Consumer Access Specialist PRN - Day
New
J
JobgetherHealthcare administration
Based in the United StatesPart-TimeJunior
Salary16.11 - 25.78 USD per hour
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Job Details
- Languages
- English/Spanish bilingual ability is specified as a desired skill.
- Experience
- At least one year of customer service experience is preferred.
- Required Skills
- Microsoft OfficeHIPAA
Requirements
- High school diploma or equivalent required; an associate degree is preferred.
- At least one year of customer service experience is preferred.
- Healthcare or revenue cycle operations experience is advantageous.
- Understanding of insurance eligibility, benefits, and authorization procedures; advanced insurance coverage knowledge is advantageous.
- Basic medical terminology required; intermediate medical terminology is preferred.
- Working knowledge of Microsoft Office applications, databases, and electronic health record or electronic medical record systems.
- Familiarity with standard office equipment, including computers, printers, scanners, and fax machines.
- Ability to manage multiple tasks, follow complex procedures, maintain accurate records, and meet deadlines.
- Ability to explain financial and insurance information clearly and professionally.
- Understanding of patient privacy requirements and ability to follow applicable regulations, policies, and confidentiality standards.
- English/Spanish bilingual ability is desired.
- CHAA and CRCR credentials are preferred.
Responsibilities
- Register patients, collect demographic information, verify insurance details, and help prevent duplicate medical records.
- Contact insurance companies to confirm eligibility and benefits, obtain pre-authorizations, and coordinate authorization issues with utilization management teams.
- Prepare estimates of patient financial responsibility, explain expected costs, collect payments, and establish payment plans when appropriate.
- Conduct Medicare compliance reviews and issue Advance Beneficiary Notices of Noncoverage when required.
- Assist patients, physicians, insurance representatives, and other stakeholders with financial, insurance, and logistical information.
- Document patient interactions, insurance communications, payer decisions, and payment arrangements accurately and promptly.
- Process patient payments, perform cashiering duties, and reconcile cash transactions.
- Coordinate communication among clinical teams, ancillary departments, and consumer access personnel.
- Maintain coverage of assigned work areas, coordinate relief coverage, and answer and transfer calls as needed.
- Follow CMS guidelines, EMTALA, HIPAA privacy rules, and organizational policies while protecting confidential patient information.
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