Consumer Access Representative Pre-Access AdventHealth Shawnee Mission

Location Address: 

Virtual Office

Top Reasons to Work At AdventHealth Shawnee Mission

• Medical, Dental and Vision Benefits Available Day One
• Received Magnet® recognition from the American Nurses Credentialing Center in January 2019
• Providing faith-based, whole person care to Kansas City since 1962
• Excellent health benefits, an onsite childcare center and fitness facility  
• Tuition reimbursement to support continuing education
• Employee Referral Program
• Largest health care provider in Johnson County with three campuses

Work Hours/Shift:

Full Time Days

Monday – Friday

8:00AM – 5:00PM

You Will Be Responsible For:   

• Proactively seeks assistance to improve any responsibilities assigned to their role
• Accountable for maintaining a working relationship with clinical partners to ensure open communications between clinical, ancillary, and patient access departments, which enhances the patient experience
• Monitors work queues throughout to day to ensure patient accounts are worked timely and in accordance with established service line leader expectations
• Meets and exceeds productivity standards determined by department leadership
• Meets attendance and punctuality requirements. Maintains schedule flexibility to meet department needs. Exhibits effective time management skills by monitoring time and attendance to limit use of unauthorized overtime 
• Actively attends department meetings and promotes positive dialogue within 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
• Minimizes duplication of medical records by using problem-solving skills to verify patient identity through demographic details
• Creates accurate estimates to maximize up-front cash collections and adds collections documentation where required

What You Will Need:

• High School diploma or GED
• Understanding of HIPAA privacy rules and ability to use discretion when discussing patient related information that is confidential in nature as needed to perform duties

Job Summary:

Ensures patients are appropriately financially cleared for all appointments. Performs eligibility verification, obtains pre-cert and/or authorizations, clears registration errors and edits pre-bill, and performs 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.