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Patient Service Coordinator jobs at Emory Healthcare

- 74 jobs
  • Patient Care Coordinator

    Emory Healthcare/Emory University 4.3company rating

    Patient service coordinator job at Emory Healthcare

    **Be inspired. Be rewarded. Belong. At Emory Healthcare.** At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: + Comprehensive health benefits that start day 1 + Student Loan Repayment Assistance & Reimbursement Programs + Family-focused benefits + Wellness incentives + Ongoing mentorship, development _,_ and leadership programs and more **Description** We're looking for a **Patient Care Coordinator** for this entry level position who will be the first contact with patients and provide a great patient experience. This individual will: **RESPONSIBILITIES:** + Register and schedules appointments for new and established patients and serves as the primary point of care for these patients and their families. + Additional duties may include: + Scheduling imaging and procedures within their local clinic + Scheduling ancillary appointments + Completing patient data forms + Coordinating provider referrals + Retrieving medical records + Completes precertification authorizations as required. **MINIMUM QUALIFICATIONS:** + 12 months of customer service experience or 6 months of healthcare experience in a similar role is required. + Preferred high school diploma or GED. + A bachelor's degree or enrolled in a bachelor's program will be considered in lieu of experience. + A successful candidate will possess the following competencies and skills: Ability to provide a high level of customer service; Excellent communication skills, both verbal and written; Ability to work in a team environment; Time management skills; Empathy for others. **Additional Details** Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at *************************** . Please note that one week's advance notice is preferred. **Connect With Us!** Connect with us for general consideration! **Division** _The Emory Clinic_ **Campus Location** _Atlanta, GA, 30322_ **Campus Location** _US-GA-Atlanta_ **Department** _TEC Neurosurg Administration_ **Job Type** _Regular Full-Time_ **Job Number** _153988_ **Job Category** _Clinical & Nursing Support_ **Schedule** _8:30a-5p_ **Standard Hours** _40 Hours_ **Hourly Minimum** _USD $19.34/Hr._ **Hourly Midpoint** _USD $23.56/Hr._ Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.
    $19.3-23.6 hourly 60d+ ago
  • Physician & APP Credentialing Coordinator (Remote)

    Advocate Health and Hospitals Corporation 4.6company rating

    Charlotte, NC jobs

    Department: 09320 SE Medical Group Division Recruitment Administration - Physician Recruitment and Marketing Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Weekdays Pay Range $24.85 - $37.30 Job Profile Summary Coordinates credentials verification and analysis activities to support appointment, reappointment and other credentialing activities to the practitioners of the medical staff of all Aurora Health Care hospitals, surgical clinics and health network, and external customers. Major Responsibilities: Evaluates requests for applications and obtains authorization as needed. Determines appropriate action to accept or deny application requests. Initiates application process. Processes applications, reappointments and other credentialing events to the Medical Staff/Network, assessing practitioner information to determine the presence of potentially adverse information and determines further action required. Responsible for quality control on the content and completeness of finalized practitioner credentials files. Coordinates biennial review, ensuring each practitioner seeking reappointment is evaluated according to requirements by external accreditation and regulatory standards. Documents all work performed for credentialing events in database as part of the communication with internal customers. Communicates the progress, completion and findings of ongoing applications to leadership, and as appropriate to other customers. Identifies evolving issues of concern and takes appropriate action. Maintains credentialing database according to department policies and procedures and regulatory guidelines. Provides an electronic historical record of credentialing events within the organization. Responsible for investigation and documentation of practitioner credentials, utilizing specialized knowledge to obtain verification of all aspects of a practitioner's background, training and past practice. Understands credentialing requirements of both The Joint Commission and NCQA, CMS and other governmental requirements, and performs in accordance with these standards. Generates and maintains accurate documentation that may be reviewed and judged for acceptability by state and federal licensing agencies, external customers and may be called into a court of law to justify decision-making by Aurora entities. Manages external audits for delegated credentialing contracts, prepares and reviews files, transmits to delegate, demonstrates adherence to NCQA standards through individual credentialing records. Evaluates privilege requests to ensure that required supporting documentation named in privilege criteria is included. Deals with customer questions and complaints by Aurora Health Care caregivers, physicians, allied health practitioners and external agencies. Licensure, Registration, and/or Certification Required: None Required. Education Required: High School Graduate. Experience Required: Typically requires 3 years of experience in a related field such as physician credentialing, medical education, or medical staff office in a healthcare environment. Knowledge, Skills & Abilities Required: Strong customer and physician relations skills. Excellent organizational and communication skills. Proficient in the use of Microsoft Office (Excel, Access, PowerPoint and Word) or similar products. Ability to work effectively with minimal supervision and manage multiple priorities. Knowledge of basic medical terminology (department specific). Physical Requirements and Working Conditions: Must be able to sit, stand, walk, lift, squat, bend, twist, crawl, kneel, climb and reach above shoulders at various times in each workday. Must be able to file in a five-drawer filing cabinet. Must be able to use hands with fine manipulation when using computer keyboard. Must be able to occasionally lift up to 30 lbs. Must have functional vision, speech, and hearing. Exposed to a normal office environment. Operates all equipment necessary to perform the job. 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.
    $24.9-37.3 hourly Auto-Apply 60d+ ago
  • Lead Surgery Scheduling Specialist

    Northside Hospital 4.4company rating

    Sandy Springs, GA jobs

    Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. The role will function as a lead for the surgery scheduler team. Will supervise surgery schedulers and provide practice leadership and oversite for the surgery scheduling role. Help to develop relationships and partnerships as a professional liaison for staff, other hospital personnel, medical staff, and physicians' offices. Requires specific knowledge of all clinical service lines for the operating rooms at all Northside surgical locations or any affiliated Outpatient Surgery Center. Additional skills required include typing, experience using computerized documentation systems, strong customer service and problem solving. REQUIRED: 1. Associate's degree in Information Systems, Business Administration, Nursing or related field OR Five (5) years previous medical related clerical experience. 2. Demonstrates high level proficiency in the following software packages or equivalent: 3. Microsoft Office (Word, Excel, PowerPoint, Access) 4. Highly developed interpersonal, facilitation, verbal communication, and written communication skills. 5. Must possess problem solving skills 6. Must possess excellent communication, organization, and interpersonal skills. 7. Ability to plan time effectively, balance multiple tasks, and execute projects to completion. 8. Demonstrated knowledge of Medical terminology 9. Ability to type 40 words per minute PREFERRED: 1. Bachelor's degree or Advanced Degree in Information Systems, Business Administration, Nursing or related field 2. Clinical certification in Athletic Training, Medical Assistant, or equivalent; or 3 years' experience in surgery scheduling and precertification. 3. Required experience with surgery scheduling and insurance authorization. 4. Previous experience in hospital/medical office scheduling environment. 5. Demonstrated knowledge and skill in the use of a computerized scheduling system 6. Experience interfacing with physician offices, other organization departments, and third party payers. 7. Demonstrated ability to effectively communicate with individuals in all levels of responsibility. 8. Ability to work independently.
    $32k-37k yearly est. 24d ago
  • Telephone Patient Service Rep - NHDC

    Northside Hospital 4.4company rating

    Gainesville, GA jobs

    Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Responsible for performing a variety of administrative duties for physicians and other members of the clinic; can have phone contact or direct contact with patients and other clients of the Clinic. REQUIRED: 1. High school degree or equivalent. 2. Knowledge of medical terminology and office procedures. 3. Skill in operating the phone system, computer, fax machine and copy machine. 4. Ability to sort and file materials correctly by alphabetic or numeric systems; Ability to communicate clearly and concisely. 5. Ability to establish and maintain effective working relationships with patients, employees and the public. PREFERRED: 1. Minimum of two years of computer experience in a medical office setting
    $28k-32k yearly est. 10d ago
  • Patient Services Rep, PRN

    Northside Hospital 4.4company rating

    Canton, GA jobs

    Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Responsible for performing day-to-day front office operations of the center. Must be detailed orientated and team player. REQUIRED 1. High school diploma or equivalent education (GED) or post-secondary education or (1) one year work experience. 2. One (1) year of medical office experience or two (2) years of secretarial office experience. PREFERRED
    $28k-32k yearly est. 25d ago
  • Patient Services Rep, OP Oncology

    Northside Hospital 4.4company rating

    Lawrenceville, GA jobs

    Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Responsible for performing day-to-day front office operations of the center. Must be detailed orientated and team player. REQUIRED 1. High school diploma or equivalent education (GED) or post-secondary education or (1) one year work experience. 2. One (1) year of medical office experience or two (2) years of secretarial office experience. PREFERRED
    $28k-32k yearly est. 12d ago
  • Patient Services Rep, PRN

    Northside Hospital 4.4company rating

    Lawrenceville, GA jobs

    Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. The Patient Services Representative is responsible for performing a variety of administrative support duties related to patient care, including scheduling appointments, gathering and distributing information for patient collections and billing, and facilitating hospital admissions for patients. The position requires working patiently, efficiently and accurately to ensure an ideal patient experience. REQUIRED: * High school diploma or equivalent. * One year of medical office experience or two years of secretarial office experience. * Excellent communication and strong customer service skills. PREFERRED: * Working knowledge and ability to perform accurately and efficiently on computer.
    $28k-32k yearly est. 31d ago
  • Patient Services Rep, PRN

    Northside Hospital 4.4company rating

    Johns Creek, GA jobs

    Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Responsible for performing day-to-day front office operations of the center. Must be detailed orientated and team player. REQUIRED 1. High school diploma or equivalent education (GED) or post-secondary education or (1) one year work experience. 2. One (1) year of medical office experience or two (2) years of secretarial office experience. PREFERRED
    $28k-32k yearly est. 52d ago
  • Patient Services Rep, OP Oncology

    Northside Hospital 4.4company rating

    Cumming, GA jobs

    Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Responsibilities The Patient Services Representative is responsible for performing a variety of administrative support duties related to patient care, including scheduling appointments, gathering and distributing information for patient collections and billing, and facilitating hospital admissions for patients. The position requires working patiently, efficiently and accurately to ensure an ideal patient experience. Qualifications REQUIRED: High school diploma or equivalent. One year of medical office experience or two years of secretarial office experience. Excellent communication and strong customer service skills. PREFERRED: Working knowledge and ability to perform accurately and efficiently on computer. Work Hours: 830-1700 Weekend Requirements: No On-Call Requirements: No
    $28k-32k yearly est. Auto-Apply 4d ago
  • Patient Services Rep, OP Oncology

    Northside Hospital 4.4company rating

    Cumming, GA jobs

    Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. The Patient Services Representative is responsible for performing a variety of administrative support duties related to patient care, including scheduling appointments, gathering and distributing information for patient collections and billing, and facilitating hospital admissions for patients. The position requires working patiently, efficiently and accurately to ensure an ideal patient experience. REQUIRED: * High school diploma or equivalent. * One year of medical office experience or two years of secretarial office experience. * Excellent communication and strong customer service skills. PREFERRED: * Working knowledge and ability to perform accurately and efficiently on computer.
    $28k-32k yearly est. 31d ago
  • Patient Services Rep, OP Oncology

    Northside Hospital 4.4company rating

    Sandy Springs, GA jobs

    Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Responsible for performing day-to-day front office operations of the center. Must be detailed orientated and team player. REQUIRED 1. High school diploma or equivalent education (GED) or post-secondary education or (1) one year work experience. 2. One (1) year of medical office experience or two (2) years of secretarial office experience. PREFERRED
    $28k-32k yearly est. 21d ago
  • Scheduler, Pain & Spine Clinic, Northside Hospital Forsyth (Part-Time)

    Northside Hospital 4.4company rating

    Cumming, GA jobs

    Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. PRIMARY DUTIES AND RESPONSIBILITIES Surgery * Is cross-trained to understand scheduling protocols for GFS, TFS, MM, and OP BX Surgical suites comprised of 11 specialties and 29 operating rooms and a mobile Lithotripter. * Is cross-trained to understand scheduling protocols for all Northside Hospital surgical facilities pre assessment areas. * Determines staff availability and schedules surgical and pre assessment appointments. * Schedules surgical procedures and equipment for multiple surgical facilities. Ensures physician's request for equipment and instruments can be granted. * Must possess ability to conflict check equipment, surgeon, or time history * Notifies materials management or appropriate staff member when scheduling procedures requiring special equipment or implants, and follows up to assure its availability. * Resolves all scheduling conflicts and works directly with other ancillary departments and all Northside Hospital surgical facilities to assure easy accessibility for both patient and physician. * Telephones surgeons' offices daily to confirm surgical appointments. * Cross-references surgical procedure with pre assessment appointment. Telephones patients to schedule or confirm pre assessment appointment. Provides patient with information and instructions as appropriate to procedure or appointment. * Maintains log of operative records, laser usage, Lithotripsy patients and implant log for all Northside Hospital surgical facilities. * Ensures patient charge documents are available for each surgical procedure performed. * Responsible for the intraoperative billing process of surgical patients. This process includes the charging of surgical and anesthesia supplies, operating room and anesthesia time charges, and implanted devices. * Performs daily audits on patient charging to ensure accuracy and completeness of all records. * Works directly with internal auditor on a daily basis to resolve insurance audit issues. * Functions as ancillary scheduling department for anesthesia. Schedules all C‑Sections and Radiology, GI Unit, and Cardiology exams requiring anesthesia. * Acts as a Surgical coordinator to interface with the following areas: * Admissions * ER * Patient Floors * All ancillary departments. * Acts as the direct surgical liaison for all office managers and physicians. * Works directly with medical staff office to assure physicians, contract personnel and NPP's have appropriate delineation of privileges. * Prepares, verifies, and distributes surgical and pre assessment schedules to appropriate areas. * Coordinates and verifies the scheduling of contract personnel and services. Radiology * Answers 85-100 calls per day in a timely manner, utilizing appropriate customer service. * Efficiently utilizes computerized scheduling system. * Coordinates examination sequencing in cases where multiple examinations are required for an individual patient. Follows special instructions to ensure that preparations for one exam do not obscure results of other scheduled exams. * Applies specific criteria to ensure correct equipment and procedure rooms are scheduled. * Supplies patients with correct instructions and reviews instructions with patients. Is able to answer routine questions concerning nature or length of procedure. Discerns when questions require referral to technical/medical staff. * Telephones physician offices and obtains patient information necessary for proper scheduling of examination if necessary. * Prints radiology schedules as requested. * Completes appropriate paper work for biopsies and invasive breast procedures. * Accurately documents scheduling conflicts for supervisory override. * Attends required number of Staff and Departmental meetings to meet expectations. Catalogs information provided as scheduling changes and updates occur to ensure they are providing current information to callers. * If orders are emailed, ensures that orders for scheduled radiology procedures are available in the Image Freeway system. Makes sure orders match scheduled procedures and consults with physician office to resolve discrepancies. Obtains missing orders from physician office. * Obtains patient information necessary for proper scheduling of examination if necessary. DATA ENTRY/RETRIEVAL * Enters Radiology non-pharmacy drug charges into HMM. * Prints reports for patients scheduled with Medicare insurance, inputs Medicare information into database to ensure medical necessity for exam before date of exam. * Inputs data into Mammo Backlog report for manager to review for any excessive backlogs for all mammo locations. * Scans completed scheduled orders, precert notes and other pertinent patient information into Image Freeway * Utilizes Image Freeway to print reports to identify patient orders that need to be scheduled and/or precerted. * Utilizes One Call to determine if the patient has been scheduled and print the order if patient has not yet been scheduled * Sorts the orders for distribution to Precert or Schedulers. * Faxes completed scheduled orders back to physician offices. PRECERT * Precerts 40-50 patients per day utilizing various methods (insurance websites/phone/email) for preauthorization. * Utilizes proper CPT and ICD-10 codes for accurate precertification. * Answers 10-15 calls from the Precert queue, utilizing appropriate customer service * Obtains patient information necessary for proper scheduling of examination if necessary. * Receives, reviews and archives outpatient radiology schedules to identify accounts/cases requiring precertification. * Receives requests for precertification assistance from physician office. Gathers clinical information and works directly with insurance companies to obtain precertification authorization on behalf of the physician. * Receives requests to obtain precertification for same day add-on patients. Gathers clinical information and works directly with insurance company to obtain precertification approval. * Communicates and follows-up with physician offices, hospital departments and insurance companies to determine whether precertification has been initiated. If precert has not been initiated, works directly with insurer to obtain precertification approval and ensure reimbursement. * Efficiently utilizes computerized scheduling system to book radiology procedures at Hospital and outpatient imaging centers * Coordinates examination sequencing in cases where multiple examinations are required for an individual patient. Follows special instructions to ensure that preparations for one exam do not obscure results of other scheduled exams. * Supplies patients with correct instructions and reviews instructions with patients. Is able to answer routine questions concerning nature or length of procedure. Discerns when questions require referral to technical/medical staff. * Obtains patient information necessary for proper scheduling of examination if necessary. * Completes appropriate paper work for biopsies and invasive breast procedures. * Accurately documents scheduling conflicts for supervisory override. * Ensures that orders for scheduled radiology procedures are available in the Image Freeway system. Makes sure orders match scheduled procedures and consults with physician office to resolve discrepancies. Obtains missing orders from physician office. * Attends required number of Staff and Departmental meetings to meet expectations. Catalogs information provided as scheduling changes and updates occur to ensure they are providing current information to callers. SCREEN ATLANTA * Coordinates and schedules Van locations (Kroger locations, Corporations, Community Events) and sends out confirmation information packets to each client prior to date of service. Makes reminder phone calls to patients. Ensures that all Film Management functions are performed prior to the day of service to include ordering mammograms and compiling related paperwork. Converts each patient STAR account from PRO to OP and completes admission functions (corrections, scanning, etc.) as applicable upon provision of services. * Manages and tracks grant funding activities associated with the Breast Care Program. Duties include managing budgets (reviewing expenses and tracking expenses against budget), tracking expenditures accurately for each funding source and providing both summary and detailed grant management reports (monthly internal reports, semi-annual grant progress reports, etc.). Recording time devoted to work associated with grants in the Time and Effort system. * Prepares and maintains databases to generate required grant reports to include patient demographic information and funding utilization. Ensures that patients qualify for Breast Care Funds and are pre-registered prior to the provision of services. * Maintains a thorough understanding of how direct and indirect costs are defined, composed, allocated, and charged to active grants. Ensures compliance with contractual agreements both grant and professional fee contracts (Pathology and Radiology) when requisitioning grant funds. RADIATION ONCOLOGY * Schedules new patient office visits, consults, re-evals and follow up appointments for all four Radiation Oncology locations. * Ensure consistent scheduling processed throughout the four Radiation Oncology locations. * Determines physician's availability and follow physician's templates to schedule appointments. * Open PRS accounts in STAR. * Resolves scheduling conflicts and works directly with the supervisor, staff, and the physicians. * Email or mail out registration forms to patients. * Obtain prior authorization for services provided in the Radiation Oncology Department. * Coordinate peer to peer reviews between insurance carriers and the physicians. * Provide excellent customer service to patients as well as internal and external customers. FAMILY CENTERED CARE * Completes monthly staff schedules for all staff and all shifts in accordance with staffing targets, and departmental policies giving consideration to employee requests. * Updates monthly staff schedule with changes daily, and audits payroll periodically to assure accuracy. * Collaborates with staffing specialist to insure coverage but maintain retention of employees. * Maintain data base of staff by hire date and contact information. * Communicate needs to staff in a timely manner. * Uses fair and consistent practices when developing schedule and addressing requests from staff. * Anticipates staffing shortages and consults department management appropriately for resolution. * Identifies needed changes that would improve efficiency of scheduling large volume of staff. REHABILITATION SERVICES * Provides centralized scheduling support across the system * Answers 50-75 calls per day in a timely manner, utilizing appropriate customer service, and within telephone service performance standards. * Competently and efficiently utilizes all computerized systems, tracking tools and logs. * Completes all phases of scheduling, precertification, preauthorization, registration, and collections required by patients seen within rehabilitation services * Responsible for management of patient records, and completion of patient charges and monthly patient chart rollovers. * When necessary, telephones physician offices and obtains patient information/orders required for accurate scheduling. * Contacts all new patients to schedule initial evaluation appointment within 24 hours of referral. Provides correct appointment related instructions, and reviews with patients. Is able to answer routine questions concerning nature or length of services provided. Discerns when questions require referral to a clinical resource * Resolves scheduling and insurance conflicts and works directly with supervisor * Assess' patient needs regarding language interpretation services. Informs patients of their rights and services provided by NH Interpretation Services. Schedules interpreter * Communicates throughout the day and uses good hand off communication when necessary with supervisor, peers, clinical staff, patients and family members * Assists with maintaining inventory levels and maintains appropriate volume of office supplies and medical record forms * Promotes the continuous quality improvement process in all daily service issues and problem solving opportunities both department specific and hospital wide. * Provides excellent customer service using AIDET principles and executes service recovery when needed * Attends required Staff and Departmental meetings to meet expectations PAIN TREATMENT AND SPINE CENTERS Position may be in call center or medical office. * In centralized scheduling/call center environment, answers 50-100 calls per day in a timely manner, utilizing appropriate customer service and within telephone service performance standards. * Must demonstrate ability to sign on and navigate all insurance/Medicaid web portals for eligibility, precert and referral notification. * Has working knowledge of Precertification process and Referral updates in all aspects of the Pain Treatment and Spine Centers as needed for reimbursement of services. * Determines staff availability and schedules procedural and pre assessment appointments. * Resolves all scheduling conflicts and works directly with other ancillary departments and all Northside Hospital facilities to assure easy accessibility for both patient and physician. * Cross-references procedure with pre assessment appointment. Telephones patients to schedule or confirm pre assessment appointment. Provides patient with information and instructions as appropriate to procedure or appointment. * Interacts with Physician offices, Interventional Pain Treatment Physicians and staff for the purpose of scheduling procedures and office visits. * Greets public, Physicians, management and associates. Displays ability to use all channels of communication to address inter-and intra-department concerns, problems and conflicts as indicated by positive response of all parties. * Ability to handle multiple priorities (under some pressure) in a busy environment. * Displays integrity and honesty in relationships with patients, visitors and co-workers. Physicians and ancillary departments in handling difficult situations. * Answers telephone in a professional manner, redirecting calls and/or taking accurate messages. * Places patient related telephone calls as requested by Physicians and staff . * Receives, sorts and routes incoming and outgoing mail, faxes and reports. * Assists in data retrieval and compilation as requested by Physicians and staff. * Assists in assembling and maintaining patient office records and procedure files as per policy. * Assists in controlling access to medical records to those individuals that are authorized (request and confirms identification of individuals accessing medical records). * Maintains confidentiality in all aspects of job as related to HIPPA regulations and policies. * Complies with NH Quality and Patient Safety requirements regarding all applicable Red Rules, such as verifying patient's identity using two patient identifiers. This applies to phone and in person interactions. * Maintains an uncluttered, neat and clean office workspace and perform other general cleaning as needed. * Assists in orientation of new associates as a mentor if requested by Office Coordinator and/or Office Supervisor. * Ability to summon appropriate personnel in a crisis situation. * Respond appropriately to special needs and behaviors of age groups of patients served. * Other duties as required by Office Coordinator/Supervisor. CARDIOLOGY * Schedule patients for Stress Lab, Echo Lab, Nuclear Cardiology, EP Lab and Cardiac Cath Lab through Cerner Schapptbook and WQM * Utilizes scheduling parameters when scheduling cardiac caths, EP studies, device implants, exercise treadmill tests, stress echoes, dobutamine stress echoes, nuclear stress tests, tilt table tests, transesophageal echoes, cardioversions * Schedule anesthesia for procedures when necessary * Telephones physician offices and obtains patient information necessary for proper scheduling of examination if necessary. * Schedule Inpatient procedures directly with physician via phone call or in person * Manages and maintains Cardiac Cath/EP Block Scheduling and ensures each physician is scheduling in his/her appropriate block. Releases block time according to departmental guidelines * Maintains frequent communication with clinical staff regarding add-ons, changes, etc. * Schedule Device Company vendor for EP and Device implant cases; communicate with device company representative procedure details * Index/Attach documents to the patient's Power Chart in Cerner * Check orders/PA/H&P for next day procedures in Stress Lab, Echo, and Cath Lab. Place phone call to appropriate MD office to obtain any missing documents * Prepares the Cath Lab next day schedule and takes to House Coordinator * Assesses patients' needs regarding language interpretation services and schedules interpreter as needed. . * Resolves scheduling conflicts and works directly with the supervisor, staff, and the physicians. * Check in patients when they arrive to the department to activate their orders in PowerChart PROFESSIONAL DEVELOPMENT AND LEADERSHIP ADDITIONAL DUTIES AND RESPONSIBILITIES * Practices proper safety techniques in accordance with hospital and departmental policies and procedures. Immediately reports any mechanical or electrical equipment malfunctions, unsafe conditions, or employee/patient/visitor injury‑accident to Manager. * Other duties as assigned by supervision. REQUIRED * Demonstrated knowledge of Medical terminology * Three (3) years previous medical related clerical experience, or an associate's degree, or one and a half (1 1/2) years previous medical related clerical experience which must include at least six months' experience as a medical scheduler. * Demonstrated organizational and communication/customer service skills * Demonstrated knowledge and skill in utilization of computer application * Demonstrated problem-solving skills PREFERRED * Previous experience in hospital/medical office scheduling environment. * Demonstrated knowledge and skill in the use of a computerized scheduling system * Associate Degree * Prior experience in insurance precertification * Experience interfacing with physician offices, other organization departments, and third party payers. * Demonstrated ability to effectively communicate with individuals in all levels of responsibility. * Ability to work independently. * Ability to type 40 words per minute
    $28k-37k yearly est. 60d+ ago
  • Patient Service Representative I Hospital

    Advocate Health and Hospitals Corporation 4.6company rating

    Trion, GA jobs

    Department: 10511 Enterprise Revenue Cycle - Patient Access: Emergency Department: Trion Status: Part time Benefits Eligible: Yes Hours Per Week: 24 Schedule Details/Additional Information: Saturday and Sunday 7pm-7am parttime with benefits Pay Range $17.65 - $26.50 Major Responsibilities: Responsible for performing all job duties in a way that conforms to our customer service philosophy and consistent with our "AIDET" standards 1) Greet and Acknowledge all patients and family members in a welcoming and prompt manner. 2) Introduce the patient to our services, what they can expect while under our care. Utlize appropriate etiquette in all communications. 3) Provide the patient with information on the likely time spent in the service area (duration) including time in registration and time in clinical service. 4) Explain the nature of our work, why we ask for demographic, socio-economic, and financial information. Explain how we safeguard their information and use it to provide better care for them. 5) Hand-patients off to the next area with a clear "thank you." When creating new registrations for walk-in patients, responsible for the identifying insurance coverage, the benefits available, patient out-of-pocket expenses, and collecting co-insurance and co-payments. 4) Collecting appropriate out of pocket expenses in accordance with policy. 1) Uses electronic systems to confirm coverage while patient is present and discussing the findings with the patient. Follow established department policies to resolve issues related to patient's eligiblity for coverage or issues in in-network status for the patient using Advocate's network. 2) When working uninsured patients, screen for urgent status cases and follow charity procedure. Refer as appropriate for additional financial counseling. Engage leaders to resolve questions on urgent versus non-urgent/elective care. 3) When assisting walk-in patients, screen orders for compliance with policy. Work with physicians, Care Coordinators, and clinical department leaders to communicate and resolve issues related to order quality and acceptable standards. Responsible for security authorization and precertification of inpatient and outpatient services. 5) Notify Financial Counseling, physicians, Care Coordinators, and Utilization Management on cases were patients are found to be uninsured, or where the only insurance is Third Party Liability or Workers Compensation 1) Maintains knowledge of all stand-alone computer software programs to verify eligibility. 6) Identify at risk balances related to Medicare co-days, lifetime reserve days and other Medicare coverage limits and communicate to Financial Counseling, UM and physicians 7) Identify at risk balances relate to Medicaid eligibility rules and communicate to Financial Counseling, UM and physicians 8) Initiates communication to patient when authorization is not obtained and explain the potential financial impact and the patient responsibility for unauthorized services 9) Accurately collects and analyzes clinical data in support of prior authorization, and precertification as required by payor guidelines 10) Acquires and maintains current knowledge of all insurance requirements as it relates to patient/hospital responsibility and hospital billing. 2) Stays current of all Federal and State regulations regarding billing. 3) Ensures completion of all established policies and procedures for identification and notification of the Primary Care Physician in the case of HMO coverage plans. 4) Informs Financial counseling, physicians, Care Coordinators and Utilization Management of out of network or noncovered service limitations of managed care/commercial insurance where benefits are at risk Responsible the pre-registration and registration accuracy. 6) Maintains knowledge of State & Federal regulations governing Medicare, Medicaid and Mental Health registrations. 1) Ensure accurate entry of patient demographic, insurance information in the ADT system with special attention to carrier code assignment, complete benefit, eligibility record and authorization data 2) Pre-registers and registers patients using established procedures for computer entry for all ancillary and nursing units, keeping current with their specialized needs and preparing necessary documents/records when necessary. 3) During the pre-registration or registration encounter, provide detailed education to the patient the contents of documents and forms requiring patient signature. 4) Manage incoming and outgoing calls in order to complete pre-registrations with patients 5) Generates, assembles and processes all required documents for completion of each registration. Participates in departmental team building activities and in-services and other miscellaneous duties as assigned by leader. 1) Contributes to the quality initiatives and mission by participating in team projects. 2) Attends all required departmental in-services to stay current of all job changes and responsibilities. 3) Assist leader in special assignments as may be needed to fulfill the mission of the department and the organization. Education/Experience Required: High School Diploma with 2 years of experience in either Patient Access or any of the following related experience; general physician office support or billing office, insurance office, hospitality, or call center (any industry) Intermediate math skills acquired through classroom work or through work experience Knowledge, Skills & Abilities Required: Typing 25 WPM Basic understanding of web-based systems, proficiency in data entry N/A Physical Requirements and Working Conditions: Ability to prioritize and organize workload Sophisticated interviewing, communication and negotiation skills Independent decision making Ability to work hours that verify based on needs of the organization including evenings, weekends and holidays. Ability to work as a team member Must be able to sit, stand, walk, lift, carry, squat, and bend frequently as well as twist, rotate, and kneel occasionally throughout the workday. Frequently lifts up to 10 lbs. and occasionally lifts between 20 lbs. or more. This occurs when moving equipment and supplies and when transporting patients and/or charts. Must be able to push/pull up to 50 lbs. with assistance. Must have functional speech and hearing. Must be able to use hands with fine motor skills for keyboard data entry. Exposed to a normal office environment. Operates all equipment necessary to perform the job. Must be able to work a flexible schedule to support the needs of the department. Addendum: In addition to the Accountabilities and Job Activities outlined in Sects. I. A. - I. D. of the Position Description for Patient Access Registrar the following accountabilities and job activities are applicable for registrars staffed at offsite imaging centers: E. Performs additional activities that facilitate patient flow and transition from registration to the clinical testing area including: 1. Performs Computerized Provider Order Entry (CPOE) for exams accurately and completely to transcribe written physician orders. Seeks clarification from technician and physician if needed. 2. Performs light duty cleaning of changing areas as needed. 3. Prints patient's results CDs when required and distributes finished exam results CD to patient while complying with application HIPAA considerations. 4. Escorts patients to changing areas as needed. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. 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.
    $17.7-26.5 hourly Auto-Apply 17d ago
  • Emergency Cardiac Care Coordinator

    Northside Hospital 4.4company rating

    Lawrenceville, GA jobs

    Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. The Emergency Cardiac Care Coordinator works in collaboration with EMS, Medical Staff, Emergency Department, and Nursing staff to plan, direct, and evaluate the emergent cardiac care provided to patients and their families. Patient populations within the scope of this role include STEMI, Out of Hospital Cardiac Arrest/Hypothermia, Pulmonary Embolism, Aortic Dissection and Abdominal Aortic Aneurysm. The Emergency Cardiac Care Coordinator is expected to collaborate with other hospitals in the region, as it pertains to updates to the Universal STEMI protocol. This role possesses expert clinical knowledge, which he/she applies to systematically and continuously collect and analyze data in collaboration with the multidisciplinary team to provide optimal evidence based care for the emergent cardiac patient. REQUIRED: 1. Associates Degree in Paramedicine or Nursing 2. Minimum of 5 years' experience in EMS Coordination or EMS education 3. Demonstrated ability to set priorities, coordinate diversified and multiple activities, and make appropriate clinical and managerial decisions. 4. Possess advanced problem solving and team building skills. 5. Possess excellent communication and customer service skills. PREFERRED: 1. Registered Nurse (with a valid Georgia Nursing License), current certification as a Registered Invasive Cardiovascular Specialist or Paramedic (with a valid Georgia Paramedic License)
    $25k-32k yearly est. 31d ago
  • Scheduler - Satellite Blvd. (Part-Time)

    Children's Healthcare of Atlanta 4.6company rating

    Berkeley Lake, GA jobs

    Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Variable Work Day(s) Monday-Friday Shift Start Time 2:00 PM Shift End Time 7:00 PM Worker Sub-Type Regular Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Coordinates daily scheduling of patient appointments for medical procedures in a timely and efficient manner. Interacts extensively with physicians/diagnostic staff, office staff, and patients via phone, fax, and email, ensuring accurate and effective scheduling of appointments for needed medical procedures. Independently and accurately handles a wide range of scheduling duties in a fast-paced environment. Works collaboratively with team members to provide quality service to proactively support efforts that ensure delivery of safe patient care and services and promote a safe environment at Children's Healthcare of Atlanta. Experience * Experience in using computers with a high degree of accuracy * Successful completion of a course in medical terminology or equivalent experience Preferred Qualifications * One year of experience in clinical scheduling or an assigned clinical discipline or completion of an externship program approved by Children's * For Radiology, experience in a clinical or healthcare setting Education * High school diploma or equivalent Certification Summary * No professional certifications required Knowledge, Skills, and Abilities * Ability to word process accurately * Able to handle stressful work situations and conflicts with professionalism * Ability to communicate effectively both orally and in writing * Excellent organizational skills * Ability to work effectively without direct supervision and follow standard procedures * Excellent customer service skills * Fluency in Spanish or other language Job Responsibilities * Schedules patient appointments for medical procedures/cases for designated department, including medical procedure directives from faxes, phone, or other instructions, and contacts doctors' offices to resolve discrepancies. * Coordinates all aspects of procedure scheduling and understands guidelines for each scheduled procedure. * Collects and/or confirms patient demographic/insurance information as required and enters data accurately into the department's scheduling system. * Stays aware of insurance authorization needs and follows department policies on establishing appointments that do not have confirmed authorizations. * May coordinate all aspects of medical procedure scheduling for specific modalities in accordance with hospital policy for patient gestational and chronological age, including coordination with doctor's office, house supervisor, department nursing staff, and other departmental schedulers. * Confirms schedule with doctor's offices, including time of procedure and communicates and resolves any conflict about daily schedule(s). * Communicates clearly to doctors' offices and parents any instructions related to appointments. * Utilizes computerized scheduling system and electronic order management functions and capabilities (may be required to use computerized scheduling system to maximize efficiency of block scheduling, e.g., typing, data entry, alpha/numeric filing, and computer skills). * Assists in identification of ways to improve scheduling process. * Completes quality assurance for all scheduled patients. * May precept for orientation and training of all newly hired schedulers in standard procedures, quality control, quality assurance, and continuous quality improvement programs. Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law. Primary Location Address 2620 Satellite Blvd Job Family Patient Access
    $32k-38k yearly est. 20d ago
  • Scheduler- Satellite Blvd.

    Children's Healthcare of Atlanta 4.6company rating

    Berkeley Lake, GA jobs

    Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Friday, Saturday, Thursday, Wednesday Shift Start Time 8:30 AM Shift End Time 7:00 PM Worker Sub-Type Regular Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Coordinates daily scheduling of patient appointments for medical procedures in a timely and efficient manner. Interacts extensively with physicians/diagnostic staff, office staff, and patients via phone, fax, and email, ensuring accurate and effective scheduling of appointments for needed medical procedures. Independently and accurately handles a wide range of scheduling duties in a fast-paced environment. Works collaboratively with team members to provide quality service to proactively support efforts that ensure delivery of safe patient care and services and promote a safe environment at Children's Healthcare of Atlanta. Experience * Experience in using computers with a high degree of accuracy * Successful completion of a course in medical terminology or equivalent experience Preferred Qualifications * One year of experience in clinical scheduling or an assigned clinical discipline or completion of an externship program approved by Children's * For Radiology, experience in a clinical or healthcare setting Education * High school diploma or equivalent Certification Summary * No professional certifications required Knowledge, Skills, and Abilities * Ability to word process accurately * Able to handle stressful work situations and conflicts with professionalism * Ability to communicate effectively both orally and in writing * Excellent organizational skills * Ability to work effectively without direct supervision and follow standard procedures * Excellent customer service skills * Fluency in Spanish or other language Job Responsibilities * Schedules patient appointments for medical procedures/cases for designated department, including medical procedure directives from faxes, phone, or other instructions, and contacts doctors' offices to resolve discrepancies. * Coordinates all aspects of procedure scheduling and understands guidelines for each scheduled procedure. * Collects and/or confirms patient demographic/insurance information as required and enters data accurately into the department's scheduling system. * Stays aware of insurance authorization needs and follows department policies on establishing appointments that do not have confirmed authorizations. * May coordinate all aspects of medical procedure scheduling for specific modalities in accordance with hospital policy for patient gestational and chronological age, including coordination with doctor's office, house supervisor, department nursing staff, and other departmental schedulers. * Confirms schedule with doctor's offices, including time of procedure and communicates and resolves any conflict about daily schedule(s). * Communicates clearly to doctors' offices and parents any instructions related to appointments. * Utilizes computerized scheduling system and electronic order management functions and capabilities (may be required to use computerized scheduling system to maximize efficiency of block scheduling, e.g., typing, data entry, alpha/numeric filing, and computer skills). * Assists in identification of ways to improve scheduling process. * Completes quality assurance for all scheduled patients. * May precept for orientation and training of all newly hired schedulers in standard procedures, quality control, quality assurance, and continuous quality improvement programs. Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law. Primary Location Address 2620 Satellite Blvd Job Family Patient Access
    $32k-38k yearly est. 24d ago
  • Senior Insurance Verifier

    Children's Healthcare of Atlanta 4.6company rating

    Atlanta, GA jobs

    Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Monday-Friday Shift Start Time 8:00 AM Shift End Time 4:30 AM Worker Sub-Type Regular Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Serves as expert/lead team member while participating in authorization and pre-certification of healthcare services to prevent claims denial and/or appointment cancellation/rescheduling due to authorization issues (e.g., ensuring referring physician obtains prior authorization from insurance company for all scheduled healthcare procedures within assigned department/area). Provides ongoing communication and training to physician offices, patients/families, and others to resolve authorization-related departmental issues. Proactively identifies and communicates with families the financial resources available to patients whose health plan does not include coverage for services and coordinates counseling services with Financial Counseling as required. Collaborates with Appeals department to overturn claims denied. Initiates and performs revenue cycle activities required for insurance verification, authorization, and pre-registration. Works collaboratively with team members to provide quality service. Proactively supports efforts that ensure delivery of safe patient care and services and promote a safe environment at Children's Healthcare of Atlanta. Experience * 3 years of experience in healthcare Preferred Qualifications * Bachelor's degree * 3 years of experience in a hospital facility, handling insurance verification * Successful completion of a medical terminology course * Certified Patient Account Representative (CPAR) or Certified Healthcare Access Associate (CHAA) * Experience in a pediatric hospital Education * High school diploma or equivalent Certification Summary * No professional certifications required Knowledge, Skills and Abilities * Demonstrated multitask and problem-solving skills * Ability to work independently in a changing environment and handle stressful situations * Excellent verbal and written communication skills * Demonstrated arithmetic and word mathematical problem-solving skills * Must be able to successfully pass the Basic Windows Skill Assessment at 80% or higher rating * May require travel within Metro Atlanta as needed * Demonstrated working knowledge of ICD-9 and CPT codes * Must be able to speak and write in a clear and concise manner in to convey messages and ensure the customer understands whether clinical or non-clinical * Proficient in Microsoft Word/Excel/Outlook, SMS, Epic, CSC Papers, scheduling systems (e.g., NueMD, RIS, SIS), IMS Web, Report Web, and insurance websites (e.g., BCBS, RADMD, WebMD, Wellcare, Amerigroup, UHC) Job Responsibilities 1.Ensures revenue cycle activities are completed daily, including verification and authorization of healthcare services to prevent claims denials and appointment cancellation/rescheduling. 2.Performs daily quality audits to ensure all healthcare services are authorized and documented accurately and timely. 3.Acts as resource for employees to handle/resolve difficult authorization issues or answer questions. 4.Works to ensure referring physician obtains prior authorization from insurance company for all scheduled healthcare procedures within assigned department/area. 5.Contacts referring physicians and/or patients to discuss rescheduling of procedures due to incomplete/partial authorizations, review prep instructions, or provide/obtain other information. 6.May reschedule procedures in consideration of appointments cancelled due to insurance authorization issues, utilizing cancellation waitlist to optimize departmental efficiencies. 7.Monitors insurance authorization issues to identify trends and participates in process improvement initiatives, including generating reports or monitoring work queues to review denials or other key performance indicators. 8.Acts as liaison between clinical staff, patients, referring physician's office, and insurance by informing patients and families of procedures authorization delays/denials, answering questions, offering assistance, and relaying messages pertaining to authorization of procedure/service. 9.Performs revenue cycle activities required for pre-registration and registration, facilitating insurance pre-certification and authorization. 10.Acts as resource in pre-screening physician's orders to ensure completeness/appropriateness of scheduled appointment. 11.Collaborates with Appeals department to provide all related information to overturn claims denial. 12.Provides ongoing communication and training to employees, physician offices, patients/families, and others as necessary to resolve insurance authorization issues. 13.Orients new employees to the department and acts as resource for staff to resolve/handle difficult situations or answer questions. 14.May conduct performance evaluation of staff, provide input into hiring and disciplinary actions, and may act as supervisor as required or upon absence of supervisor. 15.May answer telephone, greet patients and visitors, and proactively assist with waiting room management and tidiness. 16.Assist Supervisor and/or Manager with development of staff by: being available to teammates, acting as a resource to help complete complicated/complex tasks, providing on the job training to team, and seeking out opportunities to become actively involved in staff workflow and development. 17.Provide Supervisor and/or Manager feedback on staff performance, educational needs, and workflow status. Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law. Primary Location Address 1575 Northeast Expy NE Job Family Patient Access
    $33k-37k yearly est. 24d ago
  • Patient Coordinator

    Children's Healthcare of Atlanta Cardiology 4.6company rating

    Atlanta, GA jobs

    Children's Cardiology, a subsidiary of Children's Healthcare of Atlanta, is comprised of more than 60 pediatric cardiologists providing comprehensive services for patients from before birth to age 21 who have acquired or congenital heart disease. The Patient Coordinator provides a high level of patient satisfaction through great customer service and anticipating the patient's needs while coordinating all aspects of patient care to include registering and greeting patients, verifying insurance and handling referrals. Minimum Qualifications High school diploma or associates degree required. Minimum 3 years of healthcare front office experience. Current BLS certification required. Pediatric or family practice experience preferred. EMR/EPIC experience preferred. Working experience with insurance processes required. Proficient in Microsoft Office Suite with emphasis on accurate data entry skills. Demonstrated excellent customer service skills. Effective oral and written communication skills required. Ability to prioritize and handle multiple tasks concurrently. Proven attention to detail, organizational skills and follow-through discipline. Essential Duties and Responsibilities Demonstrate a courteous, friendly and professional demeanor while greeting patients/visitors. Answer incoming calls and respond appropriately to requests, directions and other inquires. Perform check-in/check-out duties including payments, ensuring correct patient information is in the EMR system. Facilitate the registration of patient information including verifying insurance eligibility and other payors. Confirm insurance coverage and obtains authorizations for managed care patients if applicable. Explain regulatory financial requirements/responsibilities to patient or responsible party and collects/posts payments. Collect all applicable payments from patients at time of service. Accurately maintain and balance daily receipts with payments collected. Maintain and print “Department Appointment Report.” Make daily updates to the “Customer Service Communication” clinic boards with correct physician, staff and team member names. Schedule patient appointments when appropriate. Assist co-workers in completion of duties when time allows; share information with co-workers. Travel to other assigned clinic locations as needed for coverage. Maintain Emergency Equipment Check for clinic location when assigned. Assist as or perform the duties of the Medical Assistant as needed, if applicable. Perform other duties and projects as assigned. 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 protected category. As a part of the recruiting and new hire process with Children's Cardiology, employment history will be verified and ANY false statements, omissions or misrepresentations of your application or resume will result in not being hired by the company. Benefits: 401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible schedule Flexible spending account Health insurance Health savings account Life insurance Paid time off Parental leave Professional development assistance Referral program Tuition reimbursement Vision insurance
    $31k-36k yearly est. Auto-Apply 60d+ ago
  • Patient Coordinator

    Children's Healthcare of Atlanta Cardiology 4.6company rating

    Atlanta, GA jobs

    Job Description Children's Cardiology, a subsidiary of Children's Healthcare of Atlanta, is comprised of more than 60 pediatric cardiologists providing comprehensive services for patients from before birth to age 21 who have acquired or congenital heart disease. The Patient Coordinator provides a high level of patient satisfaction through great customer service and anticipating the patient's needs while coordinating all aspects of patient care to include registering and greeting patients, verifying insurance and handling referrals. Minimum Qualifications High school diploma or associates degree required. Minimum 3 years of healthcare front office experience. Current BLS certification required. Pediatric or family practice experience preferred. EMR/EPIC experience preferred. Working experience with insurance processes required. Proficient in Microsoft Office Suite with emphasis on accurate data entry skills. Demonstrated excellent customer service skills. Effective oral and written communication skills required. Ability to prioritize and handle multiple tasks concurrently. Proven attention to detail, organizational skills and follow-through discipline. Essential Duties and Responsibilities Demonstrate a courteous, friendly and professional demeanor while greeting patients/visitors. Answer incoming calls and respond appropriately to requests, directions and other inquires. Perform check-in/check-out duties including payments, ensuring correct patient information is in the EMR system. Facilitate the registration of patient information including verifying insurance eligibility and other payors. Confirm insurance coverage and obtains authorizations for managed care patients if applicable. Explain regulatory financial requirements/responsibilities to patient or responsible party and collects/posts payments. Collect all applicable payments from patients at time of service. Accurately maintain and balance daily receipts with payments collected. Maintain and print “Department Appointment Report.” Make daily updates to the “Customer Service Communication” clinic boards with correct physician, staff and team member names. Schedule patient appointments when appropriate. Assist co-workers in completion of duties when time allows; share information with co-workers. Travel to other assigned clinic locations as needed for coverage. Maintain Emergency Equipment Check for clinic location when assigned. Assist as or perform the duties of the Medical Assistant as needed, if applicable. Perform other duties and projects as assigned. 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 protected category. As a part of the recruiting and new hire process with Children's Cardiology, employment history will be verified and ANY false statements, omissions or misrepresentations of your application or resume will result in not being hired by the company. Benefits: 401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible schedule Flexible spending account Health insurance Health savings account Life insurance Paid time off Parental leave Professional development assistance Referral program Tuition reimbursement Vision insurance
    $31k-36k yearly est. 15d ago
  • Patient Arrival Specialist

    Emory Healthcare/Emory University 4.3company rating

    Patient service coordinator job at Emory Healthcare

    **Be inspired. Be rewarded. Belong. At Emory Healthcare.** At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: · Comprehensive health benefits that start day 1 · Student Loan Repayment Assistance & Reimbursement Programs · Family-focused benefits · Wellness incentives Ongoing mentorship, development, leadership programs...and more **7:00a-4:00p / Full Time / 40hrs** **Description** Are you passionate about providing outstanding customer service and playing a key role in patient care? Join our team as a Patient Arrival Specialist, where you will serve as the first point of contact for patients arriving at Emory facilities. This is a unique opportunity to make a difference by creating a positive and smooth experience for every patient you encounter. Key Responsibilities: + Warmly Greet Patients and Guests: Greet all patients, guests, and employees entering the facilities with a smile and appropriate salutation (e.g., good morning, good afternoon ). + Ensure a Positive Experience: Welcome all customers following the Emory Healthcare customer service model to create a warm, positive environment. + Assist with Check-In Process: Support patients with check-in, including using online applications and troubleshooting technical issues. + Effective Communication and Service Recovery: Communicate with patients, families, and staff to address concerns and resolve complaints in real-time, involving leadership as needed. + Maintain a Clean Environment: Keep entrances, waiting rooms, and storage areas tidy and sanitized, restocking supplies as needed. + Complete Administrative Tasks: Confirm and update patient demographics, manage registrations, update insurance information, schedule appointments, handle referrals, and collect copays. + Proactive Patient Rounding: Round on patients in waiting areas to ensure comfort and address immediate needs. Minimum Qualifications: + High school diploma, GED, or equivalent preferred. + Must be at least 18 years of age and authorized to work in the United States. + Proficiency in English, with strong communication skills. + Strong interpersonal skills with the ability to work collaboratively in a team environment. + Basic digital literacy and comfort navigating software applications. + Ability to learn new processes, procedures, and software quickly, with attention to detail and accuracy. + Successful completion of software training upon hire. + Excellent attendance and reliability. Why Join Us as a Patient Welcome Associate at Emory Healthcare? Supportive and Inclusive Team Environment: Work alongside a diverse team committed to fostering growth, respect, and support in a collaborative atmosphere. Launch a Meaningful Healthcare Career: This role provides a unique opportunity to gain hands-on experience in healthcare, with guidance to build your career path within Emory Healthcare. Make a Real Impact on Patient Care: Contribute directly to patient satisfaction and quality improvement initiatives, playing a vital role in the care experience. Advance Within Your First Year: Eligible team members can progress to a Senior Patient Arrival Specialist after 1 year, opening doors to new responsibilities and growth. At Emory Healthcare, our core purpose is improving lives and providing hope. If you are committed to this purpose, making a positive impact, providing exceptional service, and being part of a dynamic team, we want to hear from you! PHYSICAL REQUIREMENTS: (Medium): 20-50 lbs; 0-33% of the work day (occasionally); 11-25 lbs, 0-33% of the work day (occasionally); 01-10 lbs, 67-100% of the workday (constantly); Lifting 50 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation , Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks. **Additional Details** Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at *************************** . Please note that one week's advance notice is preferred. **Connect With Us!** Connect with us for general consideration! **Division** _The Emory Clinic_ **Campus Location** _Johns Creek, GA, 30097_ **Campus Location** _US-GA-Johns Creek_ **Department** _TEC GynOb Generalist RRT EJCH_ **Job Type** _Regular Full-Time_ **Job Number** _156927_ **Job Category** _Clerical & Administrative_ **Schedule** _7a-4p_ **Standard Hours** _40 Hours_ **Hourly Minimum** _USD $17.54/Hr._ **Hourly Midpoint** _USD $21.37/Hr._ Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.
    $17.5-21.4 hourly 18d ago

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