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Consumer Access Spec PRN North Pinellas

Company: AdventHealth
Location: Tarpon Springs
Posted on: June 6, 2021

Job Description:


Description

Consumer Access Specialist PRN AdventHealth North Pinellas

Location Address: 1395 S Pinellas Avenue, Tarpon Springs, Florida 34689

Top Reasons to Work At AdventHealth North Pinellas

  • Great Culture
  • Top Quality outcomes
  • Nurse Excellence Committee (NEC)/Governance
  • Leadership is accessible
  • Located on the Gulf of Mexico

Work Hours/Shift:

PRN Days Shift.

You Will Be Responsible For:

PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:

General Duties:

· 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

· 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 

· If applicable to facility, provides coverage for PBX (Switchboard) as needed, which includes: full shifts, breaks, and any scheduled/ unscheduled coverage requirements

· If applicable to facility, maintains knowledge of PBX (Switchboard), which includes: answering phones, transferring calls or providing alternative direction to the caller, paging overhead codes, and communicating effectively with clinical areas to ensure code coverage. If applicable to facility, knowledge of alarm systems and protocols and expedites code phone response. Maintains knowledge of security protocol

· Actively attends department meetings and promotes positive dialogue within the team

Qualifications

What You Will Need:

KNOWLEDGE AND SKILLS REQUIRED:

· 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

· Adheres to government guidelines such as CMS, EMTALA, and HIPPAA and AdventHealth corporate policies

KNOWLEDGE AND SKILLS PREFERRED:

· 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

EDUCATION AND EXPERIENCE REQUIRED:

· One year of customer service experience

· High School diploma or GED

EDUCATION AND EXPERIENCE PREFERRED:

· One year of relevant healthcare experience

· Prior collections experience

· One year of customer service experience

· One year of direct Patient Access experience

· Associate’s degree

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:

· N/A

LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:

· N/A

SUPERVISORY RESPONSIBILITIES

None

LIVING OUR SERVICE STANDARDS

How we treat those we serve and each other is what sets us apart from other healthcare organizations. We want everyone who walks through our doors to feel loved, cared for, and at ease.  Whether you are clinical or non-clinical, your actions and behaviors can create an environment that either builds trust or causes anxiety and fear. We have made it easy for you to ensure that you are always building trust and providing excellent care by exhibiting our Service Standards. 

 

All team members will be held accountable for consistently living out our 16 Service Standards and the additional behaviors listed below to ensure that every person, every time has an exceptional experience.

 

KEEP ME SAFE

I make safety my number one priority.

I protect privacy and confidentiality.

I keep my environment clean.

I follow the dress code and wear my badge correctly.

 

LOVE ME

I treat others with uncommon compassion.

I nurture whole-person care through CREATION Health.

I treat others with fairness and respect.

I listen and communicate using iCARE. (Introduce, Connect, Anticipate, Reinforce, Extend)

 

MAKE IT EASY

I help guests to their destination.

I speak highly of others to provide connected care.

I collaborate to create solutions, not excuses.

I innovate and continually seek ways to improve our work.

 

OWN IT

I am positive and aim to exceed all expectations.

I follow through on commitments.

I use discretion with personal devices.

I recover service and restore trust using ACT. (Acknowledge/Apologize, Correct, Thank)

 

Team members must conform to all AdventHealth organizational and departmental policies and procedures including but not limited to:

· Mission

· Vision

· Values

· Code of Conduct as outlined in the “Guidelines for Employees” handbook

 

Establishes and maintains a history of regular attendance; makes appropriate use of PDO and observes department call-in procedures for absence; establishes and maintains punctual work habits. Exhibits timely arrival and departure and dependable time habits including meal and other breaks.

 

Attends and participates in mandatory facility-wide and department training/meetings as required (including but not limited to:  ALN, safety training, etc.). Is able to demonstrate and apply knowledge of fire, safety, security, and disaster procedure regulations as presented in orientation, outlined in the safety manual, and as pertains to each work area.

 

Required to respond to emergency situations (i.e. disasters, hurricanes, etc.) by reporting to department and staying until the crisis is over or your position is covered by incoming personnel. This is a mandatory requirement. Refusal to respond may result in termination.

 

Contributes to the successful achievement of department-stated goals and objectives and will facilitate staff cohesiveness and communication.

REQUIRED COMPETENCIES

· Accurately identifies and assigns payer plan codes in organization’s electronic health record system; utilizes knowledge of insurance plans and contracts to identify opportunities to improve payer master file

· Coordinates benefits by effectively determining primary, secondary, and tertiary liability when needed

· Demonstrates expert understanding of insurance terminology (e.g., co-payments, deductibles, allowances, etc.) and analyzes information received to determine patients’ out-of-pocket liabilities

This position description reflects the general duties and responsibilities necessary to describe the principal functions of the job, as identified, and shall not be considered an exhaustive list of job responsibilities which may be inherent in the job. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. The responsibilities listed may be subject to change at any time and individuals may be asked to perform duties outside of their regular responsibilities to support the ongoing operations of AdventHealth and its facilities.

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.

Keywords: AdventHealth, Clearwater , Consumer Access Spec PRN North Pinellas, Other , Tarpon Springs, Florida

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