Representative, Patient Scheduling (Full Time)
Representative job at MaineGeneral Health
Coordinates the scheduling of patient procedures and diagnostic appointments for the assigned department or service area. Ensures all scheduling activities are completed accurately, efficiently, and in alignment with departmental and patient needs.
Job Description:
Schedules patient appointments using computerized scheduling systems, confirming accuracy of times, resources, and required information.
Collaborates with physicians, nurses, and other clinical staff to confirm availability of facilities, equipment, and personnel. Obtains or verifies any necessary pre-authorizations at the time of scheduling to ensure a smooth patient experience.
Communicates directly with patients and/or their families, as appropriate, to provide clear pre-procedure instructions, confirm appointment details, and answer scheduling-related questions.
Collects and verifies demographic, insurance, and authorization information for all scheduled encounters, maintaining confidentiality and accuracy in every interaction.
This role plays a key part in supporting timely access to care, strong patient communication, and efficient coordination across clinical teams.
Scheduled Weekly Hours:
40
Scheduled Work Shift:
Job Exempt:
No
Benefits:
Supporting all aspects of our employees' wellness - physical, emotional and financial - is a critical component of being a great place to work. With the wide range of benefits and programs available, employees have the resources they need to be well at every stage of life and plan for the future.
Physical Wellness:
* We offer quality health, dental, and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs.
* Employees have access to industry-leading leave for new parents.
* A generous earned time plan is offered to all employees - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves.
Emotional Wellness:
When life gets challenging, employees have access to our Employee Assistance Program for employees and anyone in their household.
Financial Wellness:
* An employee discount program is available to all employees for services provided by MaineGeneral Medical Center.
* Tuition Reimbursement is available to all employees to further develop skills and career.
* We offer eligible employees up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan.
* Three insurance plans are available to protect your family from the sudden loss of income in the event of your death, terminal illness or serious injury from accident.
* We offer both short-term and long-term disability insurance to replace a portion of your income if you become disabled and cannot work for a period of time.
Career Mobility:
Helping our employees develop their skills and grow their careers is critical to how we retain our talent and sustain our business. We do this by offering our teammates a variety of leadership-supported programs and learning and development resources for every stage of their professional development. We know that our employees are our most valuable resource - they're how we grow our business and care for our community.
Equal Opportunity Employer M/F/Vet/Disability Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at ************** .
Auto-ApplyRep Fund Acctg I - HNAS
Augusta, ME jobs
HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve
**Duties Note: The following is not intended to be an exhaustive list of all duties required of this position.**
ADA
E1. Maintains the funding for self-insured clients. (35%)
E2. Responsible for communicating with external client contacts and internal departments. (30%)
E3. Prepares and sends reports and bills to clients daily, weekly or monthly. (35%)
N4. Performs other duties as assigned.
**Education/Experience/Skills Requirements**
**Required Education:**
HS/GED:
**Required Experience:**
Some college preferred. Prior experience in billing and eligibility preferred.
**Required Knowledge/Skills:**
1. Proficient in Microsoft Office Suite
2. Ability to meet deadline requirements
3. Must be detail oriented and a team player
4. Must be able to work in a fast paced environment
5. Excellent communication and organizational skills
6. Problem Solving
7. Ability to identify problems and issues and work within the Department for resolution or with other Department for resolution.
**Required Licenses/Certifications:**
None
**Managerial/Supervisory Responsibilities**
Does this Position have Supervisory Responsibility? No
**Pay Range Minimum:**
$19.27
**Pay Range Maximum:**
$26.88
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J273332
Rep Fund Acctg I - HNAS
Augusta, ME jobs
HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve
This role is Responsible to communicate claims registers to clients daily, weekly and monthly.
**Duties Note: The following is not intended to be an exhaustive list of all duties required of this position.**
ADA
E1. Maintains the funding for self-insured clients. (35%)
E2. Responsible for communicating with external client contacts and internal departments. (30%)
E3. Prepares and sends reports and bills to clients daily, weekly or monthly. (35%)
N4. Performs other duties as assigned.
**Education/Experience/Skills Requirements**
**Required Education:**
HS/GED:
**Required Experience:**
Some college preferred. Prior experience in billing and eligibility preferred.
**Required Knowledge/Skills:**
1. Proficient in Microsoft Office Suite
2. Ability to meet deadline requirements
3. Must be detail oriented and a team player
4. Must be able to work in a fast paced environment
5. Excellent communication and organizational skills
6. Problem Solving
7. Ability to identify problems and issues and work within the Department for resolution or with other Department for resolution.
**Required Licenses/Certifications:**
None
**Managerial/Supervisory Responsibilities**
Does this Position have Supervisory Responsibility? No
**Pay Range Minimum:**
$19.27
**Pay Range Maximum:**
$26.88
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J273524
Patient Service Contact Center Rep
Lewiston, ME jobs
Central Maine Healthcare is seeking a Patient Service Contact Center Rep to join our Patient Contact Center team!
This is a Full Time, benefits eligible position that pays $20.00/hour. No weekends, holidays, or on call.
Responsible for providing exceptional customer service, while demonstrating proficiency in either facilitating patient access to care (scheduling) or financially securing services to be provided. The role will require completing tasks and duties associated with either Patient Scheduling or Financial Clearance within the Patient Service Contact Center.
Education and Experience:
High school graduate or equivalent
Minimum 1-2 years of relevant experience preferably in one of the following: scheduling, pre-registration or financial clearance, preferred
Knowledge of medical terminology preferred
Understanding of insurance reimbursement basics
Equal Employment Opportunity:
CMH actively promotes diversity in its workforce at all levels of the organization. We strive to create and maintain a setting where we celebrate cultural and other differences and consider them strengths of the organization. CMH is an equal opportunity workforce and no one shall discriminate against any individual with regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, genetic information or veteran status with respect to any offer, or term or condition, of employment. We make reasonable accommodations to the known physical and mental limitations of qualified individuals with disabilities.
About Us:
Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western and Midcoast Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services.
If you are passionate about making a difference and are looking for your next great career opportunity, we look forward to reviewing your application!
Employment Status Full Time Shift Days
Auto-ApplyPatient Access Specialist - PRN
Lewiston, ME jobs
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
ENTRY LEVEL CAREER OPPORTUNITY OFFERING:
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
The pay for this position is $17.00 - $18.15 /hr, final compensation will be based on experience.
*This PRN position is an on-site role, and candidates must be able to work on-site at Covenant-St Marys, Lewiston, ME
The Opportunity:
We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for performing these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.
Job Responsibilities:
Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey.
Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
They are to adhere to policies and provide excellent customer service in these interactions with the appropriate level of compassion.
Patient Access staff will be held accountable for point of service goals as assigned.
Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities. Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership.
Patient Access Staff are responsible for the pre-registration of patient accounts prior to patient visits. This may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options.
The Patient Access Staff explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness's name. Explains and distributes patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.
Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.
Experience We Love:
1+ years of customer service experience
Minimum Education:
High School Diploma/GED Required
Certifications:
CRCR Required within 6 months of hire (Company Paid)
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
Innovation
Work-Life Flexibility
Leadership
Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.
EEOC - Know Your Rights
FMLA Rights - English
La FMLA Español
E-Verify Participating Employer (English and Spanish)
Know your Rights
Auto-ApplyPatient Access Specialist
Lewiston, ME jobs
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
ENTRY LEVEL CAREER OPPORTUNITY OFFERING:
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
This position pays between $17.00- $18.15/hr based on experience
*This position is an onsite role, and candidates must be able to work on-site at Covenant-St Mary's, Lewiston, ME*
Available Shifts:
Full Time 6:30am-7pm WK 1: Tues/Wed/Sat & WK 2: Wed, Thurs/Sat
Full Time 6:30am-7pm WK 1: Tues/Wed/Saturday & WK 2 Sun/Thurs/Fri
We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for performing these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.
Job Responsibilities:
Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey.
Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
They are to adhere to policies and provide excellent customer service in these interactions with the appropriate level of compassion.
Patient Access staff will be held accountable for point of service goals as assigned.
Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities. Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership.
Patient Access Staff are responsible for the pre-registration of patient accounts prior to patient visits. This may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options.
The Patient Access Staff explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness's name. Explains and distributes patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.
Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.
Experience We Love:
1+ years of customer service experience
Minimum Education:
High School Diploma/GED Required
Certifications:
CRCR Required within 6 months of hire (Company Paid)
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
Innovation
Work-Life Flexibility
Leadership
Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.
EEOC - Know Your Rights
FMLA Rights - English
La FMLA Español
E-Verify Participating Employer (English and Spanish)
Know your Rights
Auto-ApplyService Representative I MSMH Health Center Lockport
Lewiston, ME jobs
Salary: 18.02-27.04 USD Facility: Mount St. Mary's Hospital Shift: Shift 1 Status: Full Time FTE: 1.000000 Bargaining Unit: ACE Associates Exempt from Overtime: Exempt: No Work Schedule: Days Hours: 7a-3p, 8a-4p, 9a-5p, 10a-6p The Service Representative greets patients, registers demographic and insurance information into computer system, schedules appointments, performs other duties to meet patient and office needs including billing, coding, referrals, HealtheNet, insurance verification, phones, messages, filing, typing, copying, faxing and transcription.
Responsibilities:
EDUCATION
* High School Graduate or GED equivalent required
EXPERIENCE
* Six (6) months to one (1) year clerical work experience required; medical office situation preferred
* Knowledge of medical terminology preferred
* Prior customer service experience preferred
KNOWLEDGE, SKILL AND ABILITY
* Walking, standing, sitting and frequent stooping
* Handles office equipment and supplies
* Good physical and mental health
* Demonstrates ability to work well in stressful situations and conditions of frequent interruption
WORKING CONDITIONS
* May be exposed to infections and contagious diseases, occasional exposure to unpleasant patient elements, contact with patients under wide variety of circumstances, may be exposed to patient elements, exposed to unpleasant elements (accidents, injuries and illness), subject to varying and unpredictable situations, handles emergency or crisis situations, subject to many interruptions, occasionally subjected to irregular hours, occasional pressure due to multiple calls and inquiries, handles absentee replacement on short notice, may be exposed to toxic chemicals due to photocopier, flexibility in scheduled working hours/days to meet needs of unit
Customer Service Representative (Pharr TX or Brownsville TX area) Remote
Portland, ME jobs
Description & Requirements Maximus is looking for customer service representatives in and around the Pharr Texas/Brownsville TX areas. The role - provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). May support multiple Federal government agencies on critical programs
Must reside within a 75 radius of the Brownsville or Pharr Texas area.
This position is fully remote; however, you must be able to go onsite to the Maximus Pharr Texas location to pick up equipment.
This position will require a favorable Federal suitability clearance post-hire as mandated by the client.
*Position is contingent upon contract award*
Essential Duties and Responsibilities:
- Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters).
- Calls are basic and routine.
- Uses computerized system for tracking, information gathering, and/or troubleshooting.
- Provides feedback when needed, provide input on call trends, processes, procedures, and training.
- May respond to customer inquiries by referring them to published materials, secondary sources, or more senior staff.
- Experience in a call center environment highly preferred
- Must Be a US Citizen
- This position requires all work to be performed within the Continental US. Must currently live in and have permanent residence within the Continental US.
- Must be able to successfully obtain a favorable Federal suitability clearance post-hire as mandated by the client.
- Must be able to pick up equipment at the Maximus Pharr, TX Location.
Minimum Requirements
- High School diploma or equivalent with 6 months of customer service experience.
- Must be able to speak and read English clearly, professionally and fluently.
#HotJobs1104LI #HotJobs1104FB #HotJobs1104X #HotJobs1104TH #TrendingJobs
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
16.00
Maximum Salary
$
16.00
Easy ApplySenior Patient Access Specialist
Maine jobs
Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
* Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
* Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
* Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
JOIN IS FOR VIRTUAL INTERVIEWS ON WEDNESDAY 11/19 FROM 4PM -7PM!
CAREER OPPORTUNITY OFFERING
* Bonus Incentives
* Paid Certifications
* Tuition Reimbursement
* Comprehensive Benefits
* Career Advancement
* This position pays between $18.65 - $19.90/hr based on experience
The Senior Patient Access Specialist is responsible for performing admitting duties for all patients receiving services at Ensemble Health Partners. Additional duties can include training, scheduling, and other senior-level responsibilities. They are responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The Senior Patient Access Specialist will work within the policies and processes that are being performed across the entire organization.
Essential Job Functions:
* Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey. They will serve as the SMART for the department. They are to adhere to Ensemble Health Partners' policies and provide excellent customer service in these interactions with the appropriate level of compassion. Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
* Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities.
* A Senior Patient Access Specialist is responsible for the development of training materials and programs for new hires to the department, as well as providing continuing education to associates in all areas of the revenue cycle.
* A Senior Patient Access Specialist is responsible for the development of staff schedules within the patient access department.
* A Senior Patient Access Specialist will have on-call responsibilities for the department, including providing after-hours support and guidance. As part of on-call responsibilities, the Senior Patient Access Specialist may be responsible for working unscheduled times to cover staffing issues.
* Senior Patient Access Specialist are responsible for the collection of point of service payments. These activities may be conducted in emergency, outpatient, and inpatient situations including past due balances and offering payment plan options The Patient Access Specialist is expected to adhere to Ensemble Health Partners policies and provide excellent customer service in these interactions. Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access Leadership. Senior Patient Access Specialists will be held accountable for point of service goals as assigned.
* Explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness's name. Explains and distributes patient education documents, such as Important Message from Medicare, Observation Forms, Consent forms, and all forms implemented for future services.
* Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate including pre-registration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information, insurance information, and all other patient information.
* Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
Job Experience: 1 to 3 Years
Education Level: Associate degree or Equivalent Experience
Other Preferred Knowledge, Skills, and Abilities:
* Understanding of Revenue Cycle including admission, billing, payments, and denials. Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
* Knowledge of Health Insurance requirements.
* Knowledge of medical terminology or CPT or procedure codes
SIGN UP FOR A VIRTUAL INTERVIEW ON WEDNESDAY 11/19 FROM 4PM -7PM USING THE LINK BELOW:
Ensemble Health Partners Virtual Interviews - for Onsite Roles in Lewiston and Bangor, Maine
Join an award-winning company
Five-time winner of "Best in KLAS" 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
* Innovation
* Work-Life Flexibility
* Leadership
* Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
* Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
* Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
* Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
* Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.
EEOC - Know Your Rights
FMLA Rights - English
La FMLA Español
E-Verify Participating Employer (English and Spanish)
Know your Rights
Auto-ApplyPatient Access Specialist
Bangor, ME jobs
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
ENTRY LEVEL CAREER OPPORTUNITY OFFERING:
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
This position pays between $17.00- $18.15/hr based on experience
**This position is onsite and candidates must be able to work onsite at Covenant - St Joseph Healthcare, Bangor, ME**
Available Shifts:
Full Time Monday - Friday 7:30am - 4:00pm occasional weekends
Full Time Monday - Friday 7:00am-3:30pm
Full-time Sun, Mon, Tues (on call after training), 36 hours
Full-time Overnight Thurs, Fri, Sat 7:00pm - 7:30am
Part-time Overnight Tues and Friday (7:00pm-7:30a)
PRN Varies-day, night & weekend shifts
The Opportunity:
We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for performing these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.
Job Responsibilities:
Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey.
Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
They are to adhere to policies and provide excellent customer service in these interactions with the appropriate level of compassion.
Patient Access staff will be held accountable for point of service goals as assigned.
Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities. Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership.
Patient Access Staff are responsible for the pre-registration of patient accounts prior to patient visits. This may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options.
The Patient Access Staff explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness's name. Explains and distributes patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.
Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.
Experience We Love:
1+ years of customer service experience
Minimum Education:
High School Diploma/GED Required
Certifications:
CRCR Required within 6 months of hire (Company Paid)
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
Innovation
Work-Life Flexibility
Leadership
Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.
EEOC - Know Your Rights
FMLA Rights - English
La FMLA Español
E-Verify Participating Employer (English and Spanish)
Know your Rights
Auto-ApplyCustomer Service Representative
Wells, ME jobs
We are looking for a personable and skilled Client Service Representative (CSR) to join our team! As the primary point of contact at our clinic, you will play a crucial role in ensuring every client interaction-whether over the phone or in person-results in a positive and memorable impression. Your ability to create a welcoming environment and deliver exceptional service will be key to our success. NO weekends, late evenings or emergency coverage after hours!
CSR Responsibilities:
Understands, communicates, and properly prioritizes scheduled appointments, client education, and lobby triage by vaccine, wellness, parasite, and retail needs to ensure an efficient and productive schedule and daily workflow.
Operates multiple-line telephone system. Answers incoming calls, places, callers on hold, transfers calls, and pages staff members appropriately. Takes and routes messages for veterinarians and staff members.
Empathizes with clients and remains compassionate and well-mannered if a client becomes emotional or discourteous. Remains calm and collected in the face of emergency situations. Ultimately, it is the CSR who creates a good first and last impression on our clients.
Accepts payments, makes change, processes credit payments, and other forms of payment while maintaining an accurate cash drawer.
Maintains accurate and updated client information and pet records, including obtaining pet medical records from other clinics and providing administrative support (scanning documents, updating records, faxing, emailing, etc.) to keep accurate and reliable client information.
Complete all tasks as assigned by the supervisor(s).
Qualifications & Requirements:
Professional and friendly phone etiquette
No weekends or late evenings!
Ability to properly prioritize and complete tasks simultaneously
Ability to problem solve and adapt to multiple situations
HS Diploma or educational equivalent
Excellent customer service skills
Computer efficiency
Very detail-oriented
Preferred: Experience with Veterinary Electronic Medical Records (Avimark, Cornerstone, etc.)
Preferred: One year of customer service representative experience
Preferred: Knowledge of veterinary medical terminology and procedures
At AmeriVet, we're committed to your growth, development, well-being, and success. We empower team members with the resources, support, and opportunities needed to thrive in their careers and make a lasting impact in our communities.
Here's what you can expect when you join our team:
Tailored development programs, mentorship, and career pathing to help you achieve your unique goals.
Competitive pay, performance bonuses, 401(k) matching, and student loan assistance to foster your financial well-being.
Health, dental, vision, life insurance, and mental health resources to support your overall well-being.
Generous paid time off and holidays, because your personal time matters.
A supportive, collaborative environment where everyone feels a sense of belonging.
Please note: Any Benefits listed above apply to full-time employees.
At AmeriVet, your unique skills and passion are celebrated, and every team member has the tools to thrive. Our people-focused approach is centered on helping you grow in your career while making a meaningful impact on the communities we serve.
Auto-ApplyPatient Services Representative | Full-Time | South Portland, Maine
South Portland, ME jobs
Job Description
ESSENTIAL FUNCTIONS
Primarily answer incoming phone calls for multiple Primary Care practices.
Redirect calls for Specialty Departments when needed
Schedule routine and follow-up patient appointments
Reschedule or cancel appointments as needed
Confirm future appointments
Assist patients in reaching a clinician for their medical concerns and/or requesting a sick visit using a designated screening tool, including patients with urgent/critical medical concerns
Assist patients with prescription refill requests
Assist patients with referral requests
Provide general practice information for patients as needed
Responds to all patient and external customer requests via incoming phone call according to established processes and protocols and within established quality and performance metrics.
Acts as a champion of the patient experience by striving for first call resolution with every patient interaction
Other responsibilities as directed by supervisor, coordinator, or manager
JOB REQUIREMENTS
High School Diploma or equivalent required
Ability to support patients using a calm demeanor, compassion, and empathy, including urgent/critical calls
Strong organizational skills
Excellent professional judgment, phone skills and decision making ability
Proficiency with Windows based computer applications
Flexibility and willingness to work as a team member
Able to prioritize and handle multiple tasks
Active listening skills
Ability to proficiently use telephone system
Excellent typing and computer ability while simultaneously maintaining a telephone conversation
Ability to consistently meet and adhere to performance and quality metrics
Ability to demonstrate and uphold InterMed's Values
On-site, in-person training is required for this position. Training is expected to take 3-4 weeks depending on experience
State of Maine residence is required
Professional appearance
Patient Services Representative | Full-Time | South Portland, ME
South Portland, ME jobs
Job Description
ESSENTIAL FUNCTIONS
Primarily answer incoming phone calls for multiple Primary Care practices.
Redirect calls for Specialty Departments when needed
Schedule routine and follow-up patient appointments
Reschedule or cancel appointments as needed
Confirm future appointments
Assist patients in reaching a clinician for their medical concerns and/or requesting a sick visit using a designated screening tool, including patients with urgent/critical medical concerns
Assist patients with prescription refill requests
Assist patients with referral requests
Provide general practice information for patients as needed
Responds to all patient and external customer requests via incoming phone call according to established processes and protocols and within established quality and performance metrics.
Acts as a champion of the patient experience by striving for first call resolution with every patient interaction
Other responsibilities as directed by supervisor, coordinator, or manager
JOB REQUIREMENTS
High School Diploma or equivalent required
Ability to support patients using a calm demeanor, compassion, and empathy, including urgent/critical calls
Strong organizational skills
Excellent professional judgment, phone skills and decision making ability
Proficiency with Windows based computer applications
Flexibility and willingness to work as a team member
Able to prioritize and handle multiple tasks
Active listening skills
Ability to proficiently use telephone system
Excellent typing and computer ability while simultaneously maintaining a telephone conversation
Ability to consistently meet and adhere to performance and quality metrics
Ability to demonstrate and uphold InterMed's Values
On-site, in-person training is required for this position. Training is expected to take 3-4 weeks depending on experience
State of Maine residence is required
Professional appearance
Client Service Representative
Lyman, ME jobs
Description Southern Maine Veterinary Care is looking to add a compassionate and skilled client care representative to our team. At our Rarebreed clinic, you can help reimagine the veterinary experience in your community. Our welcoming environment means you'll have lots of opportunities to build positive relationships with coworkers that make your workdays more fulfilling and enjoyable. As part of our team, you'll work with the latest technology, gain access to state-of-the-art training facilities, and collaborate with a positive team to deliver the highest quality of care to the pet patients we all love. Client Service Representative Southern Maine Veterinary Care in Lyman, ME WHAT YOU'LL DO
Answers telephone calls quickly, efficiently and in a professional and friendly manner using a multi-line system
Warmly greets clients
Preparing patient files
Receives and relays client correspondence and updates client financial records
Answers client's inquiries about basic animal care questions and routine procedures
Educates clients on over-the-counter products such as flea and tick preventions
Admits patients and handles medical records entries accurately
Prepares client invoices for services performed
Handles payment transactions
Receives and relays telephone, fax, and email messages accurately and promptly
BENEFITS We're passionate about helping you reach your greatest potential - both at work and at home. As a result, our total compensation package is outstanding:
Great pay with competitive medical, dental, and vision insurance coverage
401K with 100% company match of up to 3%, and a 50% match for the 4
th
and 5
th
%
Generous paid time off
Bonding leave enhanced maternity benefit
Plus, special benefits to utilize for your own pet:
Pet Care: Discounts on veterinary services and products
Pet Diagnostics: Discounts on reference lab testing
Pet Food: Discounts on Purina pet foods
REQUIREMENTS
High school diploma or equivalent
Previous experience working in the veterinary or animal care field
Significant experience with basic office functions in a busy office environment
Rarebreed Veterinary Partners is a purpose-driven team that places talent first by supporting professionals to thrive in our industry and empowering hospital teams to provide exceptional care for pets and their owners. We pride ourselves on going the extra mile to create exceptional work experiences for our hospital teams. We focus on providing our hospitals with the best culture, tools, and support to allow the staff to focus on what they love most: caring for our animal companions. Joining our fun and team-first atmosphere comes with a level of support that's hard to find anywhere else. Everything we do is with purpose - down to the way we invest in our people and create long-overdue change in the industry. We're hyper-focused on supporting our professionals, so they can focus on bringing the gold standard of medicine to our patients and their families. When it all comes together with the joy of working with pets, our career opportunities are as exhilarating as climbing a toy mountain of a gazillion new squeaky balls. Employment will require the successful completion of references and background check.
Rarebreed Veterinary Partners provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, age, mental or physical disability, medical condition, gender, gender identity or expression, sexual orientation, genetic information, ancestry, marital status, national origin, protected veteran status, or any other characteristics or classifications protected by applicable federal, state, and local laws.
Learn more about our career opportunities at: ********************************* Where uncommon support partners with joy.
Auto-ApplySenior Patient Access Specialist
Lewiston, ME jobs
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
CAREER OPPORTUNITY OFFERING
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
This position pays between $18.65 - $19.90/hr based on experience
The Senior Patient Access Specialist is responsible for performing admitting duties for all patients receiving services at Ensemble Health Partners. Additional duties can include training, scheduling, and other senior-level responsibilities. They are responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The Senior Patient Access Specialist will work within the policies and processes that are being performed across the entire organization.
Essential Job Functions:
Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey. They will serve as the SMART for the department. They are to adhere to Ensemble Health Partners' policies and provide excellent customer service in these interactions with the appropriate level of compassion. Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities.
A Senior Patient Access Specialist is responsible for the development of training materials and programs for new hires to the department, as well as providing continuing education to associates in all areas of the revenue cycle.
A Senior Patient Access Specialist is responsible for the development of staff schedules within the patient access department.
A Senior Patient Access Specialist will have on-call responsibilities for the department, including providing after-hours support and guidance. As part of on-call responsibilities, the Senior Patient Access Specialist may be responsible for working unscheduled times to cover staffing issues.
Senior Patient Access Specialist are responsible for the collection of point of service payments. These activities may be conducted in emergency, outpatient, and inpatient situations including past due balances and offering payment plan options The Patient Access Specialist is expected to adhere to Ensemble Health Partners policies and provide excellent customer service in these interactions. Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access Leadership. Senior Patient Access Specialists will be held accountable for point of service goals as assigned.
Explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness's name. Explains and distributes patient education documents, such as Important Message from Medicare, Observation Forms, Consent forms, and all forms implemented for future services.
Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate including pre-registration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information, insurance information, and all other patient information.
Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
Job Experience: 1 to 3 Years
Education Level: Associate degree or Equivalent Experience
Other Preferred Knowledge, Skills, and Abilities:
Understanding of Revenue Cycle including admission, billing, payments, and denials. Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
Knowledge of Health Insurance requirements.
Knowledge of medical terminology or CPT or procedure codes
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
Innovation
Work-Life Flexibility
Leadership
Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.
EEOC - Know Your Rights
FMLA Rights - English
La FMLA Español
E-Verify Participating Employer (English and Spanish)
Know your Rights
Auto-ApplyPatient Access Representative Per Diem (4Pb04)
Lincoln, ME jobs
4PB04
PVH employment application required. All job offers contingent upon background check and completion of pre-employment physical.
This is an "as needed" position utilized to cover gaps in coverage including vacations, leaves of absence, and other instances of unfilled shifts. Per diem employees are required to work a minimum of 3 shifts within a 3-month period.
Position: Non-exempt, non-union, hourly rate.
JOB FUNCTIONS
Represents the organization in all interactions with patients, staff, and visitors. Is an active professional member of an environment characterized by cooperation, collaboration, respect, and teamwork. Demonstrates adaptability to change and challenges and appropriately utilizes resources to achieve goals.
Maintains adaptability in work schedule to meet patient and department needs.
Will be assigned to duties by Manager, but will learn and be expected to be competent in all departmental processes in order to provide coverage or assist with large work volumes or projects.
Greet customer with excellent customer service and calm demeanor, obtain the reason for visit to the hospital, and provide appropriate direction.
Confirms patient identity by using date of birth and patient's full name.
Gather patient data and input demographic and insurance information into the patient registration system. Verify insurance information and patient demographic information if patient is unable to complete when they arrive (e.g. ER patient).
Strive to maintain 5% or less error rate over a 90 day average and complete an accuracy report (registration edits) before ending shift each day.
Notify department of patient arrival.
Generate the patient's chart and obtain appropriate signatures as required.
Direct or escort patient to the designated department or waiting area. May need to assist in the transport of the patient should they not be able to travel by themselves. May need to seek assistance from the clinical department when necessary if the patient is ill.
Answers telephone calls for the department and directs the call to the appropriate department/person.
Pre-registers patients for outpatient visits/testing or inpatient admissions.
Receive and process cash and credit payments.
Order supplies for the department as needed.
Coordinates multiple departmental visits.
Coordinate forms for patient category and make up folder.
Count cash at the beginning and end of each shift and document.
Run reports on census (Final census reports, Room changes, etc.)
Operate switchboard; transfer calls to appropriate departments.
Monitor ambulance service radio.
Operate in-hospital emergency line and page emergency codes as needed.
Operates Ipad Communication System.
Operate overhead paging system.
Operates beeper system.
Review scheduled patients' list at time of scheduling and at least one week prior to visit to determine if required authorization, referrals, or quantity of visits is present.
Contacts patient to verify all demographics, verify current insurance information, pre-register patient and provide guidance and direction for arrival at PVH.
Discuss payment arrangements for deductible and co-pays. Notify PVH Patient Financial Representative and/or Collector of self-pay accounts. Use the PLE (Patient Liability Estimator) available through Trubridge to determine patient financial liability amount due.
Obtain authorizations/referrals/patient signatures as needed including ED, Observation, Swing Bed, Inpatient follow up tests, imaging, surgical, laboratory, and outpatient testing.
Work with ancillary departments regarding referrals and authorizations.
Document all conversations regarding prior authorizations/referrals with providers and insurance companies. Obtain call reference number's, individual names, dates and times. Enter the information as a note on the patient's account.
Coordinate with Case Management on observation/inpatient authorizations. Promptly complete the appropriate sheet, email case management with pertinent information.
Maintain patient status information in the computer system.
Review and scan observation and inpatient authorizations to patient's account.
Review all previous day's registrations to verify insurance information present is correct. If none is listed, investigate to determine patient is not insured.
Maintain authorizations and referrals filing system or database to review upcoming scheduled testing.
Assist with updating and correcting patient accounts.
Quality Improvement: Actively participates in the Hospital-wide Quality Improvement Program, actively supports and implements Department-specific Quality improvement initiatives and projects, recommends process improvement as appropriate, reports any quality issues in service delivery and consistently commits to a focus on quality improvement and organizational excellence.
Disaster Management: As an employee of Penobscot Valley Hospital, the position has an inherent role to care for our community members when in need. To this regard, the incumbent will be expected to participate in emergency/disaster preparedness planning and drills as requested. When called upon during a real life disaster/emergency event, the incumbent will be expected to participate in the Hospital's response to this event, within the scope of professional and personal ability to do so.
Requirements
Associates Degree preferred. One year's experience in Patient Registration or equivalent prior healthcare/medical office experience preferred. Effective organizational skills and multi-tasking skills to manage a variety of tasks at once. Proficient in medical terminology and computer skills. Management of Aggressive Behavior (MOAB) course completion required. Can effectively demonstrate excellent verbal and written communication skills and a strong attention to detail. Professional demeanor and appearance appropriate for the job.
Benefits
PVH has a Section 125 Cafeteria Benefits Plan and pays a portion of the cost of our health plan, dental, basic life, and disability insurance for employees with 30 + authorized hours and provides partial subsidy for dependent health insurance. Part-time employees are eligible to receive dental, life, and disability coverage and are eligible to participate in the health insurance plan. Other benefits include a 403(b) plan and earned time off accrual.
Senior Patient Access Specialist
Bangor, ME jobs
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
JOIN IS FOR VIRTUAL INTERVIEWS ON WEDNESDAY 11/19 FROM 4PM -7PM!
CAREER OPPORTUNITY OFFERING
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
This position pays between $18.65 - $19.90/hr based on experience
The Senior Patient Access Specialist is responsible for performing admitting duties for all patients receiving services at Ensemble Health Partners. Additional duties can include training, scheduling, and other senior-level responsibilities. They are responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The Senior Patient Access Specialist will work within the policies and processes that are being performed across the entire organization.
Essential Job Functions:
Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey. They will serve as the SMART for the department. They are to adhere to Ensemble Health Partners' policies and provide excellent customer service in these interactions with the appropriate level of compassion. Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities.
A Senior Patient Access Specialist is responsible for the development of training materials and programs for new hires to the department, as well as providing continuing education to associates in all areas of the revenue cycle.
A Senior Patient Access Specialist is responsible for the development of staff schedules within the patient access department.
A Senior Patient Access Specialist will have on-call responsibilities for the department, including providing after-hours support and guidance. As part of on-call responsibilities, the Senior Patient Access Specialist may be responsible for working unscheduled times to cover staffing issues.
Senior Patient Access Specialist are responsible for the collection of point of service payments. These activities may be conducted in emergency, outpatient, and inpatient situations including past due balances and offering payment plan options The Patient Access Specialist is expected to adhere to Ensemble Health Partners policies and provide excellent customer service in these interactions. Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access Leadership. Senior Patient Access Specialists will be held accountable for point of service goals as assigned.
Explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness's name. Explains and distributes patient education documents, such as Important Message from Medicare, Observation Forms, Consent forms, and all forms implemented for future services.
Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate including pre-registration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information, insurance information, and all other patient information.
Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
Job Experience: 1 to 3 Years
Education Level: Associate degree or Equivalent Experience
Other Preferred Knowledge, Skills, and Abilities:
Understanding of Revenue Cycle including admission, billing, payments, and denials. Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
Knowledge of Health Insurance requirements.
Knowledge of medical terminology or CPT or procedure codes
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Innovation
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Leadership
Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.
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Auto-ApplyCare Access Patient Concierge/Patient Registration
Kittery, ME jobs
At York Hospital, we are more than a hospital.# We are a team of providers, clinicians and staff members offering expertise within a hospital setting, our community sites, and physician practices located throughout Southern Maine and the NH seacoast.# Our caregivers# commitment is to make a positive difference in the lives of one another, our patients and our community by instilling our vision of Loving Kindness for all. Our Care Access Patient Concierge is responsible for greeting patients and assisting with questions or concerns, creating pre-registration accounts for all new and established patients, verify, collect and update required information.# We have all shifts availalble, full-time, part-time, per diem at our York Hospital location. High School or higher education, and one year customer service needed.# Knowledge of medical terminology, prior phone customer service or bookkeeping experience recommended.# YORK HOSPITAL IS AN EQUAL OPPORTUNITY EMPLOYER
At York Hospital, we are more than a hospital. We are a team of providers, clinicians and staff members offering expertise within a hospital setting, our community sites, and physician practices located throughout Southern Maine and the NH seacoast. Our caregivers' commitment is to make a positive difference in the lives of one another, our patients and our community by instilling our vision of Loving Kindness for all.
Our Care Access Patient Concierge is responsible for greeting patients and assisting with questions or concerns, creating pre-registration accounts for all new and established patients, verify, collect and update required information. We have all shifts availalble, full-time, part-time, per diem at our York Hospital location.
High School or higher education, and one year customer service needed. Knowledge of medical terminology, prior phone customer service or bookkeeping experience recommended.
YORK HOSPITAL IS AN EQUAL OPPORTUNITY EMPLOYER
Care Access Patient Concierge/Patient Registration
York, ME jobs
At York Hospital, we are more than a hospital.# We are a team of providers, clinicians and staff members offering expertise within a hospital setting, our community sites, and physician practices located throughout Southern Maine and the NH seacoast.# Our caregivers# commitment is to make a positive difference in the lives of one another, our patients and our community by instilling our vision of Loving Kindness for all. Our Care Access Patient Concierge is responsible for greeting patients and assisting with questions or concerns, creating pre-registration accounts for all new and established patients, verify, collect and update required information.# We have all shifts availalble, full-time, part-time, per diem at our York Hospital location. High School or higher education, and one year customer service needed.# Knowledge of medical terminology, prior phone customer service or bookkeeping experience recommended.# YORK HOSPITAL IS AN EQUAL OPPORTUNITY EMPLOYER
At York Hospital, we are more than a hospital. We are a team of providers, clinicians and staff members offering expertise within a hospital setting, our community sites, and physician practices located throughout Southern Maine and the NH seacoast. Our caregivers' commitment is to make a positive difference in the lives of one another, our patients and our community by instilling our vision of Loving Kindness for all.
Our Care Access Patient Concierge is responsible for greeting patients and assisting with questions or concerns, creating pre-registration accounts for all new and established patients, verify, collect and update required information. We have all shifts availalble, full-time, part-time, per diem at our York Hospital location.
High School or higher education, and one year customer service needed. Knowledge of medical terminology, prior phone customer service or bookkeeping experience recommended.
YORK HOSPITAL IS AN EQUAL OPPORTUNITY EMPLOYER
Patient Access Representative - Emergency Department, Full-time
Representative job at MaineGeneral Health
Job Summary:Are you someone who thrives on creating positive first impressions and enjoys helping others? As a Patient Access Representative, you'll be the friendly face that welcomes patients and their families, ensuring they feel comfortable and supported every step of the way.Job Description:
What You'll Do:
Greet patients and families, ensuring a smooth and welcoming check-in experience.
Perform financial clearance, registration, and clerical duties associated with direct and scheduled admissions.
Verify insurance benefits, obtain authorizations, and communicate essential information to clinical teams.
Handle payments, including co-pays and deductibles, or refer patients to financial counselors as needed.
Collaborate with various departments to ensure patients are accurately registered and ready for care.
Why This Role is Special:
Generous Shift Differentials: Earn extra for evening, night, and weekend shifts.
Opportunities to Grow: Build a rewarding career in healthcare with plenty of room for advancement.
Community Impact: Your work directly supports the health and well-being of the people in your community.
What We're Looking For:
Previous experience in customer service, patient registration, or scheduling (preferred but not required).
Exceptional communication skills and a friendly, professional demeanor.
Proficiency with computers and the ability to quickly and accurately enter information.
A commitment to teamwork and providing outstanding patient experiences.
Schedule Requirements:
This role includes a weekend and holiday rotation. We value flexibility and ensure comprehensive care and support for our team.
Scheduled Weekly Hours:40Scheduled Work Shift:10a-8:30p (United States of America) Job Exempt: NoBenefits:
Supporting all aspects of our employees' wellness - physical, emotional and financial - is a critical component of being a great place to work. With the wide range of benefits and programs available, employees have the resources they need to be well at every stage of life and plan for the future.
Physical Wellness:
We offer quality health, dental, and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs.
Employees have access to industry-leading leave for new parents.
A generous earned time plan is offered to all employees - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves.
Emotional Wellness:
When life gets challenging, employees have access to our Employee Assistance Program for employees and anyone in their household.
Financial Wellness:
An employee discount program is available to all employees for services provided by MaineGeneral Medical Center.
Tuition Reimbursement is available to all employees to further develop skills and career.
We offer eligible employees up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan.
Three insurance plans are available to protect your family from the sudden loss of income in the event of your death, terminal illness or serious injury from accident.
We offer both short-term and long-term disability insurance to replace a portion of your income if you become disabled and cannot work for a period of time.
Career Mobility:
Helping our employees develop their skills and grow their careers is critical to how we retain our talent and sustain our business. We do this by offering our teammates a variety of leadership-supported programs and learning and development resources for every stage of their professional development. We know that our employees are our most valuable resource - they're how we grow our business and care for our community.
Equal Opportunity Employer M/F/Vet/Disability Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at ************** .
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