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Patient Access Representative jobs at The Moses H Cone Memorial Hospital - 62 jobs

  • Patient Access ED Registration Specialist

    Cone Health 4.3company rating

    Patient access representative job at The Moses H Cone Memorial Hospital

    The Patient Access ED Registration Specialist is the first point of contact and creates a welcoming environment to include anticipation and action on the needs of our internal and external customers in the emergency department care setting. The role is responsible for accurately identifying patients and completing demographic, financial, regulatory and medical information. The schedule for this position is Every other week, Friday and Saturday, 11:00pm-7:30am. Essential Job Function * Utilizes tools and resources to perform responsibilities accurately and efficiently to obtain and enter required information for registration into the electronic health system. * Follows prescribed procedures for positive identification and medical record number assignment and Reviews demographic and insurance information for completeness, and follows through with correcting any deficiencies, so collection efforts are not delayed due to insufficient or incorrect information. * Ensures EMTALA compliant registration steps are taken for emergency department patients. * Identifies patients who present with critical symptoms and activates clinical protocols. * Ensures ALL appropriate regulatory signatures are obtained. * Thoroughly and accurately documents insurance verification information, identifying deductibles, copayments, coinsurance, and policy limitations and verifies patient liabilities with payers, calculates patient payment, requests payment at the time of registration and documents in the EHR. * Consistently displays good customer service behaviors to ALL patients and visitor to promote positive patient experiences. * Assists patients to their destination as needed and manage patient visitor flow according to hospital policy and safety guidelines. * Performs other duties as assigned. Education * Required: High School Diploma or equivalent Experience * Required: 1 year Licensure/Certification/Listing
    $27k-31k yearly est. 29d ago
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  • Patient Access & Support Specialist

    UNC Health Care Systems 4.1company rating

    Chapel Hill, NC jobs

    This position is eligible to work remotely from the following states: Alabama, Alaska, Arizona, Arkansas, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, Wisconsin and Wyoming Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Hours for this position are primarily weekday evenings and weekends and will work rotating holidays. Schedule flexibility is preferred to help cover daytime and overnights as needed. Summary: UNC Professional Relations is hiring a full-time Patient Access & Support Specialist. Operating 24/7 (including holidays), this department serves as an integral point of contact for multiple service lines supporting the UNC Health Care System as well as non-affiliated contracted practices across the state. UNC Professional Relations is looking for candidates who are skilled in providing excellent customer service to medical professionals as well as a diverse patient population and who also possess strong critical thinking skills. They should be self-motivated, able to multi-task in a fast paced environment, and demonstrate strong critical thinking and problem solving skills. Responsibilities: 1. Fronting patient calls for nurse triage and identifying conditions needing urgent intervention. 2. Researching and recommending UNC Health Care System providers to new and existing patients based on their needs and preferences 3. Registering new patients, scheduling, canceling, rescheduling and confirming patient appointments for UNC Health Care System primary care and specialty care facilities across the state and collaborating with internal departments and external entities with a goal of providing the right care at the right time 4. Providing administrative front desk support for the UNC Virtual Practice: Schedule management, support with identifying appropriate care access, troubleshoot common issues and provide one call resolutions, document and route patient care needs, maintain strict privacy protocols on digital platform. 5. Coordinating communications between medical professionals for consultation and patient care follow up to ensure patients are receiving timely care. 6. Participating in special projects to add value to the department and it's support of the UNC Health Care system in a collaborative and respectful way to meet our organizational goals. 7. Maintaining awareness of higher call volumes and taking appropriate action to prioritize and address call waiting queues in order to meet our departmental service level commitments to provide timely patient care and exceptional patient experiences. 8. Accurately document the details of all incoming and outbound calls in real time in Epic in accordance with standard operating procedures (SOPs). 9. Demonstrate a high level of customer service support related to multiple services and telecommunication line offerings including but not limited to: RN Triage support, system access navigation, primary and specialty care scheduling, and virtual front desk support. Other Information Other information: Education Requirements: ● High School degree or GED required Licensure/Certification Requirements: Professional Experience Requirements: ● If Bachelor's degree, one (1) year of customer service experience, preferably in a health care/patient centered setting. If Associates degree, three (3) years of customer service experience, preferabl in a health care/patient centered setting.If High School degree, five (5) years of customer service experience, preferably in a health care/patient centered setting. Knowledge/Skills/and Abilities Requirements: ● Strong verbal and written communication skills with a focus on patient centered care to meet patient and departmental needs; professionalism, active listening, rapport building, facilitating, empathy, conflict resolution, complaint management, and problem solving. ·Provides open, positive mission-focused communication, direction and assistance to all internal and external customers. Express initiative, teamwork and a good attitude. Shows interest and self-motivation. ·Ability to work effectively in fast-paced, constantly changing, demanding work environment while maintaining strong critical thinking, communication, and organizational skills. ·Assumes additional responsibilities while also identifying situations that need 2nd level review/escalation. ·Familiarity with Microsoft Office programs ·Strong personal computer and technology skills (including typing) ·Ability to access and utilize numerous databases simultaneously ·Strong organizational skills and the ability to shift priorities ·Must gain knowledge of the UNC Health Care System and all services we support as well as familiarity with some medical terminology during training. ·Must gain knowledge of and proficiency in following protocols. Job Details Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Professional Relations Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $19.59 - $27.84 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Remote Work Schedule: Variable Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position. Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
    $19.6-27.8 hourly 3d ago
  • Patient Access & Support Specialist

    UNC Health Care 4.1company rating

    Chapel Hill, NC jobs

    This position is eligible to work remotely from the following states: Alabama, Alaska, Arizona, Arkansas, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, Wisconsin and Wyoming Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Hours for this position are primarily weekday evenings and weekends and will work rotating holidays. Schedule flexibility is preferred to help cover daytime and overnights as needed. Summary: UNC Professional Relations is hiring a full-time Patient Access & Support Specialist. Operating 24/7 (including holidays), this department serves as an integral point of contact for multiple service lines supporting the UNC Health Care System as well as non-affiliated contracted practices across the state. UNC Professional Relations is looking for candidates who are skilled in providing excellent customer service to medical professionals as well as a diverse patient population and who also possess strong critical thinking skills. They should be self-motivated, able to multi-task in a fast paced environment, and demonstrate strong critical thinking and problem solving skills. Responsibilities: 1. Fronting patient calls for nurse triage and identifying conditions needing urgent intervention. 2. Researching and recommending UNC Health Care System providers to new and existing patients based on their needs and preferences 3. Registering new patients, scheduling, canceling, rescheduling and confirming patient appointments for UNC Health Care System primary care and specialty care facilities across the state and collaborating with internal departments and external entities with a goal of providing the right care at the right time 4. Providing administrative front desk support for the UNC Virtual Practice: Schedule management, support with identifying appropriate care access, troubleshoot common issues and provide one call resolutions, document and route patient care needs, maintain strict privacy protocols on digital platform. 5. Coordinating communications between medical professionals for consultation and patient care follow up to ensure patients are receiving timely care. 6. Participating in special projects to add value to the department and it's support of the UNC Health Care system in a collaborative and respectful way to meet our organizational goals. 7. Maintaining awareness of higher call volumes and taking appropriate action to prioritize and address call waiting queues in order to meet our departmental service level commitments to provide timely patient care and exceptional patient experiences. 8. Accurately document the details of all incoming and outbound calls in real time in Epic in accordance with standard operating procedures (SOPs). 9. Demonstrate a high level of customer service support related to multiple services and telecommunication line offerings including but not limited to: RN Triage support, system access navigation, primary and specialty care scheduling, and virtual front desk support. **Other Information** Other information: **Education Requirements:** ● High School degree or GED required **Licensure/Certification Requirements:** **Professional Experience Requirements:** ● If Bachelor's degree, one (1) year of customer service experience, preferably in a health care/patient centered setting. If Associates degree, three (3) years of customer service experience, preferabl in a health care/patient centered setting.If High School degree, five (5) years of customer service experience, preferably in a health care/patient centered setting. **Knowledge/Skills/and Abilities Requirements:** ● Strong verbal and written communication skills with a focus on patient centered care to meet patient and departmental needs; professionalism, active listening, rapport building, facilitating, empathy, conflict resolution, complaint management, and problem solving. ·Provides open, positive mission-focused communication, direction and assistance to all internal and external customers. Express initiative, teamwork and a good attitude. Shows interest and self-motivation. ·Ability to work effectively in fast-paced, constantly changing, demanding work environment while maintaining strong critical thinking, communication, and organizational skills. ·Assumes additional responsibilities while also identifying situations that need 2nd level review/escalation. ·Familiarity with Microsoft Office programs ·Strong personal computer and technology skills (including typing) ·Ability to access and utilize numerous databases simultaneously ·Strong organizational skills and the ability to shift priorities ·Must gain knowledge of the UNC Health Care System and all services we support as well as familiarity with some medical terminology during training. ·Must gain knowledge of and proficiency in following protocols. **Job Details** Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Professional Relations Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $19.59 - $27.84 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Remote Work Schedule: Variable Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position. Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity. Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $19.6-27.8 hourly 60d+ ago
  • Patient Access Specialist - Wound and Infusion Center

    UNC Health Care Systems 4.1company rating

    Kinston, NC jobs

    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. The Patient Access Specialist serves as the primary point of contact for patients entering the Wound and Infusion Department. This position ensures efficient patient registration, accurate insurance verification, and timely completion of prior authorizations to support patient care and optimize reimbursement. The Specialist collaborates closely with providers, nurses, and administrative staff to maintain seamless patient flow, precise charge capture, and high-quality service consistent with UNC Health standards. Responsibilities: 1. Prior Authorization Management * Verify insurance coverage and obtain required prior authorizations for wound care, infusion therapy, and related procedures. * Communicate with insurance companies to ensure approvals are received before the date of service. * Track and document authorization statuses, denials, and appeals in the electronic medical record (EMR). * Work proactively with providers to ensure clinical documentation supports authorization requests. 2. Patient Registration & Scheduling * Greet and register patients accurately, collecting demographic, insurance, and consent information in compliance with HIPAA and UNC Health policies. * Schedule patient appointments, coordinate recurring infusion visits, and confirm future appointments. * Ensure financial clearance prior to patient visits, including copay collection and benefit verification. * Provide patients with clear communication regarding their appointments, authorizations, and any financial responsibilities. 3. Charge Review & Revenue Integrity * Review and reconcile daily charges to ensure accuracy and completeness prior to billing. * Collaborate with clinical staff to correct documentation or coding discrepancies. * Monitor charge capture processes and assist in resolving billing issues or denials related to registration or authorization errors. 4. Provider & Clinical Team Communication * Serve as a liaison between the access team, clinical staff, and providers to coordinate patient care and administrative workflows. * Communicate authorization updates, schedule changes, and coverage limitations promptly to providers and nursing staff. * Support departmental meetings by providing updates on access, scheduling, and insurance trends affecting patient care. 5. Compliance & Customer Service * Maintain confidentiality and adhere to all UNC Health policies, payer regulations, and compliance standards. * Deliver compassionate, patient-centered service in all interactions. Participate in ongoing training to stay current with insurance requirements, EMR updates, and departmental protocols. Other information: Qualifications Education: * High school diploma or equivalent required. * Associate degree in healthcare administration, business, or related field preferred. Experience: * Minimum of 1-2 years of healthcare access, registration, billing, or authorization experience required. * Experience in wound care, infusion therapy, or specialty outpatient services preferred. Skills & Competencies: * Strong knowledge of insurance verification and authorization processes. * Proficiency in EMR systems (Epic experience preferred). * Excellent communication and organizational skills. * Attention to detail, accuracy, and ability to multitask in a fast-paced clinical environment. * Commitment to teamwork, professionalism, and patient-centered care. Working Conditions * Standard clinical office environment within a hospital-based outpatient department. * Regular interaction with patients, providers, and administrative teams. * May require occasional overtime to meet departmental needs. Job Details Legal Employer: Lenoir Health Entity: UNC Lenoir Health Care Organization Unit: Wound and Infusion Center Work Type: Full Time Standard Hours Per Week: 40.00 Work Assignment Type: Onsite Work Schedule: Day Job Location of Job: LENOIR MEM Exempt From Overtime: Exempt: No Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
    $29k-33k yearly est. 13d ago
  • Patient Access Intake Specialist

    UNC Health Care 4.1company rating

    Chapel Hill, NC jobs

    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. is every other weekend from 7:30am-4pm at ISC Central Registration.** This role is responsible in ensuring that patient access processing is performed in accordance with procedure and documented in a timely and accurate manner in ADT and other clinical information systems. Meets departmental/organizational outcome targets for process accuracy and timeliness. Responsibilities: + Ensures and verifies key ADT information (insurance verification, patient and guarantor demographics, etc.) is current and accurate to ensure patient safety, charging, coding, insurance processing, and billing accuracy. + Schedules all new and follow-up patient appointments as required. Attempt to reschedule cancellations whenever possible. Communicates cancellations to provider as necessary. + Completes and documents all governmental, regulatory, financial, and contractual forms in accordance to procedure. Ensures document is scanned/saved to correct location and is legible. + Utilizes price estimation tool, when applicable, as part of the registration process to provide the most accurate estimate to patients + Meets departmental target for up front collections to include deposits, estimated amounts due, co-pays, and/or prior balances. + Actively participates in departmental QA by utilizing system work queues, making a personal effort to reduce individual errors, and making corrections. Utilizes system work queues as a daily part of the registration process to minimize errors. **Other Information** Other information: **Education Requirements:** ● High School Diploma or GED **Licensure/Certification Requirements:** **Professional Experience Requirements:** ● Require two (2) years of customer service and/or clerical experience **Knowledge/Skills/and Abilities Requirements:** **Job Details** Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Patient Access Triangle West Work Type: Per Diem Standard Hours Per Week: 8.00 Salary Range: $18.66 - $26.51 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Weekend Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job. Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity. Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $18.7-26.5 hourly 24d ago
  • Patient Access Intake Specialist

    UNC Health Care Systems 4.1company rating

    Chapel Hill, NC jobs

    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. is at the Medical Center ED, Monday-Friday, 3pm-11:30pm This role is responsible in ensuring that patient access processing is performed in accordance with procedure and documented in a timely and accurate manner in ADT and other clinical information systems. Meets departmental/organizational outcome targets for process accuracy and timeliness. Responsibilities: * Ensures and verifies key ADT information (insurance verification, patient and guarantor demographics, etc.) is current and accurate to ensure patient safety, charging, coding, insurance processing, and billing accuracy. * Schedules all new and follow-up patient appointments as required. Attempt to reschedule cancellations whenever possible. Communicates cancellations to provider as necessary. * Completes and documents all governmental, regulatory, financial, and contractual forms in accordance to procedure. Ensures document is scanned/saved to correct location and is legible. * Utilizes price estimation tool, when applicable, as part of the registration process to provide the most accurate estimate to patients * Meets departmental target for up front collections to include deposits, estimated amounts due, co-pays, and/or prior balances. * Actively participates in departmental QA by utilizing system work queues, making a personal effort to reduce individual errors, and making corrections. Utilizes system work queues as a daily part of the registration process to minimize errors. Other Information Other information: Education Requirements: ● High School Diploma or GED Licensure/Certification Requirements: Professional Experience Requirements: ● Require two (2) years of customer service and/or clerical experience Knowledge/Skills/and Abilities Requirements: Job Details Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Patient Access Triangle West Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $18.84 - $26.77 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Evening Job Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job. Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
    $18.8-26.8 hourly 3d ago
  • Patient Access Intake Specialist-Rex

    UNC Health Care Systems 4.1company rating

    Raleigh, NC jobs

    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. is every other weekend, 9:30am-6pm at Rex Bedside Registration This role is responsible in ensuring that patient access processing is performed in accordance with procedure and documented in a timely and accurate manner in ADT and other clinical information systems. Meets departmental/organizational outcome targets for process accuracy and timeliness. Responsibilities: * Ensures and verifies key ADT information (insurance verification, patient and guarantor demographics, etc.) is current and accurate to ensure patient safety, charging, coding, insurance processing, and billing accuracy. * Schedules all new and follow-up patient appointments as required. Attempt to reschedule cancellations whenever possible. Communicates cancellations to provider as necessary. * Completes and documents all governmental, regulatory, financial, and contractual forms in accordance to procedure. Ensures document is scanned/saved to correct location and is legible. * Utilizes price estimation tool, when applicable, as part of the registration process to provide the most accurate estimate to patients * Meets departmental target for up front collections to include deposits, estimated amounts due, co-pays, and/or prior balances. * Actively participates in departmental QA by utilizing system work queues, making a personal effort to reduce individual errors, and making corrections. Utilizes system work queues as a daily part of the registration process to minimize errors. Other Information Other information: Education Requirements: ● High School Diploma or GED Licensure/Certification Requirements: Professional Experience Requirements: ● Require two (2) years of customer service and/or clerical experience Knowledge/Skills/and Abilities Requirements: Job Details Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Patient Access Triangle East Work Type: Per Diem Standard Hours Per Week: 8.00 Salary Range: $18.66 - $26.51 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Weekend Location of Job: US:NC:Raleigh Exempt From Overtime: Exempt: No This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job. Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
    $18.7-26.5 hourly 3d ago
  • Patient Access Intake Specialist-Rex

    UNC Health Care 4.1company rating

    Raleigh, NC jobs

    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. is every other weekend, 9:30am-6pm at Rex Bedside Registration** This role is responsible in ensuring that patient access processing is performed in accordance with procedure and documented in a timely and accurate manner in ADT and other clinical information systems. Meets departmental/organizational outcome targets for process accuracy and timeliness. **Responsibilities:** + Ensures and verifies key ADT information (insurance verification, patient and guarantor demographics, etc.) is current and accurate to ensure patient safety, charging, coding, insurance processing, and billing accuracy. + Schedules all new and follow-up patient appointments as required. Attempt to reschedule cancellations whenever possible. Communicates cancellations to provider as necessary. + Completes and documents all governmental, regulatory, financial, and contractual forms in accordance to procedure. Ensures document is scanned/saved to correct location and is legible. + Utilizes price estimation tool, when applicable, as part of the registration process to provide the most accurate estimate to patients + Meets departmental target for up front collections to include deposits, estimated amounts due, co-pays, and/or prior balances. + Actively participates in departmental QA by utilizing system work queues, making a personal effort to reduce individual errors, and making corrections. Utilizes system work queues as a daily part of the registration process to minimize errors. **Other Information** Other information: **Education Requirements:** ● High School Diploma or GED **Licensure/Certification Requirements:** **Professional Experience Requirements:** ● Require two (2) years of customer service and/or clerical experience **Knowledge/Skills/and Abilities Requirements:** **Job Details** Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Patient Access Triangle East Work Type: Per Diem Standard Hours Per Week: 8.00 Salary Range: $18.66 - $26.51 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Weekend Location of Job: US:NC:Raleigh Exempt From Overtime: Exempt: No This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job. Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity. Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $18.7-26.5 hourly 60d+ ago
  • Patient Access Intake Specialist

    UNC Health Care Systems 4.1company rating

    Hillsborough, NC jobs

    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. is at the Hillsborough Admissions, Monday-Friday from 8:30am-5pm. This role is responsible in ensuring that patient access processing is performed in accordance with procedure and documented in a timely and accurate manner in ADT and other clinical information systems. Meets departmental/organizational outcome targets for process accuracy and timeliness. Responsibilities: * Ensures and verifies key ADT information (insurance verification, patient and guarantor demographics, etc.) is current and accurate to ensure patient safety, charging, coding, insurance processing, and billing accuracy. * Schedules all new and follow-up patient appointments as required. Attempt to reschedule cancellations whenever possible. Communicates cancellations to provider as necessary. * Completes and documents all governmental, regulatory, financial, and contractual forms in accordance to procedure. Ensures document is scanned/saved to correct location and is legible. * Utilizes price estimation tool, when applicable, as part of the registration process to provide the most accurate estimate to patients * Meets departmental target for up front collections to include deposits, estimated amounts due, co-pays, and/or prior balances. * Actively participates in departmental QA by utilizing system work queues, making a personal effort to reduce individual errors, and making corrections. Utilizes system work queues as a daily part of the registration process to minimize errors. Other Information Other information: Education Requirements: ● High School Diploma or GED Licensure/Certification Requirements: Professional Experience Requirements: ● Require two (2) years of customer service and/or clerical experience Knowledge/Skills/and Abilities Requirements: Job Details Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Patient Access Triangle West Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $18.84 - $26.77 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Day Job Location of Job: US:NC:Hillsborough Exempt From Overtime: Exempt: No This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job. Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
    $18.8-26.8 hourly 3d ago
  • Patient Access Intake Specialist

    UNC Health Care 4.1company rating

    Hillsborough, NC jobs

    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. is at the Hillsborough Admissions, Monday-Friday from 8:30am-5pm.** This role is responsible in ensuring that patient access processing is performed in accordance with procedure and documented in a timely and accurate manner in ADT and other clinical information systems. Meets departmental/organizational outcome targets for process accuracy and timeliness. **Responsibilities:** + Ensures and verifies key ADT information (insurance verification, patient and guarantor demographics, etc.) is current and accurate to ensure patient safety, charging, coding, insurance processing, and billing accuracy. + Schedules all new and follow-up patient appointments as required. Attempt to reschedule cancellations whenever possible. Communicates cancellations to provider as necessary. + Completes and documents all governmental, regulatory, financial, and contractual forms in accordance to procedure. Ensures document is scanned/saved to correct location and is legible. + Utilizes price estimation tool, when applicable, as part of the registration process to provide the most accurate estimate to patients + Meets departmental target for up front collections to include deposits, estimated amounts due, co-pays, and/or prior balances. + Actively participates in departmental QA by utilizing system work queues, making a personal effort to reduce individual errors, and making corrections. Utilizes system work queues as a daily part of the registration process to minimize errors. **Other Information** Other information: **Education Requirements:** ● High School Diploma or GED **Licensure/Certification Requirements:** **Professional Experience Requirements:** ● Require two (2) years of customer service and/or clerical experience **Knowledge/Skills/and Abilities Requirements:** **Job Details** Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Patient Access Triangle West Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $18.84 - $26.77 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Day Job Location of Job: US:NC:Hillsborough Exempt From Overtime: Exempt: No This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job. Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity. Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $18.8-26.8 hourly 2d ago
  • Patient Access Intake Specialist

    UNC Health Care Systems 4.1company rating

    Butner, NC jobs

    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. will work at Butner YBH, Monday - Friday 3 pm - 1130 pm This role is responsible in ensuring that patient access processing is performed in accordance with procedure and documented in a timely and accurate manner in ADT and other clinical information systems. Meets departmental/organizational outcome targets for process accuracy and timeliness. Responsibilities: * Ensures and verifies key ADT information (insurance verification, patient and guarantor demographics, etc.) is current and accurate to ensure patient safety, charging, coding, insurance processing, and billing accuracy. * Schedules all new and follow-up patient appointments as required. Attempt to reschedule cancellations whenever possible. Communicates cancellations to provider as necessary. * Completes and documents all governmental, regulatory, financial, and contractual forms in accordance to procedure. Ensures document is scanned/saved to correct location and is legible. * Utilizes price estimation tool, when applicable, as part of the registration process to provide the most accurate estimate to patients * Meets departmental target for up front collections to include deposits, estimated amounts due, co-pays, and/or prior balances. * Actively participates in departmental QA by utilizing system work queues, making a personal effort to reduce individual errors, and making corrections. Utilizes system work queues as a daily part of the registration process to minimize errors. Other Information Other information: Education Requirements: ● High School Diploma or GED Licensure/Certification Requirements: Professional Experience Requirements: ● Require two (2) years of customer service and/or clerical experience Knowledge/Skills/and Abilities Requirements: Job Details Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Patient Access Triangle West Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $18.66 - $26.51 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Evening Job Location of Job: Butner:NC:27509 Exempt From Overtime: Exempt: No This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job. Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
    $18.7-26.5 hourly 25d ago
  • Patient Access Intake Specialist

    UNC Health Care 4.1company rating

    Butner, NC jobs

    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. will work at Butner YBH, Monday - Friday 3 pm - 1130 pm** This role is responsible in ensuring that patient access processing is performed in accordance with procedure and documented in a timely and accurate manner in ADT and other clinical information systems. Meets departmental/organizational outcome targets for process accuracy and timeliness. **Responsibilities:** + Ensures and verifies key ADT information (insurance verification, patient and guarantor demographics, etc.) is current and accurate to ensure patient safety, charging, coding, insurance processing, and billing accuracy. + Schedules all new and follow-up patient appointments as required. Attempt to reschedule cancellations whenever possible. Communicates cancellations to provider as necessary. + Completes and documents all governmental, regulatory, financial, and contractual forms in accordance to procedure. Ensures document is scanned/saved to correct location and is legible. + Utilizes price estimation tool, when applicable, as part of the registration process to provide the most accurate estimate to patients + Meets departmental target for up front collections to include deposits, estimated amounts due, co-pays, and/or prior balances. + Actively participates in departmental QA by utilizing system work queues, making a personal effort to reduce individual errors, and making corrections. Utilizes system work queues as a daily part of the registration process to minimize errors. **Other Information** Other information: **Education Requirements:** ● High School Diploma or GED **Licensure/Certification Requirements:** **Professional Experience Requirements:** ● Require two (2) years of customer service and/or clerical experience **Knowledge/Skills/and Abilities Requirements:** **Job Details** Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Patient Access Triangle West Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $18.66 - $26.51 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Evening Job Location of Job: Butner:NC:27509 Exempt From Overtime: Exempt: No This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job. Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity. Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $18.7-26.5 hourly 24d ago
  • Pre-Arrival Specialist - Johnston Scheduling

    UNC Health Care Systems 4.1company rating

    Smithfield, NC jobs

    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Obtains approval from all payors requiring pre-authorization/prior-approval, prior to or on the date of service. Ensures referrals are created and linked to all applicable accounts. Responsibilities: 1. Obtains approval from all payors requiring pre-authorization/prior-approval, prior to or on the date of service. Ensures referrals are created and linked to all applicable accounts. Obtains required clinical and financial information required for authorization when applicable. 2. Review accounts for medical necessity according to NCCN, FDA, Medicare LCD/NCD coverage determinations, and payor guidelines prior to or on the date of service. Discuss accounts with revenue cycle coordinator or manager that fall outside of medical necessity parameters. 3. Accurately document all pre-authorizations/prior-approvals according to healthcare system standards. 4. Coordinate peer to peer or medical review cases with the provider or clinic Patient Financial counselor as needed. 5. Complete timely denial follow up for infusion and radiation therapy authorization and medical necessity denials. Complete accurate and timely documentation, follow-up, and appeals per payor guidelines. Follow denied accounts to resolution. Maintain work queues per established productivity standards. 6. Ensures ADT information is current and accurate to ensure patient safety, charging, coding, insurance processing, and billing accuracy. Other Information Other information: Education Requirements: ● High school diploma or general education degree (GED) required. Associated degree preferred. Licensure/Certification Requirements: Professional Experience Requirements: ● Two years of experience in healthcare setting with exposure to patient registration, billing, denial management, or insurance authorization processes required. Requires exceptional customer service, organizational, and basic computer skills. Medical terminology desired. Knowledge/Skills/and Abilities Requirements: ● Language Skills: Ability to read, analyze, and interpret the most complex documents. Ability to respond effectively to the most sensitive inquiries or complaints. Ability to write speeches and articles using original or innovative techniques or style. Ability to make effective and persuasive speeches and presentations on controversial or complex topics to top management, public groups, and/or boards of directors. Mathematical Skills: Ability to comprehend advanced mathematical principles and advanced statistical theory. Reasoning Ability: Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. Ability to deal with nonverbal symbolism (formulas, scientific equations, graphs, musical notes, etc.,) in its most difficult phases. Ability to deal with a variety of abstract and concrete variables. Job Details Legal Employer: NCHEALTH Entity: Johnston Health Organization Unit: Scheduling Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $18.84 - $26.77 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Hybrid Work Schedule: Day Job Location of Job: US:NC:Smithfield Exempt From Overtime: Exempt: No This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position. Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
    $18.8-26.8 hourly 3d ago
  • Pre-Arrival Specialist - Johnston Scheduling

    UNC Health Care 4.1company rating

    Smithfield, NC jobs

    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Obtains approval from all payors requiring pre-authorization/prior-approval, prior to or on the date of service. Ensures referrals are created and linked to all applicable accounts. Responsibilities: 1. Obtains approval from all payors requiring pre-authorization/prior-approval, prior to or on the date of service. Ensures referrals are created and linked to all applicable accounts. Obtains required clinical and financial information required for authorization when applicable. 2. Review accounts for medical necessity according to NCCN, FDA, Medicare LCD/NCD coverage determinations, and payor guidelines prior to or on the date of service. Discuss accounts with revenue cycle coordinator or manager that fall outside of medical necessity parameters. 3. Accurately document all pre-authorizations/prior-approvals according to healthcare system standards. 4. Coordinate peer to peer or medical review cases with the provider or clinic Patient Financial counselor as needed. 5. Complete timely denial follow up for infusion and radiation therapy authorization and medical necessity denials. Complete accurate and timely documentation, follow-up, and appeals per payor guidelines. Follow denied accounts to resolution. Maintain work queues per established productivity standards. 6. Ensures ADT information is current and accurate to ensure patient safety, charging, coding, insurance processing, and billing accuracy. **Other Information** Other information: **Education Requirements:** ● High school diploma or general education degree (GED) required. Associated degree preferred. **Licensure/Certification Requirements:** **Professional Experience Requirements:** ● Two years of experience in healthcare setting with exposure to patient registration, billing, denial management, or insurance authorization processes required. Requires exceptional customer service, organizational, and basic computer skills. Medical terminology desired. **Knowledge/Skills/and Abilities Requirements:** ● Language Skills: Ability to read, analyze, and interpret the most complex documents. Ability to respond effectively to the most sensitive inquiries or complaints. Ability to write speeches and articles using original or innovative techniques or style. Ability to make effective and persuasive speeches and presentations on controversial or complex topics to top management, public groups, and/or boards of directors. Mathematical Skills: Ability to comprehend advanced mathematical principles and advanced statistical theory. Reasoning Ability: Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. Ability to deal with nonverbal symbolism (formulas, scientific equations, graphs, musical notes, etc.,) in its most difficult phases. Ability to deal with a variety of abstract and concrete variables. **Job Details** Legal Employer: NCHEALTH Entity: Johnston Health Organization Unit: Scheduling Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $18.84 - $26.77 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Hybrid Work Schedule: Day Job Location of Job: US:NC:Smithfield Exempt From Overtime: Exempt: No This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position. Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity. Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $18.8-26.8 hourly 60d+ ago
  • RN Patient Logistics Access Coordinator - Patient Logistics Center

    UNC Health Care Systems 4.1company rating

    Chapel Hill, NC jobs

    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. The purpose of this position is to provide direct coordination of inter-hospital transfers through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. The overall goal of the position is to enhance the quality of inter-hospital transfer management and satisfaction and to promote continuity of care and cost effectiveness through the integrating and functions of point of entry case management, utilization review, and effective patient flow activities. Responsibilities: 1. Capacity Planning- Attend and actively participate in daily collaborative meetings to develop and implement a hospital wide capacity management strategy. Alert hospital leaders and care team stakeholders of capacity constraints that may impact Transfer Center Operations. As necessary, meet with stakeholders in severely impacted areas to problem solve ways to facilitate throughput and expand the capacity to accept requested transfers. 2. Incoming Transfer Requests- Continually monitor work list(s) to appropriately triage patient transfer requests. Conduct and document assessment of proposed transfers and facilitate provider and caregiver consultations to develop a transfer plan per departmental guidelines. Participate in daily collaborative meetings to develop and implement a hospital wide capacity management strategy. 3. Logistics Management- Collaborate with house supervisors and clinical admitting decision makers to facilitate patient transfer activities with referring, receiving, and transporting caregivers, participating in discussions regarding appropriate assignment of level of care, care unit, provider team, and patient class. Refer non-clinical tasks as appropriate. 4. Clinical Appropriateness Assessment- Using established medical necessity criteria products and departmental guidelines perform assessments of the clinical appropriateness for proposed transfers. Escalate situations of questionable clinical or administrative appropriateness per established guidelines to the Care Management Physician Advisor and/or Care Management Leadership. Identify potential and actual care progression concerns for incoming patients, and route concerns to the appropriate care team members. 5. Customer Service- Identify and escalate barriers to efficient, effective, patient-centric and customer-friendly Transfer Center Operations. Demonstrates excellent customer service skills. Use service recovery scripting and techniques to repair missed expectations when possible. Demonstrate flexibility and professionalism in a dynamic environment with frequent re-ordering of priorities and assignments. Uses critical thinking skills to evaluate and prioritize rapidly changing demands, working collaboratively to best accomplish the team's mission. 6. Documentation- Document activities, events, and information per standards in established software systems in a timely, accurate, and complete manner. Identifies Avoidable Delays and documents causes for delay consistent with department standards. Uses established policies and processes to handle, discuss, and transmit protected health information in manner consistent with privacy and compliance expectations and policies. Uses departmental guidelines and job aids to perform work in an accurate, compliant manner consistent with known and written expectations and work rules. Other Information Other information: Education Requirements: ● Bachelor's degree in Nursing Licensure/Certification Requirements: ● Must be licensed to practice registered nurse in the state of North Carolina Professional Experience Requirements: ● Three (3) years of inpatient care experience required Knowledge/Skills/and Abilities Requirements: ● Highly organized professional with astute clinical knowledge Great attention to detail, and critical thinking skills Adaptable to frequent change Compliant with regulatory and departmental guidelines and policies Job Details Legal Employer: STATE Entity: UNC Medical Center Organization Unit: UNCH Patient Logistics Center Work Type: Full Time Standard Hours Per Week: 36.00 Salary Range: $41.04 - $59.00 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Rotating Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No This is a State position employed by UNC Health Care System with UNC Health benefits. If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health. Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
    $29k-33k yearly est. 60d+ ago
  • Revenue Cycle Representative - Patient Accounting

    UNC Health Care Systems 4.1company rating

    Chapel Hill, NC jobs

    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. May be responsible for performing a variety of complex duties, including but not limited to, working outstanding insurance claims having no response from payors, having claim edits, and/or having received claim form related denials. Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims. Review credit balances for possible reallocation or refunds. May be responsible for posting payments, contractual adjustments, and denials in a timely, accurate, and complete manner. Process paper correspondence as assigned. Performs all duties in a manner which promotes teamwork and reflects UNC Health's mission and philosophy. Responsibilities: Responsible for the accurate and timely submission of claims, response to denials, and re-bills of insurance claims. Responsible for all aspects of insurance follow-up and collections including interfacing with internal and external departments to resolve discrepancies through charge corrections, payment corrections, writeoffs, refunds or other methods. Edit claims (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope of authority (or escalate as needed) to meet and satisfy billing compliance guidelines for electronic submission. Contact insurance carriers to obtain authorizations and referral approvals for services and procedures. Research medical records to gather information and substantiate medical justification for procedures as required by insurance carriers. Submits requested medical information to insurance carrier. Responsible for the analysis and necessary corrections of patient invoices or accounts as it pertains to clean claim submissions or re-bills. Responsible for maintaining work queues. Access, review and respond to third party correspondence via Document Management system. Research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, credit balances, sequencing of charges, and non-payment of claims. Contact patients, physicians and insurance companies to obtain information necessary for invoice or account resolution through write-offs, reversals, adjustments, refunds or other methods. Verify claims adjudication utilizing appropriate resources and applications. Post payments (Insurance and/or Patient) and denials to patient invoices/accounts in a timely and accurate manner. Reconcile accounts, research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, sequencing of charges, and non-payment of claims. Respond to any assigned correspondence in a timely, professional, and complete manner. Identify issues and/or trends and provide suggestions for resolution to management, including payer, system or escalated account issues. May maintain data tables for systems that support Patient Accounting operations. Evaluate carrier and departmental information and determines data to be included in system tables. Read and interpret EOB's (Explanation of Benefits). Maintain basic understanding and knowledge of health insurance plans, policies and procedures. Accurately and thoroughly document the pertinent collection activity performed. Participate and attend meetings, training seminars and in-services to develop job knowledge. Meets/Exceeds Productivity and Quality standards Other Information Other information: Education Requirements: ● High School Degree Licensure/Certification Requirements: Professional Experience Requirements: ● Two (2) years of experience in hospital or physician insurance related activities ((Authorization, Billing, Follow-Up, Call-Center, or Collections) Knowledge/Skills/and Abilities Requirements: Job Details Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Patient Accounting Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $18.12 - $25.51 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Remote Work Schedule: Day Job Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job. Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
    $18.1-25.5 hourly 7d ago
  • Patient Access - Intake Specialist

    UNC Health Care Systems 4.1company rating

    Rocky Mount, NC jobs

    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. UNC Health Nash, an affiliated member of the UNC Health system, invites passionate healthcare professionals to join our esteemed team. Governed locally, we proudly serve a diverse patient base, spanning Nash, Edgecombe, Halifax, Wilson Counties, and beyond. With a steadfast commitment to elevating community health through exceptional care, we prioritize excellence, compassion, and innovation, ensuring every individual receives the highest standard of support. Joining our team means becoming an integral part of our dedication to wellness, where we constantly strive to redefine excellence in healthcare through state-of-the-art facilities and pioneering programs. Join us in this transformative journey, where your contributions will make a lasting impact on our community's health and wellbeing. Summary: The Patient Access Intake Specialist is responsible in ensuring that patient access processing is performed in accordance with procedure and documented in a timely and accurate manner for Emergency, Observation, Inpatient, and Outpatient patient classes. This performance must meet the departmental/organizational driven outcome targets to continue the revenue flow cycle of clean claims and point of service cash collections. These functions includes, but not limited to, patient identification, department-based arriving, admitting, or check-in procedures, scheduling, pre-registration, registration, insurance verification, authorization, pre-notification, and financially securing accounts while complying to the Emergency Medical Treatment & Labor Act (EMTLA). Responsibilities: 1. Patient Access Prerequisites a. Ensures and verifies key registration information, performing insurance verification, obtaining/verifying accurately patient and guarantor demographics, initialing MyChart, etc., department-based arrival, admitting, or check-in procedures, pre-notifications and/or authorizations, financial securing accounts while complying with EMTLA guidelines, and billing accuracy. b. Able to identify the components of a complete outpatient physician order, referral, or posting sheet to ensure appropriate scheduling, financially securing the account according to medical necessity, and the registration of the patient to the service(s) and reason(s) specified according to the provider's request. c. Utilizes the system's work queues; to appropriately drive daily workflow for securing accounts, fortifying compliance of governmental, regulatory, financial, and contractual forms specified to the patient's hospital status, resolving registration based claim edits and making registration corrections to such accounts. d. Use proper procedure identifying the patient from the master patient index (MPI) using more than two patient identifiers and when placing armband on the patient, without delay of care. 2. Point of Service (POS) Collection Products, Services, and Securities a. Utilizes price estimation tool, as part of the registration process to provide the most accurate estimate to patients. b. Accurate and timely processing of all methods of acceptable payments such as cash/check/money order/credit card transactions. Including, reconciling daily cash drawer, depositing daily cash/check and providing patients with cash receipts, and maintaining daily reports as required. Meets departmental targets for up front collections to include deposits, estimated amounts due, co-pays, and/or prior balances. 3. Data Accuracy a. Accurately identifies and armbanding all patients without delaying care and able to determine and implement if necessary, the unidentified patient protocol appropriately. b. Captures and enters appropriate and accurate documentation of patient registration and demographic information in the hospital billing system (EPIC) to maximize billing accuracy. 4. Communicates with Patients and Families a. Provides patients with appropriate administrative information, as directed. Promoting engagement with patients and family members to prevent loss of integrity and core values that represent the organization. b. Identifies the needs of the patient population served, and modifies/delivers care that is specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.). This process includes communicating with the patient, parent, and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.) 5. Auditing a. Actively participates in departmental QA by utilizing system work queues, making a personal effort to reduce individual errors, and making corrections, and utilizes system work queues as a daily part of the registration process to minimize errors. 6. Maintains Regulatory Compliance Documents a. Completes and documents all governmental, regulatory, financial, and contractual forms in accordance to procedure, while ensuring documents are scanned/saved to correct location and is legible. 7. Issue Resolution a. Attempts to mediate daily registration-based issues and elevates any issues that cannot be resolved independently. 8. Other Duties as Assigned a. Complies with all procedural workflows and departmental policies and procedures as identified. b. Assumes other responsibilities as directed by Leadership. Other information: Education Requirements: * High School Diploma or GED * Associates or Bachelor's Degree in Arts/Business. Course work in medical terminology or medical insurance preferred. Licensure/Certification Requirements * None Professional Experience Requirements: * 2 years of experience in Healthcare/Medical-Admissions. Patient financial services experience in a professional or healthcare setting. * 2 - 5 years of prior experience in hospital operations management and/or revenue cycle preferred. Job Details Legal Employer: Nash Hospitals Entity: Nash UNC Health Care Organization Unit: NGH Registration Discharge Work Type: Full Time Standard Hours Per Week: 36.00 Work Assignment Type: Onsite Work Schedule: Day Job Location of Job: NASH HC Exempt From Overtime: Exempt: No
    $29k-33k yearly est. 3d ago
  • Patient Access - Intake Specialist

    UNC Health Care 4.1company rating

    Rocky Mount, NC jobs

    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. UNC Health Nash, an affiliated member of the UNC Health system, invites passionate healthcare professionals to join our esteemed team. Governed locally, we proudly serve a diverse patient base, spanning Nash, Edgecombe, Halifax, Wilson Counties, and beyond. With a steadfast commitment to elevating community health through exceptional care, we prioritize excellence, compassion, and innovation, ensuring every individual receives the highest standard of support. Joining our team means becoming an integral part of our dedication to wellness, where we constantly strive to redefine excellence in healthcare through state-of-the-art facilities and pioneering programs. Join us in this transformative journey, where your contributions will make a lasting impact on our community's health and wellbeing. Summary: The Patient Access Intake Specialist is responsible in ensuring that patient access processing is performed in accordance with procedure and documented in a timely and accurate manner for Emergency, Observation, Inpatient, and Outpatient patient classes. This performance must meet the departmental/organizational driven outcome targets to continue the revenue flow cycle of clean claims and point of service cash collections. These functions includes, but not limited to, patient identification, department-based arriving, admitting, or check-in procedures, scheduling, pre-registration, registration, insurance verification, authorization, pre-notification, and financially securing accounts while complying to the Emergency Medical Treatment & Labor Act (EMTLA). Responsibilities: 1. Patient Access Prerequisites a. Ensures and verifies key registration information, performing insurance verification, obtaining/verifying accurately patient and guarantor demographics, initialing MyChart, etc., department-based arrival, admitting, or check-in procedures, pre-notifications and/or authorizations, financial securing accounts while complying with EMTLA guidelines, and billing accuracy. b. Able to identify the components of a complete outpatient physician order, referral, or posting sheet to ensure appropriate scheduling, financially securing the account according to medical necessity, and the registration of the patient to the service(s) and reason(s) specified according to the provider's request. c. Utilizes the system's work queues; to appropriately drive daily workflow for securing accounts, fortifying compliance of governmental, regulatory, financial, and contractual forms specified to the patient's hospital status, resolving registration based claim edits and making registration corrections to such accounts. d. Use proper procedure identifying the patient from the master patient index (MPI) using more than two patient identifiers and when placing armband on the patient, without delay of care. 2. Point of Service (POS) Collection Products, Services, and Securities a. Utilizes price estimation tool, as part of the registration process to provide the most accurate estimate to patients. b. Accurate and timely processing of all methods of acceptable payments such as cash/check/money order/credit card transactions. Including, reconciling daily cash drawer, depositing daily cash/check and providing patients with cash receipts, and maintaining daily reports as required. Meets departmental targets for up front collections to include deposits, estimated amounts due, co-pays, and/or prior balances. 3. Data Accuracy a. Accurately identifies and armbanding all patients without delaying care and able to determine and implement if necessary, the unidentified patient protocol appropriately. b. Captures and enters appropriate and accurate documentation of patient registration and demographic information in the hospital billing system (EPIC) to maximize billing accuracy. 4. Communicates with Patients and Families a. Provides patients with appropriate administrative information, as directed. Promoting engagement with patients and family members to prevent loss of integrity and core values that represent the organization. b. Identifies the needs of the patient population served, and modifies/delivers care that is specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.). This process includes communicating with the patient, parent, and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.) 5. Auditing a. Actively participates in departmental QA by utilizing system work queues, making a personal effort to reduce individual errors, and making corrections, and utilizes system work queues as a daily part of the registration process to minimize errors. 6. Maintains Regulatory Compliance Documents a. Completes and documents all governmental, regulatory, financial, and contractual forms in accordance to procedure, while ensuring documents are scanned/saved to correct location and is legible. 7. Issue Resolution a. Attempts to mediate daily registration-based issues and elevates any issues that cannot be resolved independently. 8. Other Duties as Assigned a. Complies with all procedural workflows and departmental policies and procedures as identified. b. Assumes other responsibilities as directed by Leadership. Other information: **Education Requirements:** + High School Diploma or GED + Associates or Bachelor's Degree in Arts/Business. Course work in medical terminology or medical insurance preferred. **Licensure/Certification Requirements** + None **Professional Experience Requirements:** + 2 years of experience in Healthcare/Medical-Admissions. Patient financial services experience in a professional or healthcare setting. + 2 - 5 years of prior experience in hospital operations management and/or revenue cycle preferred. **Job Details** Legal Employer: Nash Hospitals Entity: Nash UNC Health Care Organization Unit: NGH Registration Discharge Work Type: Per Diem Standard Hours Per Week: 4.00 Work Assignment Type: Onsite Work Schedule: Variable Location of Job: NASH HC Exempt From Overtime: Exempt: No Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $29k-33k yearly est. 60d+ ago
  • Patient Access Representative I

    UNC Health Care Systems 4.1company rating

    Hendersonville, NC jobs

    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. The Patient Access RepresentativeIis commonly the first point of contact for patients and providesthe firstimpressions of our healthcare system. Theyaccurately register patients for healthcare services,facilitateand guide the patient into the system of care, and act as a resource for patients and their families. The Patient Access Repis responsible forall aspects of the patient registration process. RESPONSIBILITIES AND SCOPE * Greetsandincorporatespatients and families into our system of care, ensuring positive customer servicethroughdemonstrationof a caring, professional, and helpful disposition. * Verifies patient identities and records relevant information in electronic medical records system, creating new entries when necessary, and updating patient demographic and insurance information. * Handles, understands, and explains complex and sensitive information, in particular health insurance coverage, benefits and associated documentation, adhering to applicable privacy and compliance standards. * Organizes and schedules patient into system of care, where applicable, and directs patients throughout the facility as needed per their scheduled services * Explain and collect co-payments, deposits, and outstanding balances in service of organizational goals. When applicable,usesandexplainsprice estimation tool to providebestaccuratefinancial obligations to patients. * Act as a resource for the patient during registration process, including explaining and completing complex forms and documents needed for regulatory and accreditation compliance * May be asked to support adjacent tasks in their area of work, organizing provider schedules, switchboard operations or inventorying personal effects for admitted patients * Ability to work onsite and travel in a reliable vehicle between assigned locations with predictable, reliable, and prompt attendance. PHYSICAL DEMANDS * Prolonged periods of sitting at a desk and working on a computer. * Frequent standing, walking, and movement between departments or patient care areas. * Occasional lifting, carrying, pushing, or pulling of items weighing up to 25 pounds * Regular use of hands and fingers for data entry, typing and handling paperwork * Visual acuityrequiredto read computer screens, documents, and patient informationaccurately * Ability to communicate clearly and effectively in person and over the phone * May occasionally need to bend, stoop, or reach QUALIFICATIONS Required * High school diploma or GED equivalent * Experience performing in a customer service capacity * Experience working in a business system, such as an electronic medical recordkeeping (EMR) point of sale (POS) or inventory system Preferred * Experience or formal instruction in the use of medical terminology * Experience working or with one or more electronic medical recordkeeping (EMR) system Job Details Legal Employer: Pardee - HCHC Entity: Pardee UNC Health Care Organization Unit: Patient Accounting Work Type: Full Time Standard Hours Per Week: 40.00 Work Assignment Type: Onsite Work Schedule: Weekend Location of Job: PARDEESUPP Exempt From Overtime: Exempt: No Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
    $29k-32k yearly est. 60d+ ago
  • Patient Access ED Registration Specialist

    Cone Health 4.3company rating

    Patient access representative job at The Moses H Cone Memorial Hospital

    The Patient Access ED Registration Specialist is the first point of contact and creates a welcoming environment to include anticipation and action on the needs of our internal and external customers in the emergency department care setting. The role is responsible for accurately identifying patients and completing demographic, financial, regulatory and medical information. The schedule for this position is Friday - Monday, 3pm - 11pm. Essential Job Function * Utilizes tools and resources to perform responsibilities accurately and efficiently to obtain and enter required information for registration into the electronic health system. * Follows prescribed procedures for positive identification and medical record number assignment and Reviews demographic and insurance information for completeness, and follows through with correcting any deficiencies, so collection efforts are not delayed due to insufficient or incorrect information. * Ensures EMTALA compliant registration steps are taken for emergency department patients. * Identifies patients who present with critical symptoms and activates clinical protocols. * Ensures ALL appropriate regulatory signatures are obtained. * Thoroughly and accurately documents insurance verification information, identifying deductibles, copayments, coinsurance, and policy limitations and verifies patient liabilities with payers, calculates patient payment, requests payment at the time of registration and documents in the EHR. * Consistently displays good customer service behaviors to ALL patients and visitor to promote positive patient experiences. * Assists patients to their destination as needed and manage patient visitor flow according to hospital policy and safety guidelines. * Performs other duties as assigned. Education * Required: Associate's degree in healthcare administration, medical office administration, or related field required.4 Years related experience in lieu of associate's degree. Experience * Required: 1 year experience in a healthcare setting, particularly in patient registration, insurance verification, or a similar administrative role Licensure/Certification/Listing * Preferred: Certification in healthcare administration (e.g., Certified Healthcare Access Associate - CHAA)
    $27k-31k yearly est. 11d ago

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