Pre-Accreditation Physician Collection and Authorization Specialist Position Available In Orange, Florida

• Pre-Accreditation Physician Collection and Authorization Specialist AdventHealth
• All the benefits and perks you need for you and your family:
• + Benefits and Paid Days Off from Day One + Tuition Reimbursement + Career Development + Whole Person Wellbeing Resources + Be part of a Team of Winning Care that supports:
• _Orlando Magic, Tampa Bay Buccaneers, Daytona International Speedway, Walt Disney World, Dr. Phillips Center for the Performing Arts, Tampa Bay Lightning, Florida Citrus Sports, Orlando Solar Bears, Lakeland Magic, runDisney and Track Shack._
• 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:

  Monday – Friday

• Shift:

  8am – 4:30pm

• Location:

• 25 S Terry Ave, Orlando, FL 32805
• The community you’ll be caring for:
• AdventHealth Sports Medicine & Rehab patients
• The role you’ll contribute:
• When you join our team of over 40 Outpatient Clinics across Central Florida, you will be part of a winning team of experts dedicated to whole-person care to help our patients heal, strengthen and renew.

We serve patientsin the Orange, Seminole, Osceola, Polk, Volusia, Flagler and Lake Counties with a dedicated Team of therapists, cliniciansand staffwilling to carry on AdventHealth’s mission in the communities we serve. The PreAccess Physician Collaboration and Authorization Specialist is responsible for upholding the financial stability of the organization by ensuring the payer receives all information needed to secure authorization prior to a patient receiving a pre-scheduled service. The Pre-Access Physician Collaboration and Authorization Specialist works in partnership with physician offices and other partners to ensure all payer requirements are met to secure an authorization. Maintaining knowledge of payer requirements for authorization and remaining up to date on medical and payer terminology is a key aspect of this role. This role also extends exceptional customer service to patients by contacting them to inform them of their authorization status and prepares them for their financial responsibility prior to their appointment. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

• The value you’ll bring to the team:
• + Multi-disciplinary team that supports all aspects of financially clearing patients prior to their date of service for all facilities in the Central Florida South Region and works in collaboration with the physician office to submit authorization.

Contacts insurance companies, as well as physician offices, by phone, fax, or online portal to obtain insurance benefits, eligibility, and to secure and validate authorization information. Responsible for ensuring every effort is made to obtain an authorization from a payer in order to protect the financial stability of to the hospital. Cross trained between 2-5 areas, including imaging, surgery, inpatient, pre-registration or rehab to be able to assist in multiple areas as needed. + Reviews clinical records when following up on authorization request directly with a payor. Escalates peer to peer (insurance company physician requests to speak to ordering physician) requests to physician offices and assists in scheduling peer to peer requests with the office and the payer to ensure an authorization decision is made prior to date of service. Uses utmost caution that obtained benefits, authorizations, and pre-certifications are accurate according to the actual test and procedure being performed. Ensures all benefits, authorizations, pre-certifications, and financial obligations of patients, are documented clearly, accurately, precise, and detailed to ensure expeditious processing of patient accounts. + Delivers excellent customer service by contacting patients to inform them of authorization delays 48 hours prior to their date of service and answers all questions and concerns patients may have regarding authorization status. Responsible for pre-registering patients by obtaining demographic information and informing patients of their financial responsibility and collecting payment. Responsible to reschedule any patients that may not want to proceed with service. + Maintains working knowledge of clinical and third-party payor verification terminology to determine benefit eligibility interpretation of coverage as well as authorization requirements for both complex and non-complex procedures/exams to maximize reimbursement. Serves as the knowledge leader for imaging specific terminology and process and proactively identifies trends and education opportunities and educates team members as needed. + Maintains a close working relationship with clinical partners and physician offices to ensure continual open communication between clinical, ancillary, and Consumer Access & Patient Financial Services departments by monitoring team e-mail boxes and phone calls to follow up on issues timely. Responsible for communicating to service line partners of situations where rescheduling is necessary, due to lack of authorization or limited benefits and is approved by clinical personnel.

• The expertise and experiences you’ll need to succeed:
• Minimum qualifications:
• + High School Grad or Equivalent + One year of direct Patient Access experience + Once year of customer service experience + Prior collections experience
• Preferred qualifications:
• + Associate’s degree + Certified Healthcare Access Associate (CHAA) + Certified Revenue Cycle Representative (CRCR) This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

• Category:

• Patient Financial Services

• Organization:

• AdventHealth Imaging Centers

• Schedule:

• Full-time

• Shift:

• 1 – Day

• Req ID:

• 25023756We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.