Consumer Access Specialist PRNOcala, FL

Patient Financial Services Representative

At AdventHealth Ocala, we relentlessly pursue better health care. It's a rewarding journey one that challenges us in the best possible way and inspires us to imagine what medical care can and should be. We are a nationally recognized medical center with 425 acute-care beds, serving our neighbors in Ocala and Marion counties and the surrounding areas. If you're looking for Ocala hospital jobs, you might be a good fit for our team of Ocala nurses, medical assistants, nurse assistants, patient care and health administration professionals. When you're ready to elevate your career in health care, we invite you to explore the variety of medical jobs in Ocala and our open positions at AdventHealth Ocala.

Every day, our fellow team members show up to work, unified by one shared mission : Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we're committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.

The role you'll 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. Works complex accounts and manages escalations from Consumer Access Representatives and Consumer Access Specialists. Assists with departmental training and quality audits. Maintains a close working relationship with clinical partners to ensure continual open communication between clinical, ancillary and patient access departments. Anticipates and responds to the inquires and needs of clinical partners.

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. Ensures team success in active mentoring and meeting the stated monthly collection and accuracy goals. Monitors team performance. Carries out implementation of supervisor / manager directive.

The value you'll 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
• 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
• 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.
• 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

The expertise and experiences you'll need to succeed :

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.