Patient Financial Rep - Per Diem
Utica, NY jobs
The Patient Financial Representative is responsible for the accurate and timely verification of insurance and benefit information for patients receiving inpatient medical, inpatient psychiatric, observation, ambulatory surgery and/or outpatient procedure related services. Plays a key role in the organization's financial health by obtaining or ensuring that insurance authorizations or pre-authorizations are on file and accurate prior to the service being rendered. This position must also ensure patient demographic and insurance information is correct, resulting in accurate claims for reimbursement. Position provides excellent customer service during all interactions.
Core Job Responsibilities
For designated services, this position is responsible for ensuring that each patient account has accurate insurance information entered in the correct billing order and that each insurance listed has been verified as eligible for the designated date of service range. For each insurance, benefit information is obtained and documented. Verification and benefit information can be obtained via electronic or verbal method but must be completed prior to services being rendered. Position must have or develop excellent working rapport with surgeons' office staff, as well as hospital nursing staff.
For pre-scheduled services, this position is responsible for verifying that authorization is on file with each of the appropriate insurance companies and that authorization is accurate based upon location, CPT code, service type, surgeon, date range and any or all other necessary elements to secure payment for services rendered. For emergent or urgent services, this position is responsible for accurately and timely requesting that each verified insurance company has been notified of patient services being rendered and also request authorization for requested services. Position must have or develop excellent working rapport with insurance company representatives, surgeons' office staff, as well as hospital nursing staff.
Ensures each patient account has accurate insurance information entered in the correct billing order and that each insurance company listed has been verified as eligible for the designated date of service range.
Secures and documents any and all authorization requirements in appropriate computer systems with relevant information to capture authorization timely. Enters pertinent information in all necessary systems. Retains any written documents received.
Performs related duties as assigned.
Education/Experience Requirements
REQUIRED:
High school diploma or equivalent.
Minimum 3 years of pre-authorization and/or insurance verification experience.
Demonstrated computer proficiency and ability to learn new applications rapidly.
Strong documentation skills.
Strong follow up skills, accuracy and attention to detail.
Excellent customer service and interpersonal skills.
Ability to work under restrictive time.
PREFERRED:
Associate's degree in healthcare related field.
4 years or more of hospital, medical office, coding or billing experience; or 6 years of experience in other healthcare related field.
Proficient with EMR, QES, MIDAS, SIS and related computer programs.
Licensure/Certification Requirements
PREFERRED:
Medical terminology certification.
Disclaimer
Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.
Successful candidates might be required to undergo a background verification with an external vendor.
Job Details
Req Id 95876
Department PATIENT ACCESS SVCS
Shift Days
Shift Hours Worked 8.00
FTE 0.19
Work Schedule HRLY NON-UNION
Employee Status A7 - Occasional
Union Non-Union
Pay Range $19 - $25/Hourly
#Evergreen
Senior, Patient Access Representative
Elizabeth City, NC jobs
City/State Elizabeth City, NC Work Shift Third (Nights) Full-Time, Nights The Senior Patient Access Representative is a working resource to the patient registration teams. Responsibilities include registering patients for the Emergency Department, and/or various registration areas of the hospital. The Patient Access Team Leader also assists the Team Coordinator and department leadership by serving as registration system super-user, taking on-call rotation during the week and on the weekends, participating in the interviewing process, preparing and reviewing reports, performing QA audits, mentoring and training staff, managing department supply levels, and participating in meetings and workgroups. The Team Lead is required to meet the written requirements and competency to serve as a preceptor and to provide department orientation. If you desire, there are promotional opportunities in Patient Access such as a Team Coordinator.
Up to $1,500Sign-On Bonus for Qualified Candidates!
Education
HS - High School Grad or Equivalent
Certification/Licensure
No specific certification or licensure requirements
Experience
2 years of Customer Service and/or Data Entry
Associate or bachelor's degree in Lieu of two years of experience
Two years of previous experience in a healthcare environment in a related area
Proficiency in Keyboarding
K eywords: Customer Service, Patient Registration, Data Entry, Front Desk, First Point of Contact, Insurance, Insurance Verification, Talroo-Allied Health, Scheduling, Receptionist, Non-clinical, monster
.
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Sentara Albemarle Medical Center , located in Elizabeth City, NC, serves northeastern North Carolina with a caring team of approximately 650 employees and 150 medical providers. We think of each other as family, with those bonds extending into our close-knit community and serving as the foundation for our patient care. Our 182-bed facility features 25 specialties including emergency, maternity, orthopedics, medical, and surgical care in addition to our outpatient laboratory, imaging, and comprehensive breast services. In 2022, Sentara broke ground on a new campus, a state-of-the-art 88-bed hospital to replace the current 60-year-old facility on North Road Street. The 135-acre campus, coming out of the ground at Halstead Boulevard Extended and Thunder Road, will be known as the Sentara Albemarle Regional Health Campus. It is projected to cost about $200 million, up from the original estimate of $158 million, due to sharp spikes in costs for building materials and medical equipment.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Registered Nurse (RN) Unit Coordinator - Intensive Care Unit
Elizabeth City, NC jobs
City/State Elizabeth City, NC Work Shift Third (Nights) Sentara Albemarle Medical Center is hiring a Registered Nurse (RN) Unit Coordinator for the Intensive Care Unit (ICU). Elevate your career! Hours/Shift: 36-hours, Nights Education
Degree or Diploma in Registered Nursing
Bachelor of Science Nursing- BSN
Certification/Licensure
Registered nursing License (Required)
BLS required within 90 days of hire
Experience
18-months of RN experience is required
RN Unit Coordinators demonstrate proficiency in nursing practice for assigned specialty area and provides clinical leadership for the delivery of nursing care in a department. Under the direction of the department manager leads safety and quality initiatives, focuses on and simplifies workflow, and contributes to the development of staff. Increase staff satisfaction and promotes excellent (Gold Standard) customer service.
Join Our ICU Family - Where Your Voice Matters and Your Growth Matters More!
Looking for more than just a job? Come be part of our 10-bed Medical-Surgical ICU, a close-knit, high-performing team that feels more like family than coworkers. Here, you're not just filling a shift - you're making a difference.
We believe in open communication, shared decision-making, and amplifying every voice on the team. Whether you're a seasoned nurse or just starting your critical care journey, your ideas, input, and experiences are valued every day.
You'll care for a diverse range of medical and surgical patients, sharpening your critical thinking skills in an environment that encourages learning, mentorship, and professional growth. From expanding your clinical skills to pursuing leadership roles, we're here to support your career goals every step of the way. We are proud to share that we recently received Magnet accreditation with distinction, reflecting our commitment to nursing excellence and quality patient outcomes.
Join us and thrive in a place where your voice is heard, your growth is supported, and your team feels like home!
Keywords: Registered Nurse, RN, ICU, Intensive Care, Critical Care, SAMC, Sentara Albemarle, Unit Coordinator, Charge Nurse, Leadership, Management, BSN, Talroo-Nursing
.
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Sentara Albemarle Medical Center , located in Elizabeth City, NC, serves northeastern North Carolina with a caring team of approximately 650 employees and 150 medical providers. We think of each other as family, with those bonds extending into our close-knit community and serving as the foundation for our patient care. Our 182-bed facility features 25 specialties including emergency, maternity, orthopedics, medical, and surgical care in addition to our outpatient laboratory, imaging, and comprehensive breast services. In 2022, Sentara broke ground on a new campus, a state-of-the-art 88-bed hospital to replace the current 60-year-old facility on North Road Street. The 135-acre campus, coming out of the ground at Halstead Boulevard Extended and Thunder Road, will be known as the Sentara Albemarle Regional Health Campus. It is projected to cost about $200 million, up from the original estimate of $158 million, due to sharp spikes in costs for building materials and medical equipment.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
RNII FT DAY: CLINICAL OBSERVATION UNIT: St. Peters Hospital
Albany, NY jobs
*Employment Type:* Full time *Shift:* 12 Hour Day Shift *Description:* If you are an experienced RN and looking for a position in the Observation/Clinical Decision Unit to meet your schedule, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places.
*Position Highlights:*
* *Recognized leader:* Magnet Hospital in the Capital Region
* *Quality of Life*: Where career opportunities and quality of life converge
* *Advancement:* Strong orientation program, generous tuition allowance and career development
* *Work/Life:* Positions and shifts to accommodate all schedules
*What you will do:*
* Deliver care, including assessing needs, planning and meetings the needs of patients in the Observation/Clinical Decision Unit for fast paced, frequent patient turn over.
*Responsibilities:*
* The RN is responsible for assessing the needs of each patient where assigned
* Planning the nursing care needed, including spiritual, emotional and physiological needs. Once planned, the RN is responsible for seeing that the plan of care is carried out through performance and or leadership of supervised personnel and that the plan of care is evaluated
* The RN is directly accountable to the Nurse Manager for the quality of patient care delivered
* The RN modifies and delivers care that is specific to the age, growth and development of patients according to the unit scope of services
* When serving in the charge role, the RN is responsible for clinical and leadership functions, for assessing the needs of each patient and planning the nursing care needed to meet those needs
*What you will need:*
* A current license to practice as a Registered Nurse in the State of New York
* ASN required, BSN preferred from an accredited nursing program
* Registered Nurses must possess the ability to assess, plan, direct, intervene and evaluate patient care
* The RN must be able to communicate effectively, verbally and written
* Minimum 1 year of RN Acute experience
*Pay Range:* $36.50 - $49.95
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.
*Our Commitment *
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Patient Service Specialist Ophthalmology-Full Time
Binghamton, NY jobs
The Patient Service Specialist provides direct, daily operational front office support in a manner consistent with Guthrie Medical Group's Service Excellence Standards. The Patient Service Specialist will continually demonstrate Patient Centeredness, Teamwork, and Excellence in the daily performance of their duties. This position requires the ability to be self‐motivated, flexible, punctual, detail oriented, have good time management skills and have excellent communication skills.
Education, License & Cert:
High School diploma/GED required. Graduation from a Medical Office Assistant school preferred.
Experience:
Demonstrated customer service commitment in a fast‐paced environment with a minimum of 1 year experience in a customer service related field preferred. Medical office experience and knowledge of medical terminology preferred. Must be comfortable with computers and learning new applications.
Essential Functions:
1. Responsible for greeting every patient in a courteous, professional, and timely manner every Time.
2. Responsible for answering telephones in a friendly and efficient manner in conjunction with Guthrie's Telephone Standards. Screens telephone calls, takes messages and provides information.
3. Responsible for scheduling and maintaining all patient appointments electronically. Verifies patient information at time of scheduling and assigns B# / MRN to new patients. Responsible for editing appointment schedule at the direction of practice management.
4. Registers patient. Reviews, verifies and corrects patient demographic and insurance information along with scanning current insurance cards into the patient's confidential medical record.
5. Verify eligibility for major insurance carriers including but not limited to New York and Pennsylvania Medical Assistance to ensure accurate billing. Complete various types of insurance forms, pre‐certifications and referrals.
6. Possess the ability to inform, quote, and collect copayments, insurance deductibles, deposits, or unpaid balances at the time of registration as per Guthrie Medical Group, P.C. ‘s policies and guidelines.
7. Responsible for daily cash‐out and balancing in accordance with the Patient Cash Control Policy.
8. Performs liaison duties between patients, physicians, hospital staff, organizational departments, etc., keeping the departments fully aware of all necessary information. Keeps patients informed of any delays.
9. Adheres to departmental and organizational policies and attends meetings/huddles as required.
10. Requires the ability to prioritize daily tasks simultaneously in a fast‐paced, ever changing work environment within a strong team structure.
11. Maintains strict confidentiality related to patient health information in accordance with HIPAA compliance.
12. Assists with and completes other projects or duties as assigned including participating in all quality initiatives established by the organization.
Pay ranges from $17.00-$23.49
Other Duties:
1. Other duties as assigned.
Patient Service Specialist- Family Practice- Per Diem
Ithaca, NY jobs
The Patient Service Specialist provides direct, daily operational front office support in a manner consistent with Guthrie Medical Group's Service Excellence Standards. The Patient Service Specialist will continually demonstrate Patient Centeredness, Teamwork, and Excellence in the daily performance of their duties. This position requires the ability to be self‐motivated, flexible, punctual, detail oriented, have good time management skills and have excellent communication skills.
Education, License & Cert:
High School diploma/GED required. Graduation from a Medical Office Assistant school preferred.
Experience:
Demonstrated customer service commitment in a fast‐paced environment with a minimum of 1 year experience in a customer service related field preferred. Medical office experience and knowledge of medical terminology preferred. Must be comfortable with computers and learning new applications.
Essential Functions:
Responsible for greeting every patient in a courteous, professional, and timely manner every Time.
Responsible for answering telephones in a friendly and efficient manner in conjunction with Guthrie's Telephone Standards. Screens telephone calls, takes messages and provides information.
Responsible for scheduling and maintaining all patient appointments electronically. Verifies patient information at time of scheduling and assigns B# / MRN to new patients. Responsible for editing appointment schedule at the direction of practice management.
Registers patient. Reviews, verifies and corrects patient demographic and insurance information along with scanning current insurance cards into the patient's confidential medical record.
Verify eligibility for major insurance carriers including but not limited to New York and Pennsylvania Medical Assistance to ensure accurate billing. Complete various types of insurance forms, pre‐certifications and referrals.
Possess the ability to inform, quote, and collect copayments, insurance deductibles, deposits, or unpaid balances at the time of registration as per Guthrie Medical Group, P.C. ‘s policies and guidelines.
Responsible for daily cash‐out and balancing in accordance with the Patient Cash Control Policy.
Performs liaison duties between patients, physicians, hospital staff, organizational departments, etc., keeping the departments fully aware of all necessary information. Keeps patients informed of any delays.
Adheres to departmental and organizational policies and attends meetings/huddles as required.
Requires the ability to prioritize daily tasks simultaneously in a fast‐paced, ever changing work environment within a strong team structure.
Maintains strict confidentiality related to patient health information in accordance with HIPAA compliance.
Assists with and completes other projects or duties as assigned including participating in all quality initiatives established by the organization.
Other Duties:
Other duties as assigned.
The pay ranges from $17.00-$23.49
About Us
Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. In all areas and at all levels of Guthrie, you'll find staff members who have committed themselves to serving the community.
The Guthrie Clinic is an Equal Opportunity Employer.
The Guthrie Clinic is a non-profit, integrated, practicing physician-led organization in the Twin Tiers of New York and Pennsylvania. Our multi-specialty group practice of more than 500 physicians and 302 advanced practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for the Geisinger Commonwealth School of Medicine.
Patient Advocate - Patient Safety - Full Time
Binghamton, NY jobs
The Patient Experience Representative influences the systems, processes and behaviors that cultivate positive experiences across the continuum of care. They have an unwavering commitment to the field of patient experience and to transforming human experience in healthcare.
Experience:
Minimum 3 Years' Experience In a Healthcare Setting Required.
Education, License & Certification:
Associate degree preferred or 5 years direct experience in a role of advocate in healthcare setting.
Registered Nurse or other Healthcare related licensure preferred.
Certified Patient Experience Professional (CPXP) required, or within 3.5 years of hire.
Essential Functions:
Advocates for the needs of our patients and their representatives in a proactive, inclusive, empathetic, and positive manner.
Supports organizational learning and a holistic approach to our patient's needs.
Provides guidance for new or inexperienced caregivers related to patient-service recovery.
Collaborates with all caregivers to improve processes that directly impact patient and community perception.
Oversees the internal system for managing patient/representative concerns and maintains applicable regulatory body compliance.
Provides data analysis to identify trends specific to patient experience and develops corrective action plans based on those trends.
Actively participates on or leads workgroups or committees related to patient advocacy.
Supports the design and innovation of the Patient Family Advisory Council.
Works collaboratively with the Patient Safety and Legal Departments.
Other Duties:
Travel for this position is sometimes required.
It is understood that this description is not intended to be all‐inclusive and that other duties may be assigned as necessary in the performance of this position.
update 1-13-25
About Us
Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. In all areas and at all levels of Guthrie, you'll find staff members who have committed themselves to serving the community.
The Guthrie Clinic is an Equal Opportunity Employer.
The Guthrie Clinic is a non-profit, integrated, practicing physician-led organization in the Twin Tiers of New York and Pennsylvania. Our multi-specialty group practice of more than 500 physicians and 302 advanced practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for the Geisinger Commonwealth School of Medicine.
Per Diem Surgical Outcomes Coordinator
New York, NY jobs
Precision, Compassion, Results-Join the Team That Delivers You could be just the right applicant for this job Read all associated information and make sure to apply. Set your sights on a career with NewYork-Presbyterian Queens and play an integral role in our goal to provide the highest level of complex and innovative surgical care, education for the next generation of surgeons as well as groundbreaking quality enhancements and clinical research. Our Surgical Outcomes Coordinators utilize a uniquely collaborative healthcare model, interfacing with the entire surgical team, including nurses and anesthesia staff to assist with oversight and maintenance of the surgical quality platforms within the Department of Surgery.
Surgical Outcomes Coordinator | Per Diem
Transform your career as a Surgical Outcomes Coordinator and work closely with widely renowned clinical leaders. Utilize your clinical expertise and your keen eye for detail in analyzing, identifying, and recommending opportunities for improvement based upon the noted patterns and trends. Abstract designated surgical cases within the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) and Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) to help make tomorrow better for countless individuals.
Move into the next phase of your career with this dynamic opportunity. Participate in the peer review process, resident education and research. Be a part of an all-embracing culture of teamwork , collaboration and innovation . Enjoy flexible scheduling, strong nurse-physician partnership, and opportunities for professional advancement, ours is a destination workplace for talented Quality Improvement Specialists.
Preferred Criteria
* Prior NSQIP and/or CDI experience
Required Criteria
* Bachelor's degree
* NYS licensed Nurse Practitioner, Registered Nurse, or Physician Assistant
* Certification/recertification as SCR through ACS NSQIP.
* Certification/recertification as SCR through MBSAQIP
* 5 years of recent hospital experience and/or verifiable Documentation Improvement experience
#LI-MM1
Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.
Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP.
NYP will not reimburse for travel expenses .
__________________
* 2024 "Great Place To Work Certified"
* 2024 "America's Best Large Employers" - Forbes
* 2024 "Best Places to Work in IT" - Computerworld
* 2023 "Best Employers for Women" - Forbes
* 2023 "Workplace Well-being Platinum Winner" - Aetna
* 2023 "America's Best-In-State Employers" - Forbes
* "Silver HCM Excellence Award for Learning & Development" - Brandon Hall Group
NewYork-Presbyterian Hospital is an equal opportunity employer.
Salary Range:
$81.00/Hourly
It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. xevrcyc Join our team and discover where amazing works.
Per Diem Surgical Outcomes Coordinator
New York, NY jobs
Precision, Compassion, Results-Join the Team That Delivers Set your sights on a career with NewYork-Presbyterian Queens and play an integral role in our goal to provide the highest level of complex and innovative surgical care, education for the next generation of surgeons as well as groundbreaking quality enhancements and clinical research. Our Surgical Outcomes Coordinators utilize a uniquely collaborative healthcare model, interfacing with the entire surgical team, including nurses and anesthesia staff to assist with oversight and maintenance of the surgical quality platforms within the Department of Surgery. Surgical Outcomes Coordinator | Per Diem Transform your career as a
Surgical Outcomes Coordinator
and work closely with widely renowned clinical leaders. Utilize your clinical expertise and your keen eye for detail in analyzing, identifying, and recommending opportunities for improvement based upon the noted patterns and trends. Abstract designated surgical cases within the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) and
Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) to help make tomorrow better for countless individuals. Move into the next phase of your career with this dynamic opportunity. Participate in the peer review process, resident education and research. Be a part of
an all-embracing culture of
teamwork , collaboration
and innovation .
Enjoy
flexible scheduling, strong nurse-physician partnership, and opportunities for professional advancement, ours is a destination workplace for talented
Quality
Improvement Specialists. Preferred Criteria Prior NSQIP and/or CDI experience Required Criteria Bachelor's degree NYS licensed Nurse Practitioner, Registered Nurse, or Physician Assistant Certification/recertification as SCR through ACS NSQIP. Certification/recertification as SCR through MBSAQIP 5 years of recent hospital experience and/or verifiable Documentation Improvement experience #LI-MM1 Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today. Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP. NYP will not reimburse for travel expenses . __________________ 2024 “Great Place To Work Certified” 2024 “America's Best Large Employers” -
Forbes 2024 “Best Places to Work in IT” -
Computerworld 2023 “Best Employers for Women” -
Forbes 2023 “Workplace Well-being Platinum Winner” -
Aetna 2023 “America's Best-In-State Employers” -
Forbes “Silver HCM Excellence Award for Learning & Development” -
Brandon Hall Group NewYork-Presbyterian Hospital is an equal opportunity employer. Salary Range: $81.00/Hourly It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless
opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.
Clinical Scheduling Specialist
Wheatfield, NY jobs
Elderwood at Wheatfield is searching for a seasoned Clinical Staff Scheduler to join our team. Minimum of two (2) years of related experience scheduling staff in a high volume healthcare environment is required.
The Clinical Scheduling Specialist generates, manages and updates master schedules for the nursing department while making adjustments as needed according to budgetary constraints, census fluctuations, attendance tracking, benefit accrual entries, and leaves of absence.
Responsibilities
1. Acts as the point person and lead for all matters related to scheduling staff.
2. Thoroughly understands and uses the master staffing schedule extensively.
3. Uses multiple staffing tools intricately and possesses an in-depth understanding staffing to census expectations.
4. Troubleshoots and effectively problem-solves staffing complexities with minimum supervision.
5. Displays understanding of PPD metric and how to staff accordingly.
6. Maintains regular, consistent communication with DON/ADON to ensure coordination of staffing.
7. Maintains accuracy of nursing schedule in Kronos and all required tracking.
8. Prepares daily staffing sheets with continual revisions as necessary.
9. Follows company policies for staffing as well as budgeted guidelines for assignment of staff.
10. Completes a listing of vacant nursing positions for DON weekly.
11. Schedules staff time off requests according to established guidelines and the DON/ADON's approval/direction.
12. Ensures at least one other staff member is trained on the Staffing Specialist's position in the event of vacation, sick leave, vacancy, etc.
13. Identifies critical or difficult to fill positions/shifts and takes proactive action to balance the schedule.
14. Reviews daily exception logs for payroll and assists with payroll preparation for the nursing and nursing admin department.
15. Communicates regularly with agency contacts and maintains positive, proactive business relationships.
16. Collaborates with human resources regarding policy implementation, compliance for new staff (both internal and agency) and properly communicates all staff requests (e.g. status changes).
17. Displays professionalism and ability to work in a high volume, fast-paced environment.
18. Communication expert with the ability to approach staff easily, form strong relationships and persuade staff to assist in times of need.
19. Consistently demonstrates fairness and impartiality in accordance with company scheduling/staffing practices.
20. Utilizes electronic timekeeping system as directed.
Qualifications
Minimum of Associates degree (Bachelors preferred)
Minimum of six (6) years of related experience in a high paced environment preferably in staffing/scheduling or operations
Proficiency in Microsoft Excel
Prior experience with scheduling platforms, specifically Kronos, strongly preferred
This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level.
EOE Statement WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
Auto-ApplyScheduling Specialist
Portland, OR jobs
RAYUS now offers DailyPay! Work today, get paid today!
is $18.28-$24.78 based on direct and relevant experience.
RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments.
This is a full-time position working 40 hours per week; shifts are Monday through Friday, 9:30am - 6:00pm. Rotating Saturdays 9:00am - 1:00pm.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
(85%) Scheduling
Answers phones and handles calls in a professional and timely manner
Maintains positive interactions at all times with patients, referring offices and staff
Schedules patient examinations according to existing company policy
Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately
Ensures all patient data is entered into information systems completely and accurately
Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment
Communicates to technologists any scheduling changes in order to ensure highest patient satisfaction
Maintains an up-to-date and accurate database on all current and potential referring physicians
Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices
Provides back up coverage for front office staff as requested by supervisor (i.e., rest breaks, vacations and sick leave)
Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only)
(10%) Insurance
Pre-certifies all exams with patient's insurance company as required
Verifies insurance for same day add-ons
Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment
(5%) Completes other tasks as assigned
Care Coordinator Auth Scheduling Specialist, Charlotte, NC, Full time
Charlotte, NC jobs
Department:
09168 SE Medical Group Division Operations - Central Referrals
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
M-F, 8-5
Pay Range
$20.40 - $30.60
Essential Functions
Completes referrals for patients and coordinates with referring and receiving practices and/or departments.
May coordinate and prepare financial estimates for patients.
Obtains all authorizations needed.
Directs patients to providers in their insurance plan.
Reviews benefits and educates patient on insurance coverage.
Coordinates and schedules surgical procedures, diagnostic testing, or other services within various departments with internal and ancillary providers.
Reviews schedules and confirms schedules are accurate and time is properly allocated.
Follows up on all referrals to ensure no care gaps.
Physical Requirements
Must be able to sit for long periods of time and work in a fast-paced office environment. Should be able to bend and lift up to 10 lbs.
Education, Experience and Certifications
High School Diploma or GED required. Computer experience required. Thorough understanding of Insurance coverage (FSC/Coverage/Plan types) and Medical Necessity policies preferred. Knowledge of medical records software preferred. Customer service experience required.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Auto-ApplyScheduling Specialist - Cancer Center
Redmond, OR jobs
TITLE: Cancer Center Scheduling Specialist
Cancer Center Operations Manager
DEPARTMENT: St. Charles Cancer Center
DATE LAST REVIEWED: February 2022
OUR VISION: Creating America's healthiest community, together
OUR MISSION: In the spirit of love and compassion, better health, better care, better value
OUR VALUES: Accountability, Caring and Teamwork
DEPARTMENT SUMMARY: The Cancer Center at St. Charles Health System is a comprehensive cancer center that provides holistic care to our patients. The cancer center provides chemotherapy, medical oncology, infusion services, radiation therapy, integrative medicine, nutrition, social work, survivorship, and other supportive care treatments
All of our staff support our patients in the various stages of their treatments.
POSITION OVERVIEW: The Cancer Center Scheduling Specialist at St. Charles Health System is responsible for scheduling appointments for medical oncology, radiation oncology, infusion procedures, office visits, referrals, and diagnostic exams. Additional duties may include any or all of the following: Patient registration, information retrieval, insurance authorizations, charge capture and other duties. The Scheduling Specialist must maintain excellent customer service relations with patients, hospital staff, office staff and physicians. This position does not directly supervise any other Caregivers.
ESSENTIAL FUNCTIONS AND DUTIES:
Schedules inpatient/outpatient procedures and appointments as ordered by the patient's physician or authorized designee. Schedules multiple appointment types including: new patient visits, infusion/chemotherapy services, radiation therapy services, medical oncology services, physician referrals, imaging studies, blood transfusions, and other procedures. Coordinates patient care with outside facilities.
Demonstrates excellent customer service skills and handles high volume of calls.
Understands medical terminology and procedures.
Responsible for communicating pertinent information related to procedures. Accurately process written orders, enters appointments into scheduling system. Prioritizes work to ensure all details are addressed and proper documentation is input into system.
Responsible for accurate patient registration. Pre-registers the patient in the registration system, collects patient demographics, insurance information and collects required co-pay/deposits. Processes payment accurately, and completes daily deposits. Understands how to perform RTE (real time eligibility) for insurance benefits. Assists with prior authorization when needed.
Retrieves and scans patient records and forms into appropriate EMR systems.
Prepares physician reports and correspondence.
Responsible for accurate charge entry and performs review of charges.
May be required to cover responsibilities in Bend and Redmond sites.
Assists with special projects as needed.
Supports the vision, mission, and values of the organization in all respects.
Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients, and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
May perform additional duties of similar complexity within the organization, as required or assigned.
EDUCATION:
Required: High school diploma or GED.
Preferred: Associates degree or higher.
LICENSURE/CERTIFICATION/REGISTRATION:
Required: N/A
Preferred: N/A
EXPERIENCE:
Required: Minimum one (1) year experience in customer service work. Knowledge of medical terminology and procedures.
Preferred: One (1) year working in a physician's office, medical clinic, or hospital setting. Experience in scheduling and registration. Oncology/ medical office practice experience.
PERSONAL PROTECTIVE EQUIPMENT:
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
ADDITIONAL POSITION INFORMATION:
Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System.
Ability to multi-task and work independently in a high pace office environment.
Ability to effectively interact and communicate with all levels within St. Charles Health System and external customers/clients/potential employees.
Attention to detail.
Demonstrated ability and experience in computer applications, use of electronic medical record keeping systems and MS Office.
Demonstrates proper phone etiquette.
Uses active listening skills.
Prioritizes workload to assure timely completion of tasks.
PHYSICAL REQUIREMENTS:
Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.
Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing.
Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-25 pounds, operation of a motor vehicle.
Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.
Exposure to Elemental Factors
Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.
Blood-Borne Pathogen (BBP) Exposure Category
No Risk for Exposure to BBP
Schedule Weekly Hours:
40
Caregiver Type:
Regular
Shift:
First Shift (United States of America)
Is Exempt Position?
No
Job Family:
SCHEDULER
Scheduled Days of the Week:
Monday-Friday
Shift Start & End Time:
8:00-5:00
Auto-ApplyReferral Scheduling Specialist
Charlotte, NC jobs
The Referral Scheduling Specialist processes orders and referrals to our providers and will observe and comply with medical insurance network guidelines and authorization requirements. In addition, they will be responsible for the following:
Answer all incoming referral calls and process accordingly.
Schedule incoming referral office appointments.
Create and build patient charts in NextGen EPM system.
Accurately enter required patient demographics (race, language, ethnicity, social security number, email address, referring provider etc.) into NextGen EPM system.
Create referrals for Phreesia referral dashboard.
Maintain and update referrals within the Phreesia referral dashboard.
Initiate insurance verification process to confirm insurance eligibility.
Process and review referral documents and add to patients chart.
Obtain practice referral and / or pre-certification necessary for patients for internal and external referral appointments or orders.
Communicate information pertaining to practice referral and / or pre-certification to patients, external medical offices and internal staff through Phreesia referral dashboard.
Prioritize patient messages, referrals, and requests for prior authorizations according to their urgency.
Develop and maintain data management systems, e.g., a tickler file, which enhances his/her capability to track patient referrals, authorization requests or messages effectively and efficiently, thereby ensuring the provision of comprehensive health care services to our patients.
Maintain and routinely update patients' medical records with documentation related to referrals and phone messages that is pertinent, appropriate and concise.
Educate and/or advise patients regarding care related issues, (within the scope of his/her training and job duties), in a safe, effective and appropriate manner.
As requested, assist with the development or revision of protocols related to message and referral management.
As requested, collect, aggregate and display data for Quality Assurance monitoring, Quality Improvement activities, reports, clinical plans, or other program efforts.
Prepare reports and other documentation as required.
Adhere to SSC Core Values:
Trust
Respect
Integrity
Clear Communication
Collaboration
Cancer Center Scheduling Specialist
Bend, OR jobs
TITLE: Cancer Center Scheduling Specialist
Cancer Center Operations Manager
DEPARTMENT: St. Charles Cancer Center
DATE LAST REVIEWED: February 2022
OUR VISION: Creating America's healthiest community, together
OUR MISSION: In the spirit of love and compassion, better health, better care, better value
OUR VALUES: Accountability, Caring and Teamwork
DEPARTMENT SUMMARY: The Cancer Center at St. Charles Health System is a comprehensive cancer center that provides holistic care to our patients. The cancer center provides chemotherapy, medical oncology, infusion services, radiation therapy, integrative medicine, nutrition, social work, survivorship, and other supportive care treatments
All of our staff support our patients in the various stages of their treatments.
POSITION OVERVIEW: The Cancer Center Scheduling Specialist at St. Charles Health System is responsible for scheduling appointments for medical oncology, radiation oncology, infusion procedures, office visits, referrals, and diagnostic exams. Additional duties may include any or all of the following: Patient registration, information retrieval, insurance authorizations, charge capture and other duties. The Scheduling Specialist must maintain excellent customer service relations with patients, hospital staff, office staff and physicians. This position does not directly supervise any other Caregivers.
ESSENTIAL FUNCTIONS AND DUTIES:
Schedules inpatient/outpatient procedures and appointments as ordered by the patient's physician or authorized designee. Schedules multiple appointment types including: new patient visits, infusion/chemotherapy services, radiation therapy services, medical oncology services, physician referrals, imaging studies, blood transfusions, and other procedures. Coordinates patient care with outside facilities.
Demonstrates excellent customer service skills and handles high volume of calls.
Understands medical terminology and procedures.
Responsible for communicating pertinent information related to procedures. Accurately process written orders, enters appointments into scheduling system. Prioritizes work to ensure all details are addressed and proper documentation is input into system.
Responsible for accurate patient registration. Pre-registers the patient in the registration system, collects patient demographics, insurance information and collects required co-pay/deposits. Processes payment accurately, and completes daily deposits. Understands how to perform RTE (real time eligibility) for insurance benefits. Assists with prior authorization when needed.
Retrieves and scans patient records and forms into appropriate EMR systems.
Prepares physician reports and correspondence.
Responsible for accurate charge entry and performs review of charges.
May be required to cover responsibilities in Bend and Redmond sites.
Assists with special projects as needed.
Supports the vision, mission, and values of the organization in all respects.
Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients, and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
May perform additional duties of similar complexity within the organization, as required or assigned.
EDUCATION:
Required: High school diploma or GED.
Preferred: Associates degree or higher.
LICENSURE/CERTIFICATION/REGISTRATION:
Required: N/A
Preferred: N/A
EXPERIENCE:
Required: Minimum one (1) year experience in customer service work. Knowledge of medical terminology and procedures.
Preferred: One (1) year working in a physician's office, medical clinic, or hospital setting. Experience in scheduling and registration. Oncology/ medical office practice experience.
PERSONAL PROTECTIVE EQUIPMENT:
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
ADDITIONAL POSITION INFORMATION:
Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System.
Ability to multi-task and work independently in a high pace office environment.
Ability to effectively interact and communicate with all levels within St. Charles Health System and external customers/clients/potential employees.
Attention to detail.
Demonstrated ability and experience in computer applications, use of electronic medical record keeping systems and MS Office.
Demonstrates proper phone etiquette.
Uses active listening skills.
Prioritizes workload to assure timely completion of tasks.
PHYSICAL REQUIREMENTS:
Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.
Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing.
Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-25 pounds, operation of a motor vehicle.
Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.
Exposure to Elemental Factors
Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.
Blood-Borne Pathogen (BBP) Exposure Category
No Risk for Exposure to BBP
Schedule Weekly Hours:
40
Caregiver Type:
Regular
Shift:
First Shift (United States of America)
Is Exempt Position?
No
Job Family:
SCHEDULER
Scheduled Days of the Week:
Monday-Friday
Shift Start & End Time:
0800-1700
Auto-ApplyScheduling Specialist - Cancer Center
Bend, OR jobs
TITLE: Cancer Center Scheduling Specialist
Cancer Center Operations Manager
DEPARTMENT: St. Charles Cancer Center
DATE LAST REVIEWED: February 2022
OUR VISION: Creating America's healthiest community, together
OUR MISSION: In the spirit of love and compassion, better health, better care, better value
OUR VALUES: Accountability, Caring and Teamwork
DEPARTMENT SUMMARY: The Cancer Center at St. Charles Health System is a comprehensive cancer center that provides holistic care to our patients. The cancer center provides chemotherapy, medical oncology, infusion services, radiation therapy, integrative medicine, nutrition, social work, survivorship, and other supportive care treatments
All of our staff support our patients in the various stages of their treatments.
POSITION OVERVIEW: The Cancer Center Scheduling Specialist at St. Charles Health System is responsible for scheduling appointments for medical oncology, radiation oncology, infusion procedures, office visits, referrals, and diagnostic exams. Additional duties may include any or all of the following: Patient registration, information retrieval, insurance authorizations, charge capture and other duties. The Scheduling Specialist must maintain excellent customer service relations with patients, hospital staff, office staff and physicians. This position does not directly supervise any other Caregivers.
ESSENTIAL FUNCTIONS AND DUTIES:
Schedules inpatient/outpatient procedures and appointments as ordered by the patient's physician or authorized designee. Schedules multiple appointment types including: new patient visits, infusion/chemotherapy services, radiation therapy services, medical oncology services, physician referrals, imaging studies, blood transfusions, and other procedures. Coordinates patient care with outside facilities.
Demonstrates excellent customer service skills and handles high volume of calls.
Understands medical terminology and procedures.
Responsible for communicating pertinent information related to procedures. Accurately process written orders, enters appointments into scheduling system. Prioritizes work to ensure all details are addressed and proper documentation is input into system.
Responsible for accurate patient registration. Pre-registers the patient in the registration system, collects patient demographics, insurance information and collects required co-pay/deposits. Processes payment accurately, and completes daily deposits. Understands how to perform RTE (real time eligibility) for insurance benefits. Assists with prior authorization when needed.
Retrieves and scans patient records and forms into appropriate EMR systems.
Prepares physician reports and correspondence.
Responsible for accurate charge entry and performs review of charges.
May be required to cover responsibilities in Bend and Redmond sites.
Assists with special projects as needed.
Supports the vision, mission, and values of the organization in all respects.
Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients, and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
May perform additional duties of similar complexity within the organization, as required or assigned.
EDUCATION:
Required: High school diploma or GED.
Preferred: Associates degree or higher.
LICENSURE/CERTIFICATION/REGISTRATION:
Required: N/A
Preferred: N/A
EXPERIENCE:
Required: Minimum one (1) year experience in customer service work. Knowledge of medical terminology and procedures.
Preferred: One (1) year working in a physician's office, medical clinic, or hospital setting. Experience in scheduling and registration. Oncology/ medical office practice experience.
PERSONAL PROTECTIVE EQUIPMENT:
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
ADDITIONAL POSITION INFORMATION:
Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System.
Ability to multi-task and work independently in a high pace office environment.
Ability to effectively interact and communicate with all levels within St. Charles Health System and external customers/clients/potential employees.
Attention to detail.
Demonstrated ability and experience in computer applications, use of electronic medical record keeping systems and MS Office.
Demonstrates proper phone etiquette.
Uses active listening skills.
Prioritizes workload to assure timely completion of tasks.
PHYSICAL REQUIREMENTS:
Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.
Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing.
Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-25 pounds, operation of a motor vehicle.
Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.
Exposure to Elemental Factors
Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.
Blood-Borne Pathogen (BBP) Exposure Category
No Risk for Exposure to BBP
Schedule Weekly Hours:
40
Caregiver Type:
Regular
Shift:
First Shift (United States of America)
Is Exempt Position?
No
Job Family:
SCHEDULER
Scheduled Days of the Week:
Monday-Friday
Shift Start & End Time:
8:00-5:00
Auto-ApplySurgery Scheduling Specialist
Bend, OR jobs
TITLE: Surgery Scheduling Specialist
Surgery Scheduling Supervisor
DEPARTMENT: Orthopedic, Neurosurgery & Physiatry
DATE LAST REVIEWED: October 2024
OUR VISION: Creating America's healthiest community, together
OUR MISSION: In the spirit of love and compassion, better health, better care, better value
OUR VALUES: Accountability, Caring and Teamwork
DEPARTMENT SUMMARY: The Orthopedic, Neurosurgery & Physiatry Services department encompasses multiple specialty providers / who providing specialized care to patients throughout their surgical and surgical experience in multiple locations across Central Oregon including St. Charles, Cascade SurgiCenter, Bend Surgery Center and office based clinic procedures. We encourage collaboration between clinical and non-clinical staff to assure we are providing our community with comprehensive and compassionate care.
POSITION OVERVIEW: The Surgery Scheduling Specialist, in collaboration with our specialty providers, is responsible for oversight and coordination of surgery and procedure scheduling across multidisciplinary specialties. The scheduler works closely with patients to ensure they have completed all consultations and preoperative visits prior to scheduling surgery. The scheduler will monitor and analyze performance measures and quality indicators as well as provide training to new caregivers. They will demonstrate competency in all areas of surgery and procedure scheduling by working in these areas alongside fellow caregivers. This position does not directly manage other caregivers.
ESSENTIAL FUNCTIONS AND DUTIES:
Responsible for high-level accuracy in all functions of clinic business / patient process flow, from initial intake to final collections for services provided. Tracks and manages all aspects of care for patients and coordinates close follow up post operatively. Schedules and coordinates all procedures, including verification of completion of the prior authorization process.
Provides concise, specific patient instructions for procedures.
Establishes and maintains communication with other team members and departments such as the OR, MDU, pre-surgery and outside entities to ensure procedures and systems function smoothly as well as promotes continuity of care. Troubleshoots issues that arise between the clinic and other hospital departments and works in a collaborative manner to find resolution.
Correlates the established provider procedure schedule to EPIC procedure schedules. Works with the clinic leadership to resolve conflicts when identified.
Schedules inpatient and outpatient procedures and appointments accurately. Responds to telephone inquiries and faxes from the patient's provider offices and clinics for all service locations. Coordinates procedures for orders received from providers outside of St. Charles processing for review from the performing MD. Reviews and verifies history and physical documentation has been received and performed in an appropriate timeframe, coordinates care with the patient.
Understands that procedural time is in high demand across the health system and in ASCs and therefore works to optimize provider schedules to fully utilize available time.
Demonstrates excellent phone etiquette and understands medical terminology, human anatomy, procedures, etc.
Maintains knowledge of hospital operations and, block and open time rules and process for procedures both inpatient and outpatient.
Prioritizes tasks to ensure all details are addressed and proper documentation is inputted into all systems.
Develops and maintains a high level of understanding of EPIC process. Functions as a system super user and is proficient utilizing snap board, case requests/procedures, ambulatory chart, ancillary orders, telephone encounters, registration, scheduling functions and estimates.
Continually evaluates department process flows and practices to seek opportunities for improvement, conveys feedback and suggestions to clinic leadership.
Designs and runs the Surgery scheduling on-boarding training, develop training materials and maintain policy manuals.
Evaluates trends and adjusts education as needed to always provide relevant and easy to absorb education.
Works with the clinic leadership to compile and interpret key business, financial, operational and statistical data; performs analyses aimed at identifying process errors & education opportunities to improve performance.
Keep accurate records on department spreadsheets and uses tools including rosters and shared data for tracking purposes, follow up & documentation.
Anticipate the need for change through direct observation and maintains open communication with other departments and facilities.
Learns and maintains knowledge of documents and forms according to state and federal requirements and guidelines including CMS, Medicaid, COBRA, EMTALA, HIPAA and many more.
Supports the vision, mission and values of the organization in all respects.
Supports the Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.
May perform additional duties of similar complexity within the organization, as required or assigned.
EDUCATION:
Required: High School diploma/GED.
Preferred: Associate degree plus healthcare scheduling experience
LICENSURE/CERTIFICATION/REGISTRATION:
Required: Ability to travel to business functions/trainings/meetings and all SCHS worksites.
Preferred: N/A
EXPERIENCE:
Required: One year experience in healthcare registration and scheduling.
Preferred: 2 years' experience in healthcare registration and scheduling.
PERSONAL PROTECTIVE EQUIPMENT:
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
PHYSICAL REQUIREMENTS:
Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.
Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing.
Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle.
Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.
Exposure to Elemental Factors
Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.
Blood-Borne Pathogen (BBP) Exposure Category
No Risk for Exposure to BBP
Schedule Weekly Hours:
40
Caregiver Type:
Regular
Shift:
First Shift (United States of America)
Is Exempt Position?
No
Job Family:
SCHEDULER
Scheduled Days of the Week:
Monday-Friday
Shift Start & End Time:
8:00am to 5:00pm
Auto-ApplyScheduling Specialist - Medical Oncology
Bend, OR jobs
TITLE: Cancer Center Scheduling Specialist
Cancer Center Operations Manager
DEPARTMENT: St. Charles Cancer Center
DATE LAST REVIEWED: February 2022
OUR VISION: Creating America's healthiest community, together
OUR MISSION: In the spirit of love and compassion, better health, better care, better value
OUR VALUES: Accountability, Caring and Teamwork
DEPARTMENT SUMMARY: The Cancer Center at St. Charles Health System is a comprehensive cancer center that provides holistic care to our patients. The cancer center provides chemotherapy, medical oncology, infusion services, radiation therapy, integrative medicine, nutrition, social work, survivorship, and other supportive care treatments
All of our staff support our patients in the various stages of their treatments.
POSITION OVERVIEW: The Cancer Center Scheduling Specialist at St. Charles Health System is responsible for scheduling appointments for medical oncology, radiation oncology, infusion procedures, office visits, referrals, and diagnostic exams. Additional duties may include any or all of the following: Patient registration, information retrieval, insurance authorizations, charge capture and other duties. The Scheduling Specialist must maintain excellent customer service relations with patients, hospital staff, office staff and physicians. This position does not directly supervise any other Caregivers.
ESSENTIAL FUNCTIONS AND DUTIES:
Schedules inpatient/outpatient procedures and appointments as ordered by the patient's physician or authorized designee. Schedules multiple appointment types including: new patient visits, infusion/chemotherapy services, radiation therapy services, medical oncology services, physician referrals, imaging studies, blood transfusions, and other procedures. Coordinates patient care with outside facilities.
Demonstrates excellent customer service skills and handles high volume of calls.
Understands medical terminology and procedures.
Responsible for communicating pertinent information related to procedures. Accurately process written orders, enters appointments into scheduling system. Prioritizes work to ensure all details are addressed and proper documentation is input into system.
Responsible for accurate patient registration. Pre-registers the patient in the registration system, collects patient demographics, insurance information and collects required co-pay/deposits. Processes payment accurately, and completes daily deposits. Understands how to perform RTE (real time eligibility) for insurance benefits. Assists with prior authorization when needed.
Retrieves and scans patient records and forms into appropriate EMR systems.
Prepares physician reports and correspondence.
Responsible for accurate charge entry and performs review of charges.
May be required to cover responsibilities in Bend and Redmond sites.
Assists with special projects as needed.
Supports the vision, mission, and values of the organization in all respects.
Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients, and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
May perform additional duties of similar complexity within the organization, as required or assigned.
EDUCATION:
Required: High school diploma or GED.
Preferred: Associates degree or higher.
LICENSURE/CERTIFICATION/REGISTRATION:
Required: N/A
Preferred: N/A
EXPERIENCE:
Required: Minimum one (1) year experience in customer service work. Knowledge of medical terminology and procedures.
Preferred: One (1) year working in a physician's office, medical clinic, or hospital setting. Experience in scheduling and registration. Oncology/ medical office practice experience.
PERSONAL PROTECTIVE EQUIPMENT:
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
ADDITIONAL POSITION INFORMATION:
Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System.
Ability to multi-task and work independently in a high pace office environment.
Ability to effectively interact and communicate with all levels within St. Charles Health System and external customers/clients/potential employees.
Attention to detail.
Demonstrated ability and experience in computer applications, use of electronic medical record keeping systems and MS Office.
Demonstrates proper phone etiquette.
Uses active listening skills.
Prioritizes workload to assure timely completion of tasks.
PHYSICAL REQUIREMENTS:
Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.
Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing.
Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-25 pounds, operation of a motor vehicle.
Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.
Exposure to Elemental Factors
Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.
Blood-Borne Pathogen (BBP) Exposure Category
No Risk for Exposure to BBP
Schedule Weekly Hours:
40
Caregiver Type:
Regular
Shift:
First Shift (United States of America)
Is Exempt Position?
No
Job Family:
SCHEDULER
Scheduled Days of the Week:
Monday-Friday
Shift Start & End Time:
8:00 -5:00
Auto-ApplyEntitlement Medicaid Specialist
New York, NY jobs
TITLE: Entitlement Medicaid Specialist (Part - Time)
REPORTS TO: Director of Entitlements
Our Mission:
Since 1967, Odyssey House has been providing innovative services and programs to a broad population of individuals and families struggling with substance use and mental health disorders. Odyssey House helps New Yorkers of all ages-and across all five boroughs-beat drugs and alcohol with highly individualized treatment programs. Odyssey House provides high quality, holistic treatment impacting all major life spheres, including: psychological, physical, social, family, educational and spiritual in order to support personal rehabilitation, renewal and family restoration.
If that sounds different than other treatment programs, you're right. Because Odyssey is where recovery gets real.
In addition to competitive salaries, Odyssey House offers:
A 35-hour work week (as opposed to a 40-hour work week)
Vacation Plan and Holiday Schedule
Life Insurance
Medical Insurance (Two Plans)
Dental and Vision Insurance
Additional Insurance Coverages (hospitalization, accidental, critical illness coverage)
Long-Term & Short-Term Disability
Flexible Spending Account/Health Reimbursement Account
403(b) Plan
Corporate Counseling Associates (CCA) EAP benefit
Ability Assist Counseling Services (through The Hartford)
Commuter Benefits
Educational Assistance Programs
Special shopping discounts through ADP Marketplace and PlumBenefits
RUFit?! Fitness Program
Legal Assistance through ARAG
Optum Financial Service through ConnectYourCare
Benefit Advocacy Center through Gallagher
MAJOR FUNCTIONS:
Maintain a working relationship with the Department of Social Service (DSS), Human Resources Administration (HRA), the Social Security Administration (SSA), Medicaid Office/Expedited and Marketplace to ensure Medicaid Managed Care guidelines, policies and procedures are followed to receive appropriate funding for 819 and Part 820 programs.
SPECIFIC DUTIES & RESPONSIBILITIES:
Conduct daily comprehensive review of consumers' interviews to determine eligible for Entitlements benefits, Medicaid Eligibility, Medicaid Managed Care, Medicare, Private Insurance coverage, Self-Pay
Case conference difficult cases with the Director for guidance and support to ensure funding for 819 and Part 820 programs are obtained in a timely fashion
Conduct interviews on new admissions for HRA/DSS/SSI/SSD/Self-Pay
Expedite consumers with the selection of Managed Care Organization and NY State Market Place at point of admissions and upon Medicaid Eligibility
Daily Data Entry of Medicaid/Managed Care/Medicare/Private Insurance/MAT in AWARDS and E-Lab
Navigate Inovalon / eMedNY (Epaces) / STARS / SAAMS / AWARDS / Manage Care System Portals for coverage
Communicate with consumers regarding insurance coverage, restrictions, and disenrollment (Medicaid/Managed Care, Medicare, and Private Insurance)
Process Medicaid applications and recertifications for consumers through the Department of Social Services, NY State Exchange/Marketplace
Investigate Medicaid issues related to County/deferral/eligibility/denials/dropped/ recertifications
Identify consumers with Medical/Pharmacy/Out-Patient restrictions to complete MAP forms for the removal of restrictions
Process enrollment/disenrollments MAP forms through the Managed Care System (MCS) and to the Medicaid Inspector General OMIG
Resolve problematic Medicaid Managed Care issues for Part 820 coverage
Daily update the Entitlement 820 Reports with consumers' Medicaid (Fee-For-Service) / Expedited /Managed Care/Medicare/Private Insurance/Undocumented
Complete and submit bi-weekly 820 Medicaid Managed Care Reports
Submit weekly Medicaid Manage Care Reports to reflect consumers' coverage for 5 Residential Programs to the Pharmacy, Medical and LabCorp
Performs related or similar duties assigned by Director.
REQUIREMENTS:
High School / associate degree
Experience with Medicaid Managed Care and Human Service
Background with DSS/HRA benefits, Recertifications, Medicaid Managed Care, Expediting, enrollment and disenrollment
Demonstrated effective communication, proficiency in Excel, computer skills, organization and multitasking skills
Odyssey House is an equal opportunity employer maintaining a non-discriminatory policy on hiring of its personnel. Odyssey House, and its operational divisions, will not discriminate against any employee or applicant because of race, creed, color, national origin, sex, disability, marital status, sexual orientation or citizen status in all employment decisions including but not limited to recruitment, hiring, upgrading, demotion, downgrading, transfer, training, rate of pay or other forms of compensation, layoff, termination and all other terms and conditions of employment.
Auto-ApplyMedicaid Specialist
New York, NY jobs
TITLE: Medicaid Specialist
REPORTS TO: Director of Entitlements
DEPARTMENT: Entitlements - 219 East 121st St. New York, NY 10035
Our Mission:
Since 1967, Odyssey House has been providing innovative services and programs to a broad population of individuals and families struggling with substance use and mental health disorders. Odyssey House helps New Yorkers of all ages-and across all five boroughs-beat drugs and alcohol with highly individualized treatment programs. Odyssey House provides high quality, holistic treatment impacting all major life spheres, including: psychological, physical, social, family, educational and spiritual in order to support personal rehabilitation, renewal and family restoration.
If that sounds different than other treatment programs, you're right. Because Odyssey is where recovery gets real.
In addition to competitive salaries, Odyssey House offers:
A 35-hour work week (as opposed to a 40-hour work week)
Vacation Plan and Holiday Schedule
Life Insurance
Medical Insurance (Two Plans)
Dental and Vision Insurance
Additional Insurance Coverages (hospitalization, accidental, critical illness coverage)
Long-Term & Short-Term Disability
Flexible Spending Account/Health Reimbursement Account
403(b) Plan
Corporate Counseling Associates (CCA) EAP benefit
Ability Assist Counseling Services (through The Hartford)
Commuter Benefits
Educational Assistance Programs
Special shopping discounts through ADP Marketplace and PlumBenefits
RUFit?! Fitness Program
Legal Assistance through ARAG
Optum Financial Service through ConnectYourCare
Benefit Advocacy Center through Gallagher
MAJOR FUNCTIONS:
Maintain a working relationship with the Department of Social Services/Medicaid Office/Expedited and Marketplace to ensure Medicaid Managed Care guidelines and policies and procedures are follow.
SPECIFIC DUTIES & RESPONSIBILITIES:
• Conduct a comprehensive review to determine eligibility for Medicaid and Managed Care for the 820 Programs
• Daily Review of consumers' insurance verification and Medicaid Managed Care coverage
• Communicate with consumers regarding insurance coverage, restrictions, and disenrollment (Medicaid/Managed Care, and Medicare)
• Process Medicaid applications and recertifications for potential consumers through the Local Department of Social Services or the NY State Exchange/Marketplace
• Investigate Medicaid issues related to eligibility, deferrals, denials and recertifications
• Identify consumers with Medical and Pharmacy restrictions to complete MAP forms to the removal of restrictions
• Process restrictions through the Managed Care System (MCS), Office of the Medicaid Inspector General (OMIG)
• Resolve problematic Medicaid Managed Care and Department of Social Services issues
• Navigate eMedNY (ePACES) / Managed Care Portals / Inovalon / STARS / AWARDS
• Daily Data Entry of Medicaid Managed Care / Medicare / Private Insurance / MAT in AWARDS and E-Lab
• Prepare weekly status of consumers' Medicaid Managed Care / Medicare / Private Insurance status and Expedite consumers with straight Medicaid coverage
• Review weekly consumers' Medicaid Managed Care coverage and dropped coverage
• Prepare biweekly Medicaid Manage Care Reports to reflect current coverage
• Assist consumers with the selection of Managed Care and NY State Market Place
• Performs related or similar duties assigned by Director.
REQUIREMENTS:
• Associate/BA Degree preferred
• Experience with Medicaid and Managed Care and in Human Service Field
• Minimum 2 years of experience in Medicaid, managed care plans, application process, recertifications and regulations
• Demonstrated effective communication, proficient with Excel, computer skills, organization and multitasking
Odyssey House is an equal opportunity employer maintaining a non-discriminatory policy on hiring of its personnel. Odyssey House, and its operational divisions, will not discriminate against any employee or applicant because of race, creed, color, national origin, sex, disability, marital status, sexual orientation or citizen status in all employment decisions including but not limited to recruitment, hiring, upgrading, demotion, downgrading, transfer, training, rate of pay or other forms of compensation, layoff, termination and all other terms and conditions of employment.
Auto-Apply