Consumer Access Spec Lead

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. Works complex accounts and manages escalations from Consumer Access Representatives and Consumer Access Specialists. Assists with departmental training and quality audits. Maintains a close working relationship with clinical partners to ensure continual open communication between clinical, ancillary and patient access departments. Anticipates and responds to the inquires and needs of clinical partners. 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. Ensures team success in active mentoring and meeting the stated monthly collection and accuracy goals. Monitors team performance. Carries out implementation of supervisor/manager directive.

The value you'll bring to the team: Mature judgement in dealing with patients, physicians, and insurance representatives Intermediate 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 HIPAA and AdventHealth corporate policies Exceptional customer service skills Advanced understanding of insurance knowledge and benefits Advanced understanding of hospital electronic medical report (EMR) system Basic medical terminology Must be able to read, write, and speak conversational English Assists department supervisor with quality audits as needed Demonstrates leadership skills through mentoring staff and assisting with departmental training as needed Contributes to a positive work environment. Is open to change and is sensitive to department and organization needs Acts as a liaison to various departments as a knowledge leader Utilizes knowledge of and performs and educates team members on Guest Services functions to ensure the smooth operation of the Guest Services/Information department if applicable Works complex accounts and manages escalations from Consumer Access Representatives and Consumer Access Specialists Assists with Human Resource functions, including evaluation, scheduling, and productivity Communicates educational needs for improvement on performance, processes, and workflows to leadership via email, one-on-one, and/or team meetings Leads monthly team meetings and team huddles

• 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.
• Works complex accounts and manages escalations from Consumer Access Representatives and Consumer Access Specialists.
• Assists with departmental training and quality audits.
• Maintains a close working relationship with clinical partners to ensure continual open communication between clinical, ancillary and patient access departments.
• Anticipates and responds to the inquires and needs of clinical partners.
• 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.
• Ensures team success in active mentoring and meeting the stated monthly collection and accuracy goals.
• Monitors team performance.
• Carries out implementation of supervisor/manager directive.
• Assists department supervisor with quality audits as needed
• Demonstrates leadership skills through mentoring staff and assisting with departmental training as needed
• Contributes to a positive work environment. Is open to change and is sensitive to department and organization needs
• Acts as a liaison to various departments as a knowledge leader
• Utilizes knowledge of and performs and educates team members on Guest Services functions to ensure the smooth operation of the Guest Services/Information department if applicable
• Works complex accounts and manages escalations from Consumer Access Representatives and Consumer Access Specialists
• Assists with Human Resource functions, including evaluation, scheduling, and productivity
• Communicates educational needs for improvement on performance, processes, and workflows to leadership via email, one-on-one, and/or team meetings
• Leads monthly team meetings and team huddles

• Mature judgement in dealing with patients, physicians, and insurance representatives
• Intermediate 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 HIPAA and AdventHealth corporate policies
• Exceptional customer service skills
• Advanced understanding of insurance knowledge and benefits
• Advanced understanding of hospital electronic medical report (EMR) system
• Basic medical terminology
• Must be able to read, write, and speak conversational English

• 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
• Pet Insurance*
• Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)
• Faith based & mission driven organization
• Central Floridas premier multi-specialty medical group
• Comprehensive Employee Benefits such as Educational Reimbursement
• CREATION Health employee wellness and lifestyle programs
• Positive working climate to support a work life balance

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we're committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.

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 Pet Insurance* Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense) Faith based & mission driven organization Central Floridas premier multi-specialty medical group Comprehensive Employee Benefits such as Educational Reimbursement CREATION Health employee wellness and lifestyle programs Positive working climate to support a work life balance

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.