Clinical Patient Access Specialist (MA, LPN, or EMT required) - Corporate Call Center
Fort Mitchell, KY jobs
Job Type: Regular Scheduled Hours: 40 Reports to Team Leader or Patient Access Manager. The Clinical Patient Access Specialist is primarily responsible for relaying reviewed normal, expected, or abnormal results to patients. The Clinical Patient Access Specialist will successfully manage large amounts of inbound calls while ensuring all pertinent medical information and care needs for patients are identified, documented, and communicated to the provider. The Clinical Patient Access Specialist is always responsible for creating a positive impression with patients, family members and other callers.
Job Description:
Job Title: Clinical Patient Access Specialist- Call Center
(MA, LPN, or EMT Required)
BENEFITS:
* Work from Home Opportunity after training (Equipment Provided)
* Paid Time Off
* Medical, Dental, and Vision
* 403b with Match
* Opportunity for Growth
DUTIES AND RESPONSIBILITIES:
* Understand and uphold SEP's Mission, Vision, and Values.
* Comply with all applicable laws and regulations.
* Comply with all applicable laws and regulations.
* Comply with scheduling of patients and release of medical information processes to stay compliant with OSHA/CLIA/HIPAA.
* Accurate documentation in the EMR.
* Provide instructions and results to patients under directions of the providers.
* Communicates as needed with offices about any patient concerns/issues related to results.
* Schedules appointments for patients based on the criteria outlined in the office scheduling preference cards and/or decision trees
* Maintains an effective working relationship with team members, members of medical practice and leadership.
* Verifies and updates all patient demographic and insurance information.
* Provide information and communicate effectively to resolve issues with patients, providers, other associates, management and insurance companies.
* Advises patients of outstanding balances.
* Ensures accurate and timely distribution of patient requests.
* Advises patients of outstanding balances.
* Ensures accurate and timely distribution of patient requests
* Works with central billing office and physicians/clinicians as needed in a timely manner on all requests.
* Other duties and responsibilities as assigned.
EDUCATION:
Minimum: Active certification or license of LPN, CMA, RMA, EMT.
YEARS OF EXPERIENCE:
Minimum: One year of experience in area of certification in a clinical setting.
LICENSES AND CERTIFICATIONS:
An approved credential such as LPN, CMA, RMA, EMT.
FLSA Status:
Non-Exempt
Right Career. Right Here. If you have a passion for taking care of the community and are interested in Healthcare, you will take pride in the level of care we provide at St. Elizabeth. We take care of patients and each other.
St. Elizabeth Physicians is an equal opportunity employer and will not discriminate on the basis of race, color, sex, religion, national origin, ancestry, disability, age or any other characteristic that is protected by state or federal law.
Auto-ApplyAuthorization Specialist (Remote in Wisconsin/Michigan)
Marshfield, WI jobs
Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!Job Title:Authorization Specialist (Remote in Wisconsin/Michigan) Cost Center:101651135 Insurance VerificationScheduled Weekly Hours:40Employee Type:RegularWork Shift:Mon-Fri; day shifts (United States of America) Job Description:
**Wisconsin and Michigan residents only eligible to apply**
JOB SUMMARY
The Authorization Specialist is a healthcare professional responsible for reviewing patient medical records to determine if a prescribed treatment, procedure, or medication requires prior authorization from the insurance company, ensuring that the requested care is deemed medically necessary and covered under the patient's benefits before it can be administered; this involves verifying patient eligibility, contacting insurance companies to obtain authorization, and managing the process to minimize delays in patient care. An Authorization Specialist works in a fast-paced environment with high call volumes, requiring strong organizational skills and the ability to manage multiple tasks simultaneously.
JOB QUALIFICATIONS
EDUCATION
For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.
Minimum Required: None
Preferred/Optional: Successful completion of post-secondary courses in Medical Terminology and Diagnosis and CPT Coding, and Anatomy & Physiology. Graduate of a Medical Assistant, Health Unit Coordinator or Health Care Business Service program.
EXPERIENCE
Minimum Required: Two years' experience in a medical business office or healthcare setting involving customer service or patient-facing responsibilities, or equivalent experience. In addition to the following:
Medical knowledge: Understanding of basic medical terminology, disease processes, and treatment options to accurately assess medical necessity.
Insurance knowledge: Familiarity with different insurance plans, benefit structures, and prior authorization guidelines.
Excellent communication skills: Ability to effectively communicate with healthcare providers, insurance companies, and patients to clarify information and address concerns.
Attention to detail: High level of accuracy in data entry and review of medical records to ensure correct prior authorization requests.
Problem-solving skills: Ability to identify potential issues with prior authorization requests, navigate complex situations, and find solutions to ensure timely patient care.
Preferred/Optional: None
CERTIFICATIONS/LICENSES
The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.
Minimum Required: None
Preferred/Optional: None
**Wisconsin and Michigan residents only eligible to apply**
Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.
Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
Auto-ApplyPatient Services Rep(Mon-Fri 9am-5:30pm; EO Wed 11am-7:30pm)
Philadelphia, PA jobs
The Patient Services Representative is responsible for patient registration, scheduling, customer service and clerical support. Duties include accepting, recording and verifying insurance information, processing preauthorization requests, collecting copays and account balance payments, scanning documents into EMR and other administrative tasks related to the efficient operations of the department. Incumbents must ensure contact with patients, families, the community, vendors, coworkers and physicians are carried out in a friendly, courteous, helpful and considerate manner.
Education
High School Diploma or Equivalent OR - GED - Relevant experience may be considered in lieu of education Required
Experience
Licenses
'393016
ED Patient Access ED Representative (Part Time, Evenings)
Orwigsburg, PA jobs
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
JOB SUMMARY
The Patient Access Representative is responsible for the entire scope of the registration process for patients seen at St. Luke's University Health Network, in outpatient and/or Emergency Department locations. This includes, but is not limited to, correctly identifying patients, transcribing orders, completing registration screens, entering diagnosis and provider information, verifying insurances, point of service cash collections, work queues, etc. A Patient Access Representative I is required to have excellent customer service skills and exhibit PCRAFT values at all times with internal and external customers. Patient Access Representative I communicates/coordinates with SLPG practices, clinical/diagnostic departments, and various revenue cycle departments to ensure excellent patient experience, clean claim submission, and payment for services. May require occasional travel between campuses or regional locations. Required to be cross-trained in all departments at campus or within region.
JOB DUTIES AND RESPONSIBILITIES:
* Responsible to correctly identify/validate the choosing of patients in hospital information system to maintain the integrity and accuracy of electronic medical records. Identify and report any instances of possible identify theft situations to clinical department and leadership for appropriate escalation.
* Maintain knowledge and education of network policy on Patient Identification including Mark for Merge, Chart Corrections, and Patient Look-Up.
* Responsible for the patient registration (pre-reg and post-reg needs) including all of the following: demographics, emergency contact, transcribing diagnostic orders, primary care and referring provider, diagnosis, insurance and guarantor verification, real time insurance eligibility, point of service cash collections. This also includes patient, account, and claim edit level work queue errors related to registration. Can require contacting provider office, reviewing patient medical chart for diagnosis and medical necessity information.
* Required to cross train in all areas of location or region. Campus locations must be cross trained in outpatient and Emergency Department areas. Outpatient (off-campus) locations must be cross trained for all locations if any different nuances.
* Greets/directs patients and visitors for the entire facility. Always provides friendly and courteous service to community and co-workers. Responsible for monitoring and enforcing visitor policy for the entity (if applicable).
* Answers internal and external calls on main department/facility line and dispenses appropriate information and answers questions regarding the facility and its services.
* Promotes and helps increase usage of MyChart patient portal and patient self-service capabilities to ensure patients are personally engaging in their health care.
* Responsible for overseeing and assisting patients with Welcome Kiosk and On My Way technology at network locations. Consists of self-scheduled patients online and monitoring the arrival process and patient's journey throughout their visit.
* Responsible for contacting the SLPG practice or Network Prior Authorization Department to obtain required insurance referrals and pre-certs when not previously documented in chart prior to service to decrease denials for no authorization.
* Must obtain Medical license Number, NPI and UPIN via appropriate website for all new provider entries for outpatient services to ensure results are routed accurately and claim submission/payment.
PHYSICAL AND SENSORY REQUIREMENTS:
Sitting/standing up to 8 hours per day, 4 or more hours at a time. Frequent use of hands/fingers for data entry. Frequently walking and ability to push up to 250 pounds in a wheelchair. Ability to occasionally carry or lift up to 15 pounds. Hearing as it relates to normal conversation. Seeing as it relates to general vision.
MINIMUM QUALIFICATIONS EDUCATION:
High school graduate or equivalent required. Certificate/Degree in health care related field preferred.
TRAINING AND EXPERIENCE:
Excellent customer service and interpersonal skills required. General computer experience and ability to type fluently, accurately, and quickly required. Insurance background preferred. Knowledge of medical terminology preferred. Previous medical administrative experience and/or health care related education courses preferred. Knowledge of health information system (epic) preferred.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer.
Auto-ApplyPatient Access Representative (Part Time, Evenings)
Hazleton, PA jobs
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
Hazelton
JOB SUMMARY
The Patient Access Representative is responsible for the entire scope of the registration process for patients seen at St. Luke's University Health Network, in outpatient and/or Emergency Department locations. This includes, but is not limited to, correctly identifying patients, transcribing orders, completing registration screens, entering diagnosis and provider information, verifying insurances, point of service cash collections, work queues, etc. A Patient Access Representative I is required to have excellent customer service skills and exhibit PCRAFT values at all times with internal and external customers. Patient Access Representative I communicates/coordinates with SLPG practices, clinical/diagnostic departments, and various revenue cycle departments to ensure excellent patient experience, clean claim submission, and payment for services. May require occasional travel between campuses or regional locations. Required to be cross-trained in all departments at campus or within region.
JOB DUTIES AND RESPONSIBILITIES:
* Responsible to correctly identify/validate the choosing of patients in hospital information system to maintain the integrity and accuracy of electronic medical records. Identify and report any instances of possible identify theft situations to clinical department and leadership for appropriate escalation.
* Maintain knowledge and education of network policy on Patient Identification including Mark for Merge, Chart Corrections, and Patient Look-Up.
* Responsible for the patient registration (pre-reg and post-reg needs) including all of the following: demographics, emergency contact, transcribing diagnostic orders, primary care and referring provider, diagnosis, insurance and guarantor verification, real time insurance eligibility, point of service cash collections. This also includes patient, account, and claim edit level work queue errors related to registration. Can require contacting provider office, reviewing patient medical chart for diagnosis and medical necessity information.
* Required to cross train in all areas of location or region. Campus locations must be cross trained in outpatient and Emergency Department areas. Outpatient (off-campus) locations must be cross trained for all locations if any different nuances.
* Greets/directs patients and visitors for the entire facility. Always provides friendly and courteous service to community and co-workers. Responsible for monitoring and enforcing visitor policy for the entity (if applicable).
* Answers internal and external calls on main department/facility line and dispenses appropriate information and answers questions regarding the facility and its services.
* Promotes and helps increase usage of MyChart patient portal and patient self-service capabilities to ensure patients are personally engaging in their health care.
* Responsible for overseeing and assisting patients with Welcome Kiosk and On My Way technology at network locations. Consists of self-scheduled patients online and monitoring the arrival process and patient's journey throughout their visit.
* Responsible for contacting the SLPG practice or Network Prior Authorization Department to obtain required insurance referrals and pre-certs when not previously documented in chart prior to service to decrease denials for no authorization.
* Must obtain Medical license Number, NPI and UPIN via appropriate website for all new provider entries for outpatient services to ensure results are routed accurately and claim submission/payment.
PHYSICAL AND SENSORY REQUIREMENTS:
Sitting/standing up to 8 hours per day, 4 or more hours at a time. Frequent use of hands/fingers for data entry. Frequently walking and ability to push up to 250 pounds in a wheelchair. Ability to occasionally carry or lift up to 15 pounds. Hearing as it relates to normal conversation. Seeing as it relates to general vision.
MINIMUM QUALIFICATIONS EDUCATION:
High school graduate or equivalent required. Certificate/Degree in health care related field preferred.
TRAINING AND EXPERIENCE:
Excellent customer service and interpersonal skills required. General computer experience and ability to type fluently, accurately, and quickly required. Insurance background preferred. Knowledge of medical terminology preferred. Previous medical administrative experience and/or health care related education courses preferred. Knowledge of health information system (epic) preferred.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer.
Auto-ApplyPatient Access Representative (Part Time, Evenings)
Allentown, PA jobs
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Patient Access Representative is responsible for the entire scope of the registration process for patients seen at St. Luke's University Health Network, in outpatient and/or Emergency Department locations. This includes, but is not limited to, correctly identifying patients, transcribing orders, completing registration screens, entering diagnosis and provider information, verifying insurances, point of service cash collections, work queues, etc. A Patient Access Representative I is required to have excellent customer service skills and exhibit PCRAFT values at all times with internal and external customers. Patient Access Representative I communicates/coordinates with SLPG practices, clinical/diagnostic departments, and various revenue cycle departments to ensure excellent patient experience, clean claim submission, and payment for services. May require occasional travel between campuses or regional locations. Required to be cross-trained in all departments at campus or within region.
JOB DUTIES AND RESPONSIBILITIES:
* Responsible to correctly identify/validate the choosing of patients in hospital information system to maintain the integrity and accuracy of electronic medical records. Identify and report any instances of possible identify theft situations to clinical department and leadership for appropriate escalation.
* Maintain knowledge and education of network policy on Patient Identification including Mark for Merge, Chart Corrections, and Patient Look-Up.
* Responsible for the patient registration (pre-reg and post-reg needs) including all of the following: demographics, emergency contact, transcribing diagnostic orders, primary care and referring provider, diagnosis, insurance and guarantor verification, real time insurance eligibility, point of service cash collections. This also includes patient, account, and claim edit level work queue errors related to registration. Can require contacting provider office, reviewing patient medical chart for diagnosis and medical necessity information.
* Required to cross train in all areas of location or region. Campus locations must be cross trained in outpatient and Emergency Department areas. Outpatient (off-campus) locations must be cross trained for all locations if any different nuances.
* Greets/directs patients and visitors for the entire facility. Always provides friendly and courteous service to community and co-workers. Responsible for monitoring and enforcing visitor policy for the entity (if applicable).
* Answers internal and external calls on main department/facility line and dispenses appropriate information and answers questions regarding the facility and its services.
* Promotes and helps increase usage of MyChart patient portal and patient self-service capabilities to ensure patients are personally engaging in their health care.
* Responsible for overseeing and assisting patients with Welcome Kiosk and On My Way technology at network locations. Consists of self-scheduled patients online and monitoring the arrival process and patient's journey throughout their visit.
* Responsible for contacting the SLPG practice or Network Prior Authorization Department to obtain required insurance referrals and pre-certs when not previously documented in chart prior to service to decrease denials for no authorization.
* Must obtain Medical license Number, NPI and UPIN via appropriate website for all new provider entries for outpatient services to ensure results are routed accurately and claim submission/payment.
PHYSICAL AND SENSORY REQUIREMENTS:
Sitting/standing up to 8 hours per day, 4 or more hours at a time. Frequent use of hands/fingers for data entry. Frequently walking and ability to push up to 250 pounds in a wheelchair. Ability to occasionally carry or lift up to 15 pounds. Hearing as it relates to normal conversation. Seeing as it relates to general vision.
MINIMUM QUALIFICATIONS EDUCATION:
High school graduate or equivalent required. Certificate/Degree in health care related field preferred.
TRAINING AND EXPERIENCE:
Excellent customer service and interpersonal skills required. General computer experience and ability to type fluently, accurately, and quickly required. Insurance background preferred. Knowledge of medical terminology preferred. Previous medical administrative experience and/or health care related education courses preferred. Knowledge of health information system (epic) preferred.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer.
Auto-ApplyPatient Access Representative (Per Diem)
Allentown, PA jobs
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
JOB SUMMARY
The Patient Access Representative is responsible for the entire scope of the registration process for patients seen at St. Luke's University Health Network, in outpatient and/or Emergency Department locations. This includes, but is not limited to, correctly identifying patients, transcribing orders, completing registration screens, entering diagnosis and provider information, verifying insurances, point of service cash collections, work queues, etc. A Patient Access Representative I is required to have excellent customer service skills and exhibit PCRAFT values at all times with internal and external customers. Patient Access Representative I communicates/coordinates with SLPG practices, clinical/diagnostic departments, and various revenue cycle departments to ensure excellent patient experience, clean claim submission, and payment for services. May require occasional travel between campuses or regional locations. Required to be cross-trained in all departments at campus or within region.
JOB DUTIES AND RESPONSIBILITIES:
* Responsible to correctly identify/validate the choosing of patients in hospital information system to maintain the integrity and accuracy of electronic medical records. Identify and report any instances of possible identify theft situations to clinical department and leadership for appropriate escalation.
* Maintain knowledge and education of network policy on Patient Identification including Mark for Merge, Chart Corrections, and Patient Look-Up.
* Responsible for the patient registration (pre-reg and post-reg needs) including all of the following: demographics, emergency contact, transcribing diagnostic orders, primary care and referring provider, diagnosis, insurance and guarantor verification, real time insurance eligibility, point of service cash collections. This also includes patient, account, and claim edit level work queue errors related to registration. Can require contacting provider office, reviewing patient medical chart for diagnosis and medical necessity information.
* Required to cross train in all areas of location or region. Campus locations must be cross trained in outpatient and Emergency Department areas. Outpatient (off-campus) locations must be cross trained for all locations if any different nuances.
* Greets/directs patients and visitors for the entire facility. Always provides friendly and courteous service to community and co-workers. Responsible for monitoring and enforcing visitor policy for the entity (if applicable).
* Answers internal and external calls on main department/facility line and dispenses appropriate information and answers questions regarding the facility and its services.
* Promotes and helps increase usage of MyChart patient portal and patient self-service capabilities to ensure patients are personally engaging in their health care.
* Responsible for overseeing and assisting patients with Welcome Kiosk and On My Way technology at network locations. Consists of self-scheduled patients online and monitoring the arrival process and patient's journey throughout their visit.
* Responsible for contacting the SLPG practice or Network Prior Authorization Department to obtain required insurance referrals and pre-certs when not previously documented in chart prior to service to decrease denials for no authorization.
* Must obtain Medical license Number, NPI and UPIN via appropriate website for all new provider entries for outpatient services to ensure results are routed accurately and claim submission/payment.
PHYSICAL AND SENSORY REQUIREMENTS:
Sitting/standing up to 8 hours per day, 4 or more hours at a time. Frequent use of hands/fingers for data entry. Frequently walking and ability to push up to 250 pounds in a wheelchair. Ability to occasionally carry or lift up to 15 pounds. Hearing as it relates to normal conversation. Seeing as it relates to general vision.
MINIMUM QUALIFICATIONS EDUCATION:
High school graduate or equivalent required. Certificate/Degree in health care related field preferred.
TRAINING AND EXPERIENCE:
Excellent customer service and interpersonal skills required. General computer experience and ability to type fluently, accurately, and quickly required. Insurance background preferred. Knowledge of medical terminology preferred. Previous medical administrative experience and/or health care related education courses preferred. Knowledge of health information system (epic) preferred.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer.
Auto-ApplyCall Ctr Specialist Access-12AM-8:30AM/Jenkintown
Philadelphia, PA jobs
Your Tomorrow is Here!
Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals. Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University.
To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike. At Temple Health, your tomorrow is here!
Equal Opportunity Employer/Veterans/Disabled
An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
Serves as the single point of contact to internal and external customers to ensure easy and seamless access to physicians, employees, patients, programs and services. Handles complex requests through various channels while utilizing numerous databases simultaneously. Communicates via EPIC to physicians and staff on a daily basis. Provides appropriate and relevant information and facilitates requests within the designated timeframes based on urgency as defined per protocol. Maintains knowledge of emergency procedures and ensures proper notification. Assures database compliance and integrity. Provides answering service to various practices in the Healthcare Environment.
Education
High School Diploma or Equivalent Required
Bachelor's Degree Preferred or
Combination of relevant education and experience may be considered in lieu of degree Required
Experience
2 years experience in customer service or a Call Center Required
General Experience communicating in Spanish (Bilingual) Preferred
General Experience in a physician practice or call center environment Preferred
Licenses
Your Tomorrow is Here!
Temple Health is committed to setting new standards for preventing, diagnosing and treating major diseases in our community and across the nation. Achieving that goal means investing in our employees' success through staff and leadership development. Our recruitment strategy is to attract and retain a diverse, high performing workforce that fosters a healthy, safe and productive environment for our patients and colleagues alike.
Auto-ApplyLead Patient Access Rep-FT
Philadelphia, PA jobs
Serves as the lead resource to the Preregistration or Precertification staff within the Patient Access departments. Supports the Manager of the area to ensure the staff is receiving the proper resources and training to meet both departmental and individual productivity and quality goals. Assists with new staff training/orientation and ongoing staff development. In addition, the lead is responsible for assisting staff in solving complex insurance coverage and authorization issues. Ensures timely and accurate completion of assignments and tasks that are delegated. The lead also works at staff level when work demands and is responsible to ensure that all patients are correctly and efficiently registered for hospital services. Verifies patient insurance coverage and benefits. Obtains necessary insurance authorizations for hospital and physician services. The lead representative handles escalations or calls from physicians, employees, office staff, patients or family.
Education
Associate's Degree in related field Required or
Combination of relevant education and experience may be considered in lieu of degree Required
Experience
5 years experience with complex pre-registration, insurance verification and/or pre-certification processes for oncological or other specialized medical services such as chemotherapy, radiation oncology, dialysis, or organ transplant. Required
General Experience with and knowledge of all front end revenue cycle functions as well as third party insurance verification/authorization systems Preferred
Licenses
'388196
Representative Patient Access-12a-8:30a (EOW EOH)
Philadelphia, PA jobs
The Patient Access Representative (PAR) is responsible for patient registration, scheduling, customer service and clerical support. Duties include accepting, recording and verifying insurance information, processing preauthorization requests, collecting copays and account balance payments, scanning documents into EMR and other administrative tasks related to the efficient operations of the department. Incumbents must ensure contact with patients, families, the community, vendors, coworkers and physicians is carried out in a friendly, courteous, helpful and considerate manner. The PAR is also expected to complete other responsibilities in an accurate and timely manner as needed or assigned.
Education
High School Diploma or Equivalent OR - GED - Relevant experience may be considered in lieu of education Required
Experience
1 year experience in Patient Access Required
General Experience with and Knowledge of insurance requirements, insurance verification, and 3rd party billing Required
Licenses
'389775
Lead Patient Access Rep-FT
Philadelphia, PA jobs
Serves as the lead resource to the Preregistration or Precertification staff within the Patient Access departments. Supports the Manager of the area to ensure the staff is receiving the proper resources and training to meet both departmental and individual productivity and quality goals. Assists with new staff training/orientation and ongoing staff development. In addition, the lead is responsible for assisting staff in solving complex insurance coverage and authorization issues. Ensures timely and accurate completion of assignments and tasks that are delegated. The lead also works at staff level when work demands and is responsible to ensure that all patients are correctly and efficiently registered for hospital services. Verifies patient insurance coverage and benefits. Obtains necessary insurance authorizations for hospital and physician services. The lead representative handles escalations or calls from physicians, employees, office staff, patients or family.
Education
Associate's Degree in related field Required or
Combination of relevant education and experience may be considered in lieu of degree Required
Experience
5 years experience with complex pre-registration, insurance verification and/or pre-certification processes for oncological or other specialized medical services such as chemotherapy, radiation oncology, dialysis, or organ transplant. Required
General Experience with and knowledge of all front end revenue cycle functions as well as third party insurance verification/authorization systems Preferred
Licenses
'388215
COMPREHENSIVE SCHEDULER I (FT; 40hrs/wk) - Temple Faculty Physicians
Philadelphia, PA jobs
Your Tomorrow is Here!
Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals. Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University.
To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike. At Temple Health, your tomorrow is here!
Equal Opportunity Employer/Veterans/Disabled
An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
The Comprehensive Scheduler I has a broad range of scheduling expertise across TFP and Hospital Systems. Serves as liaison to internal and external entities, including, but not limited to TFP, TUH, Fox Chase, Jeanes, TPI, SNF's, Unions. Participates in Value Based Programs to ensure patients receive continuity appointments and link patients post d/c from hospital stays to appropriate follow-up care. Participates in all scheduling functions related to telehealth. Serves as in house registration experts. Collaboratively crosses teams to ensure that all teams are integrated and work closely with Leadership to ensure the core missions related to access are met. The scheduler works with their manager to build relationships with administration and outside scheduling / messaging vendors.
Education
High School Diploma or Equivalent Required
Bachelor's Degree in a Healthcare related program Preferred
Experience
1 year experience working in a medical setting or in a relevant customer service role Required
General Experience with the TFP scheduling system and EPIC Required
Licenses
Your Tomorrow is Here!
Temple Faculty Physicians, the academic practice plan of Temple Health, is made up of more than 500 employed physicians who are the cornerstone of clinical care and teaching for Temple's healthcare enterprise. These physicians practice in 20 academic departments encompassing virtually every subspecialty in modern medicine.
While remaining committed to our mission of serving patients in our North Philadelphia community, in recent years, Temple Faculty Physicians has expanded its geographic reach beyond Temple University Hospital's Health Sciences campus. Today, Temple faculty physician offices are located at Temple University Hospital and its campuses, satellite offices located in Center City Philadelphia, Fort Washington, PA, Oaks, PA, and various other outpatient settings. This expanded reach has brought Temple medical care closer to home for many of our patients.
Auto-ApplyCOMPREHENSIVE SCHEDULER I (FT; 40hrs/wk) - Temple Faculty Physicians
Philadelphia, PA jobs
COMPREHENSIVE SCHEDULER I (FT; 40hrs/wk) - Temple Faculty Physicians - (256253) Description The Comprehensive Scheduler I has a broad range of scheduling expertise across TFP and Hospital Systems. Serves as liaison to internal and external entities, including, but not limited to TFP, TUH, Fox Chase, Jeanes, TPI, SNF's, Unions.
Participates in Value Based Programs to ensure patients receive continuity appointments and link patients post d/c from hospital stays to appropriate follow-up care.
Participates in all scheduling functions related to telehealth.
Serves as in house registration experts.
Collaboratively crosses teams to ensure that all teams are integrated and work closely with Leadership to ensure the core missions related to access are met.
The scheduler works with their manager to build relationships with administration and outside scheduling / messaging vendors.
EducationHigh School Diploma or Equivalent RequiredBachelor's Degree in a Healthcare related program PreferredExperience1 year experience working in a medical setting or in a relevant customer service role RequiredGeneral Experience with the TFP scheduling system and EPIC RequiredLicenses Your Tomorrow is Here!Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals.
Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc.
, and Temple Transport Team.
Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University.
To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike.
At Temple Health, your tomorrow is here!Equal Opportunity Employer/Veterans/DisabledAn Equal Opportunity Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
Your Tomorrow is Here!Temple Faculty Physicians, the academic practice plan of Temple Health, is made up of more than 500 employed physicians who are the cornerstone of clinical care and teaching for Temple's healthcare enterprise.
These physicians practice in 20 academic departments encompassing virtually every subspecialty in modern medicine.
While remaining committed to our mission of serving patients in our North Philadelphia community, in recent years, Temple Faculty Physicians has expanded its geographic reach beyond Temple University Hospital's Health Sciences campus.
Today, Temple faculty physician offices are located at Temple University Hospital and its campuses, satellite offices located in Center City Philadelphia, Fort Washington, PA, Oaks, PA, and various other outpatient settings.
This expanded reach has brought Temple medical care closer to home for many of our patients.
Primary Location: Pennsylvania-PhiladelphiaJob: Clerical ServicesSchedule: Full-time Shift: Day JobEmployee Status: Regular
Auto-ApplyRMC SCHEDULER- NRO- 20HR Night Shift (10pm -6:30am Friday -8p-8:30pm Saturday)
Philadelphia, PA jobs
RMC SCHEDULER- NRO- 20HR Night Shift (10pm -6:30am Friday -8p-8:30pm Saturday) - (256497) Description In conjunction with Nursing Leadership, the Resource Management Center (RMC) Scheduler contributes to the success of the resource plan by driving administrative processes while recruiting and placing health professionals for upcoming shifts Manages record keeping and deployment of Nursing support staff following established protocols and guidelines.
Acts as departmental resource for the Nursing Administration for staffing related issues.
EducationHigh School Diploma or Equivalent RequiredAssociate's Degree Business, Healthcare or related field Required or Combination of relevant education and experience may be considered in lieu of degree RequiredExperience1 year experience in Staffing PreferredGeneral Experience managing multilevel hospital based staffing PreferredGeneral Experience in performing administrative duties PreferredGeneral Experience in a unionized environment PreferredLicenses Your Tomorrow is Here!Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals.
Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc.
, and Temple Transport Team.
Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University.
To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike.
At Temple Health, your tomorrow is here!Equal Opportunity Employer/Veterans/DisabledAn Equal Opportunity Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
Your Tomorrow is Here!Temple University Hospital is a nationally respected teaching hospital on Temple University's bustling Health Sciences Center campus.
The hospital provides a comprehensive array of healthcare services both basic and complex to patients from around the corner, across the country and around the world.
As the chief clinical training site for the Lewis Katz School of Medicine at Temple University, the hospital provides a dynamic environment for high-quality care, teaching, and cutting edge research.
Primary Location: Pennsylvania-PhiladelphiaJob: Clerical ServicesSchedule: Part-time Shift: Night JobEmployee Status: Regular
Auto-ApplyRMC SCHEDULER- NRO- 20HR Night Shift (10pm -6:30am Friday -8p-8:30pm Saturday)
Philadelphia, PA jobs
In conjunction with Nursing Leadership, the Resource Management Center (RMC) Scheduler contributes to the success of the resource plan by driving administrative processes while recruiting and placing health professionals for upcoming shifts Manages record keeping and deployment of Nursing support staff following established protocols and guidelines. Acts as departmental resource for the Nursing Administration for staffing related issues.
Education
High School Diploma or Equivalent Required
Associate's Degree Business, Healthcare or related field Required or
Combination of relevant education and experience may be considered in lieu of degree Required
Experience
1 year experience in Staffing Preferred
General Experience managing multilevel hospital based staffing Preferred
General Experience in performing administrative duties Preferred
General Experience in a unionized environment Preferred
Licenses
'390377
COMPREHENSIVE SCHEDULER I (FT; 40hrs/wk) - Temple Faculty Physicians
Philadelphia, PA jobs
The Comprehensive Scheduler I has a broad range of scheduling expertise across TFP and Hospital Systems. Serves as liaison to internal and external entities, including, but not limited to TFP, TUH, Fox Chase, Jeanes, TPI, SNF's, Unions. Participates in Value Based Programs to ensure patients receive continuity appointments and link patients post d/c from hospital stays to appropriate follow-up care. Participates in all scheduling functions related to telehealth. Serves as in house registration experts. Collaboratively crosses teams to ensure that all teams are integrated and work closely with Leadership to ensure the core missions related to access are met. The scheduler works with their manager to build relationships with administration and outside scheduling / messaging vendors.
Education
High School Diploma or Equivalent Required
Bachelor's Degree in a Healthcare related program Preferred
Experience
1 year experience working in a medical setting or in a relevant customer service role Required
General Experience with the TFP scheduling system and EPIC Required
Licenses
'388414
ED Patient Access Representative (Full Time, Nights)
Sellersville, PA jobs
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
JOB SUMMARY
The Patient Access Representative is responsible for the entire scope of the registration process for patients seen at St. Luke's University Health Network, in outpatient and/or Emergency Department locations. This includes, but is not limited to, correctly identifying patients, transcribing orders, completing registration screens, entering diagnosis and provider information, verifying insurances, point of service cash collections, work queues, etc. A Patient Access Representative I is required to have excellent customer service skills and exhibit PCRAFT values at all times with internal and external customers. Patient Access Representative I communicates/coordinates with SLPG practices, clinical/diagnostic departments, and various revenue cycle departments to ensure excellent patient experience, clean claim submission, and payment for services. May require occasional travel between campuses or regional locations. Required to be cross-trained in all departments at campus or within region.
JOB DUTIES AND RESPONSIBILITIES:
* Responsible to correctly identify/validate the choosing of patients in hospital information system to maintain the integrity and accuracy of electronic medical records. Identify and report any instances of possible identify theft situations to clinical department and leadership for appropriate escalation.
* Maintain knowledge and education of network policy on Patient Identification including Mark for Merge, Chart Corrections, and Patient Look-Up.
* Responsible for the patient registration (pre-reg and post-reg needs) including all of the following: demographics, emergency contact, transcribing diagnostic orders, primary care and referring provider, diagnosis, insurance and guarantor verification, real time insurance eligibility, point of service cash collections. This also includes patient, account, and claim edit level work queue errors related to registration. Can require contacting provider office, reviewing patient medical chart for diagnosis and medical necessity information.
* Required to cross train in all areas of location or region. Campus locations must be cross trained in outpatient and Emergency Department areas. Outpatient (off-campus) locations must be cross trained for all locations if any different nuances.
* Greets/directs patients and visitors for the entire facility. Always provides friendly and courteous service to community and co-workers. Responsible for monitoring and enforcing visitor policy for the entity (if applicable).
* Answers internal and external calls on main department/facility line and dispenses appropriate information and answers questions regarding the facility and its services.
* Promotes and helps increase usage of MyChart patient portal and patient self-service capabilities to ensure patients are personally engaging in their health care.
* Responsible for overseeing and assisting patients with Welcome Kiosk and On My Way technology at network locations. Consists of self-scheduled patients online and monitoring the arrival process and patient's journey throughout their visit.
* Responsible for contacting the SLPG practice or Network Prior Authorization Department to obtain required insurance referrals and pre-certs when not previously documented in chart prior to service to decrease denials for no authorization.
* Must obtain Medical license Number, NPI and UPIN via appropriate website for all new provider entries for outpatient services to ensure results are routed accurately and claim submission/payment.
PHYSICAL AND SENSORY REQUIREMENTS:
Sitting/standing up to 8 hours per day, 4 or more hours at a time. Frequent use of hands/fingers for data entry. Frequently walking and ability to push up to 250 pounds in a wheelchair. Ability to occasionally carry or lift up to 15 pounds. Hearing as it relates to normal conversation. Seeing as it relates to general vision.
MINIMUM QUALIFICATIONS EDUCATION:
High school graduate or equivalent required. Certificate/Degree in health care related field preferred.
TRAINING AND EXPERIENCE:
Excellent customer service and interpersonal skills required. General computer experience and ability to type fluently, accurately, and quickly required. Insurance background preferred. Knowledge of medical terminology preferred. Previous medical administrative experience and/or health care related education courses preferred. Knowledge of health information system (epic) preferred.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer.
Auto-ApplyBilling Representative
Philadelphia, PA jobs
Responsible for claims submission, ongoing billing, payments and associated bookkeeping for inpatient and outpatient services through established methods and procedures using current available technology. Receives and responds to day-to-day inquiries from third-party carriers and patients, processes correspondence and maintains patient files.
Education
High School Diploma or Equivalent Required
Experience
2 years experience in a related role Required
Licenses
'391561
Billing Representative -FT
Philadelphia, PA jobs
Responsible for claims submission, ongoing billing, payments and associated bookkeeping for inpatient and outpatient services through established methods and procedures using current available technology. Receives and responds to day-to-day inquiries from third-party carriers and patients, processes correspondence and maintains patient files.
Education
High School Diploma or Equivalent Required
Experience
2 years experience in a related role Required
Licenses
'387674
Full Time Front Desk Coordinator
Easton, PA jobs
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Front Desk Coordinator performs, organizes, and prioritizes clerical functions with the Physical Therapy Department. The position includes answering the phone, patient registration, patient scheduling, insurance verifications and authorizations, word processing, filing, and general office duties.
JOB DUTIES AND RESPONSIBILITIES:
* Answers the telephone in a timely manner, assists or directs the caller to the appropriate person or department.
* Receives and updates patient information.
* Maintains files in the appropriate order.
* Establishes and maintains accurate patient records and record filing system.
* Accurately completes the registration process in the current computer system.
* Verifies patient's insurance benefits.
* Processes pre-certifications/authorizations depending on the special requirements of the patient's insurance company.
* Schedules appointments considering patient needs and utilizing the clinic time efficiently.
* Confirms appointments and maintains a full department schedule.
* Communicates any scheduling problems to the Department Manager.
* Receives cash, checks, and credit card payments and prepares receipts.
* Distributes mail to clinical staff.
* Processes requests for release of information in accordance with the policies set forth by the Medical Record Department.
PHYSICAL AND SENSORY REQUIREMENTS:
Sitting up to eight hours per day, up to six hours at a time. Standing for up to eight hours per day, up to six hours at a time. Frequent fingering, handling, firm grasping. Frequent twisting and turning. Frequent lifting, carrying and pulling objects up to 50 lbs. Frequent stooping, bending, crouching, and reaching above shoulder level. Seeing as it relates to normal and peripheral vision. Hearing as it relates to normal conversation and telephone use.
EDUCATION:
High School graduate or equivalent. Excellent oral and written skills required to relate effectively with managers, patients, families, and staff at various levels. Demonstrates competency, as appropriate to the ages of patients served, in the ability to obtain and interpret information in terms of patients' needs; a knowledge of growth and development, and an understanding if the range of treatment needed by these patients.
TRAINING AND EXPERIENCE:
Work processing experience required including mastery of MS Office (Word, Excel, and Access). Experience with other PC software (statistical database, presentation, etc.) essential. Three years related office experience required, preferable in a medical setting. Previous Rehabilitation experience preferred.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer.
Auto-Apply