Consumer Access Specialist Full Time Ottawa

Company: AdventHealth Ottawa
Location: Ottawa
Posted on: January 12, 2022

Job Description:

DescriptionYOU ARE REQUIRED TO SUBMIT A RESUME WITH YOUR APPLICATION! Consumer Access Specialist AdventHealth Ottawa Location Address: -1301 S. Main Street, Ottawa, KS 66067 - Top Reasons To Work At AdventHealth Ottawa

• Family friendly community
• Excellent cost of living
• Five major recreational lakes
• Many annual events and festivals
• Environment committed to patient care Work Hours/Shift: Full Time Days Monday - Friday 40 hours a week 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
  • 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
  • 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
  • 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 QualificationsWhat You Will Need:
    • One year of customer service experience
    • High School diploma or GED 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. 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. This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Keywords: AdventHealth Ottawa, Lawrence , Consumer Access Specialist Full Time Ottawa, Other , Ottawa, Kansas