Scheduling Specialist jobs at LHC Group - 16724 jobs
Prior Authorization Specialist
Methodist Le Bonheur Healthcare 4.2
Memphis, TN jobs
If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!
We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South.
Responsible for precertification of eligible prescriptions. Ensures complete documentation is obtained that meets insurer guidelines for medical necessity and payment for services. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.
A Brief Overview
Responsible for precertification of eligible prescriptions. Ensures complete documentation is obtained that meets insurer guidelines for medical necessity and payment for services. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
What you will do
Responsible for precertification of eligible prescription medications for inpatient and outpatient services based on medical plan documents and medical necessity. Ensures medical documentation is sufficient to meet insurer guidelines for medical necessity documentation and procedure payment.
Reviews clinical information submitted by medical providers to evaluate the necessity, appropriateness and efficiency of the use of prescription medications.
Assists with patient assistance and grant coordination for Patients for outpatient pharmacies from designated areas.
Proactively analyzes information submitted by providers to make timely medical necessity review determinations based on appropriate criteria and standards guidelines. Verifies physician orders are accurate. Determines CPT, HCPCS and ICD-10 codes for proper Prior Authorization.
Contacts insurance companies and third party administrators to gather information and organize work-flow based on the requested procedure.
Collects, reads and interprets medical documentation to determine if the appropriate clinical information has been provided for insurance reimbursement and proper charge capture.
Serves as primary contact with physicians/physician offices to collect clinical documentation consistent with insurer reimbursement guidelines. Establishes and maintains rapport with providers as well as ongoing education of providers concerning protocols for pre-certification.
Communicates information and acts as a resource to Patient Access, Case Management, and others in regard to contract guidelines and pre-certification requirements.
Performs research regarding denials or problematic accounts as necessary. Works to identify trends and root cause of issues and recommend resolutions for future processes.
Education/Formal Training Requirements
High School Diploma or Equivalent
Work Experience Requirements
3-5 years Pharmacy (clinical, hospital, outpatient, or specialty)
Licenses and Certifications Requirements
See Additional Job Description.
Knowledge, Skills and Abilities
Basic understanding of prescription processing flow. Expertise in utiliizing EMRs to document clinical critieria required for third party approval.
Knowledgeable of medical terminology, drug nomenclature, symbols and abbreviations associated with pharmacy practice.
Strong attention to detail and critical thinking skills.
Ability to speak and communicate effectively with patients, associates, and other health professionals.
Ability to diagnose a situation and make recommendations on how to resolve problems.
Experience with a computerized healthcare information system required. Familiarity with fundamental Microsoft Word software.
Excellent verbal and written communication skills.
Supervision Provided by this Position
There are no lead or supervisory responsibilities assigned to this position.
Physical Demands
The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
Must have good balance and coordination.
The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative.
Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.
Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
$24k-28k yearly est. Auto-Apply 3d ago
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Medical Secretary - Oncology
L.E. Cox Medical Centers 4.4
Springfield, MO jobs
:Proficient in a variety of clerical duties in department including typing, filing, ordering of supplies, charging, use of computer programs, as necessary to maintain departmental operations. Must demonstrate effective communication skills both verbal and written.
Makes suggestions, and implements change as necessary to improve the function of the department.
Education: â–ª Required: High School Diploma or Equivalent OR obtain GED within 2 yrs Experience: â–ª Preferred: 1-2 Years Medical Office Experience Skills: â–ª Excellent verbal and written communication skills.
â–ª Able to work independently and collaboratively in teams.
â–ª Self starter.
â–ª Knowledge of Word Processing, computers, multi-line phone & other office equipment â–ª Types a minimum of 40 wpm Licensure/Certification/Registration: â–ª N/A
$25k-31k yearly est. 3d ago
Neurosurgery Scheduling Specialist - Full-Time
Saint Luke's Health System 4.3
Kansas City, MO jobs
A leading health system provider in Kansas City is seeking a Procedural Scheduler to comprehensively coordinate and manage scheduling for clinic patients. Responsibilities include obtaining preauthorizations from insurance companies and managing all EPIC referral work queues. The ideal candidate will possess outstanding organization skills and a strong focus on customer and patient care. This full-time position offers an opportunity to work within a diverse and inclusive environment.
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$38k-43k yearly est. 1d ago
Senior Neurosurgery Scheduling Specialist
Houston Methodist 4.5
Houston, TX jobs
A leading healthcare provider in Houston is seeking a Senior Scheduler to manage appointment scheduling for complex services. The role involves clear communication with patients and medical staff, ensuring timely access to healthcare services, and training new staff members. Candidates should have a high school diploma and relevant experience in medical scheduling or a call center environment. This position offers opportunities for personal growth and a dynamic team environment.
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$28k-32k yearly est. 4d ago
Physician Specialist
NYC Health + Hospitals/Correctional Health Services 4.7
New York, NY jobs
New York City Health and Hospitals Corporation
Outposted Therapeutic Housing Units Program (OTxHU)
Since 2016, Correctional Health Services (CHS) has been the direct provider of health care in the New York City jails. Deeply committed to human dignity and patient rights, CHS is part of the NYC Health + Hospitals system and is a key partner in the City's efforts to reform the criminal-legal system. Our in-jail clinical services include medical, nursing, and mental health care; pharmacy services; substance-use treatment; social work; dental and vision care; discharge planning; and reentry support.
Given the high visibility of this initiative, we are seeking the highest caliber health care professionals in key clinical services to staff our Outposted Therapeutic Housing Units (OTxHU). To be located in three NYC Health + Hospital acute care facilities, the OTxHU is a pioneering approach to safely increasing access to high quality clinical care for patients in custody who have complicated health conditions. OTxHUs will bridge the gap in the continuum between care provided in the jails and inpatient hospitalization, with admission to and discharge from the OTxHU in accordance with a patient's clinical needs. CHS will be the primary health care providers on these units and the NYC Department of Correction will provide security and custody management.
The OTxHU at NYC Health + Hospitals/Bellevue in Manhattan will be the first of this unique, groundbreaking project to open with a planned completion date as early as the end of 2024. This is an incredible opportunity to be part of a passionate and motivated team providing care to some of the City's most marginalized, vulnerable people.
*To help support continuity of operations and care, staff selected to work in the OTxHU may also be required to work in CHS locations within the jails. Additionally, while CHS seeks the most qualified individuals for these positions, preference will be given to equally qualified, internal candidates.
Time: 08:00 AM - 05:00 PM
Days: Mon,Tue,Wed,Thu,Fri
Location: OTxHU- Bellevue/Rikers Island
Under supervision of the Site Medical Director, the Physician will provide comprehensive, compassionate, and thoughtful care to patients with complex chronic disease in the New York City jail system. The Physician will be part of a core interdisciplinary team working in a unique environment delivering the care to patients with significant chronic illnesses. The Physician will provide general primary care including conducting histories and physicals, diagnosing and treating acute and chronic illnesses, and evaluating the need for consult services. The interdisciplinary team will work under supervision of a Site Medical Director.
Responsibilities include:
Diagnose and treat acute and chronic illnesses. Evaluate the need for consult services and submit the prioritized consult when indicated.
Complete comprehensive histories and physicals on all new admissions including documentation of problem list, diagnosis, orders (e.g. labs, imaging and referrals) and ordering appropriate medications where applicable.
Evaluate patients requesting sick call, schedule follow-ups and update medication orders. Update problem lists and reconcile patient orders at all visits.
Implement plans for patient care utilizing protocols approved by the medical leadership and/or treatment plans reflecting the current standard of care.
Request radiology exams, lab tests, EKGs when clinically indicated and interpret these results based on clinical findings and in consultation with supervisors where appropriate.
Collaborate closely with CHS Physician Assistants, including providing clinical guidance, cosigning notes, and providing other supervision based on clinical circumstance and PA requirements.
Review all specialty consults and hospital returns to ensure that the standard of care is met and recommendations of the consultant are implemented.
Perform chart reviews and summaries for patients transferring facilities including updating problem lists, rewriting medication orders, and reconciling orders and consults as needed.
Generate special needs referrals and documentation as needed (for patients with (disabilities, dietary restrictions, heat sensitivity, or other relevant flags).
Teach patients about their medical conditions and treatments; counsel on risks and benefits of different treatment decisions; witness, sign, and document patient refusals of care.
Ensure that all progress notes and orders are signed before the end of the shift.
Respond to emergencies in a timely and professional manner.
Notify the appropriate parties, including Urgicare, about 3-hour runs and EMS activation.
Complete special housing rounds when assigned.
Be familiar with quality of care and population health indicators. Take appropriate action to meet or exceed standards.
Maintain clinical competency by participating in all CME and CHS training and in-service requirements.
Maintain your schedule as directed with particular attention to punctuality and timely notification of absences.
Adhere to policies and procedures of CHS and be familiar with them by reviewing them as needed.
Complete tasks as delegated by a Site Medical Director or other supervising clinical team member.
Maintain all required credentials.
Maintain current licensure and CME requirements (Appropriate documentation must be on our files).
Maintain professional attitude and appearance.
Adhere to Occupational Health Services requirements.
Minimum Qualifications
1. Graduation from an approved medical school.
2. Completion of approved residency or fellowship in the specialty or sub-specialty and Board eligible or certified or Subboard eligible or certified.
3. Five years experience in field of specialty or subspecialty acceptable to the Medical Board of the Hospital.
4. Licensed to practice medicine in the State of New York.
Department Preferences
Three to five years' work experience, which may include residency in a directly related medical specialty
Experience working with patients in a skilled nursing facility or other residential setting
Experience working with patients who have serious mental illness
Experience working with patients who carry substance use diagnoses; knowledge of harm reduction approaches to care; and familiarity with medications to treat opioid use disorder
Experience leading quality improvement initiatives
Understanding of trauma-informed care
Skilled in patient-centered shared decision making
Skilled in communicating risks and benefits of clinical interventions and assessing capacity to make informed decisions.
Completion of residency in internal medicine, family medicine or other primary care-oriented specialty.
Compliance with appropriate Maintenance of Certification requirements or other Board Certification requirements.
Excellent interpersonal communication skills and ability to work collaboratively within a multidisciplinary team, as well as with NYC DOC staff
NYC Health and Hospitals offers a competitive benefits package that includes:
Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
Retirement Savings and Pension Plans
Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
Loan Forgiveness Programs for eligible employees
College tuition discounts and professional development opportunities
College Savings Program
Union Benefits for eligible titles
Multiple employee discounts programs
Commuter Benefits Programs
$120k-240k yearly est. 1d ago
SURGICAL SCHEDULER
Cooper University Health Care 4.6
Cherry Hill, NJ jobs
About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description * Proficient in-patient scheduling, professional telephone etiquette and customer satisfaction in support of the mission of CUH. * Surgical scheduler duties involve scheduling for hospital outpatient-based services, changing, and canceling appointments, to include other administrative duties as assigned. * Interface as a direct liaison with patients and clinical staff at procedural locations to communicate patient results and scheduling needs. * Support the checkout office, scheduling patients for procedures after office visits. * Provide accurate, detailed information to patients regarding test results and work with patients to reschedule procedures as needed. Take appropriate action in responding to questions from patients. * Answer incoming calls, directing calls to the correct party, checking voicemails, and returning missed for scheduling requests. * Responsible for the integrity of pre-registration to include accurate health care coverage(s). * Escalate operational, provider, or patient complaints along with other critical matters to leadership. * Knowledge of medical insurance and billing processes. * Must work well in stressful situations and display a high degree of efficiency at all times. * Strong emphasis on customer service. Other duties as assigned by manager. Experience Required 2-3 years in medical or office setting. Outstanding organizational skills, typing 35-45 WPM, medical transcription required. Education Requirements High School Diploma or Equivalent required.
$34k-43k yearly est. 1d ago
SURGICAL SCHEDULER
Cooper University Health Care 4.6
Narberth, PA jobs
About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description * Proficient in-patient scheduling, professional telephone etiquette and customer satisfaction in support of the mission of CUH. * Surgical scheduler duties involve scheduling for hospital outpatient-based services, changing, and canceling appointments, to include other administrative duties as assigned. * Interface as a direct liaison with patients and clinical staff at procedural locations to communicate patient results and scheduling needs. * Support the checkout office, scheduling patients for procedures after office visits. * Provide accurate, detailed information to patients regarding test results and work with patients to reschedule procedures as needed. Take appropriate action in responding to questions from patients. * Answer incoming calls, directing calls to the correct party, checking voicemails, and returning missed for scheduling requests. * Responsible for the integrity of pre-registration to include accurate health care coverage(s). * Escalate operational, provider, or patient complaints along with other critical matters to leadership. * Knowledge of medical insurance and billing processes. * Must work well in stressful situations and display a high degree of efficiency at all times. * Strong emphasis on customer service. Other duties as assigned by manager. Experience Required 2-3 years in medical or office setting. Outstanding organizational skills, typing 35-45 WPM, medical transcription required. Education Requirements High School Diploma or Equivalent required.
$30k-38k yearly est. 1d ago
HEALTHCARE ACCESS SPECIALIST
Cooper University Health Care 4.6
Wilmington, DE jobs
About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description * The HCA Patient Access Specialist communicates with insurance companies, patients, and healthcare providers to resolve discrepancies, update records, and ensure proper billing. Accuracy is crucial to prevent claim denials and facilitate smooth reimbursement processes. This role requires attention to detail, strong organizational skills, knowledge of insurance policies, sense of urgency to meet time-sensitive insurance requirements, and effective communication skills to navigate the complexities of healthcare billing. * The HCA Patient Access Specialist is responsible for ensuring quality patient registration, validation, and verification of insurance information. Collects and reviews all patient insurance information needed to complete the benefit verification process. Investigates missing data needed to complete the verification process. Troubleshoots and seeks solutions to problems related to questions and concerns over health insurance coverage. Knowledgeable with coordination of benefits and completing MSPQ episodically to ensure proper coordination for Medicare recipients. Additional responsibilities include point of service collections, positive telephone etiquette, and patient satisfaction in support of Cooper University Hospital Mission and Core Values. Must be able to work independently and as a team with an enthusiastic personality. * Knowledgeable of state and federal government funding programs such as Medicare, Medicaid, and requirements to satisfy timely notification of rights as it pertains to these programs. Additionally, securing and delivering proper correspondence needed to satisfy those requirements such as CMS IMM, CMS MOON, NJ Observation, and CMS NSA forms. * Uses all modes of electronic insurance verification, RTE, portals such as NaviNet, Availity, PEAR, Notivasphere, insurance verification websites as well as telephonic verification as needed. When appropriate, ensures the payer receives a Notice of Admission on all admissions, scheduled and non - scheduled, within 24 - hours or the next business day. Submits notice of admissions to all payors via electronic portal or fax transmittal as appropriate and timely. * The HCA Patient Access Specialist communicates as appropriate with the physicians, NJ Medical Examiners, the Sharing Network, and Funeral Directors to ensure timely handling of deceased patients. Initiates electronic death record via NJ EDRS. Experience Required * 2 years in - Minimum one year of registration or billing experience working in a medical facility. Proficiency in patient registration, scheduling, medical insurance pre-certifications, authorizations, and referrals * 3-5 years preferred. * Preferred Experience includes: * Minimum one year of registration or billing experience working in a medical facility. * Proficiency in patient registration, scheduling, medical insurance pre-certifications, authorizations, and referrals * Epic experience preferred Education Requirements High School Diploma or Equivalent required. License/Certification Requirements NAHAM Certified Healthcare Access Associate (CHAA) certification or HFMA Certified Revenue Cycle certification (Preferred) Special Requirements * Excellent verbal and written communications skills * Experienced in use of computers and software applications, i.e., Microsoft Word, Excel, Outlook, Access, * registration, and billing systems. * Exceptional customer service and interpersonal skills * Proficiency in working with payor on-line portals, i.e., NaviNet, Passport, Availity, and other third-party eligibility systems preferred.
$31k-35k yearly est. 1d ago
INFUSION SCHEDULING COORDINATOR (PER DIEM)
Cooper University Health Care 4.6
Newtown, PA jobs
About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description Strong emphasis on customer service including telephone etiquette and working well in front of patients in a busy waiting area. Ability to make a positive first impression and demonstrate Coopers core values and service standards consistently. Facilitate patient access to infusion and schedule coordination. Collaborates with management to keep informed on scheduling and escalates barriers in scheduling. Handle multiple patients needs such as check in, phones and lab registration and keeping patients informed, or- check out and scheduling next infusion appointment, phones --and working on inbox of infusion scheduling needs. This position must acquire skills to provide accurate patient scheduling inconsideration of numerous factors. This includes acquired knowledge of times needed for drug regimens. Must be knowledgeable of medical terminology, medical insurance, professional billing requirements, and must possess excellent communication skills both verbal and written. Ability to problem solve when challenged with schedule capacity to accommodate patient needs. Considers un-linking appointments or modifies appointments in clinic in order to accommodate physician schedule in conjunction for chemo visit. Develop ability to know what request or questions need to go to a RN, provider or manager. Offers recommendations to improve process and service. Collaborate closely with Nursing to ensure schedule requests and provider requests consider department and patient needs. Must be skilled in use of computers and applications. Must have the ability to be organized and self-directed. Experience Required 1 year of appointment scheduling, insurance verification or registration experience in a hospital or physician office required. Medical Terminology preferred. Must be proficient in Flow cast registration, pre-certifications, authorizations, referrals. Excellent customer service skills with strong interpersonal skills and phone etiquette are required. Education Requirements High School Diploma or Equivalent required. College degree preferred Special Requirements Computer IDX training program to include: Registration, Scheduling, E-Commerce, and FSC Knowledge of Epic messaging. Requirement: All new employees must be trained in appointment scheduling and Patient Registration and successfully pass all training requirements within their probationary period.
$32k-38k yearly est. 1d ago
INFUSION SCHEDULING COORDINATOR (PER DIEM)
Cooper University Health Care 4.6
Jenkintown, PA jobs
About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description Strong emphasis on customer service including telephone etiquette and working well in front of patients in a busy waiting area. Ability to make a positive first impression and demonstrate Coopers core values and service standards consistently. Facilitate patient access to infusion and schedule coordination. Collaborates with management to keep informed on scheduling and escalates barriers in scheduling. Handle multiple patients needs such as check in, phones and lab registration and keeping patients informed, or- check out and scheduling next infusion appointment, phones --and working on inbox of infusion scheduling needs. This position must acquire skills to provide accurate patient scheduling inconsideration of numerous factors. This includes acquired knowledge of times needed for drug regimens. Must be knowledgeable of medical terminology, medical insurance, professional billing requirements, and must possess excellent communication skills both verbal and written. Ability to problem solve when challenged with schedule capacity to accommodate patient needs. Considers un-linking appointments or modifies appointments in clinic in order to accommodate physician schedule in conjunction for chemo visit. Develop ability to know what request or questions need to go to a RN, provider or manager. Offers recommendations to improve process and service. Collaborate closely with Nursing to ensure schedule requests and provider requests consider department and patient needs. Must be skilled in use of computers and applications. Must have the ability to be organized and self-directed. Experience Required 1 year of appointment scheduling, insurance verification or registration experience in a hospital or physician office required. Medical Terminology preferred. Must be proficient in Flow cast registration, pre-certifications, authorizations, referrals. Excellent customer service skills with strong interpersonal skills and phone etiquette are required. Education Requirements High School Diploma or Equivalent required. College degree preferred Special Requirements Computer IDX training program to include: Registration, Scheduling, E-Commerce, and FSC Knowledge of Epic messaging. Requirement: All new employees must be trained in appointment scheduling and Patient Registration and successfully pass all training requirements within their probationary period.
$32k-38k yearly est. 1d ago
AUTHORIZATION SPECIALIST
Cooper University Health Care 4.6
Ardmore, PA jobs
About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description Financially clears scheduled inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries and procedures, prior to date of service. The financial clearance process encompasses any or all of the following functions: * Verifies insurance eligibility and plan benefits. * Contact patients with inactive insurance coverage to obtain updated insurance information * Validates coordination of benefits between insurance carriers. * Explains insurance plan coverage and benefits to patients, as necessary. * Secures insurance authorizations and pre-certs for patient services both internal and external to Cooper. * Creates referrals for patients having a Cooper PCP. Contacts external PCPs to obtain referrals for patients scheduled with Cooper providers. * Refers patients with less than 100% coverage to Financial Screening Navigators. * Identifies copayment, deductible and co-insurance information. * Collects and processes patient liability payments prior to service. Provides clear and concise documentation in systems. Communicate daily with insurance companies, internal customers, providers and patients. Experience Required * 2 years of insurance verification or registration experience in a hospital or physician office preferred. * Working knowledge of medical insurance plans & products, coordination of benefits guidelines, and requirements for authorizations, pre-certifications and referrals preferred. * Proficiency in working with payor on-line portals, as well as NaviNet, Passport or other third-party eligibility systems preferred. * Experience working in a high-volume call center preferred. * Proficiency in IDX Flowcast, Imagecast, and EPIC EMR systems preferred. Education Requirements High School Diploma or equivalent. Special Requirements * Skilled in use of computers and software applications, i.e., Microsoft Word, Excel, Outlook, Access, registration and billing systems. * Basic knowledge of medical diagnoses and procedural codes * Excellent verbal and written communications skills * Ability to organize, take independent action and project Cooper values to customers and coworkers.
$35k-41k yearly est. 1d ago
PATIENT SERVICES REP
Cooper University Health Care 4.6
Pennsauken, NJ jobs
About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description Greets patients and guests utilizing AIDET while providing an individualized excellent patient service experience. Provides patient support and keeps informed of delays. Takes appropriate action including offering alternatives. Performs all registration functions including full registration as well as updating/validating demographics, identification, insurance information and completing verification and obtaining signatures. Performs and documents patient outreach for messages received in front desk pool, Mychart messaging and confirmation calls. Utilizes kiosks, tablets and other technology to assist patients upon arrival (meet the patient where they are). Requires ability to stand and walk for periods of time depending on location for two to eight (2-8) hours per assigned shift. Makes appointments, including follow-up appointments for patients in a high customer service environment in an efficient and timely manner across the healthcare continuum including physician office visits, imaging, and lab post-visit and during patient outreach. Collects co-pays and outstanding balances. Reviews and reconciles cash drawer on daily basis. Accurately and efficiently performs many non-clinical administrative duties, including but not limited to in-basket and telephone communication, documentation in medical record, obtaining reports and medical records, completion of insurance and/or disability forms, precertification and/or authorizations, referrals and work queues such as patient reg, referrals, etc. Complies with procedures for transcription of orders (radiology and/or scheduling). Performs and documents in a timely and efficient manner patient outreach and call backs for messages received in pool, MyChart messaging and confirmation calls. Fulfills organizational responsibilities as assigned including respecting/promoting patient rights; responding appropriately to emergencies. Successfully communicates with multidisciplinary team members and patients upholding our Mission, Vision and Values and adhering to Code of Ethical conduct. Maintains working knowledge of regulatory standards and is accountable to sustain these standards in daily operations. Requires flexibility and the ability to multitask in a face paced environment and adjust to the patient volume. Other duties as assigned by the manager. Experience Required * Minimum one year of recent registration or billing experience working in a medical facility preferred. * Proficiency in patient registration, scheduling, medical insurance pre-certifications, authorizations and referrals preferred. * Epic experience preferred. * Excellent organizational, written/verbal communication and teamwork skills. * Demonstrated performance of excellent customer service skills. Education Requirements High School Diploma or equivalent required. License/Certification Requirements NAHAM Certified Healthcare Access Associate (CHAA) certification preferred. Special Requirements * Customer service-oriented attitude/behavior as well as a pleasant and poised demeanor and excellent phone etiquette. * Must possess excellent communication skills both verbal and written. * You must be skilled in the use of computers.
$35k-39k yearly est. 1d ago
AUTHORIZATION SPECIALIST
Cooper University Health Care 4.6
Willingboro, NJ jobs
About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description Financially clears scheduled inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries and procedures, prior to date of service. Financial clearance process encompasses any or all of the following job functions: * Verifies insurance eligibility and plan benefits. * Contacts patients with inactive insurance coverage to obtain updated insurance information * Validates coordination of benefits between insurance carriers. * Explains insurance plan coverage and benefits to patients, as necessary. * Secures insurance authorizations and pre-certs for patient services both internal and external to Cooper. * Creates referrals for patients having a Cooper PCP. Contacts external PCPs to obtain referrals for patients scheduled with Cooper providers. * Refers patients with less than 100% coverage to Financial Screening Navigators. * Identifies copayment, deductible and co-insurance information. * Collects and processes patient liability payments prior to service. Experience Required * 2 years of insurance verification or registration experience in a hospital or physician office preferred. * Working knowledge of medical insurance plans & products, coordination of benefits guidelines, and requirements for authorizations, pre-certifications and referrals preferred. * Proficiency in working with payor on-line portals, as well as NaviNet, Passport or other third-party eligibility systems preferred. * Experience working in a high-volume call center preferred. * Proficiency in IDX Flowcast, Imagecast, and EPIC EMR systems preferred. Education Requirements High School Diploma or equivalent. Special Requirements * Skilled in use of computers and software applications, i.e., Microsoft Word, Excel, Outlook, Access, registration and billing systems. * Basic knowledge of medical diagnoses and procedural codes * Excellent verbal and written communications skills * Ability to organize, take independent action and project Cooper values to customers and coworkers .
$36k-42k yearly est. 1d ago
PATIENT ACCESS SERVICE SPECIALIST
Cooper University Health Care 4.6
Ambler, PA jobs
About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description This position has a strong emphasis on customer service to our patients and facilitating patient access to professional services. This position must ensure quality patient scheduling, positive telephone etiquette and customer satisfaction in support of the mission of Cooper University Hospital and Cooper University Physicians. Must be knowledgeable of medical terminology, medical insurance, professional billing requirements, and must possess excellent communication skills both verbal and written. Must be skilled in use of computers and applications. Must have the ability to be organized, take independent action and project Cooper's values to both customer and co-workers. Experience Required 2 years of appointment scheduling, insurance verification or registration experience in a hospital or physician office, Medical Terminology preferred. Must be proficient in Flow cast registration, pre-certifications, authorizations, referrals. Excellent customer service skills with strong interpersonal skills and phone etiquette are required Education Requirements High School Diploma or Equivalent required. Special Requirements Computer IDX training program to include: Registration, Scheduling, E-Commerce, and FSC. All incumbents must satisfactorily complete a Cooper systems training program to include: Registration, Scheduling, E-Commerce and FSC Requirement: All new employees must be trained in appointment scheduling and Patient Registration and successfully PASS all IDX training requirements within their probationary period. IDX Training includes : MCA Models, Registration, Basic Management and Eligibilities requirements.
$31k-35k yearly est. 1d ago
Neurosurgery Scheduler - Day Shift, Full-Time
Billings Clinic 4.5
Billings, MT jobs
A leading health system in Montana is seeking a Surgery Scheduler for the Neurosurgery Department. In this full-time role, you will coordinate clerical and administrative tasks, maintain scheduling integrity, and ensure effective communication with patients and staff. Candidates must possess a High School diploma or GED and be detail-oriented with strong data management skills. This position offers a competitive wage and a supportive work environment ripe for growth.
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$24k-28k yearly est. 5d ago
PATIENT SERVICES REP
Cooper University Health Care 4.6
Bensalem, PA jobs
About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description Greets patients and guests utilizing AIDET while providing an individualized excellent patient service experience. Provides patient support and keeps informed of delays. Takes appropriate action including offering alternatives. Performs all registration functions including full registration as well as updating/validating demographics, identification, insurance information and completing verification and obtaining signatures. Performs and documents patient outreach for messages received in front desk pool, Mychart messaging and confirmation calls. Utilizes kiosks, tablets and other technology to assist patients upon arrival (meet the patient where they are). Requires ability to stand and walk for periods of time depending on location for two to eight (2-8) hours per assigned shift. Makes appointments, including follow-up appointments for patients in a high customer service environment in an efficient and timely manner across the healthcare continuum including physician office visits, imaging, and lab post-visit and during patient outreach. Collects co-pays and outstanding balances. Reviews and reconciles cash drawer on daily basis. Accurately and efficiently performs many non-clinical administrative duties, including but not limited to in-basket and telephone communication, documentation in medical record, obtaining reports and medical records, completion of insurance and/or disability forms, precertification and/or authorizations, referrals and work queues such as patient reg, referrals, etc. Complies with procedures for transcription of orders (radiology and/or scheduling). Performs and documents in a timely and efficient manner patient outreach and call backs for messages received in pool, MyChart messaging and confirmation calls. Fulfills organizational responsibilities as assigned including respecting/promoting patient rights, responding appropriately to emergencies. Successfully communicates with multidisciplinary team members and patients upholding our Mission, Vision and Values and adhering to Code of Ethical conduct. Maintains working knowledge of regulatory standards and is accountable to sustain these standards in daily operations. Requires flexibility and the ability to multitask in a face paced environment and adjust to the patient volume. Other duties as assigned by the manager. Experience Required * Minimum one year of recent registration or billing experience working in a medical facility preferred. * Proficiency in patient registration, scheduling, medical insurance pre-certifications, authorizations and referrals preferred. * Epic experience preferred. * Excellent organizational, written/verbal communication and teamwork skills. * Demonstrated performance of excellent customer service skills. Education Requirements High School Diploma or equivalent required. License/Certification Requirements NAHAM Certified Healthcare Access Associate (CHAA) certification preferred. Special Requirements Customer service oriented attitude/behavior as well as a pleasant and poised demeanor and excellent phone etiquette. Must possess excellent communication skills both verbal and written. Must be skilled in the use of computers. NAHAM Certified Healthcare Access Associate (CHAA) certification preferred.
$31k-35k yearly est. 1d ago
AUTHORIZATION SPECIALIST
Cooper University Health Care 4.6
Medford, NJ jobs
About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description Financially clears scheduled inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries and procedures, prior to date of service. The financial clearance process encompasses any or all of the following functions: * Verifies insurance eligibility and plan benefits. * Contact patients with inactive insurance coverage to obtain updated insurance information * Validates coordination of benefits between insurance carriers. * Explains insurance plan coverage and benefits to patients, as necessary. * Secures insurance authorizations and pre-certs for patient services both internal and external to Cooper. * Creates referrals for patients having a Cooper PCP. Contacts external PCPs to obtain referrals for patients scheduled with Cooper providers. * Refers patients with less than 100% coverage to Financial Screening Navigators. * Identifies copayment, deductible and co-insurance information. * Collects and processes patient liability payments prior to service. Provides clear and concise documentation in systems. Communicate daily with insurance companies, internal customers, providers and patients. Experience Required * 2 years of insurance verification or registration experience in a hospital or physician office preferred. * Working knowledge of medical insurance plans & products, coordination of benefits guidelines, and requirements for authorizations, pre-certifications and referrals preferred. * Proficiency in working with payor on-line portals, as well as NaviNet, Passport or other third-party eligibility systems preferred. * Experience working in a high-volume call center preferred. * Proficiency in IDX Flowcast, Imagecast, and EPIC EMR systems preferred. Education Requirements High School Diploma or equivalent. Special Requirements * Skilled in use of computers and software applications, i.e., Microsoft Word, Excel, Outlook, Access, registration and billing systems. * Basic knowledge of medical diagnoses and procedural codes * Excellent verbal and written communications skills * Ability to organize, take independent action and project Cooper values to customers and coworkers .
$36k-42k yearly est. 1d ago
PATIENT SERVICES REP
Cooper University Health Care 4.6
Woodstown, NJ jobs
About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description Greets patients and guests utilizing AIDET while providing an individualized excellent patient service experience. Provides patient support and keeps informed of delays. Takes appropriate action including offering alternatives. Performs all registration functions including full registration as well as updating/validating demographics, identification, insurance information and completing verification and obtaining signatures. Performs and documents patient outreach for messages received in front desk pool, Mychart messaging and confirmation calls. Utilizes kiosks, tablets and other technology to assist patients upon arrival (meet the patient where they are). Requires ability to stand and walk for periods of time depending on location for two to eight (2-8) hours per assigned shift. Makes appointments, including follow-up appointments for patients in a high customer service environment in an efficient and timely manner across the healthcare continuum including physician office visits, imaging, and lab post-visit and during patient outreach. Collects co-pays and outstanding balances. Reviews and reconciles cash drawer on daily basis. Accurately and efficiently performs many non-clinical administrative duties, including but not limited to in-basket and telephone communication, documentation in medical record, obtaining reports and medical records, completion of insurance and/or disability forms, precertification and/or authorizations, referrals and work queues such as patient reg, referrals, etc. Complies with procedures for transcription of orders (radiology and/or scheduling). Performs and documents in a timely and efficient manner patient outreach and call backs for messages received in pool, MyChart messaging and confirmation calls. Fulfills organizational responsibilities as assigned including respecting/promoting patient rights, responding appropriately to emergencies. Successfully communicates with multidisciplinary team members and patients upholding our Mission, Vision and Values and adhering to Code of Ethical conduct. Maintains working knowledge of regulatory standards and is accountable to sustain these standards in daily operations. Requires flexibility and the ability to multitask in a face paced environment and adjust to the patient volume. Other duties as assigned by the manager. Experience Required * Minimum one year of recent registration or billing experience working in a medical facility preferred. * Proficiency in patient registration, scheduling, medical insurance pre-certifications, authorizations and referrals preferred. * Epic experience preferred. * Excellent organizational, written/verbal communication and teamwork skills. * Demonstrated performance of excellent customer service skills. Education Requirements High School Diploma or equivalent required. License/Certification Requirements NAHAM Certified Healthcare Access Associate (CHAA) certification preferred. Special Requirements Customer service oriented attitude/behavior as well as a pleasant and poised demeanor and excellent phone etiquette. Must possess excellent communication skills both verbal and written. Must be skilled in the use of computers. NAHAM Certified Healthcare Access Associate (CHAA) certification preferred.
$35k-39k yearly est. 1d ago
AUTHORIZATION SPECIALIST
Cooper University Health Care 4.6
Gibbsboro, NJ jobs
About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description Financially clears scheduled inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries and procedures, prior to date of service. The financial clearance process encompasses any or all of the following functions: * Verifies insurance eligibility and plan benefits. * Contact patients with inactive insurance coverage to obtain updated insurance information * Validates coordination of benefits between insurance carriers. * Explains insurance plan coverage and benefits to patients, as necessary. * Secures insurance authorizations and pre-certs for patient services both internal and external to Cooper. * Creates referrals for patients having a Cooper PCP. Contacts external PCPs to obtain referrals for patients scheduled with Cooper providers. * Refers patients with less than 100% coverage to Financial Screening Navigators. * Identifies copayment, deductible and co-insurance information. * Collects and processes patient liability payments prior to service. Provides clear and concise documentation in systems. Communicate daily with insurance companies, internal customers, providers and patients. Experience Required * 2 years of insurance verification or registration experience in a hospital or physician office preferred. * Working knowledge of medical insurance plans & products, coordination of benefits guidelines, and requirements for authorizations, pre-certifications and referrals preferred. * Proficiency in working with payor on-line portals, as well as NaviNet, Passport or other third-party eligibility systems preferred. * Experience working in a high-volume call center preferred. * Proficiency in IDX Flowcast, Imagecast, and EPIC EMR systems preferred. Education Requirements High School Diploma or equivalent. Special Requirements * Skilled in use of computers and software applications, i.e., Microsoft Word, Excel, Outlook, Access, registration and billing systems. * Basic knowledge of medical diagnoses and procedural codes * Excellent verbal and written communications skills * Ability to organize, take independent action and project Cooper values to customers and coworkers .
$36k-42k yearly est. 1d ago
AUTHORIZATION SPECIALIST
Cooper University Health Care 4.6
Hatboro, PA jobs
About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description Financially clears scheduled inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries and procedures, prior to date of service. The financial clearance process encompasses any or all of the following functions: * Verifies insurance eligibility and plan benefits. * Contact patients with inactive insurance coverage to obtain updated insurance information * Validates coordination of benefits between insurance carriers. * Explains insurance plan coverage and benefits to patients, as necessary. * Secures insurance authorizations and pre-certs for patient services both internal and external to Cooper. * Creates referrals for patients having a Cooper PCP. Contacts external PCPs to obtain referrals for patients scheduled with Cooper providers. * Refers patients with less than 100% coverage to Financial Screening Navigators. * Identifies copayment, deductible and co-insurance information. * Collects and processes patient liability payments prior to service. Provides clear and concise documentation in systems. Communicate daily with insurance companies, internal customers, providers and patients. Experience Required * 2 years of insurance verification or registration experience in a hospital or physician office preferred. * Working knowledge of medical insurance plans & products, coordination of benefits guidelines, and requirements for authorizations, pre-certifications and referrals preferred. * Proficiency in working with payor on-line portals, as well as NaviNet, Passport or other third-party eligibility systems preferred. * Experience working in a high-volume call center preferred. * Proficiency in IDX Flowcast, Imagecast, and EPIC EMR systems preferred. Education Requirements High School Diploma or equivalent. Special Requirements * Skilled in use of computers and software applications, i.e., Microsoft Word, Excel, Outlook, Access, registration and billing systems. * Basic knowledge of medical diagnoses and procedural codes * Excellent verbal and written communications skills * Ability to organize, take independent action and project Cooper values to customers and coworkers.