Consumer Access Specialist - AdventHealth Ottawa

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

• Vision, Medical & Dental Benefits from Day One
• Student Loan Repayment Program
• Received Magnet® recognition from the American Nurses Credentialing Center in January 2019

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: Every Other Weekend – Saturday & Sunday 6:15AM – 6:45PM

Shift: Part Time Weekend Days  

Location: AdventHealth Shawnee Mission  

                 1301 S. Main Street, Ottawa, KS 66067

The community you’ll be caring for:

Your health extends far beyond the physical. That’s why AdventHealth Ottawa, formerly Ransom Memorial Health, is committed to strengthening your body, mind and spirit. Our providers, specialists and staff serve the local community in and around Franklin County. With our whole-hearted support, you can start on the path to wellness today.

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:

• 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
• 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

The expertise and experiences you’ll need to succeed:

• One year of customer service experience
• High School diploma or GED