Description
Consumer Access Specialist FT NIGHTS– AdventHealth Hendersonville Location Address: 100 Hospital Drive, Hendersonville, NC 28792 Top Reasons To Work At AdventHealth Hendersonville Community Involvement Located in the beautiful mountains of Western North Carolina Great Benefits Co-workers that feel like family Faith Based DAYS/HOURS: Sunday through Thursday starting at 8:30 or 9:30 and ending at 6:00am What You Will Be Responsible For: - 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
- Responsible for registering patients by obtaining critical demographic elements from patients (e.g., name, date of birth, etc.)
- Confirms whether patients are insured and, if so, gathers details (e.g., insurer name, plan subscriber)
- Performs Medicare compliance review on all applicable Medicare accounts in order to determine coverage. Identifies patients who may need Medicare Advance Beneficiary Notices of Noncoverage (ABNs). Issues ABN forms as needed
- Performs eligibility check on all Medicare inpatients to determine HMO status and available days. Communicates any outstanding issues with Financial Counselors and/or case management staff
- Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries
- Properly identifies patients, ensures armband accuracy, inputs demographics information, and secures the required forms to ensure compliance with regulatory policies
- Ensures patient accounts are assigned the appropriate payor plans
- Ensures all financial assessments, eligibility, and benefits are updated and thorough to support post care financial needs. Uses utmost caution that obtained benefits, authorizations, and pre-certifications are correct and as accurate as possible to avoid rejections and/or denials. Maintains a current and thorough knowledge of utilizing online eligibility pre-certification tools made available
- Delivers excellent customer service by contacting patients to inform them of authorization delays 48 hours prior to their date of service and answers all questions and concerns patients may have regarding authorization status
- Ensures consistent monitoring of interdepartmental tracking tools to proactively identify patients that require registration to be completed.
- Thoroughly documents all conversations with patients and insurance representatives - including payer decisions, collection attempts, and payment plan arrangements
- Coordinates with case management staff as necessary (e.g., when pre-authorization cannot be obtained for an inpatient stay)
- Ensures patients have logistical information necessary to receive their services (e.g., appointment and time, directions to facility)
Payment Management: - 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
- Advises patients of expected costs and collects payments or makes appropriate payment agreements in adherence to the AdventHealth TOS Collection Policy
- Attempts to collect patient cost-sharing amounts (e.g., co-pays, deductibles) and outstanding balances before service. Establishes payment plan arrangements for patients per established AdventHealth policy; clearly communicates due dates and amount of each installment. Collects payment plan installments, out-of-pocket costs, outstanding previous balances, and any other applicable amount from patients per policy. Informs patients of any convenient payment options (e.g., portal, mobile apps) and follows deferral procedure as required
- Connects patients with financial counseling or Medicaid eligibility vendor as appropriate
- Contacts patient to advise them of possible financial responsibility and connects them with a financial counselor if necessary
- Discusses financial arrangements for newborn(s), informs patient of the timeframe for enrolling a newborn in coverage, provides any documentation or guidance for the patient to enroll their child prior to or after the anticipated delivery date, and communicates appropriate information to registration staff as needed
Qualifications
What You Will Need: KNOWLEDGE AND SKILLS PREFERRED: EDUCATION AND EXPERIENCE REQUIRED: EDUCATION AND EXPERIENCE 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. 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. |