Biller jobs at Health Advocates

- 9849 jobs

COMMERCIAL BILLER
Lifebridge Health 4.5
Owings Mills, MD jobs
COMMERCIAL BILLER Owings Mills, MD SINAI HOSPITAL Full-time - Day shift - 8:00am-4:30pm Professional 93608 $17.00-$30.09 Experience based Posted: December 9, 2025 Apply Now // Setting the Saved Jobs link function setsavedjobs(externalidlist) { if(typeof externalidlist !== 'undefined') { var saved_jobs_query = '/jobs/search?'+externalidlist.replace(/\-\-/g,'&external_id[]=')+'&saved_jobs=1'; var saved_jobs_query_sub = saved_jobs_query.replace('/jobs/search?','').replace('&saved_jobs=1',''); if (saved_jobs_query_sub != '') { $('.saved_jobs_link').attr('href',saved_jobs_query); } else { $('.saved_jobs_link').attr('href','/pages/saved-jobs'); } } } var is_job_saved = 'false'; var job_saved_message; function savejob(jobid) { var job_item; if (is_job_saved == 'true') { is_job_saved = 'false'; job_item = ''; $('.saved-jobs-alert__check').toggle Class('removed'); $('.saved-jobs-alert__message').html('Job has been removed.'); } else { is_job_saved = 'true'; job_item = ''+'--'+jobid; $('.saved-jobs-alert__check').toggle Class('removed'); $('.saved-jobs-alert__message').html('Job has been saved!'); } document.cookie = "c_jobs="+job_item+';expires=;path=/'; $('.button-saved, .button-save').toggle Class('d-none'); $('.button-saved').append(' '); $('.saved-jobs-alert-wrapper').fade In(); set Timeout(function() { $('.button-saved').html('Saved'); $('.saved-jobs-alert-wrapper').fade Out(); }, 2000); // Setting the Saved Jobs link - function call setsavedjobs(job_item); } Save Job Saved Summary Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. About the Role: Edits all healthcare claims for accurate submission according to local and Federal regulations. KEY RESPONSIBILITIES: Edits all healthcare claims for accurate submission according to local and federal regulations. Imports, edits, corrects and transmits claims to third party payers on a daily basis. Prepares daily claims submission tracking and error reports. Assists in implementing billing system upgrades. Information and claim resolution and correction. REQUIREMENTS: Education: HS Diploma/GED preferred Experience: Three years prior hospital billing experience Potential for hybrid remote Additional Information What We Offer: Impact: Join a team that values innovation and outcomes, delivering life-saving care to our youngest and most vulnerable patients. Growth : Opportunities for professional development, including tuition reimbursement and developing foundational skills for neonatal critical care leadership and advanced certification. Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support - improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license. Benefits : Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on job), comprehensive health plans, free parking, and wellness programs. Why LifeBridge Health? With over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in the Baltimore region: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll Hospital, and Levindale Hebrew Geriatric Center and Hospital. Our organization thrives on a culture of CARE BRAVELY-where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare. LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. Share: talemetry.share(); Apply Now var jobsmap = null; var jobsmap_id = "gmapdcuzv"; var cslocations = $cs.parse JSON('[{\"id\":\"2123622\",\"title\":\"COMMERCIAL BILLER\",\"permalink\":\"commercial-biller\",\"geography\":{\"lat\":\"39.4009361\",\"lng\":\"-76.7789136\"},\"location_string\":\"10090 Red Run Blvd, Owings Mills, MD\"}]'); function tm_map_script_loaded(){ jobsmap = new csns.maps.jobs_map().draw_map(jobsmap_id, cslocations); } function tm_load_map_script(){ csns.maps.script.load( function(){ tm_map_script_loaded(); }); } $(document).ready(function(){ tm_load_map_script(); });
$37k-44k yearly est. 1d ago
Patient Financial Rep - Per Diem
Mohawk Valley Health System 4.6
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
$19-25 hourly 5d ago
Patient Care Specialist - Behavioral Health
Sentara Health 4.9
Harrisonburg, VA jobs
City/State Harrisonburg, VA Work Shift First (Days) Sentara Rockingham Memorial -Behavioral Health is hiring a Full-Time Patient Care Specialist! As aPatient Care Specialistwith Sentara Healthcare, you will provide non-clinical support within a physician's office and ensure an excellent patient experience by performing a variety of complex administrative tasks to support patient care delivery. Primary duties include answering phones, scheduling appointments, and answering patient questions. In this role, you will find that teamwork is exceptional, with everyone working together to ensure the best care for our patients. Click to hear Joyce tell us about a day in the life of a Patient Care Specialist with Sentara Healthcare. Education HS Diploma Associate Level degree or higher in lieu of the required experience will be considered. Experience 3 years Customer Service experience required. 1 yearexperience with Health Insurance Plans, Medical Records Data, Medical Terminology, Registration, Scheduling, or Third-Party Payers required. Electronic Medical Record preferred. Keywords: Patient Care Representative, Customer Service, Talroo-Allied Health, Medical Office #indeed 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 have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. 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.
$29k-34k yearly est. 15d ago
Patient Care Specialist
Sentara Health 4.9
Chesapeake, VA jobs
City/State Chesapeake, VA Work Shift First (Days) SMG Family Medicine Riverwalk in Chesapeake, VA is hiring a Patient Care Specialist! As a Patient Care Specialist with Sentara Healthcare, you will provide non-clinical support within a physician's office and ensure excellent patient experience by performing a variety of complex administrative tasks to support patient care delivery. Primary duties include answering phones, scheduling appointments, and answering patient questions. In this role, you will find that teamwork is exceptional, with everyone working together to ensure the best care for our patients. Click to hear Joyce tell us about a day in the life of a Patient Care Specialist with Sentara Healthcare. Education HS Diploma Associate Level degree or higher in lieu of the required experience will be considered. Experience 3 years' Customer Service experience required. 1 yearexperience with Health Insurance Plans, Medical Records Data, Medical Terminology, Registration, Scheduling, or Third-Party Payers required. Electronic Medical Record preferred. Keywords: Patient Care Representative, Customer Service, Talroo-Allied Health, Medical Office 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 have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. 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.
$29k-34k yearly est. 15d ago
Referral Coordinator
Sentara Health 4.9
Virginia Beach, VA jobs
City/State Virginia Beach, VA Work Shift First (Days) Provides a direct link between patients, primary care providers, specialty providers, and insurance companies. Coordinates referral process from primary care providers as well as pre-authorization approvals for drugs and other services as ordered by provider. Medical terminology preferred. Knowledge of Medicare, Medicaid and third party payers. One year of experience with insurance verification/referral processing preferred. Knowledge of EPIC preferred. Proficient in use of computers and excellent organizational skills. Education HS Diploma required Certification/Licensure None required Experience 1 year of health insurance experience required. Keywords: Talroo-Allied Health, Referral Coordinator . We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$17.31 - $28.85. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. 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 Independence provides quality outpatient services to the surrounding community. The facility includes an ambulance-accessible emergency room that is supported by board-certified physicians. Sentara Independence houses state-of-the-art medical equipment and highly-skilled physicians and staff. Sentara Independence is now an extension of the quality services at Sentara Virginia Beach General Hospital including advanced imaging and physical therapy. 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.
$17.3-28.9 hourly 15d ago
Patient Care Specialist
Sentara Health 4.9
Suffolk, VA jobs
City/State Suffolk, VA Work Shift First (Days) Sentara Medical Group Surgery Specialists Obici Office is now hiring a Full-Time Patient Care Specialist in Suffolk, VA! Hours:Monday-Friday, Dayshift. Some weekend shifts required. NO NIGHTS or HOLIDAYS! Overview As a Patient Care Specialist with Sentara Healthcare, you will provide non-clinical support within a physician's office and ensure an excellent patient experience by performing a variety of complex administrative tasks to support patient care delivery. Primary duties include answering phones, scheduling appointments, and answering patient questions. In this role, you will find that teamwork is exceptional, with everyone working together to ensure the best care for our patients. Click to hear Joyce tell us about a day in the life of a Patient Care Specialist with Sentara Healthcare. Education HS Diploma Associate Level degree or higher in lieu of the required experience will be considered Experience 3 years Customer Service experience required 1 year experience with Health Insurance Plans, Medical Records Data, Medical Terminology, Registration, Scheduling, or Third Party Payers required Keywords: Patient Care Representative, Talroo-Allied Health, Medical Office 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 have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. 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.
$29k-34k yearly est. 15d ago
Patient Access Representative
Sentara Health 4.9
Hampton, VA jobs
City/State Hampton, VA Work Shift Multiple shifts available Sentara Careplex and Sentara Port Warwick are hiring Patient Access Representatives ***Full Time shifts available.*** The Patient Access Rep is responsible for all aspects of the patient registration process, including: verifying the patient identity and selecting the correct patient record, reviewing schedules and physician orders to register the patient for the appropriate service, scanning important documents such as insurance cards, ID's, Living Wills, and POAs and verifying and entering the patient's demographic and insurance information in the electronic health record. Explain and complete complex regulatory and compliance documents and adhere to all applicable privacy and compliance standards. They will explain and collect co-payments, deposits and outstanding balances, and perform transactions securely. Greet patients and families, answer questions, and ensure the patients arrive to the appropriate service area at the right time. May also perform scheduling, pre-admission and discharge duties and provide supervision and patient information updates to families in waiting rooms. Education High School Diploma or Equivalent (Required) Associate's or Bachelor's degree can be considered in lieu of two years of experience Certification/Licensure No specific certification or licensure requirements Experience Customer Service OR Data Entry - 2 years (Required) Demonstrated proficiency in computer keyboarding skills (Required) Knowledge of third party payers, ICD-9/ CPT coding and medical terminology (Preferred) Interpersonal skills Proper grammar, spelling and punctuation Extensive training provided for entry-level candidates and opportunities for advancement provided. Talroo - Allied Health, registration, scheduling, insurance, patient access 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 CarePlex Hospita l, located in Hampton, VA, is a 224-bed technologically advanced, acute care facility, and Certified Primary Stroke Center. Other features include specialized services in heart and vascular, urologic care, along with advanced diagnostic and surgical capabilities, a hospitalist program, and one of the state's busiest emergency departments. We are also home to the Orthopedic Hospital at Sentara CarePlex Hospital, the area's first dedicated orthopedic hospital. We improve health every day, come be a part of the community. 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.
$28k-32k yearly est. 15d ago
Patient Care Specialist
Sentara Health 4.9
South Boston, VA jobs
City/State South Boston, VA Work Shift Rotating Sentara Urgent Care South Boston is now hiring a Flexi Patient Care Specialist based in South Boston, VA! Schedule: Clinic hours - 8:00a.m. - 8:00p.m. Monday-Friday. Saturday and Sunday, 8am-4pm. Scheduled hours and shifts may vary based on business need and candidates' availability. Overview As a Patient Care Specialist with Sentara Healthcare, you will provide non-clinical support within a physician's office and ensure an excellent patient experience by performing a variety of complex administrative tasks to support patient care delivery. Primary duties include answering phones, scheduling appointments, and answering patient questions. In this role, you will find that teamwork is exceptional, with everyone working together to ensure the best care for our patients. Click to hear Joyce tell us about a day in the life of a Patient Care Specialist with Sentara Healthcare. Education HS Diploma Associate Level degree or higher in lieu of the required experience will be considered Experience 3 years Customer Service experience required 1 year experience with Health Insurance Plans, Medical Records Data, Medical Terminology, Registration, Scheduling, or Third Party Payers required Keywords: Patient Care Representative, Talroo-Allied Health, Medical Office 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 have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. 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.
$29k-34k yearly est. 15d ago
Registration Specialist II - Meyer Orthopedic Surgical Center
L.E. Cox Medical Centers 4.4
Springfield, MO jobs
:The Registration Specialist is responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. This individual completes the registration for scheduled and unscheduled visits by collecting accurate demographic information, insurance information, and handling patient financial obligation at the time of service. This individual is also responsible for financial clearance functions on assigned scheduled accounts during registration downtimes. The Registration Specialist II greets and serves patients and internal team members in a professional, friendly, and respectful manner to promote positive encounters. Some travel from site to site, as well as extended hours may be required of a Registration Specialist II based on business needs of the department. Education ▪ Required: High school diploma or equivalent Experience ▪ Preferred: At least 1-2 years prior registration experience Skills ▪ Proficient in using computers and computer systems ▪ Excellent customer service skills and ability to work with the public and co-workers ▪ Excellent verbal and written communication skills. ▪ Ability to multi-task in a fast-paced environment ▪ Able to work independently and collaboratively in a team Licensure/Certification/Registration ▪ N/A
$23k-28k yearly est. 12d ago
Maternity Care Authorization Specialist (Hybrid Potential)
Christian Healthcare Ministries 4.1
Barberton, OH jobs
This role plays a key part in ensuring maternity care bills are processed accurately and members receive timely support during an important season of life. The specialist serves as a detail-oriented professional who upholds CHM's commitment to excellence, compassion, and integrity. WHAT WE OFFER Compensation based on experience. Faith and purpose-based career opportunity! Fully paid health benefits Retirement and Life Insurance 12 paid holidays PLUS birthday Lunch is provided DAILY. Professional Development Paid Training ESSENTIAL JOB FUNCTIONS Compile, verify, and organize information according to priorities to prepare data for entry Check for duplicate records before processing Accurately enter medical billing information into the company's software system Research and correct documents submitted with incomplete or inaccurate details Verify member information such as enrollment date, participation level, coverage status, and date of service before processing medical bills Review data for accuracy and completeness Uphold the values and culture of the organization Follow company policies, procedures, and guidelines Verify eligibility in accordance with established policies and definitions Identify and escalate concerns to leadership as appropriate Maintain daily productivity standards Demonstrate eagerness and initiative to learn and take on a variety of tasks Support the overall mission and culture of the organization Perform other duties as assigned by management SKILLS & COMPETENCIES Core strengths like problem-solving, attention to detail, adaptability, collaboration, and time management. Soft skills such as empathy (especially important in maternity care), professionalism, and being able to handle sensitive information with care. EXPERIENCE REQUIREMENTS Required: High school diploma or passage of a high school equivalency exam Medical background preferred but not required. Capacity to maintain confidentiality. Ability to recognize, research and maintain accuracy. Excellent communication skills both written and verbal. Able to operate a PC, including working with information systems/applications. Previous experience with Microsoft Office programs (I.e., Outlook, Word, Excel & Access) Experience operating routine office equipment (i.e., faxes, copy machines, printers, multi-line telephones, etc.) About Christian Healthcare Ministries Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
$31k-35k yearly est. 3d ago
Referral Specialist - $19.58 - 23.98/hr
Yakima Valley Farm Workers Clinic 4.1
Hermiston, OR jobs
Join our team as a Referral Specialist at Mirasol Family Health Center in Hermiston, OR! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at ************* to learn more about our organization. What We Offer $19.58-$23.98/hour DOE with the ability to go higher for highly experienced candidates Additional pay for your bilingual skills! 100% employer-paid health insurance including medical, dental, vision, Rx, 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, eight paid holidays, and much more! What You'll Do: Manage work queues regarding referral activity daily to ensure timely processing and/or completion Assist with patient referrals for additional services needed with internal and external medical facilities Assist with patient insurance authorization Assist with appointment setup as needed Coordinate follow-up between referral source and patient Ensure chart notes and follow-up documentation are linked to the referral Provide translated educational materials and directions to patients when necessary Process incoming correspondence and respond to calls, emails, and faxes Perform other duties as assigned Qualifications: High School Diploma or General Education Diploma (GED) One year's experience working in an office setting, preferably a medical or dental office. Bilingual (English/Spanish) is required at level 9 Knowledge of or ability to learn medical terminology required Ability to prioritize work, handle a variety of tasks simultaneously and complete projects in a fast-paced environment Excellent communication and interpersonal skills Strong organizational skills Our Mission Statement “Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being.” Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
$19.6-24 hourly 1d ago
Medical Biller (Home Infusion)
Premier Infusion and Healthcare Services, Inc. 4.0
Torrance, CA jobs
Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work! Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart. PREMIER BENEFITS - For FULL TIME Employees: ● Competitive Pay ● 401K Matching Plan - Up to 4% ● Quarterly Bonus Opportunities ● Medical, Dental & Vision Insurance ● Employer Paid Life Insurance ● Short Term / Long Term Disability Insurance ● Paid Vacation Time Off ● Paid Holidays ● Referral Incentives ● Employee Assistance Programs ● Employee Discounts ● Fun Company Events JOB DESCRIPTION: BILLER Description of Responsibilities Coordinates and performs business office activities involved with collecting payments for Premier Infusion Care products and follows established procedures for billing. Reporting Relationship Billing Manager Scope of Supervision None Responsibilities include the following: 1. Performs all aspects of billing for commercial insurance companies/ health plans, medical groups, hospitals, hospice facilities, NCPDP, and/or MSO's 2. Bills Medicare for PR-96/204 (denials) required for secondary billing submissions. 3. Follows up on EOB's (explanation of benefits) which includes: - Medicare denials - Billing secondary insurance after Medicare's has denied claims. 4. Calling insurance companies for explanation of denials if questionable. 5. Making corrections on deny claims and re-bills insurance companies. 6. Checks EOB's with contracted fee schedule for accuracy or adjustments as needed. 7. Patient calls for benefit, invoicing, and explanations as needed. 8. Resolves electronic (Office Ally, Novologix, or Emdeon clearing house) report matters. Minimum Qualifications: Effective interpersonal, time management and organizational skills. Office experience preferred. Computer skills that include word processing, and efficient use of the internet and e-mail. Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Must be detail oriented Education and/or Experience: Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) or Higher. At least 1 -2 years of medical or pharmaceutical billing experience or related A/R Knowledge of insurance verification procedures. Proficiency in 10-key preferred. Prior experience in a pharmacy or home health company is of benefit. Prior experience in a consumer related business is also of benefit. Equal Employment Opportunity (EEO) It is the policy of Premier Infusion & Healthcare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & Healthcare Services will provide reasonable accommodations for qualified individuals with disabilities. Job Type: Full-time Work Location: In person
$38k-45k yearly est. 1d ago
Patient Services Representative
Koch Eye Associates 3.5
Wakefield-Peacedale, RI jobs
Koch Eye Associates is proud to have served the residents of Rhode Island with field-leading eye care for almost 40 years. We began our practice in 1981 out of a small office in Warwick, and now we have eight locations spanning Warwick, Cranston, North Kingstown, Wakefield, and Woonsocket. Our dedicated team of ophthalmologists and optometrists is devoted to providing top-notch, stress-free care to our patients. Description The Lead Patient Service Representative is the point person for the Patient Service Representative Team. The team is tasked with coordinating communication, managing patient inquiries, and ensuring positive and efficient patient experience while adhering to patient confidentiality and privacy regulations. Duties And Responsibilities Patient registration, scheduling, data entry and processing. Educates patients regarding benefits and collects patient payments, at point of service. Complete and accurate management of patient data in practice management system. Verify health insurances and obtain referrals. Organize and maintain medical records. Miscellaneous administrative tasks including, but not limited to scheduling, transportation, filing, faxing, etc. Must have a clear understanding of company policies including the company manual. Requirements Knowledge, Skills, and Abilities: Exceptional Customer Experience - Understands and anticipates customer needs, takes action to meet customer's needs and strives to exceed their expectations. Proactive- Keep others informed. Ask for help when needed, brings service challenges to supervisor. Drive for Results - Strives for improving the delivery of services with a commitment to continuous improvement. Focus on Efficiency - Utilizes technology, innovation, and process improvements to continuously improve efficiency and effectiveness. Teamwork- Participates as a team member and establishes strong working relationships with teammates and across the organization. Celebrates Change- Receptive to new ideas and responds to changes with flexibility and optimism. Continues Learning and Improvement- Acknowledges own strengths and development needs and works to strengthen capabilities. Must possess the physical, mental, and cognitive skills needed to complete essential tasks, including abilities such as learning, remembering, focusing, categorizing, and integrating information for comprehension, problem-solving, and timely decision-making. Education High School Diploma or equivalent preferred Typical Physical Demands Sitting, Standing, Bending, Reaching, Stooping, Walking and Lifting Ability to see, hear, and speak with sufficient capability to perform assigned tasks Driving independently to other facilities Our Full-time Employment Package Offers Medical, dental, and vision insurance begins first day of the month following date of hire FSA and HSA Paid long-term disability (LTD) Paid LIFE and AD&D insurance Paid Time Off (PTO) and holidays 401k Plan Competitive salary Career growth and leadership development We are committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of our clinical groups will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation, and gender identity and/or expression, other dimensions of diversity or common human decency. We value diversity in thought and culture and welcome highly skilled, capable, competent, collegial members to our team.
$34k-40k yearly est. 2d ago
Patient Advocate - Patient Safety - Full Time
Guthrie 3.3
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.
$35k-43k yearly est. 5d ago
Centralized Scheduler - Central Scheduling - Full Time
Guthrie 3.3
Sayre, PA jobs
The Guthrie Clinic works with the communities we serve to help each person attain optimal, life‐long health and well‐being. The Centralized Scheduler will provide the highest quality patient care consistent with Guthrie's Vision of Improving Health through Clinical Excellence and Compassion; Every Patient. Every time. As a first point of contact for most patients, the Centralized Scheduler provides direct, daily operational support in a manner consistent with The Guthrie Clinic's Service Excellence Standards. The Centralized Scheduler 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. Performing all centralized scheduling services and procedures (as assigned), including scheduling, pre‐registration, cancellation and insurance and benefits verification. Maintaining and applying detailed knowledge of Patient Access workflows and the centralized scheduling and registration system in order to address patient inquiries about scheduling, pre‐registration, cancellation, insurance and benefits verification/billing/payments, and any self‐pay/personal financial liabilities. Education, License & Cert: High school graduate or GED required. Experience: Prior healthcare customer service, scheduling, insurance billing and payment knowledge. Two years previous healthcare experience. Previous experience using or implementing Epic. Ability to use Windows programs such as MS Word and other software packages with knowledge of medical terminology. Excellent written, verbal communication and interpersonal skills. Strong typing skills and proper phone etiquette. Ability to make independent judgment decisions about the data being gathered Essential Functions: 1. Perform scheduling, pre‐registration, cancellation, and insurance and benefits verification and patient payment collection and all other centralized scheduling duties in compliance with customer service standards. 2. Strong customer service skills to ensure quality phone calls with the patients. 3. Execute front‐end centralized collection of all patient insurance benefits information to ensure accurate payment of services as well as educate patients on copays and previous balances. Schedule patients with financial counselors for assistance when appropriate or get patient to a customer representative to learn more about their balance. 4. Develop strong working relationships with physician offices, non‐centralized scheduling and registration areas, ancillary coding, and other areas as needed to ensure appropriate and effective communication and coordination of service delivery. 5. Assist patients with enrollment of my chart or any issues related to my chart and educate on the capabilities. 6. Adhere to all relevant policies and procedure as outlined by direct report. 7. Meet productivity, quality requirements and service goals as outlined in the performance expectations. 8. Function as a team member to assist other centralized schedulers with tasks as needed including assisting in training of all employees as assigned. 9. Communicate to direct report all centralized scheduling obstacles, concerns and system deficiencies impacting the team and provide support in dealing with complex issues. 10. Complete special projects, make outbound calls to schedule from referrals/orders, enter in orders and referrals, assist with conversational messaging with patient or work queues as assigned. 11. Operate and utilize the Epic System while staying current and learning new skills as needed to perform all aspects of the position. Other Duties: 1. Assist and participate in departmental meetings when needed. 2. Support the Guthrie Clinic's system‐wide vision and goals of central scheduling. 3. 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 The pay ranges from #17.06-26.61 Rev. 2-2-2024
$27k-35k yearly est. 4d ago
Sr. Medical Biller Office Based $20/HR -$26/HR
Private Practice 4.2
Saginaw, MI jobs
Private Practice Full Time Position - Mon - Fri 8 am - 5 pm Must Have 5 Years Experience Great Doctor and Staff! 401K, HSA Sorry NO New Grads! Please Apply By CV or Resume
$34k-41k yearly est. 60d+ ago
Insurance Coordinator
Premier Infusion and Healthcare Services, Inc. 4.0
Torrance, CA jobs
Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work! Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart. PREMIER BENEFITS - For FULL TIME Employees: ● Competitive Pay ● 401K Matching Plan - Up to 4% ● Quarterly Bonus Opportunities ● Medical, Dental & Vision Insurance ● Employer Paid Life Insurance ● Short Term / Long Term Disability Insurance ● Paid Vacation Time Off ● Paid Holidays ● Referral Incentives ● Employee Assistance Programs ● Employee Discounts ● Fun Company Events JOB DESCRIPTION: Description of Responsibilities The Insurance Coordinator is responsible for all new referral insurance verification and/or authorization in a timely matter. Reporting Relationship Insurance Manager Responsibilities include the following: Responsible for insurance verification and/or authorization on patients. Responsible for audit of information from the Intake Referral Form and patient information received from the referral source entered into the computer system correctly. This includes but is not limited to: demographics, insurance, physician, nursing agency, diagnosis, height, weight, and allergies (when information is available and as applicable). Re-verification of verification and/or authorization and demographics on all patients. Participate in surveys conducted by authorized inspection agencies. Participate in in-service education programs provided by the pharmacy. Report any misconduct, suspicious or unethical activities to the Compliance Officer. Perform other duties as assigned by supervisor. Minimum Qualifications: Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus. Must be friendly professional and cooperative with a good aptitude for customer service and problem solving. Education and/or Experience: Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) Prior experience in a pharmacy or home health company is preferred. Prior dental or home infusion experience a plus Prior experience in a consumer related business is preferred Equal Employment Opportunity (EEO) It is the policy of Premier Infusion & HealthCare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & HealthCare Services will provide reasonable accommodations for qualified individuals with disabilities.
$31k-38k yearly est. 1d ago
Referral Coordinator - Specialty Neurosurgery
Christus Health 4.6
San Antonio, TX jobs
Make sure to apply quickly in order to maximise your chances of being considered for an interview Read the complete job description below. CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Summary: This position is responsible for coordinating the referral/authorization of the clinic and assisting the Director in the operational performance of the Hospital Outpatient Department (HOPD). This includes but is not limited to: obtaining authorizations for all patient services, answering phones, making appointments, chart creation, and filing, assisting patients with payment arrangements and insurances related issues. Responsibilities: Obtains authorizations for clinic visits, clinic procedures, and minor surgeries. Calls to obtain patient's diagnostic codes from other sites as needed. Handles payment transactions to include balancing at the end of the day. Enters referral/authorization information appropriately and completely as needed. Contacts patients to resolve appointments, authorizations and payment difficulties or arrange satisfactory payment plans. Aids patients to improve customer service. Coordinates resolution of problems with PCP offices and Imaging Facilities and ensures compliance with regulations and standards. Facilitates the flow of information between individuals, departments, physicians and leadership to progress toward organizational goals and achieve timely solutions to problems. Assists Management in ensuring the compliance of Joint Commission guidelines and National Patient Safety Goals. Serves as a liaison between patients, Associates, staff, and providers. Maintains effective and respectful communication with providers, patients, Associates, and staff. Works with staff and providers to ensure quality patient care and services are provided. Ensures patient safety at all times. Maintains strict confidentiality. Follows CHRISTUS and Federal guidelines related to HIPAA, designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI). Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission. Maintains established CHRISTUS policies, procedures, objectives, quality assurance, safety, and environmental and infection control protocols. Performs other job responsibilities as assigned in a manner consistent with the CHRISTUS Mission and Code of Ethics and is supportive of CHRISTUS' cultural diversity objectives. Supports and adheres to the Service Guarantee and strives for ever-improved patient satisfaction. xevrcyc Requirements: Education/Skills High School diploma or GED required Must have experience in medical financial reimbursement, billing and collections Must have knowledge of CPT and ICD10 coding Must have ability to work independently and exercise good judgment Must have strong interpersonal and communication skills Must have prior experience working with PCs, scanning, faxes and multi-line phone systems Bilingual (Spanish/English) preferred Experience Two years of experience in a medical office, in a patient access position, performing medical billing/collections, or other comparable position in a medical setting required. Licenses, Registrations, or Certifications None Work Schedule: 5 Days - 8 Hours Work Type: Full Time
$30k-35k yearly est. 1d ago
Patient Assess Standards Coord
Altru Rehabilitation Hospital 4.6
Washington, DC jobs
Patient Assessment Standards Coordinator Career Opportunity Join a Team That Puts Your Passion for Detail First Are you searching for a fulfilling career as a Patient Assessment Standards Coordinator? Look no further; join our team for a journey where your work is a meaningful contribution to patient well-being. As a Patient Assessment Standards Coordinator, you are vital to ensuring the highest standards of patient care, as your role involves ensuring patient assessments are compliant with established standards. This is more than a profession; it's a career close to home and heart, where your dedication significantly impacts the lives of those in our care. If you're passionate about promoting excellence in patient assessments, join our dedicated team. A Glimpse into Our World At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing. Starting Perks and Benefits At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one , you will have access to: · Affordable medical, dental, and vision plans for both full-time and part-time employees and their families. · Generous paid time off that accrues over time. · Opportunities for tuition reimbursement and continuous education. · Company-matching 401(k) and employee stock purchase plans. · Flexible spending and health savings accounts. · A vibrant community of individuals passionate about the work they do! Be the Patient Assessment Standard Coordinator you always wanted to be · Assure accurate data extraction from clinical documentation. · Coordinate timely submission of data for Medicare patients. · Educate and support staff on proper and accurate documentation. · Act as the primary resource for problem-solving regarding Quality Indicator coding and IRF-PAI completion. · Work to improve process of QI coding and all other data collection specific to IRF- PAI. · Ensure IRF-PAI data is entered and transmitted accurately. · Ensure IRF-PAI data is transmitted to CMS/UDS within time frames specified for admission/discharge. · Review, interpret and collect data on each patient in preparation for completion of the IRF- PAI. · Collaborate with team on identification of potential comorbidities or accurate CMG/RIC categories. · Ensure all discharged patient records contain the required elements. · Complete chart audit to allow for timely UDS export and CMS transmission. Qualifications License or Certification: Licensed or certified clinician in healthcare (RN, LPN, PT, PTA, OT, COTA, SLP, Recreational Therapist, Respiratory Therapist, case manager/social worker) QI Credentialed Obtain UDS IRF PPS Certification after 2 years in the PASC role and before the 3rd-year anniversary. Minimum Qualifications: Ability to perform assessments. 1 year of healthcare experience. Attend all EHC IRF-PAI trainings. Preferred: Experience in rehab or post-acute care, proficient teaching, and communication skills Effective oral and written communication skills Strong organizational and critical thinking abilities Detail-oriented and capable of meeting deadlines independently Commitment to maintaining high-quality standards in patient assessments. The Encompass Health Way We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing! At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.
$36k-40k yearly est. 5d ago
Referral Coordinator - Specialty Neurosurgery
Christus Health 4.6
Randolph Air Force Base, TX jobs
Make sure to apply quickly in order to maximise your chances of being considered for an interview Read the complete job description below. CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Summary: This position is responsible for coordinating the referral/authorization of the clinic and assisting the Director in the operational performance of the Hospital Outpatient Department (HOPD). This includes but is not limited to: obtaining authorizations for all patient services, answering phones, making appointments, chart creation, and filing, assisting patients with payment arrangements and insurances related issues. Responsibilities: Obtains authorizations for clinic visits, clinic procedures, and minor surgeries. Calls to obtain patient's diagnostic codes from other sites as needed. Handles payment transactions to include balancing at the end of the day. Enters referral/authorization information appropriately and completely as needed. Contacts patients to resolve appointments, authorizations and payment difficulties or arrange satisfactory payment plans. Aids patients to improve customer service. Coordinates resolution of problems with PCP offices and Imaging Facilities and ensures compliance with regulations and standards. Facilitates the flow of information between individuals, departments, physicians and leadership to progress toward organizational goals and achieve timely solutions to problems. Assists Management in ensuring the compliance of Joint Commission guidelines and National Patient Safety Goals. Serves as a liaison between patients, Associates, staff, and providers. Maintains effective and respectful communication with providers, patients, Associates, and staff. Works with staff and providers to ensure quality patient care and services are provided. Ensures patient safety at all times. Maintains strict confidentiality. Follows CHRISTUS and Federal guidelines related to HIPAA, designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI). Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission. Maintains established CHRISTUS policies, procedures, objectives, quality assurance, safety, and environmental and infection control protocols. Performs other job responsibilities as assigned in a manner consistent with the CHRISTUS Mission and Code of Ethics and is supportive of CHRISTUS' cultural diversity objectives. Supports and adheres to the Service Guarantee and strives for ever-improved patient satisfaction. xevrcyc Requirements: Education/Skills High School diploma or GED required Must have experience in medical financial reimbursement, billing and collections Must have knowledge of CPT and ICD10 coding Must have ability to work independently and exercise good judgment Must have strong interpersonal and communication skills Must have prior experience working with PCs, scanning, faxes and multi-line phone systems Bilingual (Spanish/English) preferred Experience Two years of experience in a medical office, in a patient access position, performing medical billing/collections, or other comparable position in a medical setting required. Licenses, Registrations, or Certifications None Work Schedule: 5 Days - 8 Hours Work Type: Full Time
$30k-35k yearly est. 1d ago