Consumer Access Specialist

About This Role

This role involves ensuring accurate patient registration and financial processes for healthcare services. You will perform Medicare compliance reviews, create patient estimates, and coordinate with insurance companies and utilization management staff.

Responsibilities

• Performs Medicare compliance reviews and issues Advance Beneficiary Notices of Noncoverage as needed
• Creates accurate estimates for patient financial responsibility and collects payments or establishes payment plans
• Coordinates with utilization management staff for pre-authorization issues
• Ensures patients have necessary logistical information
• Contacts insurance companies to verify eligibility and benefits
• Obtains pre-authorizations within established timeframes
• Registers patients for all services, ensuring accuracy and minimizing duplication of medical records

Requirements

• Associate's degree or High School diploma/GED
• Certified Healthcare Access Associate (CHAA) - Accredited Issuing Body
• Certified Revenue Cycle Rep (CRCR) - Accredited Issuing Body

Qualifications

• Associate, High School Grad or Equiv

Benefits

Certifications