Work Hours/Shift: Full Time (Monday - Thursday 10:30am-7pm; Friday 8:30am - 5pm)
You Will Be Responsible For:
Demonstrates, through behavior, AdventHealth's core values of Integrity, Compassion, Balance, Excellence, Stewardship, and Teamwork.
Contacts insurance companies by phone, fax, or online portal to obtain insurance benefits, eligibility, and authorization information. Updates AdventHealth systems with accurate information obtained. Responsible for communicating to service line partners of situations where rescheduling is necessary, due to lack of authorization or limited benefits and is approved by clinical personnel.
Meets or exceeds audit accuracy and productivity standard goals determined by Pre-Access leadership, while meeting timeline standards established by leadership for all patient services. Ensures integrity of patient accounts by working error reports as requested by management and entering appropriate and accurate data. Works with inpatient accounts for authorization and held responsible for timely notification to payers of the patient's admission to the facility to protect financial standing of AdventHealth.
Uses utmost caution that obtained benefits, authorizations, and pre-certifications are accurate according to the actual test and procedure or registration being performed. Ensures all benefits, authorizations, pre-certifications, and financial obligations of patients, are documented on account memos, clearly, accurately, precise, and detailed to ensure expeditious processing of patient accounts.
When working under Rehab PA POS Float designation:
Provides coverage for designated Rehab Centers that have POS representatives that report to Pre-Access; must have reliable transportation as there are various locations in the tri-county area; may be notified of coverage needs at a short notice when warranted. Duties include scanning, collection, batching deposits; RMAU and reverifications.
Maintains a close working relationship with clinical partners, and ancillary departments to ensure continual open communication between clinical, ancillary, and Patient Access & Patient Financial Services departments. May contact physicians, Case Management, and Utilization Review to facilitate the sending of clinical information in sup
What You Will Need:
Ability to use discretion when discussing personnel and patient related issues that are confidential in nature
Responsive to ever-changing matrix of hospital needs and acts accordingly
Self-motivator, and quick thinker
Proficient in Microsoft Office Programs such as Outlook, Word, and Excel
Proficiency in performance of basic math functions, capability of communicating professionally and effectively in English, both verbally and in writing
One (1) year experience in Patient Financial Services, Patient Access, Customer Service or related area (registration, finance, collections, customer service, medical office, or contract management)
Associate degree and/or higher-level education or completed coursework
The Pre-Access Financial Clearance Specialist, under general supervision, maintains performance standards appropriate to area by obtaining account benefits and/or verifying authorizations are in place for all scheduled, unscheduled patient accounts under responsibility, and meeting time line standards established by leadership for all patient services. Meets or exceeds department audit accuracy and productivity standard goal. Uses utmost caution that obtained benefits, authorizations, and/or pre-certifications are accurate according to the actual test, and procedure or registration being performed. Adheres to AdventHealth Corporate Compliance Plan and to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
AdventHealth Greater Orlando (formerly Florida Hospital) is one of the largest faith-based health care providers in the United States. For 150 years, we have carried on a tradition of providing whole-person care that not only addresses patients' physical ailments, but also supports their emotional and spiritual well-being. We demonstrate the same level of compassion and care for our employees as well, doing all that we can to help them realize their full potential – both personally and professionally.