Role Overview
As a Consumer Access Specialist, you will play a key role in guiding patients through the access process by accurately registering individuals for services, confirming insurance eligibility, and securing necessary pre-authorizations. Your attention to detail ensures compliance with Medicare requirements, including timely issuance of Advance Beneficiary Notices when appropriate.
Key Responsibilities
- Conduct thorough reviews to ensure compliance with Medicare regulations and issue required noncoverage notices as needed
- Generate clear financial estimates outlining patient responsibility and facilitate payment collection or set up structured payment plans
- Verify insurance coverage and benefits by directly contacting payers and obtain pre-authorizations within established timelines
- Ensure accurate patient registration across all services to prevent duplication and maintain data integrity
- Collaborate with utilization management teams to resolve authorization challenges and provide patients with essential service information
Qualifications
- High school diploma or equivalent
- Associate degree in a related field preferred
- Certified Healthcare Access Associate (CHAA) from an accredited body
- Certified Revenue Cycle Representative (CRCR) from an accredited issuing organization
Work Environment
This is an on-site PRN position based in Hendersonville, North Carolina, operating during daytime hours. The role supports a mission-driven culture focused on holistic well-being, professional development, and inclusive service.
Equal Opportunity Employer
This organization complies with all applicable federal, state, and local laws prohibiting discrimination and provides equal employment opportunities regardless of race, color, religion, gender, national origin, age, disability, or any other protected status.
