Patient Access Representative FT Days in Tavares, FL at Adventist Health System

Date Posted: 11/9/2018

Job Snapshot

  • Job Schedule
  • Location:
    Tavares, FL
  • Job Category
  • Date Posted:
  • Job ID:
  • Job Function
    Patient Financial Services
  • Travel
  • Shift
    1 - Day
  • AHS Zone
    1-Shared Services
  • Organization
    Florida Hospital Waterman

Job Description

Work Hours/Shifts
Day Shift

Florida Hospital Waterman
Florida Hospital Waterman is a career destination for individuals who feel a calling to help fulfill our mission of providing whole-person care that is highly compassionate and clinically first-rate. Drawn by that mission, team members also appreciate our state-of-the-art hospital, which is strikingly situated on a lovely lakeside campus, approximately 1 hour Northwest of Orlando. In August 2003, the hospital opened the doors of this replacement facility on Hwy 441 in Tavares. The 450,000 square foot, 269-bed acute care facility offers the latest in medical technology. Each patient room is private, and the uniquely designed "clover leaf" patient care units consist of 60 beds per floor. The Emergency Department is sized to accommodate up to 60,000 visits per year.
Florida Hospital Waterman is committed to meeting our region's growing need for advanced comprehensive cardiac care. As part of that commitment, we are expanding our range of services to include interventional cardiology and open heart surgery services. At Florida Hospital Waterman, you'll enjoy a satisfying career and lifestyle as you help carry out our vital mission. We invite you to join our team!
You will be responsible for:
  • Maintains performance standards appropriate to area by obtaining account benefits or verifying authorizations are in place for all scheduled and/or unscheduled patient accounts under responsibility, meeting time line standards established by Leadership for all patient services.  Performs and processes accurate Pre-Registration procedures to meet the needs of Patient Access/Patient Financial Services Department in order to ensure expeditious and accurate payments on patient accounts, meeting productivity standards established by Leadership
  • Meets or exceeds audit accuracy standard goal determined by Patient Access Leadership.  Ensures integrity of patient accounts by working error reports daily and/or entering appropriate and accurate data, and documenting all attempts made to collect and/or obtain missing documentation.  In working accounts for authorization, is held responsible for Denials to protect financial standing of Florida Hospital Waterman
  • Uses utmost caution that obtained benefits, authorizations, and/or Pre-Certifications are accurate according to the actual test/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.  In working patient accounts for benefits; monitors accounts for change in insurance status
  • Verifies required financial and demographic information by phone interview in a professional manner, demonstrating a regard for dignity of all patients and family members.  Ensures all financial obligations are communicated to patients clearly, updated on account, and detailed to ensure expeditious processing of patient accounts at time of visit
  • Appropriately collects and/or sets payment arrangements with patients or their representative, scheduling payments on deposits due, which may include screening of patients for enrollment in available credit option programs.  Documents all attempts for collections, using approved verbiage, timely and consistently.  Proactively seeks assistance to improve collections
  • Maintains a close working relationship with clinical partners and/or ancillary departments to ensure continual open communication between clinical, ancillary and Patient Access & Patient Financial Services departments.  May contact physicians and/or Case Management/Utilization Review to facilitate the sending of clinical information in support of the authorization to the payor, as assigned
  • Monitors team mailbox and/or e-mail inbox, faxes, and/or phone calls, responding to all related account issues, within defined time frames.  Exhibits effective time management skills and maintains flexibility by being available for all partners and team.  Responsible for working reports and projects assigned by leadership to maintain team and individual productivity standards and goals
  • In working patient accounts for benefits; monitors accounts for change in insurance status prior to registration and sends updates to appropriate areas for follow up.  In working patient for pre-certification; contacts Physician. Patient Access staff, and Clinical Service area where appropriate, notifying authorization is not obtained by department deadline, advising of visit cancellation, reschedule, or to obtain life or limb order from physician allowing patient to proceed.  Contacts patient to notify when visit is rescheduled
  • Maintains a current and thorough knowledge of utilizing online and system tools available, working from manual reports during system downtime.  Maintains sign-on tools in order to provide consistent service to patients, clinical partners, and Patient Access team members
  • Adheres to HIPAA regulations by verifying pertinent information to determine caller authorization level receiving information on account
What will you need?
  • High School diploma or GED
  • Basic knowledge of 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 written

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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