Medical Receptionist jobs at Care New England Health System - 30 jobs
Patient Access PT Nights
Care New England Health System 4.4
Medical receptionist job at Care New England Health System
Obtains all demographic information
Verifies Insurance eligibility via online resources or phone call when necessary and enters bundles in Avatar.
Updates Teletracking with any anticipated insurance impact and any possible admissions.
Completes MSPQ with patient/family member for all Medicare patients.
Scans patients insurance card and identification both front and back and files in appropriate form (when applicable).
Verifies all information is scanned under correct episode along with correct benefits.
Photographs patient, creates labels for paperwork, prints patient bracelets when apllicable.
Has patient sign appropriate financial forms allowing the hospital to bill appropriately.
Advises Financial Counselor when patients having financial responsibilities present for partial hospital admission
Refers patients to Financial Counselor for any guidance regarding co-pays, payment plans, or Applications for Financial Assistance.
Refers patients to Financial Counselor for collection of payment for copays/deductibles.
Patient Access Associate Level I staff, if credentialed as a Navigator, will be expected to cover Financial Counselor Level II when the need arises.
Works with desktop computer utilizing a variety of programs: AVATAR, Microsoft Word, Microsoft Outlook, Digital Camera link. Teletracking, CERNER, PatientTrak
Works with phone system
Works with digital camera.
Works with a variety of office equipment: PC, Copier, Fax, Cordless headset, Cyracom Language Line
Schedule: 16/32 Part Time -Nights
Every Friday & Saturday Night: 11:00p - 7:00a
Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
$34k-40k yearly est. 5d ago
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Medical Secretary, Physician Practice
Care New England Health System 4.4
Medical receptionist job at Care New England Health System
The Medical secretary plays a key role in ensuring the smooth and efficient operation of the medical office. This position provides essential clerical and administrative support, managing both incoming and outgoing correspondence, maintaining departmental manuals, and supporting clinician scheduling. The Medical Secretary also oversees the organization of filing systems to keep the office running seamlessly. As the primary point of contact for patients, this role fosters a welcoming environment while also serving as a liaison between the practice and external support services.
Duties and Responsibilities:
Deliver high-quality secretarial support by expertly handling typing, filing, faxing, and ensuring office equipment is well maintained.
Coordinate clinician schedules while seamlessly registering patients and verifying insurance and referral information.
Serve as a key point of contact by answering, directing, and screening calls, and efficiently arranging meetings.
Manage incoming mail and correspondence, ensuring timely routing and distribution to appropriate staff.
Maintain accurate departmental tracking systems and generate cumulative reports as needed.
Oversee treatment room readiness and clinical inventory; proactively order supplies to ensure smooth operations.
Collect patient payments including co-pays and fee for service charges, ensuring accurate financial documentation.
Prepare and organize medical records according to provider specifications and documentation standards.
Execute patient registration and billing processes using EPIC, Cerner and IDX systems with precision.
Craft clear, professional correspondence free of grammatical errors, and facilitate prompt communication.
Foster strong working relationships with patients, providers, vendors, and internal departments.
Uphold patient confidentiality and adhere to all hospital and regulatory compliance standards.
Exhibit adaptability and problem-solving skills in a fast-paced environment, maintaining a positive and supportive attitude.
Demonstrate reliability and punctuality by consistently arriving on time and meeting scheduled responsibilities.
Requirements:
Must possess a high school diploma or equivalent.
One year of job-related experience is required.
Prior experience with an electronic medical record system is strongly preferred.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
$33k-39k yearly est. 60d+ ago
Medical Secretary, Physician Practice
Care New England Health System 4.4
Medical receptionist job at Care New England Health System
The Medical secretary plays a key role in ensuring the smooth and efficient operation of the medical office. This position provides essential clerical and administrative support, managing both incoming and outgoing correspondence, maintaining departmental manuals, and supporting clinician scheduling. The Medical Secretary also oversees the organization of filing systems to keep the office running seamlessly. As the primary point of contact for patients, this role fosters a welcoming environment while also serving as a liaison between the practice and external support services.
Duties and Responsibilities:
Deliver high-quality secretarial support by expertly handling typing, filing, faxing, and ensuring office equipment is well maintained.
Coordinate clinician schedules while seamlessly registering patients and verifying insurance and referral information.
Serve as a key point of contact by answering, directing, and screening calls, and efficiently arranging meetings.
Manage incoming mail and correspondence, ensuring timely routing and distribution to appropriate staff.
Maintain accurate departmental tracking systems and generate cumulative reports as needed.
Oversee treatment room readiness and clinical inventory; proactively order supplies to ensure smooth operations.
Collect patient payments including co-pays and fee for service charges, ensuring accurate financial documentation.
Prepare and organize medical records according to provider specifications and documentation standards.
Execute patient registration and billing processes using EPIC, Cerner and IDX systems with precision.
Craft clear, professional correspondence free of grammatical errors, and facilitate prompt communication.
Foster strong working relationships with patients, providers, vendors, and internal departments.
Uphold patient confidentiality and adhere to all hospital and regulatory compliance standards.
Exhibit adaptability and problem-solving skills in a fast-paced environment, maintaining a positive and supportive attitude.
Demonstrate reliability and punctuality by consistently arriving on time and meeting scheduled responsibilities.
Requirements:
Must possess a high school diploma or equivalent.
One year of job-related experience is required.
Prior experience with an electronic medical record system is strongly preferred.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
$33k-39k yearly est. 17d ago
Medical Secretary, Physician Practice
Care New England Health System 4.4
Medical receptionist job at Care New England Health System
The Medical secretary plays a key role in ensuring the smooth and efficient operation of the medical office. This position provides essential clerical and administrative support, managing both incoming and outgoing correspondence, maintaining departmental manuals, and supporting clinician scheduling. The Medical Secretary also oversees the organization of filing systems to keep the office running seamlessly. As the primary point of contact for patients, this role fosters a welcoming environment while also serving as a liaison between the practice and external support services.
Duties and Responsibilities:
Deliver high-quality secretarial support by expertly handling typing, filing, faxing, and ensuring office equipment is well maintained.
Coordinate clinician schedules while seamlessly registering patients and verifying insurance and referral information.
Serve as a key point of contact by answering, directing, and screening calls, and efficiently arranging meetings.
Manage incoming mail and correspondence, ensuring timely routing and distribution to appropriate staff.
Maintain accurate departmental tracking systems and generate cumulative reports as needed.
Oversee treatment room readiness and clinical inventory; proactively order supplies to ensure smooth operations.
Collect patient payments including co-pays and fee for service charges, ensuring accurate financial documentation.
Prepare and organize medical records according to provider specifications and documentation standards.
Execute patient registration and billing processes using EPIC, Cerner and IDX systems with precision.
Craft clear, professional correspondence free of grammatical errors, and facilitate prompt communication.
Foster strong working relationships with patients, providers, vendors, and internal departments.
Uphold patient confidentiality and adhere to all hospital and regulatory compliance standards.
Exhibit adaptability and problem-solving skills in a fast-paced environment, maintaining a positive and supportive attitude.
Demonstrate reliability and punctuality by consistently arriving on time and meeting scheduled responsibilities.
Requirements:
Must possess a high school diploma or equivalent.
One year of job-related experience is required.
Prior experience with an electronic medical record system is strongly preferred.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
$33k-39k yearly est. 17d ago
Patient Access Associate
Kent Hospital 4.6
Warwick, RI jobs
Primary Function: Responsible for obtaining Personal Health Information (PHI) for all Kent patients in a timely, professional and caring manner. This information, entered into the Hospital s Information and Clinical Systems, includes demographic and financial information that will be used by all departments within the hospital. Assists in maintaining financial integrity of the hospital through the verification of patient insurance information through online communication with payers, appropriate collection of co-payments at time of registration and manages the daily operations relative to patient bed assignments.
Job Qualifications and Specifications: A High School Diploma and a minimum of two year job-related experience or equivalent is required. Certificate of Medical Terminology and strong oral communications skills are preferred. Exceptional patient relation and customer service skills are critical. Minimum typing speed of 40 wpm with a working knowledge of personal computers with an ability to utilize multiple applications within an environment are required. Experience in a medical office or customer service preferred.
Care New England Health System (CNE)
and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
$31k-42k yearly est. 24d ago
Patient Access Associate
Kent Hospital 4.6
Warwick, RI jobs
Primary Function
Responsible for obtaining Personal Health Information (PHI) for all Kent patients in a timely, professional and caring manner. This information, entered into the Hospital s Information and Clinical Systems, includes demographic and financial information that will be used by all departments within the hospital. Assists in maintaining financial integrity of the hospital through the verification of patient insurance information through online communication with payers, appropriate collection of co-payments at time of registration and manages the daily operations relative to patient bed assignments.
Responsibilities
-Greet and receive patients and visitors, assist in comforting and interacting with patients and their families as well as communicating with police and rescue personnel where applicable.
-Obtain complete and accurate Personal Health Information (PHI) necessary to properly register patients into the Hospital Information and Clinical Systems (Patcom and Affinity) in a timely manner with little or no inconvenience or frustration to the patient. Explain financial requirements and other regulatory mandates to the patient in a professional and caring manner.
-Communicate with physicians offices to ensure accuracy of information needed to appropriately schedule and register a patient.
-Obtain signatures for consent to surgery/treatment, financial responsibility, and all other required authorizations.
-Collect insurance co-payments for Emergency Department visits and Out-Patient Services. When appropriate, collect co-payments, deposits, and deductibles during the registration process.
-Organize test results, registration and medical forms for inclusion in the patient s permanent medical record.
-Create daily reports to identify daily registration schedules and distribute to appropriate areas.
-Assists in maintaining financial integrity of the hospital through verification of patient insurance information through online communication with payers using the SSI system.
-Scans insurance card, physician orders and important documents into SSI Optical Imaging System.
-Explains and issues regulatory required information such as: HIPAA Notice of Privacy Practices, Important Message to Medicare Patients, Medicare Advance Beneficiary Notice and Advance Directive Information.
-Manages the daily operation relative to patient bed assignments utilizing the Electronic Bedboard and Bed Tracking system. Coordinates the various components of patient bed assignment including solely determining appropriate nursing units for all post-operative, emergency department transfers, and direct admissions into the hospital. Must ensure the Operating Rooms are not stopped due to unavailability while ensuring the ED does not go on diversion due to bed unavailability. Serves as a liaison to physicians, Nursing ED and Outpatient Surgery to resolve bed assignment issues. Coordinates daily Bed Management meeting.
-Continually monitors transactions in the Patcom and Affinity Information Systems to insure an accurate daily Hospital census in both systems.
-Consistently maintains a courteous, helpful and professional manner with all other staff, patients and their families. Promotes customer service in daily dealing with anyone with whom contact is made.
-Performs all other related duties as assigned.
Job Qualifications and Specifications
A High School Diploma and a minimum of two year job-related experience or equivalent is required. Certificate of Medical Terminology and strong oral communications skills are preferred. Exceptional patient relation and customer service skills are critical. Minimum typing speed of 40 wpm with a working knowledge of personal computers with an ability to utilize multiple applications within an environment are required. Experience in a medical office or customer service preferred.
Care New England Health System (CNE)
and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
$31k-42k yearly est. 24d ago
Lead Patient Access Associate
Kent Hospital 4.6
Warwick, RI jobs
Primary Function
Responsible for assisting the Supervisors and Manager with the management of Patient Access Services. Incumbent is responsible for staff training, workflow prioritization, quality reviews, overseeing daily department activities and user support for computer applications.
Responsibilities
-Assist Supervisors and Manager with monitoring daily activities, assigning staff for shifts and distribution of work to maintain appropriate work and patient flow.
-Under the direction of Supervisors, train new staff in computer systems and Workflow processes. Develop and maintain training materials and manuals.Administer competencies for new staff and/or new procedures. Provide guidance and Continuing education to staff, insuring documentation of competency.
- Monitor and provide support for users in multiple computer applications.
-Serves as a reference for staff to answer questions, identify issues and ensure quality standards are adhered to.
-Assist in ensuring the accurate collection of demographic, fiscal and scheduling information by completing quality reviews. Monitor staff productivity daily.
-Proactively identify inter-and intra-departmental process and communication breakdowns.
-Provide recommendations to update and maintain department procedures.
-Resolve or escalate patient, payer, staff and physician concerns.
-Assist Supervisor in compilation of staff performance review.
-Perform all other related duties as assigned.
Job Qualifications and Specifications
High School diploma and 5 years experience as a Registration Representative or equivalent is required. Working knowledge of medical terminology and strong written and oral communications skills are required. Experience in computer applications, training staff and development of educational materials necessary. Spread sheet and word processing applications preferred.
Care New England Health System (CNE)
and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
$31k-42k yearly est. 24d ago
Unit Secretary MBU 6TH FL PP MB 24N
Women & Infants Hospital 4.3
Rhode Island jobs
Job Summary: The Unit Secretary assists with the day-to-day operation of various clinical areas of the Hospital. The incumbent retrieves/orders data from computer system, maintains patient charts and records, and processes forms and paperwork for unit. Facilitates the flow of information between physicians, nursing staff and others concerning patient care, and performs other job-related duties as requested.
Specifications: High school graduate with some additional, specialized training preferred. Well organized individual with excellent communication skills. Proficiency in the English language required.
Care New England Health System (CNE)
and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
REPOST Internal Posting Period: 1/21/2026 - 1/30/2026
$30k-35k yearly est. 51d ago
Unit Secretary-Progressive Care Unit
Kent Hospital 4.6
Warwick, RI jobs
Primary Function
Responsible for viewing and processing physician orders in the electronic medical record, transcribing physician orders when needed especially during downtime procedures, maintaining bed management records, accessing lab results on the computer, performing receptionist and clerical duties, and coordinating non-nursing services within the unit.
Responsibilities
-Initiate, assemble and maintain accurate, functional medical records for all patients in the assigned unit. Accurately view and process any physician orders in the electronic medical record. Accurately transcribe written physician orders when needed especially during downtime procedures and complete all necessary forms, requisitions and communications necessary to implement orders and record clinical data, as appropriate. Follows through to obtain missing information.
-Maintain a proper inventory supply of paper forms needed in order to provide continuous service, minimizing downtime and maintain a safe, clean and functional working environment in the nursing station and nursing area. Responsible for updates to all unit forms as well as managing their storage.
Courteously, greet and assist visitors, screen telephone calls, and answer call buttons through nurse s station intercom or in person in the patient s room as applicable and direct to appropriate caregiver. Process mail and other correspondence. Make phone calls to relay patient information and schedule appointments as directed. Answer inquiries on procedures and policies relating to departmental functions.
-Prepare medical record upon discharge of patient.Copy medical records and obtain necessary discs for patient transfers/discharges to other facilities.
-Accurately maintain patient census management manually, as well as electronically.
-Assist with accessing or retrieving reports as requested.
-File documents following standard procedures; maintain medical records in a neat and orderly manner.
-Attend daily Interdisciplinary Discharge Rounds and keep the log of potential discharges for that day or the next day.
-Obtain the Advanced Directive List and Discharge Flag Report from the unit s printer for shift-to-shift safety huddles daily.
-Obtain the overdue lab specimen report from the unit s printer for distribution to the unit s RN and C N A staff daily.
-Hourly floating as necessary to fill in for open unit secretary areas throughout the inpatient units.
-Print lab slips as necessary especially during downtime procedures.
-Order; keep track; and file equipment (Wound VACs; specialty beds/mattresses) paperwork as applicable.
-Orient new staff members into the role of unit secretary to all the job responsibilities as indicated throughout the job description.
-Communicate pertinent patient care information and general information to the appropriate nursing staff.
-Performs all other related duties as assigned.
Job Qualifications and Requirements
High School diploma and a minimum of one year job-related experience or equivalent are required. Basic computer skills and medical terminology are also required.
Care New England Health System (CNE)
and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
$29k-38k yearly est. 24d ago
Practice Coordinator, Physician Practice
Care New England 4.4
Medical receptionist job at Care New England Health System
The Practice Coordinator is responsible for the day-to-day oversight of the administrative and clinical support functions for one or more assigned practices. The Practice Coordinator builds and maintains effective working relationships with providers and leaders throughout the Care New England system. As an advocate for patients and role model for staff, they embrace and support innovative patient and family-centered care within our CNE practices. The practice Coordinator will collaborate with nursing leadership and/or medical assistants within the practice to ensure quality, service, and access for our patients.
Duties and Responsibilities:
Upholds the mission, vision, and values of CNE. Responds timely to provider needs, escalates issues as appropriate, and participates in the development of action plans aimed to improve the provider experience.
Maintains administrative support activities to ensure the effective and efficient operations of assigned practices.
Ensures employee satisfaction for the practice(s) managed. Collaborates with practice leadership and other stakeholders to develop and implement action plans to improve the employee experience.
Develops and maintains staff schedules to support the providers in the delivery of patient care.
Manage inventory control and purchasing of office and medical supplies.
Process employee and clinician payroll per policy.
Oversees front end financial processes including the collection of demographic and insurance information, insurance verification, pharmacy information, referrals, medical necessity, and prior authorizations. Monitors the collection of patient financial responsibility. Ensures timely reconciliation of the cash drawer(s). Prepares daily deposit.
Manages the timely resolution of coding and professional billing work queues and other work queues as assigned to the practices. Delegates work to office staff as appropriate and provides feedback to staff and providers to prevent errors and denials from occurring in the future. Proactively implements process changes to prevent errors and denials from occurring.
Monitors operational metrics including, but not limited to, visit volumes, RVUs, schedule utilization, next available appointment, no-show rate, cancel/reschedule rate, and charge lag. Identifies barriers to achieving target and collaborates with Practice Administrator, clinicians, and staff to develop and implement solutions for reaching designated targets.
Holds daily huddles with staff and providers. Conducts monthly staff meetings to address organization and practice initiatives.
Assists the Practice Administrator (PA) and/or Manager (PM) with the supervision of staff. Provides ongoing support to ensure employees are competent to perform their duties. Distributes and reviews their work and reports any compliments or concerns to the PA/PM.
In coordination with the PM/PA, interviews, hires, and ensures that new employees are properly oriented to the practice and their new role. Collaborates with teams across CNE and CNEMG to successfully onboard all new providers.
Reports and responds to all safety and quality issues using CNE s event reporting system. Informs Practice Administrator of all safety and quality issues.
Assists in developing and implementing departmental manuals and procedures.
Supports the practice by filling in for staff during periods of staff shortages due to open positions, vacations, illness, or leave of absence.
Monitors quality and patient satisfaction metrics and assists in the design and implementation of action plans to drive continuous improvement. Addresses and resolves patient concerns and complaints.
Performs other duties as assigned.
Requirements:
High School or GED required; Associate's degree preferred.
A minimum of three (3) years of administrative experience in a medical practice setting is required. Prior experience in a supervisory capacity is preferred.
Care New England Health System (CNE)
and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
$44k-63k yearly est. 16d ago
Practice Coordinator FT South County
Care New England Health System 4.4
Medical receptionist job at Care New England Health System
The Practice Coordinator is responsible for the day-to-day oversight of the administrative and clinical support functions for one or more assigned practices. The Practice Coordinator builds and maintains effective working relationships with providers and leaders throughout the Care New England system. As an advocate for patients and role model for staff, they embrace and support innovative patient and family-centered care within our CNE practices. The practice Coordinator will collaborate with nursing leadership and/or medical assistants within the practice to ensure quality, service, and access for our patients.
Duties and Responsibilities
* Upholds the mission, vision, and values of CNE. Responds timely to provider needs, escalates issues as appropriate, and participates in the development of action plans aimed to improve the provider experience.
* Maintains administrative support activities to ensure the effective and efficient operations of assigned practices.
* Ensures employee satisfaction for the practice(s) managed. Collaborates with practice leadership and other stakeholders to develop and implement action plans to improve the employee experience.
* Develops and maintains staff schedules to support the providers in the delivery of patient care.
* Manage inventory control and purchasing of office and medical supplies.
* Process employee and clinician payroll per policy.
* Oversees front end financial processes including the collection of demographic and insurance information, insurance verification, pharmacy information, referrals, medical necessity, and prior authorizations. Monitors the collection of patient financial responsibility. Ensures timely reconciliation of the cash drawer(s). Prepares daily deposit.
* Manages the timely resolution of coding and professional billing work queues and other work queues as assigned to the practices. Delegates work to office staff as appropriate and provides feedback to staff and providers to prevent errors and denials from occurring in the future. Proactively implements process changes to prevent errors and denials from occurring.
* Monitors operational metrics including, but not limited to, visit volumes, RVUs, schedule utilization, next available appointment, no-show rate, cancel/reschedule rate, and charge lag. Identifies barriers to achieving target and collaborates with Practice Administrator, clinicians, and staff to develop and implement solutions for reaching designated targets.
* Holds daily huddles with staff and providers. Conducts monthly staff meetings to address organization and practice initiatives.
* Assists the Practice Administrator (PA) and/or Manager (PM) with the supervision of staff. Provides ongoing support to ensure employees are competent to perform their duties. Distributes and reviews their work and reports any compliments or concerns to the PA/PM.
* In coordination with the PM/PA, interviews, hires, and ensures that new employees are properly oriented to the practice and their new role. Collaborates with teams across CNE and CNEMG to successfully onboard all new providers.
* Assists in developing and implementing departmental manuals and procedures.
* Reports and responds to all safety and quality issues using CNEs event reporting system. Informs Practice Administrator of all safety and quality issues.
* Supports the practice by filling in for staff during periods of staff shortages due to open positions, vacations, illness, or leave of absence.
* Monitors quality and patient satisfaction metrics and assists in the design and implementation of action plans to drive continuous improvement. Addresses and resolves patient concerns and complaints.
* Performs other duties as assigned.
Requirements:
Education: High School or GED required; Associate's degree preferred.
Experience: A minimum of three (3) years of administrative experience in a medical practice setting is required. Prior experience in a supervisory capacity is preferred.
Schedule: 40/80 Full Time Monday- Friday
Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
$44k-63k yearly est. 25d ago
Patient Access Associate
Care New England 4.4
Medical receptionist job at Care New England Health System
Primary Function
Responsible for obtaining Personal Health Information (PHI) for all Kent patients in a timely, professional and caring manner. This information, entered into the Hospital s Information and Clinical Systems, includes demographic and financial information that will be used by all departments within the hospital. Assists in maintaining financial integrity of the hospital through the verification of patient insurance information through online communication with payers, appropriate collection of co-payments at time of registration and manages the daily operations relative to patient bed assignments.
Responsibilities
-Greet and receive patients and visitors, assist in comforting and interacting with patients and their families as well as communicating with police and rescue personnel where applicable.
-Obtain complete and accurate Personal Health Information (PHI) necessary to properly register patients into the Hospital Information and Clinical Systems (Patcom and Affinity) in a timely manner with little or no inconvenience or frustration to the patient. Explain financial requirements and other regulatory mandates to the patient in a professional and caring manner.
-Communicate with physicians offices to ensure accuracy of information needed to appropriately schedule and register a patient.
-Obtain signatures for consent to surgery/treatment, financial responsibility, and all other required authorizations.
-Collect insurance co-payments for Emergency Department visits and Out-Patient Services. When appropriate, collect co-payments, deposits, and deductibles during the registration process.
-Organize test results, registration and medical forms for inclusion in the patient s permanent medical record.
-Create daily reports to identify daily registration schedules and distribute to appropriate areas.
-Assists in maintaining financial integrity of the hospital through verification of patient insurance information through online communication with payers using the SSI system.
-Scans insurance card, physician orders and important documents into SSI Optical Imaging System.
-Explains and issues regulatory required information such as: HIPAA Notice of Privacy Practices, Important Message to Medicare Patients, Medicare Advance Beneficiary Notice and Advance Directive Information.
-Manages the daily operation relative to patient bed assignments utilizing the Electronic Bedboard and Bed Tracking system. Coordinates the various components of patient bed assignment including solely determining appropriate nursing units for all post-operative, emergency department transfers, and direct admissions into the hospital. Must ensure the Operating Rooms are not stopped due to unavailability while ensuring the ED does not go on diversion due to bed unavailability. Serves as a liaison to physicians, Nursing ED and Outpatient Surgery to resolve bed assignment issues. Coordinates daily Bed Management meeting.
-Continually monitors transactions in the Patcom and Affinity Information Systems to insure an accurate daily Hospital census in both systems.
-Consistently maintains a courteous, helpful and professional manner with all other staff, patients and their families. Promotes customer service in daily dealing with anyone with whom contact is made.
-Performs all other related duties as assigned.
Job Qualifications and Specifications
A High School Diploma and a minimum of two year job-related experience or equivalent is required. Certificate of Medical Terminology and strong oral communications skills are preferred. Exceptional patient relation and customer service skills are critical. Minimum typing speed of 40 wpm with a working knowledge of personal computers with an ability to utilize multiple applications within an environment are required. Experience in a medical office or customer service preferred.
Care New England Health System (CNE)
and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
$35k-49k yearly est. 60d+ ago
Lead Patient Access Associate
Care New England 4.4
Medical receptionist job at Care New England Health System
Primary Function
Responsible for assisting the Supervisors and Manager with the management of Patient Access Services. Incumbent is responsible for staff training, workflow prioritization, quality reviews, overseeing daily department activities and user support for computer applications.
Responsibilities
-Assist Supervisors and Manager with monitoring daily activities, assigning staff for shifts and distribution of work to maintain appropriate work and patient flow.
-Under the direction of Supervisors, train new staff in computer systems and Workflow processes. Develop and maintain training materials and manuals.Administer competencies for new staff and/or new procedures. Provide guidance and Continuing education to staff, insuring documentation of competency.
- Monitor and provide support for users in multiple computer applications.
-Serves as a reference for staff to answer questions, identify issues and ensure quality standards are adhered to.
-Assist in ensuring the accurate collection of demographic, fiscal and scheduling information by completing quality reviews. Monitor staff productivity daily.
-Proactively identify inter-and intra-departmental process and communication breakdowns.
-Provide recommendations to update and maintain department procedures.
-Resolve or escalate patient, payer, staff and physician concerns.
-Assist Supervisor in compilation of staff performance review.
-Perform all other related duties as assigned.
Job Qualifications and Specifications
High School diploma and 5 years experience as a Registration Representative or equivalent is required. Working knowledge of medical terminology and strong written and oral communications skills are required. Experience in computer applications, training staff and development of educational materials necessary. Spread sheet and word processing applications preferred.
Care New England Health System (CNE)
and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
$35k-49k yearly est. 60d+ ago
Insurance Coordinator HME
Kent Hospital 4.6
Warwick, RI jobs
Primary Function
Responsible for submitting accurate, clean claims to third parties and private pay accounts, collecting and posting payments to patients accounts and following up on unpaid/incorrectly paid claims through to resolution of claim.
Responsibilities
Register all new patients into computer system, ensuring that all necessary information is added to system.
Analyze physician order/certificate of medical necessity/prescription submitted by physician for proper documentation of item ordered to ensure compliance with insurance billing regulations. Obtain additional information from physician office, when necessary.
Track and obtain renewal of physician order/CMN for recurrent orders as necessary.
Prepare patient charges for billing.
Review claims for accuracy prior to submitting claims to proper party for payment.
Review all payments made for accuracy and post all payments to patient accounts and adjust accounts accordingly.
Analyze all incorrect payments and denied claims and resubmit with additional information as necessary.
Use aging reports to track and follow-up unpaid claims and resubmit with additional information as necessary.
Perform a variety of typing and clerical skills in relation to above duties.
Performs all other related duties as assigned.
Job Qualifications and Specifications:
A High School diploma and a minimum of one year job-related experience or equivalent is required.
Care New England Health System (CNE)
and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
$30k-38k yearly est. 24d ago
Lead Medical Office Specialist
Care New England Health System 4.4
Medical receptionist job at Care New England Health System
The Providence Center helps adults, adolescents and children affected by psychiatric illnesses, emotional problems and addictions by providing treatment and supportive services within a community setting. The Lead Medical Office Specialist works closely with Specialist Team and Revenue Cycle to ensure all insurance issues are resolved in a timely manner. Serves as a resource to management and clinical staff if insurance questions arise. Meets with Clinical Management teams if necessary to discuss insurance issues. Train Medical Office Specialists and create Tip Sheets for staff. Attend Administrative / Billing meetings when needed. Works onsite Monday through Friday from 7:30am-3:30pm.
Duties and Responsibilities:
Coordinate day-to-day operations of the Specialist Teams, train staff when necessary, and ensure timely completion of tasks.
Problem-solve when necessary and continually improve processes.
Ensure updated information is obtained and communicated to all Specialists regarding insurances and services.
Contact insurance and managed care companies, and other reimbursement sources pertaining to authorization for services and benefits, as appropriate.
Troubleshoot insurance and authorization issues.
Oversee work queues daily to ensure compliance.
Work on provider templates, blocking, recurring.
Provide timely responses to questions regarding insurance coverages.
Provide coverage for specialists and/or medical office assistants during leave of absence or scheduled time off when needed.
Complete monthly Federal Meal Program by the 5th of each month
Complete monthly billing through DCYF Portal by 5th of each month
Ensure up to date knowledge about insurances and advise clinicians when authorization might be needed for additional sessions.
Perform special projects to support Director, Sr. Operations Manager and Asst. Office Manager.
Attend mandatory in-service trainings and other required trainings.
Provide training to other support staff as needed.
Other duties as assigned.
Requirements:
High School or GED required, additional education a plus.
Minimum 1 to 3 Years of third-party reimbursement in a busy setting or equivalent combination of education and experience.
General computer experience is also required.
Initiative, good judgment and dependability.
Ability to prioritize and handle multiple assignments.
Must possess good typing skills as well as good spelling and grammar.
Excellent communication skills are a must.
Excellent customer service skills.
Bilingual Spanish preferred.
Manual dexterity and mobility required. While performing the major responsibilities of this position, the incumbent must be able to regularly sit, stand or walk, and occasionally reach for prolonged periods of time. Must be able to lift, push, move and/or carry supplies or equipment up to 25 pounds, and occasionally be able to bend, stoop, crouch or kneel.
Care New England Health System (CNE) and its member institutions; Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
$35k-42k yearly est. 60d+ ago
Patient Access PT Nights
Care New England 4.4
Medical receptionist job at Care New England Health System
Obtains all demographic information
Verifies Insurance eligibility via online resources or phone call when necessary and enters bundles in Avatar.
Updates Teletracking with any anticipated insurance impact and any possible admissions.
Completes MSPQ with patient/family member for all Medicare patients.
Scans patient s insurance card and identification both front and back and files in appropriate form (when applicable).
Verifies all information is scanned under correct episode along with correct benefits.
Photographs patient, creates labels for paperwork, prints patient bracelets when apllicable.
Has patient sign appropriate financial forms allowing the hospital to bill appropriately.
Advises Financial Counselor when patients having financial responsibilities present for partial hospital admission
Refers patients to Financial Counselor for any guidance regarding co-pays, payment plans, or Applications for Financial Assistance.
Refers patients to Financial Counselor for collection of payment for copays/deductibles.
Patient Access Associate Level I staff, if credentialed as a Navigator, will be expected to cover Financial Counselor Level II when the need arises.
Works with desktop computer utilizing a variety of programs: AVATAR, Microsoft Word, Microsoft Outlook, Digital Camera link. Teletracking, CERNER, PatientTrak
Works with phone system
Works with digital camera.
Works with a variety of office equipment: PC, Copier, Fax, Cordless headset, Cyracom Language Line
Schedule: 16/32 Part Time -Nights
Every Friday & Saturday Night: 11:00p - 7:00a
Care New England Health System (CNE)
and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
$34k-40k yearly est. 60d+ ago
Authorization Specialist/Biller
Care New England 4.4
Medical receptionist job at Care New England Health System
Accurately prepares edits and submits bills in a timely manner, confirms eligibility, and obtains authorization in accordance with requirement of third-party payers. Conducts related activities to support the efficient operations of the department. Knowledgeable in all aspects of Agency policy and services. Maintains knowledge of all billing, eligibility verification, coordination of benefits, and authorization policies, regulations, rules and reimbursement.
Duties and Responsibilities:
Obtains accurate and complete insurance coverage information and authorization for services utilizing electronic access when available.
Understands prior approval and all authorization requirements and timeframes.
Investigates and makes corrections in McKesson.
Incorporates all new processes and requirements into daily work as requested.
Accurately completes assigned processes. i.e. Au notes CB notes and BN notes as well as Case Communications etc.
Enters Information on patients profile in Horizon -Such as Authorization, Copay, deductable, limitations specific to each patient s Insurance plan.
Proactively tracks and does follow up on authorization requests.
Determines insurance eligibility by checking patients with benefits and insurance coverage for services and coordination of benefits
Effectively prioritizes own work in order to complete job responsibilities. Displays ability to adjust priorities based upon understanding of policies and procedures.
Completes job responsibilities within required timeframe, according to established schedules or workflow requirements.
Responsible for running daily reports to capture authorization requirements.
Works effectively with others, helping solve problems and promoting teamwork and cooperation among individuals and/or departments.
Coordinates and verifies patient information for completeness and accuracy, in a timely fashion; communicates with clinical staff, third-party payers and patients on a regular basis.
Verifies required signatures on patients documents, i.e. Patient Client Authorization Form
Verifies all insurance data, coordinating benefits, responding to inquiries in a timely manner.
Verifies patients insurance coverage and/or pay source, checking that all visits are made within established admission and discharge dates, if applicable.
Reviews and checks paperwork visits entered to final bill for accurate date of service, number of visits duplicates; identifies discrepancies, notifies appropriate personnel as needed. Submits claims in a timely manner.
Researches payment sources and patient balances to check for co-insurance; follows appropriate steps to transfer balance to co-insurance and/or directly bill the patient. Follows guidelines and procedures for billing self pay, bad debt funding sources.
Researches old claims; identifies and resolves any existing problems; refers unusual or difficult problems to Senior Manager of Patient Financial Services as necessary.
Reviews, edits, and prepares claims to be submitted; forwards all appropriate information to third-party payers as necessary.
Works with Aging Report to decrease days in Accounts Receivables. Understands A/R balances and reimbursement practices.
Maintains Excel spreadsheets.
Conducts follow-up and collections procedures on each account. Maintains billing files and documentation.
Maintains knowledge of all billing policies, rules and regulations.
Demonstrates specialized level of knowledge of reimbursement practices and of third party payer contracts.
Posts third-party remittance advice accurately with attention to detail. Understands debits and credits.
Provides assistance to Senior Manager of Patient Financial Services, i.e, with month-end processes, including financial reports and other requested projects.
Prepares, prints and submits all reports, documents and summaries on a regular basis.
Utilizes interpersonal communication skills in order to exchange information in a clear and accurate manner within the agency as well as outside.
Responsible for follow-up with Manager on all questions/problems discovered and keep Manager informed.
Establishes and maintains a work area that is well-organized, clean and net.
Operates and maintains equipment carefully and in accordance with procedures.
Takes initiative to help maintain commonly-used equipment and work areas.
Immediately reports unsafe conditions to appropriate personnel.
Performs all other related duties as assigned.
Requirements:
High school diploma or equivalent required. Associate s Degree in related subject(s) preferred.
Six-months of job-related experience or equivalent required. Demonstrated competency in office/clerical procedures, including typing, professional telephone skills, filing, photocopying and fax operations. Previous experience with various software packages, PCs and database knowledge required.
Ability to apply common sense instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
Excellent command of the English language required. Ability to read, analyze and interpret general business reports. Ability to effectively present information and respond to questions from staff and managers.
Care New England Health System (CNE)
and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
$41k-47k yearly est. 22d ago
Referral and Authorization Specialist
Care New England 4.4
Medical receptionist job at Care New England Health System
The Referral and Authorization Specialist plays a vital and strategic role in supporting the financial health of the organization by overseeing the referral and authorizations processes for specialty visits and outpatient testing.
This position is essential in centralizing and streamlining the authorization workflow, which is integral to the success of the organization s operations, patient experience, and financial performance.
Obtaining timely and accurate authorization information, prior to performing services, reduces claim denials, ensures payer compliance, and establishes better organizational financial outcomes.
This position is crucial to the organization's financial success and the delivery of a positive provider and patient experience, as their timely and accurate processing of referrals and authorizations ensures that patients receive the necessary care without delays, while also optimizing reimbursement.
Duties and Responsibilities:
Request and obtain insurance referral and prior authorizations via the insurance carrier and/or third-party authorization companies and then track the status within CNE s EHR.
Evaluate payer policies to understand authorization and notice of admission policies.
Communicate the request/status of the insurance referral and/or prior authorization with internal referring provider offices/departments via the EHR.
Utilize CNE s EHR to document all work related to obtaining and/or verifying insurance referral and prior authorizations.
Work with both internal and external referring provider offices/departments to obtain the necessary information to obtain and/or verify the approval of the insurance referral or prior authorization.
Verify the accuracy of the patient s insurance information to obtain the insurance referral or prior authorization.
Communicate via the EHR any issues related to processing the referral (i.e., PCP not updated with the payer, provider documentation not complete) and/or the accuracy of the patient s insurance information to the referring department.
Communicate any issues related to obtaining and/or verifying the approval of the insurance referral and/or prior authorization to management.
Manage the start of the external referral process for all CNEMG PCPs, to include submitting referrals, obtaining an approved insurance authorization, and sending all relevant clinical documentation to the external provider.
Explain the Notice of Non-Covered Service Waiver and Notice of Non-Approved Prior Authorization waiver to patients.
Work and monitor EHR WQ s and in Basket pools through the workday.
Performs other duties as assigned.
Requirements:
High School or GED is required, Associate degree or Certified/Registered Medical Assistance preferred.
5-7 years of experience working in healthcare.
3 years of experience processing insurance referral and/or prior authorizations.
Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
$41k-47k yearly est. 5d ago
Radiology Aide Front Office
Care New England 4.4
Medical receptionist job at Care New England Health System
Primary Function
Responsible for receiving patients and processing patient records for the Diagnostic Imaging department.
Responsibilities
Greets patients and places orders for testing into the computer system if necessary. Transports patients to dressing area if needed and contacts appropriate departments when patient has arrived. Coordinates patient arrival for diagnostic imaging , special procedures, cardiac cath. and technical services.
Uploads/downloads imaging CDs at requests and works with HIS to ensure patient results are distributed appropriately. Distributes reports to physician offices and other medical facilities upon request and in the manner requested ( fax, mail, courier).
Coordinates prior reports/ images as required (films, files, CD, reports).
Coordinates follow-up appointments or verbal orders form physician offices.
Prints and reviews daily schedules for patient testing.
Stocks and organizes dressing rooms for patients.
Assist technologist with patient movement when required.
Coordinates appropriate paperwork for Radiologists on off hours for other XRA sites to be read.
Performs all other duties as assigned.
Job Qualifications and Specifications
A High School diploma required. Experience working with patients in a healthcare setting preferred.
Care New England Health System (CNE)
and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
$37k-46k yearly est. 3d ago
Insurance Coordinator HME
Care New England 4.4
Medical receptionist job at Care New England Health System
Primary Function
Responsible for submitting accurate, clean claims to third parties and private pay accounts, collecting and posting payments to patients accounts and following up on unpaid/incorrectly paid claims through to resolution of claim.
Responsibilities
Register all new patients into computer system, ensuring that all necessary information is added to system.
Analyze physician order/certificate of medical necessity/prescription submitted by physician for proper documentation of item ordered to ensure compliance with insurance billing regulations. Obtain additional information from physician office, when necessary.
Track and obtain renewal of physician order/CMN for recurrent orders as necessary.
Prepare patient charges for billing.
Review claims for accuracy prior to submitting claims to proper party for payment.
Review all payments made for accuracy and post all payments to patient accounts and adjust accounts accordingly.
Analyze all incorrect payments and denied claims and resubmit with additional information as necessary.
Use aging reports to track and follow-up unpaid claims and resubmit with additional information as necessary.
Perform a variety of typing and clerical skills in relation to above duties.
Performs all other related duties as assigned.
Job Qualifications and Specifications:
A High School diploma and a minimum of one year job-related experience or equivalent is required.
Care New England Health System (CNE)
and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
$30k-37k yearly est. 60d+ ago
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