates to maximize up-front cash collections and adds collections documentation where required Calculates patients’ co-pays, deductibles, and co-insurance. Provides patients with personalized estimates of their financial responsibility based on their insurance coverage or eligibility for government programs prior to service for both inpatient and outpatient services Advises patients of expected costs and collects payments or makes appropriate payment agreements in adherence to the AdventHealth TOS Collection Policy Attempts to collect patient cost-sharing amounts (e.g., co-pays, deductibles) and outstanding balances before service. Establishes payment plan arrangements for patients per established AdventHealth policy; clearly communicates due dates and amount of each installment. Collects payment plan installments, out-of-pocket costs, outstanding previous balances, and any other applicable amount from patients per policy. Informs patients of any convenient payment options (e.g., portal, mobile apps) and follows deferral procedure as required Connects patients with financial counseling or Medicaid eligibility vendor as appropriate Contacts patient to advise them of possible financial responsibility and connects them with a financial counselor if necessary Performs cashiering functions such as collections and cash reconciliation with accuracy in support of the pre-established legal and financial guidelines of AdventHealth when required Discusses financial arrangements for newborn(s), informs patient of the timeframe for enrolling a newborn in coverage, provides any documentation or guidance for the patient to enroll their child prior to or after the anticipated delivery date, and communicates appropriate information to registration staff as needed The expertise and experiences you’ll need to succeed: · High School Grad or Equiv · 1+ experience Preferred Qualifications: · Associate · 1+ of relevant healthcare experience · Prior collections experience · 1+ of customer service experience · 1+ of direct Patient Access experience · 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 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 written · Ability to adapt in ever changing healthcare environment · Ability to follow complex instructions and procedures, with a close attention to detail · Adheres to government guidelines such as CMS, EMTALA, and HIPPAA and AdventHealth corporate policies · Understanding of HIPAA privacy rules and ability to use discretion when discussing patient related information that is confidential in nature as needed to perform duties · Knowledge of computer programs and electronic health record programs · Basic knowledge of medical terminology · Exposure to insurance benefits; ability to decipher insurance benefit information · Bilingual – English/Spanish

The Consumer Access Specialist ensures patients are appropriately registered for all service lines, performs eligibility verification, and manages financial arrangements. They maintain communication with clinical partners and provide exemplary service to both internal and external customers. | Candidates should have a high school diploma or equivalent and at least one year of relevant experience. Preferred qualifications include an associate degree and experience in healthcare, collections, and patient access. | All the benefits and perks you need for you and your family: · Benefits from Day One · Career Development · Whole Person Wellbeing Resources · Mental Health Resources and Support 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. Shift: Monday- Friday, 8:30a-5pm CST Job Location: Remote The role you will 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 will bring to the team: General Duties: Proactively seeks assistance to improve any responsibilities assigned to their role Accountable for maintaining a working relationship with clinical partners to ensure open communications between clinical, ancillary, and patient access departments, which enhances the patient experience Provides timely and continual coverage of assigned work area in order to offer prompt patient service and availability for all clinical partner registration needs. Arranges relief coverage during extended time away from assigned registration area Meets and exceeds productivity standards determined by department leadership Meets attendance and punctuality requirements. Maintains schedule flexibility to meet department needs. Exhibits effective time management skills by monitoring time and attendance to limit use of unauthorized overtime If applicable to facility, provides coverage for PBX (Switchboard) as needed, which includes full shifts, breaks, and any scheduled/ unscheduled coverage requirements If applicable to facility, maintains knowledge of PBX (Switchboard), which includes answering phones, transferring calls or providing alternative direction to the caller, paging overhead codes, and communicating effectively with clinical areas to ensure code coverage. If applicable to facility, knowledge of alarm systems and protocols and expedites code phone response. Maintains knowledge of security protocol * Actively attends department meetings and promotes positive dialogue within the team Insurance Verification/Authorization: · 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 edits · Meets or exceeds accuracy standards and ensures integrity of patient accounts by working error reports as requested by leadership and entering appropriate and accurate data Patient Data Collection: Minimizes duplication of medical records by using problem-solving skills to verify patient identity through demographic details Registers patients for all services (i.e. emergency room, outpatient, inpatient, observation, same day surgery, outpatient in a bed, etc.) and achieves the department specific goal for accuracy Responsible for registering patients by obtaining critical demographic elements from patients (e.g., name, date of birth, etc.) Confirms whether patients are insured and, if so, gathers details (e.g., insurer name, plan subscriber) Performs Medicare compliance review on all applicable Medicare accounts in order to determine coverage. Identifies patients who may need Medicare Advance Beneficiary Notices of Noncoverage (ABNs). Issues ABN forms as needed Performs eligibility check on all Medicare inpatients to determine HMO status and available days. Communicates any outstanding issues with Financial Counselors and/or case management staff Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries Properly identifies patients, ensures armband accuracy, inputs demographics information, and secures the required forms to ensure compliance with regulatory policies 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 Delivers excellent customer service by contacting patients to inform them of authorization delays 48 hours prior to their date of service and answers all questions and concerns patients may have regarding authorization status Ensures consistent monitoring of interdepartmental tracking tools to proactively identify patients that require registration to be completed. 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) Ensures patients have logistical information necessary to receive their services (e.g., appointment and time, directions to facility) Payment Management: Creates accurate estimates to maximize up-front cash collections and adds collections documentation where required Calculates patients’ co-pays, deductibles, and co-insurance. Provides patients with personalized estimates of their financial responsibility based on their insurance coverage or eligibility for government programs prior to service for both inpatient and outpatient services Advises patients of expected costs and collects payments or makes appropriate payment agreements in adherence to the AdventHealth TOS Collection Policy Attempts to collect patient cost-sharing amounts (e.g., co-pays, deductibles) and outstanding balances before service. Establishes payment plan arrangements for patients per established AdventHealth policy; clearly communicates due dates and amount of each installment. Collects payment plan installments, out-of-pocket costs, outstanding previous balances, and any other applicable amount from patients per policy. Informs patients of any convenient payment options (e.g., portal, mobile apps) and follows deferral procedure as required Connects patients with financial counseling or Medicaid eligibility vendor as appropriate Contacts patient to advise them of possible financial responsibility and connects them with a financial counselor if necessary Performs cashiering functions such as collections and cash reconciliation with accuracy in support of the pre-established legal and financial guidelines of AdventHealth when required Discusses financial arrangements for newborn(s), informs patient of the timeframe for enrolling a newborn in coverage, provides any documentation or guidance for the patient to enroll their child prior to or after the anticipated delivery date, and communicates appropriate information to registration staff as needed The expertise and experiences you’ll need to succeed: · High School Grad or Equiv · 1+ experience Preferred Qualifications: · Associate · 1+ of relevant healthcare experience · Prior collections experience · 1+ of customer service experience · 1+ of direct Patient Access experience · 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 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 written · Ability to adapt in ever changing healthcare environment · Ability to follow complex instructions and procedures, with a close attention to detail · Adheres to government guidelines such as CMS, EMTALA, and HIPPAA and AdventHealth corporate policies · Understanding of HIPAA privacy rules and ability to use discretion when discussing patient related information that is confidential in nature as needed to perform duties · Knowledge of computer programs and electronic health record programs · Basic knowledge of medical terminology · Exposure to insurance benefits; ability to decipher insurance benefit information · Bilingual – English/Spanish

The Consumer Access Specialist ensures patients are registered for all service lines, performs eligibility verification, and manages financial arrangements. They maintain communication with clinical partners and provide exemplary service to both internal and external customers. | Candidates should have a high school diploma or equivalent and at least one year of relevant experience. Preferred qualifications include healthcare experience, customer service experience, and an associate's degree. | AdventHealth Corporate All the benefits and perks you need for you and your family: · Benefits from Day One · Career Development · Whole Person Wellbeing Resources · Mental Health Resources and Support 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. Job Location: Altamonte Springs, Fl Shift: Part-time, Monday-Friday 9a-12p The role you will 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 will bring to the team: · Proactively seeks assistance to improve any responsibilities assigned to their role · Accountable for maintaining a working relationship with clinical partners to ensure open communications between clinical, ancillary, and patient access departments, which enhances the patient experience · Provides timely and continual coverage of assigned work area in order to offer prompt patient service and availability for all clinical partner registration needs. Arranges relief coverage during extended time away from assigned registration area · Meets and exceeds productivity standards determined by department leadership · Meets attendance and punctuality requirements. Maintains schedule flexibility to meet department needs. Exhibits effective time management skills by monitoring time and attendance to limit use of unauthorized overtime · If applicable to facility, provides coverage for PBX (Switchboard) as needed, which includes: full shifts, breaks, and any scheduled/ unscheduled coverage requirements · If applicable to facility, maintains knowledge of PBX (Switchboard), which includes: answering phones, transferring calls or providing alternative direction to the caller, paging overhead codes, and communicating effectively with clinical areas to ensure code coverage. If applicable to facility, knowledge of alarm systems and protocols and expedites code phone response. Maintains knowledge of security protocol · Actively attends department meetings and promotes positive dialogue within the team Insurance Verification/Authorization: · 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 Patient Data Collection: · Minimizes duplication of medical records by using problem-solving skills to verify patient identity through demographic details · Registers patients for all services (i.e. emergency room, outpatient, inpatient, observation, same day surgery, outpatient in a bed, etc.) and achieves the department specific goal for accuracy · Responsible for registering patients by obtaining critical demographic elements from patients (e.g., name, date of birth, etc.) · Confirms whether patients are insured and, if so, gathers details (e.g., insurer name, plan subscriber) The expertise and experiences you’ll need to succeed: · High School Grad or Equiv and 1+ years experience Preferred Qualifications: · One year of relevant healthcare experience · Prior collections experience · One year of customer service experience · One year of direct Patient Access experience · Associate's degree

The Consumer Access Specialist ensures patients are appropriately registered for all service lines and performs eligibility verification, financial arrangements, and cashiering functions. They maintain communication with clinical partners to enhance the patient experience and provide PBX coverage as needed. | Candidates should have a high school diploma or equivalent and at least one year of relevant experience. Preferred qualifications include healthcare experience, collections experience, customer service experience, and direct patient access experience. | AdventHealth Corporate All the benefits and perks you need for you and your family: · Benefits from Day One · Career Development · Whole Person Wellbeing Resources · Mental Health Resources and Support 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. Job Location: Altamonte Springs, Fl Shift: Part-time, Monday-Friday 9a-12p The role you will 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 will bring to the team: · Proactively seeks assistance to improve any responsibilities assigned to their role · Accountable for maintaining a working relationship with clinical partners to ensure open communications between clinical, ancillary, and patient access departments, which enhances the patient experience · Provides timely and continual coverage of assigned work area in order to offer prompt patient service and availability for all clinical partner registration needs. Arranges relief coverage during extended time away from assigned registration area · Meets and exceeds productivity standards determined by department leadership · Meets attendance and punctuality requirements. Maintains schedule flexibility to meet department needs. Exhibits effective time management skills by monitoring time and attendance to limit use of unauthorized overtime · If applicable to facility, provides coverage for PBX (Switchboard) as needed, which includes: full shifts, breaks, and any scheduled/ unscheduled coverage requirements · If applicable to facility, maintains knowledge of PBX (Switchboard), which includes: answering phones, transferring calls or providing alternative direction to the caller, paging overhead codes, and communicating effectively with clinical areas to ensure code coverage. If applicable to facility, knowledge of alarm systems and protocols and expedites code phone response. Maintains knowledge of security protocol · Actively attends department meetings and promotes positive dialogue within the team Insurance Verification/Authorization: · 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 Patient Data Collection: · Minimizes duplication of medical records by using problem-solving skills to verify patient identity through demographic details · Registers patients for all services (i.e. emergency room, outpatient, inpatient, observation, same day surgery, outpatient in a bed, etc.) and achieves the department specific goal for accuracy · Responsible for registering patients by obtaining critical demographic elements from patients (e.g., name, date of birth, etc.) · Confirms whether patients are insured and, if so, gathers details (e.g., insurer name, plan subscriber) The expertise and experiences you’ll need to succeed: · High School Grad or Equiv and 1+ years experience Preferred Qualifications: · One year of relevant healthcare experience · Prior collections experience · One year of customer service experience · One year of direct Patient Access experience · Associate's degree