Radiation Oncology Consumer Access Specialist

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: PRN Shift: 24 Hours (United States of America) Address: 601 E ROLLINS ST City: ORLANDO State: Florida Postal Code: 32803 Job Description: Schedule: Monday - Friday 7:30 am-4:30 pm PRN Exhibits effective time management skills, meeting attendance requirements, and maintaining schedule flexibility as required. Other duties as assigned. Maintains knowledge of online and system tools, ensuring consistent service during system downtime and compliance with HIPAA regulations. Works patient accounts for benefits and pre-certification, contacting physicians and appropriate staff, and notifying Patient Access of possible denials. Monitors team mailbox, email inbox, faxes, and phone calls, responding to Pre-Access account issues within defined time frames. Maintains close working relationships with clinical partners and ancillary departments to ensure open communication and effective operations. Conducts diligent follow-up on authorization accounts with third-party payers to minimize denials, updating documentation as needed. Greets all customers in a compassionate and helpful manner while providing exemplary customer service and assistance as needed. Reviews and codes Radiation Oncology clinical data to ensure compliance with insurance payor requirements and medical necessity. Contacts insurance companies to obtain benefits, eligibility, and authorization information, accurately entering required details into applicable systems. Notifies clinical counterparts of denials, meeting strict timely notification standards, and completes patient estimates for Radiation Oncology treatment plans. Ensures integrity of patient accounts by working error reports, entering accurate data, and providing timely coverage of assigned work areas. Uses caution to ensure obtained benefits, authorizations, and pre-certifications are accurate according to actual Radiation Oncology treatments and procedures. Knowledge, Skills, and Abilities: • Ability to use discretion when discussing personnel and patient related issues that are confidential in nature. [Required] • Responsive to ever-changing matrix of hospital needs and acts accordingly. [Required] • Self-motivator, multitasker, prioritizes duties, pays attention to detail, and responsive to the needs of the department. [Required] • Proficient in Microsoft Office Programs such as Outlook, Word, and Excel [Required] • Proficiency in performance of basic math functions, capability of communicating professionally and effectively in English, both verbally and in writing [Required] • Bi-lingual (English required and Spanish preferred), both written and verbal communication [Preferred] • Knowledge of Electronic Health Records (EHR) [Preferred] • Experience working with and obtaining insurance authorizations. [Preferred] • Read and understand medical terminology [Preferred] Education: • Associate [Preferred] Field of Study: • N/A Work Experience: • 1+ year experience in patient financial services, patient access, customer service, or related area (registration, finance, collections, customer service, medical office, or contract management) [Required] • 2+ years’ experience in oncology related business operations within specialty pharmacy, insurance verification, payor reimbursement guidelines, and/or authorization submission. familiarity with medical terminology and concepts. working knowledge with third party insurance administrators’ authorization and clinical care processes [Preferred] Additional Information: • N/A Licenses and Certifications: • Registered Pharmacy Technician (RPhT) [Preferred] • Basic Life Support - CPR Cert (BLS) [Preferred] • American Association Medical Assistants (CMA) [Preferred] OR Clinical Medical Assistant Certification (CMAC) [Preferred] OR Registered Medical Assistant (RMA) [Preferred] OR National Certified Medical Assistant (NCMA) [Preferred] OR Certified Clinical Medical Assistant (CCMA) [Preferred] OR Nationally Registered Certified Medical Assistant (NRCMA) [Preferred] • Certified Nurse Assistant (CNA) [Preferred] • Emergency Medical Tech Cert (EMT) [Preferred] Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/23km2677 Pay Range: $15.46 - $24.73 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. 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. Apply tot his job Apply To this Job