Job Description

Job Description

Description
Lead Consumer Access Specialist AdventHealth Waterman

Location Address: 1000 Waterman Way Tavares, Florida 32778

Top Reasons To Work At AdventHealth Waterman

Career growth and advancement potential

Health Insurance Coverage

High quality of life with low cost of living just outside of Orlando, Florida

Work Hours/Shift:

Full Time

You Will Be Responsible For:

* 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
* Performs other duties as assigned

Qualifications
What You Will Need:

KNOWLEDGE AND SKILLS REQUIRED:

* Mature judgement in dealing with patients, physicians, and insurance representatives
* Intermediate 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 HIPAA and AdventHealth corporate policies
* Exceptional customer service skills
* Advanced understanding of insurance knowledge and benefits
* Advanced understanding of hospital electronic medical report (EMR) system
* Basic medical terminology
* Must be able to read, write, and speak conversational English

EDUCATION AND EXPERIENCE REQUIRED:

* * One year of direct Patient Access experience
* One year of customer service experience
* Prior collections experience
* High School diploma or GED
* Two years of direct Patient Access experience Preferred.
* Associates degree in Health Services or completed coursework related to Health Services Preferred.

Job Summary:

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.

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