Consumer Access Specialist Wesley Chapel

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 and ensures patients have necessary logistical information. Registers patients for all services, ensuring accuracy and minimizing duplication of medical records. Collects critical demographic information from patients and confirms insurance details. Provides timely and continual coverage of assigned work areas during scheduled shifts, arranging relief coverage as needed. Manages communication between clinical, ancillary, and consumer access departments to enhance the patient experience. Requires knowledge of HIPAA/privacy rules, CMS guidelines, and EMR systems. Bilingual – English/Spanish. Experience in customer service and healthcare revenue cycle is preferred. Education: Associate degree preferred; High School Grad or equivalent required. Licenses/Certifications: CHAA and CRCR preferred. Pay range: $16.63-$26.60/hour corresponding to annualized salaries: $34,590 - $55,328. Job duties include Medicare compliance reviews, patient demographic collection, insurance verification, pre-authorizations, billing/cashiering, and cross-department coordination to improve patient experience.