Description

　　All the benefits and perks you need for you and your family:

　　Benefits from Day One

　　Paid Days Off from Day One

　　Student Loan Repayment Program

　　Career Development

　　Whole Person Wellbeing Resources

　　Mental Health Resources and Support

　　Our promise to you:

　　Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

　　Schedule: Full Time

　　Shift : Day

　　Location: 2350 Meadows Blvd. Castle Rock, CO 80109

　　The role you’ll contribute:

　　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.

　　The value you’ll bring to the team:

　　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

　　Provides timely and continual coverage of assigned work area in order to offer prompt patient service and availability for all clinical partner registration needs. Arranges relief coverage during extended time away from assigned registration area

　　Meets and exceeds productivity standards determined by department leadership• Meets attendance and punctuality requirements. Maintains schedule flexibility to meet department needs. Exhibits effective time management skills by monitoring time and attendance to limit use of unauthorized overtime

　　Actively attends department meetings and promotes positive dialogue within the team

　　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

　　Obtains pre-authorizations from third-party payers in accordance with payer requirements and within established timeframe before scheduled appointments and during or after care for unscheduled patients. Accurately enters required authorization information in AdventHealth systems to include length of authorization, total number of visits, and/or units of medication

　　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

　　Qualifications

　　The expertise and experiences you’ll need to succeed :

　　Minimum qualifications :

　　High School Diploma or GED

　　1+ years of experience

　　Mature judgement in dealing with patients, physicians, and insurance representatives

　　Working knowledge of Microsoft programs and familiarity with database programs

　　Ability to operate general office machines such as computer, fax machine, printer, and scanner

　　Ability to effectively learn and perform multiple tasks, and organize work in a systematic and efficient fashion

　　Ability to communicate professionally and effectively, both verbally and written

　　Ability to adapt in ever changing healthcare environment

　　Ability to follow complex instructions and procedures, with a close attention to detail

　　Preferred qualifications:

　　Understanding of HIPAA privacy rules and ability to use discretion when discussing patient related information that is confidential in nature as needed to perform duties

　　Knowledge of computer programs and electronic health record programs

　　Basic knowledge of medical terminology

　　Exposure to insurance benefits; ability to decipher insurance benefit information

　　Bilingual – English/Spanish

　　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 Castle Rock

　　Schedule: Full-time

　　Shift: 1 - Day

　　Req ID: 24000734

　　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.