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Consumer Access Specialist PRN 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
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
What You Will Need:
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.
Category: Patient Financial Services
Organization: AdventHealth Ottawa
Schedule: Per Diem
Shift: 1 - Day
Travel: AdventHealth Ottawa
Req ID: 21031538
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.