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Patient Service Representative jobs at Avera Health

- 24 jobs
  • Patient Services Specialist | Therapy | PRN

    Avera Health 4.6company rating

    Patient service representative job at Avera Health

    Worker Type: PRN Work Shift: As Needed (United States of America) Pay Range: is listed below. Actual pay rate dependent upon experience. $18.25 - $23.75 Highlights You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Serves as support liaison with current Patient Service Representatives and patients. Assists with patient check in and collection of co-pays. Will work and communicate with insurance companies or appropriate entity to ensure prior authorization for procedures is received. What you will do * Complete ordering for all supplies for the office and monitor expiration dates on items that expire, if applicable. * Complete templates for the providers schedule when necessary. * Assists in registering patients, collecting co-pays and patient balances at time of service. * Completes prior authorizations as requested by providers, nursing staff and insurance companies. * Assists patients with preparation and completion of appropriate paperwork for financial assistance. * May be cross-trained into other functions to assist in the patient care delivery system. * Run reports to track communication information with providers and administration. * Manage and monitor the credentialing processes for our providers including Physicians and Advanced Practice Providers associated with our practice, if applicable. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: * Technical Certificate One year certificate from college or technical school; related experience and/or training; or equivalent combination of education and experience * Less than 1 year related experience and/or training; or equivalent combination of education and experience Preferred Education, License/Certification, or Work Experience: * High School or GED Equivalent Expectations and Standards * Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community. * Promote Avera's values of compassion, hospitality, and stewardship. * Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. * Maintain confidentiality. * Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. * Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ****************.
    $29k-32k yearly est. Auto-Apply 38d ago
  • Scheduling Specialist Ortho

    Avera Health 4.6company rating

    Patient service representative job at Avera Health

    Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: is listed below. Actual pay rate dependent upon experience. $18.25 - $23.75 Highlights Clinic Hours: Monday - Friday, 8:00 AM - 5:00 PM You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Performs diverse duties as they relate to the department to include, but not limited to completing prior and pre-authorizations for patients insurance companies, working appeals for insurance coverage, verifying benefits, making referrals and scheduling pre-operative physical, and reviewing surgery information with patients. Responsible for scheduling, maintaining, and disseminating an accurate surgery schedule, including acquisition, retention, and organization of documentation, and will provide clerical services for the department as indicated. What you will do * Obtains information (including physician orders to schedule tests/procedures only) from physician offices for scheduling tests, procedures and admissions in an accurate, timely and sequential manner. * Facilitates in coordinating a plan of care for patients with various departments throughout the hospital and clinics including working with equipment vendors for surgical equipment needs. * Coordinates care between facilities for utilization of telemedicine to ensure continuity of care if applicable. * Communication of information to physicians, staff, families, etc., when directed and to do so in an appropriate and professional manner. * Assists with the collection and maintenance of records as needed by Performance Improvement, Joint Commission accreditation, CARF certification, OSHA guidelines, or as my be required by law. * Coordinates scheduling of specialized equipment based on procedures. * Maintains physician calendar, procedure schedule and all coordinating orders for procedures. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: * knowledge of medical terminology Preferred Education, License/Certification, or Work Experience: * High School or GED Equivalent * Associate's in medical secretarial school * 1-3 years experience as a scheduler, biller, or in a medical office Expectations and Standards * Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community. * Promote Avera's values of compassion, hospitality, and stewardship. * Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. * Maintain confidentiality. * Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. * Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. * PTO available day 1 for eligible hires. * Up to 5% employer matching contribution for retirement * Career development guided by hands-on training and mentorship Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ****************.
    $18.3-23.8 hourly Auto-Apply 10d ago
  • Customer Service Representative, Sanford Health

    Sanford Health 4.2company rating

    Sioux Falls, SD jobs

    Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: GSS National Campus Location: Sioux Falls, SD Address: 4800 W 57th St, Sioux Falls, SD 57108, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $16.00 - $25.50 Job Summary The Representative of the Sanford Health will provide effective and efficient handling of phone calls from or to Sanford Health members, providers, and colleagues ensuring a positive experience for all members in a fun and fast-paced atmosphere. Quickly assess the level of complexity of cases and provide resolution or facilitate escalation of phone call inquiries. Provides positive, consistent customer experiences by striving for excellence in understanding and resolving specific requests while showing patience, empathy, compassion and sincerity. Responds to customer questions via inbound and outbound telephone calls and written correspondence. Partners with other Sanford Health departments as needed to coordinate on inquiries requiring in depth research to ensure customer satisfaction regarding member and provider questions. Thoroughly documents interaction for accurate tracking and analysis. Promote the usage of self-service to callers as appropriate. Provide end-user support including navigational questions, basic system issue resolution (e.g., self-service), and escalation as applicable. Highlight opportunities to address common inquiries through existing or new self-service functionalities. Identify opportunities to address common inquiries through improved knowledge management system content and improved methodologies. Ensure compliance with all corporate data administration rules, data security standards, as well as Sanford Health policies and procedures. Follow all Customer Service policies, processes and guidelines. Ability to deliver high quality customer service consistently in a professional manner. Ability to follow strict policy guidelines. Ability to deal effectively with dissatisfied customers. Strong communication skills. Flexibility to accommodate staff scheduling changes. Strong customer service focus. Strong interpersonal and listening skills. Ability to handle multiple customer requests in a timely manner. Attention to detail (particularly with entering data). Ability to follow standard operating procedures. Must have a positive attitude, the ability to learn quickly, and adapt easily to change. Ability to follow standard operating procedures. Qualifications High school diploma or equivalent preferred; bachelor's degree is preferred. Minimum of one year experience in providing customer service. General computer skills including the ability to use the range of Microsoft products (MS Office, Outlook/Exchange). General organizational and proficient problem solving skills. Benefits Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit *********************************** . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************ . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. Req Number: R-0244094 Job Function: Customer Support Services Featured: No
    $16-25.5 hourly 12d ago
  • Lead Patient Access Representative | 40hrs/week

    Sanford Health 4.2company rating

    Sioux Falls, SD jobs

    Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: Central Patient Building Location: Sioux Falls, SD Address: 1305 W 18th St, Sioux Falls, SD 57104, USA Shift: Day Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $18.50 - $29.00 Job Summary Must be able to function as a resource for employees, internal departments, and outside customers. Familiar with all areas of the department and can fill in, answer questions, and assist in resolving issues within the department. Must be able to work independently without much supervision and accept accountability for individual tasks. Excels in customer service skills. Assists with new employee orientation and serves as a mentor. May provide oversight of work tasks and adjust staffing to ensure appropriate coverage due to absences or lack of float coverage. Assists with on-going department education and training. May develop training curriculum and materials to ensure that departmental training needs are met. May facilitate change and ensure adoption of new processes. Demonstrates analytical decision-making, information gathering, presentation, project management, group facilitation and training skills. May assist in managing productivity and department reports. Qualifications High school diploma or equivalent preferred. Associate degree preferred. Two years of One Chart or similar electronic medical records (EMR) experience required. Five years of customer service experience preferred. Previous healthcare experience required. Benefits Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit *********************************** . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************ . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. Req Number: R-0239789 Job Function: Revenue Cycle Featured: No
    $18.5-29 hourly 1d ago
  • Senior Patient Access Representative | Medical Oncology Clinic | 40 hrs/week

    Sanford Health 4.2company rating

    Sioux Falls, SD jobs

    Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: Cancer Center Building Location: Sioux Falls, SD Address: 1309 W 17th St, Sioux Falls, SD 57104, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $18.25 - $25.50 Department Details Sanford Hematology / Oncology Clinic is located in the Edith Sanford Cancer Center on the Sanford campus. It's a very fast-paced clinic that includes Palliative Care and an Infusion Center. As a Senior Patient Access Representative, you will use your talents to impact the patient journey by helping patients gain access to care. This position is primarily scheduling via phone with our patients and Sanford's various scheduling departments, as well as occasional front facing with in-person patient registration. Hours: Monday - Friday with hours ranging from 7:00am - 5:00pm Job Summary The Senior Patient Access Representative serves as a liaison between patients, families, physicians and medical support staff. Specific duties vary by location and may include the following: Collaborates with multi-disciplinary team to ensure medical services are appropriately scheduled for patient. Requires depth of knowledge of service line to proficiently review procedure/surgery orders, as well as appropriately schedule all necessary resources to perform the procedure/surgery. Responsible for resource management and resolving conflicts. Serves as a liaison between provider and supporting providers. Manages provider schedules. May collaborate with patients and providers to demonstrate medical necessity to insurance companies and obtain required prior authorization. May perform registration duties and work the front desk. May train and mentor new employees. May serve as an electronic medical record (EMR) super user. Displays professionalism and promotes an atmosphere of mutual respect and cooperation. Must be able to work independently, as well as part of a team. Must always maintain confidentiality of sensitive information. Uses problem solving and critical thinking skills to resolve issues and seeks guidance from leadership when appropriate. Must demonstrate proficiency in computer skills and use of multi-line telephone. Qualifications High school diploma or equivalent preferred; post-secondary education helpful. Previous medical office experience preferred. Prior electronic medical records (EMR) experience is preferred. Must have knowledge of medical terminology; customer service skills essential. Six months' customer service experience desired. Benefits Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit *********************************** . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************ . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. Req Number: R-0245308 Job Function: Revenue Cycle Featured: No
    $18.3-25.5 hourly 3d ago
  • Senior Patient Access Representative | Medical Oncology Clinic | 40 hrs/week

    Sanford Health 4.2company rating

    Sioux Falls, SD jobs

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Work Shift: 8 Hours - Day Shifts (United States of America) Scheduled Weekly Hours: 40Salary Range: $18.25 - $25.50 Union Position: No Department Details Sanford Hematology / Oncology Clinic is located in the Edith Sanford Cancer Center on the Sanford campus. It's a very fast-paced clinic that includes Palliative Care and an Infusion Center. As a Senior Patient Access Representative, you will use your talents to impact the patient journey by helping patients gain access to care. This position is primarily scheduling via phone with our patients and Sanford's various scheduling departments, as well as occasional front facing with in-person patient registration. Hours: Monday - Friday with hours ranging from 7:00am - 5:00pm Summary The Senior Patient Access Representative serves as a liaison between patients, families, physicians and medical support staff. Job Description Specific duties vary by location and may include the following: Collaborates with multi-disciplinary team to ensure medical services are appropriately scheduled for patient. Requires depth of knowledge of service line to proficiently review procedure/surgery orders, as well as appropriately schedule all necessary resources to perform the procedure/surgery. Responsible for resource management and resolving conflicts. Serves as a liaison between provider and supporting providers. Manages provider schedules. May collaborate with patients and providers to demonstrate medical necessity to insurance companies and obtain required prior authorization. May perform registration duties and work the front desk. May train and mentor new employees. May serve as an electronic medical record (EMR) super user. Displays professionalism and promotes an atmosphere of mutual respect and cooperation. Must be able to work independently, as well as part of a team. Must always maintain confidentiality of sensitive information. Uses problem solving and critical thinking skills to resolve issues and seeks guidance from leadership when appropriate. Must demonstrate proficiency in computer skills and use of multi-line telephone. Qualifications High school diploma or equivalent preferred; post-secondary education helpful. Previous medical office experience preferred. Prior electronic medical records (EMR) experience is preferred. Must have knowledge of medical terminology; customer service skills essential. Six months' customer service experience desired. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************.
    $18.3-25.5 hourly Auto-Apply 2d ago
  • Patient Access Representative | Urogynecology | 40 hrs/week

    Sanford Health 4.2company rating

    Sioux Falls, SD jobs

    Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: Medical Building 3 Location: Sioux Falls, SD Address: 1500 W 22nd St, Sioux Falls, SD 57105, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $16.25 - $23.00 Job Summary Join our Sanford Patient Access Family and Grow the Good! As a Patient Access Representative, your primary responsibility will be providing extraordinary customer service to patients with every interaction. With being the first point of contact, you will have the opportunity to provide a positive patient experience by creating a welcoming and safe environment, either on the phone or in the clinic. Apply today to learn more about the opportunities available to grow your career at Sanford. REGISTRATION * Greet patients & verifies demographics * Creating, scanning & routing documents or electronic forms * Inform patients what the document is & capture signatures on necessary paperwork * Establishes and assigns financial responsibility and assists with arrangements while adhering to appropriate policies and procedures * Collects co-payments, pre-payments, and payments on account balances * May work through the registration work queue to address and resolve registration errors or denied insurance claims SCHEDULING * Work with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule * Obtain and coordinate referrals & conduct pre-authorization * Arrange interpreter services * Check patients in/out * Operate multi-line phone * May resolve work queue issues, manage recall and waitlists, & serve as switchboard operator calling codes and paging providers ADDITIONAL DUTIES MAY INCLUDE * Preparation & coordination of charts * Organize supporting provider documents * Initiation & collaboration of patient financial assistance * Track patient visits & health information management on patient accounts * Compile, distribute, administer, and score assessments * Coordination of Telemed appointments * Reminder calls for appointments * Hospital admission * Office duties, such as make copies or send faxes Qualifications High school diploma or equivalent preferred. Post-secondary education helpful. One year of work experience, preferably in a medical office setting. Medical terminology helpful; customer service skills essential. Six months' customer service experience desired. May require BLS for certain locations and/or settings. Benefits Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit *********************************** . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************ . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. Req Number: R-0244888 Job Function: Revenue Cycle Featured: No
    $16.3-23 hourly 3d ago
  • Patient Access Representative | Imagenetics and Post Acute | 40 hrs/week

    Sanford Health 4.2company rating

    Sioux Falls, SD jobs

    **Careers With Purpose** **Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.** **Facility:** Imagenetics Building **Location:** Sioux Falls, SD **Address:** 1321 W 22nd St, Sioux Falls, SD 57105, USA **Shift:** 8 Hours - Day Shifts **Job Schedule:** Full time **Weekly Hours:** 40.00 **Salary Range:** $16.25 - $23.00 **Job Summary** Join our Sanford Patient Access Family and Grow the Good! As a Patient Access Representative, your primary responsibility will be providing extraordinary customer service to patients with every interaction. With being the first point of contact, you will have the opportunity to provide a positive patient experience by creating a welcoming and safe environment, either on the phone or in the clinic. Apply today to learn more about the opportunities available to grow your career at Sanford. REGISTRATION - Greet patients & verifies demographics - Creating, scanning & routing documents or electronic forms - Inform patients what the document is & capture signatures on necessary paperwork - Establishes and assigns financial responsibility and assists with arrangements while adhering to appropriate policies and procedures - Collects co-payments, pre-payments, and payments on account balances - May work through the registration work queue to address and resolve registration errors or denied insurance claims SCHEDULING - Work with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule - Obtain and coordinate referrals & conduct pre-authorization - Arrange interpreter services - Check patients in/out - Operate multi-line phone - May resolve work queue issues, manage recall and waitlists, & serve as switchboard operator calling codes and paging providers ADDITIONAL DUTIES MAY INCLUDE - Preparation & coordination of charts - Organize supporting provider documents - Initiation & collaboration of patient financial assistance - Track patient visits & health information management on patient accounts - Compile, distribute, administer, and score assessments - Coordination of Telemed appointments - Reminder calls for appointments - Hospital admission - Office duties, such as make copies or send faxes **Qualifications** High school diploma or equivalent preferred. Post-secondary education helpful. One year of work experience, preferably in a medical office setting. Medical terminology helpful; customer service skills essential. Six months' customer service experience desired. May require BLS for certain locations and/or settings. **Benefits** Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit *********************************** . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************ . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. **Req Number:** R-0244958 **Job Function:** Revenue Cycle **Featured:** No
    $16.3-23 hourly 4d ago
  • Patient Access Representative | Imagenetics and Post Acute | 40 hrs/week

    Sanford Health 4.2company rating

    Sioux Falls, SD jobs

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Work Shift: 8 Hours - Day Shifts (United States of America) Scheduled Weekly Hours: 40Salary Range: $16.25 - $23.00 Union Position: No Department Details Summary Join our Sanford Patient Access Family and Grow the Good! As a Patient Access Representative, your primary responsibility will be providing extraordinary customer service to patients with every interaction. With being the first point of contact, you will have the opportunity to provide a positive patient experience by creating a welcoming and safe environment, either on the phone or in the clinic. Apply today to learn more about the opportunities available to grow your career at Sanford. Job Description REGISTRATION - Greet patients & verifies demographics - Creating, scanning & routing documents or electronic forms - Inform patients what the document is & capture signatures on necessary paperwork - Establishes and assigns financial responsibility and assists with arrangements while adhering to appropriate policies and procedures - Collects co-payments, pre-payments, and payments on account balances - May work through the registration work queue to address and resolve registration errors or denied insurance claims SCHEDULING - Work with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule - Obtain and coordinate referrals & conduct pre-authorization - Arrange interpreter services - Check patients in/out - Operate multi-line phone - May resolve work queue issues, manage recall and waitlists, & serve as switchboard operator calling codes and paging providers ADDITIONAL DUTIES MAY INCLUDE - Preparation & coordination of charts - Organize supporting provider documents - Initiation & collaboration of patient financial assistance - Track patient visits & health information management on patient accounts - Compile, distribute, administer, and score assessments - Coordination of Telemed appointments - Reminder calls for appointments - Hospital admission - Office duties, such as make copies or send faxes Qualifications High school diploma or equivalent preferred. Post-secondary education helpful. One year of work experience, preferably in a medical office setting. Medical terminology helpful; customer service skills essential. Six months' customer service experience desired. May require BLS for certain locations and/or settings. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************.
    $16.3-23 hourly Auto-Apply 2d ago
  • Senior Patient Access Representative | Surgery Scheduler | 40hrs/week

    Sanford Health 4.2company rating

    Rapid City, SD jobs

    Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: Black Hills Ortho&Spine Ctr Location: Rapid City, SD Address: 7220 Mt Rushmore Rd, Rapid City, SD 57702, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $18.25 - $25.50 Department Details Monday through Friday 8:00am-5:00pm Job Summary The Senior Patient Access Representative serves as a liaison between patients, families, physicians and medical support staff. Specific duties vary by location and may include the following: Collaborates with multi-disciplinary team to ensure medical services are appropriately scheduled for patient. Requires depth of knowledge of service line to proficiently review procedure/surgery orders, as well as appropriately schedule all necessary resources to perform the procedure/surgery. Responsible for resource management and resolving conflicts. Serves as a liaison between provider and supporting providers. Manages provider schedules. May collaborate with patients and providers to demonstrate medical necessity to insurance companies and obtain required prior authorization. May perform registration duties and work the front desk. May train and mentor new employees. May serve as an electronic medical record (EMR) super user. Displays professionalism and promotes an atmosphere of mutual respect and cooperation. Must be able to work independently, as well as part of a team. Must always maintain confidentiality of sensitive information. Uses problem solving and critical thinking skills to resolve issues and seeks guidance from leadership when appropriate. Must demonstrate proficiency in computer skills and use of multi-line telephone. Qualifications High school diploma or equivalent preferred; post-secondary education helpful. Previous medical office experience preferred. Prior electronic medical records (EMR) experience is preferred. Must have knowledge of medical terminology; customer service skills essential. Six months' customer service experience desired. Benefits Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit *********************************** . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************ . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. Req Number: R-0242886 Job Function: Revenue Cycle Featured: No
    $18.3-25.5 hourly 28d ago
  • Patient Access Representative | 40hrs/week

    Sanford Health 4.2company rating

    Rapid City, SD jobs

    Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: Black Hills Ortho&Spine Ctr Location: Rapid City, SD Address: 7220 Mt Rushmore Rd, Rapid City, SD 57702, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $16.25 - $23.00 Department Details Schedule: Monday through Thursday 8:00am-5:00pm and Friday 8:00am-3:00pm Job Summary Join our Sanford Patient Access Family and Grow the Good! As a Patient Access Representative, your primary responsibility will be providing extraordinary customer service to patients with every interaction. With being the first point of contact, you will have the opportunity to provide a positive patient experience by creating a welcoming and safe environment, either on the phone or in the clinic. Apply today to learn more about the opportunities available to grow your career at Sanford. REGISTRATION * Greet patients & verifies demographics * Creating, scanning & routing documents or electronic forms * Inform patients what the document is & capture signatures on necessary paperwork * Establishes and assigns financial responsibility and assists with arrangements while adhering to appropriate policies and procedures * Collects co-payments, pre-payments, and payments on account balances * May work through the registration work queue to address and resolve registration errors or denied insurance claims SCHEDULING * Work with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule * Obtain and coordinate referrals & conduct pre-authorization * Arrange interpreter services * Check patients in/out * Operate multi-line phone * May resolve work queue issues, manage recall and waitlists, & serve as switchboard operator calling codes and paging providers ADDITIONAL DUTIES MAY INCLUDE * Preparation & coordination of charts * Organize supporting provider documents * Initiation & collaboration of patient financial assistance * Track patient visits & health information management on patient accounts * Compile, distribute, administer, and score assessments * Coordination of Telemed appointments * Reminder calls for appointments * Hospital admission * Office duties, such as make copies or send faxes Qualifications High school diploma or equivalent preferred. Post-secondary education helpful. One year of work experience, preferably in a medical office setting. Medical terminology helpful; customer service skills essential. Six months' customer service experience desired. May require BLS for certain locations and/or settings. Benefits Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit *********************************** . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************ . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. Req Number: R-0242900 Job Function: Revenue Cycle Featured: No
    $16.3-23 hourly 22d ago
  • Patient Access Representative | 40hrs/week

    Sanford Health 4.2company rating

    Rapid City, SD jobs

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Work Shift: 8 Hours - Day Shifts (United States of America) Scheduled Weekly Hours: 40Salary Range: $16.25 - $23.00 Union Position: No Department Details Schedule: Monday through Thursday 8:00am-5:00pm and Friday 8:00am-3:00pm Summary Join our Sanford Patient Access Family and Grow the Good! As a Patient Access Representative, your primary responsibility will be providing extraordinary customer service to patients with every interaction. With being the first point of contact, you will have the opportunity to provide a positive patient experience by creating a welcoming and safe environment, either on the phone or in the clinic. Apply today to learn more about the opportunities available to grow your career at Sanford. Job Description REGISTRATION - Greet patients & verifies demographics - Creating, scanning & routing documents or electronic forms - Inform patients what the document is & capture signatures on necessary paperwork - Establishes and assigns financial responsibility and assists with arrangements while adhering to appropriate policies and procedures - Collects co-payments, pre-payments, and payments on account balances - May work through the registration work queue to address and resolve registration errors or denied insurance claims SCHEDULING - Work with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule - Obtain and coordinate referrals & conduct pre-authorization - Arrange interpreter services - Check patients in/out - Operate multi-line phone - May resolve work queue issues, manage recall and waitlists, & serve as switchboard operator calling codes and paging providers ADDITIONAL DUTIES MAY INCLUDE - Preparation & coordination of charts - Organize supporting provider documents - Initiation & collaboration of patient financial assistance - Track patient visits & health information management on patient accounts - Compile, distribute, administer, and score assessments - Coordination of Telemed appointments - Reminder calls for appointments - Hospital admission - Office duties, such as make copies or send faxes Qualifications High school diploma or equivalent preferred. Post-secondary education helpful. One year of work experience, preferably in a medical office setting. Medical terminology helpful; customer service skills essential. Six months' customer service experience desired. May require BLS for certain locations and/or settings. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************.
    $16.3-23 hourly Auto-Apply 22d ago
  • Patient Access Representative | Urgent Care | PRN

    Sanford Health 4.2company rating

    Rapid City, SD jobs

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Work Shift: 10 Hours - Rotating Shifts (United States of America) Scheduled Weekly Hours: 0Salary Range: $16.25 - $23.00 Union Position: No Department Details Summary Join our Sanford Patient Access Family and Grow the Good! As a Patient Access Representative, your primary responsibility will be providing extraordinary customer service to patients with every interaction. With being the first point of contact, you will have the opportunity to provide a positive patient experience by creating a welcoming and safe environment, either on the phone or in the clinic. Apply today to learn more about the opportunities available to grow your career at Sanford. Job Description REGISTRATION - Greet patients & verifies demographics - Creating, scanning & routing documents or electronic forms - Inform patients what the document is & capture signatures on necessary paperwork - Establishes and assigns financial responsibility and assists with arrangements while adhering to appropriate policies and procedures - Collects co-payments, pre-payments, and payments on account balances - May work through the registration work queue to address and resolve registration errors or denied insurance claims SCHEDULING - Work with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule - Obtain and coordinate referrals & conduct pre-authorization - Arrange interpreter services - Check patients in/out - Operate multi-line phone - May resolve work queue issues, manage recall and waitlists, & serve as switchboard operator calling codes and paging providers ADDITIONAL DUTIES MAY INCLUDE - Preparation & coordination of charts - Organize supporting provider documents - Initiation & collaboration of patient financial assistance - Track patient visits & health information management on patient accounts - Compile, distribute, administer, and score assessments - Coordination of Telemed appointments - Reminder calls for appointments - Hospital admission - Office duties, such as make copies or send faxes Qualifications High school diploma or equivalent preferred. Post-secondary education helpful. One year of work experience, preferably in a medical office setting. Medical terminology helpful; customer service skills essential. Six months' customer service experience desired. May require BLS for certain locations and/or settings. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************.
    $16.3-23 hourly Auto-Apply 34d ago
  • Patient Access Representative | Urgent Care | PRN

    Sanford Health 4.2company rating

    Rapid City, SD jobs

    Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: Black Hills Mt View Urg Care Location: Rapid City, SD Address: 741 Mountain View Rd, Rapid City, SD 57702, USA Shift: 10 Hours - Rotating Shifts Job Schedule: PRN Weekly Hours: Varies Salary Range: $16.25 - $23.00 Job Summary Join our Sanford Patient Access Family and Grow the Good! As a Patient Access Representative, your primary responsibility will be providing extraordinary customer service to patients with every interaction. With being the first point of contact, you will have the opportunity to provide a positive patient experience by creating a welcoming and safe environment, either on the phone or in the clinic. Apply today to learn more about the opportunities available to grow your career at Sanford. REGISTRATION * Greet patients & verifies demographics * Creating, scanning & routing documents or electronic forms * Inform patients what the document is & capture signatures on necessary paperwork * Establishes and assigns financial responsibility and assists with arrangements while adhering to appropriate policies and procedures * Collects co-payments, pre-payments, and payments on account balances * May work through the registration work queue to address and resolve registration errors or denied insurance claims SCHEDULING * Work with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule * Obtain and coordinate referrals & conduct pre-authorization * Arrange interpreter services * Check patients in/out * Operate multi-line phone * May resolve work queue issues, manage recall and waitlists, & serve as switchboard operator calling codes and paging providers ADDITIONAL DUTIES MAY INCLUDE * Preparation & coordination of charts * Organize supporting provider documents * Initiation & collaboration of patient financial assistance * Track patient visits & health information management on patient accounts * Compile, distribute, administer, and score assessments * Coordination of Telemed appointments * Reminder calls for appointments * Hospital admission * Office duties, such as make copies or send faxes Qualifications High school diploma or equivalent preferred. Post-secondary education helpful. One year of work experience, preferably in a medical office setting. Medical terminology helpful; customer service skills essential. Six months' customer service experience desired. May require BLS for certain locations and/or settings. Benefits Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit *********************************** . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************ . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. Req Number: R-0241879 Job Function: Revenue Cycle Featured: No
    $16.3-23 hourly 38d ago
  • Patient Access Representative - Rapid City Lab - FT

    Sanford Health 4.2company rating

    Rapid City, SD jobs

    Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: Rapid City Lab Location: Rapid City, SD Address: 36 E Stumer Rd #114, Rapid City, SD 57701, USA Shift: Varies Job Schedule: Full time Weekly Hours: 40.00 Department Details Teamwork oriented, modern laboratory, and company growth. Job Summary Two major functions of the Patient Access Representative (PAR) are patient registration and scheduling. Depending on setting, the PAR may only perform registration or scheduling duties, while in other settings, the PAR may perform both registration and scheduling duties. In all settings, the PAR performs additional duties, as assigned. Duties vary by location/setting. In a registration role, the Patient Access Representative greets patients/residents, verifies patient/resident demographics to accurately register and/or schedule patients/residents, and takes care of related paperwork. Creates electronic files; provides, scans, and routes necessary forms and documents. Educates patients/residents and captures their signatures on necessary paperwork. Establishes and assigns financial responsibility and/or assists with arrangements while adhering to appropriate policies and procedures. Collects co-payments, pre-payments, and/or payments on account balances. May also work through the registration work queue to address and resolve issues specific to registration, including work queue errors, denied insurance claims, and maintenance of the registration database. In a scheduling role, the Patient Access Representative schedules patient/resident appointments and procedures, obtains and coordinates referrals, conducts pre-authorization, arranges interpreter services, checks patients/residents in/out, and offers enrollment to additional resources. Collaborates with nursing team and providers to coordinate appointments to meet patients'/residents' needs. May coordinate provider schedule, resolve work queue issues and manage recall and waitlists. Operates multi-line telephones and depending on location, may serve as a switchboard operator calling codes and paging providers. Based on setting, additional duties may include preparation and coordination of charts; organizing supporting provider documents; discussing pre-payment responsibilities; initiation and collaboration of patient/resident financial assistance; prior authorization; track patient/resident visits; health information management on patient/resident accounts; work on weekly and monthly reports; compiling, distributing, administering and scoring of assessments; coordination of Telemed appointments; provider and schedule maintenance; charge entry/billing and charge verification; reminder calls for appointments; hospital admission; make copies, send faxes, and order supplies. In all settings, the Patient Access Representative serves as a mentor for new Patient Access Representatives and other staff. Displays professionalism and promotes an atmosphere of mutual respect and cooperation. Must be able to work as part of a team and also work independently. Frequently takes direction from nursing team. Must always maintain confidentiality of sensitive information. Requires excellent customer service and the ability to empathize with patients and their situations. Working knowledge of medical terminology and use of professional written communication when making notes. Qualifications High school diploma or equivalent preferred. Post-secondary education helpful. One year of work experience, preferably in a medical office setting. Medical terminology helpful; customer service skills essential. Six months' customer service experience desired. May require BLS for certain locations and/or settings. Benefits Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit *********************************** . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************ . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. Req Number: R-0242085 Job Function: Revenue Cycle Featured: No
    $29k-32k yearly est. 32d ago
  • Patient Access Representative - Rapid City Lab

    Sanford Health 4.2company rating

    Rapid City, SD jobs

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Work Shift: Varies (United States of America) Scheduled Weekly Hours: 40 Union Position: No Department Details Teamwork oriented, modern laboratory, and company growth. Summary Two major functions of the Patient Access Representative (PAR) are patient registration and scheduling. Depending on setting, the PAR may only perform registration or scheduling duties, while in other settings, the PAR may perform both registration and scheduling duties. In all settings, the PAR performs additional duties, as assigned. Duties vary by location/setting. Job Description In a registration role, the Patient Access Representative greets patients/residents, verifies patient/resident demographics to accurately register and/or schedule patients/residents, and takes care of related paperwork. Creates electronic files; provides, scans, and routes necessary forms and documents. Educates patients/residents and captures their signatures on necessary paperwork. Establishes and assigns financial responsibility and/or assists with arrangements while adhering to appropriate policies and procedures. Collects co-payments, pre-payments, and/or payments on account balances. May also work through the registration work queue to address and resolve issues specific to registration, including work queue errors, denied insurance claims, and maintenance of the registration database. In a scheduling role, the Patient Access Representative schedules patient/resident appointments and procedures, obtains and coordinates referrals, conducts pre-authorization, arranges interpreter services, checks patients/residents in/out, and offers enrollment to additional resources. Collaborates with nursing team and providers to coordinate appointments to meet patients'/residents' needs. May coordinate provider schedule, resolve work queue issues and manage recall and waitlists. Operates multi-line telephones and depending on location, may serve as a switchboard operator calling codes and paging providers. Based on setting, additional duties may include preparation and coordination of charts; organizing supporting provider documents; discussing pre-payment responsibilities; initiation and collaboration of patient/resident financial assistance; prior authorization; track patient/resident visits; health information management on patient/resident accounts; work on weekly and monthly reports; compiling, distributing, administering and scoring of assessments; coordination of Telemed appointments; provider and schedule maintenance; charge entry/billing and charge verification; reminder calls for appointments; hospital admission; make copies, send faxes, and order supplies. In all settings, the Patient Access Representative serves as a mentor for new Patient Access Representatives and other staff. Displays professionalism and promotes an atmosphere of mutual respect and cooperation. Must be able to work as part of a team and also work independently. Frequently takes direction from nursing team. Must always maintain confidentiality of sensitive information. Requires excellent customer service and the ability to empathize with patients and their situations. Working knowledge of medical terminology and use of professional written communication when making notes. Qualifications High school diploma or equivalent preferred. Post-secondary education helpful. One year of work experience, preferably in a medical office setting. Medical terminology helpful; customer service skills essential. Six months' customer service experience desired. May require BLS for certain locations and/or settings. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************.
    $29k-32k yearly est. Auto-Apply 25d ago
  • Credentialing Specialist

    Sanford Health 4.2company rating

    Sioux Falls, SD jobs

    Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: GSS National Campus Location: Sioux Falls, SD Address: 4800 W 57th St, Sioux Falls, SD 57108, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: 21.50 - 34.50 Job Summary The Credentialing Specialist is responsible and accountable for oversight of tasks and processes developed to facilitate the credentialing process for initial and reappointment applications to medical staff, professional health staff and allied health staff. Responsibilities to include: overseeing the timelines and workflow processing of the reappointment cycles; prioritizing work to meet anticipated start dates and reappointment expiration; Accountable for the completeness and identifying issues requiring additional information or investigation on applications; overseeing the accuracy of application data entry and verification requests; performing the final review of processed verifications for quality and content; developing correspondence to obtain additional information as needed; facilitating Committees in preparation of agenda materials and follow-up of recommendations; coordinating communication of final credentialing recommendations to all parties; generating audits and reports to support/document the verifications and credentialing process; facilitating projects; and initiation of the provider application process. Models excellent customer service skills and take initiative to meet the needs of all to ensure customer focus and a positive experience. Communicates effectively and with a high level of diplomacy with providers. Must be able to work on multiple daily tasks with efficiency and high-quality accuracy while handling multiple internal and external customer communications. Responsible for planning work to meet regulatory and customer defined deadlines, which requires coordination to minimize redundancy of work when multiple organizations share common providers. Qualifications Bachelor's degree required. In lieu of education, leadership may consider an Associate's degree and 3 years of applicable experience. Minimum of two years of experience in credentialing, provider services, administrative support, business or healthcare experience preferred. Benefits Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit *********************************** . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************ . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. Req Number: R-0242328 Job Function: General Administration Featured: No
    $35k-53k yearly est. 36d ago
  • Credentialing Specialist

    Sanford Health 4.2company rating

    Sioux Falls, SD jobs

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Work Shift: 8 Hours - Day Shifts (United States of America) Scheduled Weekly Hours: 40Salary Range: 21.50 - 34.50 Union Position: No Department Details Summary The Credentialing Specialist is responsible and accountable for oversight of tasks and processes developed to facilitate the credentialing process for initial and reappointment applications to medical staff, professional health staff and allied health staff. Job Description Responsibilities to include: overseeing the timelines and workflow processing of the reappointment cycles; prioritizing work to meet anticipated start dates and reappointment expiration; Accountable for the completeness and identifying issues requiring additional information or investigation on applications; overseeing the accuracy of application data entry and verification requests; performing the final review of processed verifications for quality and content; developing correspondence to obtain additional information as needed; facilitating Committees in preparation of agenda materials and follow-up of recommendations; coordinating communication of final credentialing recommendations to all parties; generating audits and reports to support/document the verifications and credentialing process; facilitating projects; and initiation of the provider application process. Models excellent customer service skills and take initiative to meet the needs of all to ensure customer focus and a positive experience. Communicates effectively and with a high level of diplomacy with providers. Must be able to work on multiple daily tasks with efficiency and high-quality accuracy while handling multiple internal and external customer communications. Responsible for planning work to meet regulatory and customer defined deadlines, which requires coordination to minimize redundancy of work when multiple organizations share common providers. Qualifications Bachelor's degree required. In lieu of education, leadership may consider an Associate's degree and 3 years of applicable experience. Minimum of two years of experience in credentialing, provider services, administrative support, business or healthcare experience preferred. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************.
    $35k-53k yearly est. Auto-Apply 36d ago
  • Centralized Scheduler | Avera Heart Hospital

    Avera Health 4.6company rating

    Patient service representative job at Avera Health

    Worker Type: Regular Work Shift: Day Shift (United States of America) At Avera Heart Hospital, you're not just joining a workplace - you're becoming part of a family. With more than 700 dedicated employee, we deliver care that truly makes a difference. Our commitment to excellence has earned us the distinction of being one of only a handful of hospitals nationwide - out of more than 4,000 - to achieve a double 5-star rating from the Centers for Medicare and Medicaid Services. Position Highlights Position Summary: Centralized scheduling for the NCH cardiologists, APP's and surgeons, including answering incoming patient and referring office calls, electronic referral processing, clinical workload requests, following up on voicemails, data entry of single to multiple appointments utilizing multiple screens and modules to coordinate with acute and ambulatory modules, EMR creation, obtaining patient demographics and instructing patients prior to procedures according to guidelines. Work Schedule: Forty hours per week, Monday through Friday. Hours are 8 am until 5 pm. Education/Experience: High School diploma required. Associate degree from an accredited university/college and/or hospital, medical office, clinic, or hospital business operations experience preferred. Licensure/Certification: None required.
    $28k-32k yearly est. Auto-Apply 6d ago
  • Scheduling Specialist - Rad Mammo - PRN only

    Avera Health 4.6company rating

    Patient service representative job at Avera Health

    Worker Type: PRN Work Shift: Day Shift (United States of America) Pay Range: is listed below. Actual pay rate dependent upon experience. $18.25 - $23.75 Highlights Clinic Hours - Monday-Friday, 8:00 AM - 5:00 PM You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Performs diverse duties as they relate to the department to include, but not limited to completing prior and pre-authorizations for patients insurance companies, working appeals for insurance coverage, verifying benefits, making referrals and scheduling pre-operative physical, and reviewing surgery information with patients. Responsible for scheduling, maintaining, and disseminating an accurate surgery schedule, including acquisition, retention, and organization of documentation, and will provide clerical services for the department as indicated. What you will do * Obtains information (including physician orders to schedule tests/procedures only) from physician offices for scheduling tests, procedures and admissions in an accurate, timely and sequential manner. * Facilitates in coordinating a plan of care for patients with various departments throughout the hospital and clinics including working with equipment vendors for surgical equipment needs. * Coordinates care between facilities for utilization of telemedicine to ensure continuity of care if applicable. * Communication of information to physicians, staff, families, etc., when directed and to do so in an appropriate and professional manner. * Assists with the collection and maintenance of records as needed by Performance Improvement, Joint Commission accreditation, CARF certification, OSHA guidelines, or as my be required by law. * Coordinates scheduling of specialized equipment based on procedures. * Maintains physician calendar, procedure schedule and all coordinating orders for procedures. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: * knowledge of medical terminology Preferred Education, License/Certification, or Work Experience: * High School or GED Equivalent * Associate's in medical secretarial school * 1-3 years experience as a scheduler, biller, or in a medical office Expectations and Standards * Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community. * Promote Avera's values of compassion, hospitality, and stewardship. * Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. * Maintain confidentiality. * Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. * Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ****************.
    $18.3-23.8 hourly Auto-Apply 50d ago

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