Florida Licensed Consumer Access Specialist

Job Summary

To enhance patient experience, the full-time Florida Licensed Consumer Access Specialist will perform Medicare compliance reviews, create patient financial estimates, and coordinate with insurance companies for eligibility verification, all while working remotely during scheduled shifts.

Key responsibilities

• Conduct Medicare compliance reviews and issue Advance Beneficiary Notices of Noncoverage as necessary
• Create accurate financial estimates for patients and manage payment collections or plans
• Coordinate with utilization management for pre-authorizations and ensure patients receive necessary logistical information

Required qualifications

• High School diploma or equivalent required; Associate degree preferred
• 1+ years of customer service experience preferred
• 1+ years of relevant healthcare experience preferred
• Knowledge of medical terminology and insurance benefits
• Certified Healthcare Access Associate (CHAA) or Certified Revenue Cycle Rep (CRCR) preferred