Maternity Care Authorization Specialist (Hybrid Potential)
Barberton, OH jobs
This role plays a key part in ensuring maternity care bills are processed accurately and members receive timely support during an important season of life. The specialist serves as a detail-oriented professional who upholds CHM's commitment to excellence, compassion, and integrity.
WHAT WE OFFER
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training
ESSENTIAL JOB FUNCTIONS
Compile, verify, and organize information according to priorities to prepare data for entry
Check for duplicate records before processing
Accurately enter medical billing information into the company's software system
Research and correct documents submitted with incomplete or inaccurate details
Verify member information such as enrollment date, participation level, coverage status, and date of service before processing medical bills
Review data for accuracy and completeness
Uphold the values and culture of the organization
Follow company policies, procedures, and guidelines
Verify eligibility in accordance with established policies and definitions
Identify and escalate concerns to leadership as appropriate
Maintain daily productivity standards
Demonstrate eagerness and initiative to learn and take on a variety of tasks
Support the overall mission and culture of the organization
Perform other duties as assigned by management
SKILLS & COMPETENCIES
Core strengths like problem-solving, attention to detail, adaptability, collaboration, and time management.
Soft skills such as empathy (especially important in maternity care), professionalism, and being able to handle sensitive information with care.
EXPERIENCE REQUIREMENTS
Required: High school diploma or passage of a high school equivalency exam
Medical background preferred but not required.
Capacity to maintain confidentiality.
Ability to recognize, research and maintain accuracy.
Excellent communication skills both written and verbal.
Able to operate a PC, including working with information systems/applications.
Previous experience with Microsoft Office programs (I.e., Outlook, Word, Excel & Access)
Experience operating routine office equipment (i.e., faxes, copy machines, printers, multi-line telephones, etc.)
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
NeuroHospitalist Hybrid - Wellstar Columbia County Hospital (Opening Fall 2026)
Grovetown, GA jobs
How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
Take the next step in your career now, scroll down to read the full role description and make your application.
Work Shift
Various (United States of America)
Wellstar Health System, a nationally recognized and physician-led healthcare organization, is seeking a Board-Certified or Board-Eligible Neurologist to join our team at the brand-new Wellstar Columbia County Hospital, opening Fall 2026 in Grovetown, Georgia.
This is an exciting opportunity to be part of a new hospital and neurology service line, with the chance to influence care delivery, shape workflows, and practice in a brand-new, state-of-the-art facility.
Position Overview
Full-time, hospital-employed hybrid neurology position
Provide consultative neurological care for hospitalized patients
Collaborate with hospitalists, intensivists, and emergency department physicians
Support acute stroke alerts and participate in stroke care protocols
Opportunity to assist in development of neurology service lines and tele-neurology partnership.
Qualifications
MD/DO from an accredited institution
Board Certified/Board Eligible in Neurology
Eligibility for medical licensure in Georgia
Stroke experience or vascular neurology training is a plus
Excellent communication skills and a collaborative team mindset
Why Wellstar Columbia County?
Located just outside Augusta, Grovetown is one of the fastest-growing cities in Georgia, offering a family-friendly environment, top-rated schools, low cost of living, and access to urban and outdoor recreation. The new Wellstar Columbia County Hospital will be a cornerstone of healthcare innovation in the region.
Join us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more. xevrcyc
Remote working/work at home options are available for this role.
Referral Coordinator - Specialty Neurosurgery
San Antonio, TX jobs
Make sure to apply quickly in order to maximise your chances of being considered for an interview Read the complete job description below.
CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.
Summary:
This position is responsible for coordinating the referral/authorization of the clinic and assisting the Director in the operational performance of the Hospital Outpatient Department (HOPD). This includes but is not limited to: obtaining authorizations for all patient services, answering phones, making appointments, chart creation, and filing, assisting patients with payment arrangements and insurances related issues.
Responsibilities:
Obtains authorizations for clinic visits, clinic procedures, and minor surgeries. Calls to obtain patient's diagnostic codes from other sites as needed.
Handles payment transactions to include balancing at the end of the day. Enters referral/authorization information appropriately and completely as needed.
Contacts patients to resolve appointments, authorizations and payment difficulties or arrange satisfactory payment plans.
Aids patients to improve customer service.
Coordinates resolution of problems with PCP offices and Imaging Facilities and ensures compliance with regulations and standards.
Facilitates the flow of information between individuals, departments, physicians and leadership to progress toward organizational goals and achieve timely solutions to problems.
Assists Management in ensuring the compliance of Joint Commission guidelines and National Patient Safety Goals.
Serves as a liaison between patients, Associates, staff, and providers.
Maintains effective and respectful communication with providers, patients, Associates, and staff.
Works with staff and providers to ensure quality patient care and services are provided.
Ensures patient safety at all times.
Maintains strict confidentiality. Follows CHRISTUS and Federal guidelines related to HIPAA, designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission.
Maintains established CHRISTUS policies, procedures, objectives, quality assurance, safety, and environmental and infection control protocols.
Performs other job responsibilities as assigned in a manner consistent with the CHRISTUS Mission and Code of Ethics and is supportive of CHRISTUS' cultural diversity objectives.
Supports and adheres to the Service Guarantee and strives for ever-improved patient satisfaction. xevrcyc
Requirements:
Education/Skills
High School diploma or GED required
Must have experience in medical financial reimbursement, billing and collections
Must have knowledge of CPT and ICD10 coding
Must have ability to work independently and exercise good judgment
Must have strong interpersonal and communication skills
Must have prior experience working with PCs, scanning, faxes and multi-line phone systems
Bilingual (Spanish/English) preferred
Experience
Two years of experience in a medical office, in a patient access position, performing medical billing/collections, or other comparable position in a medical setting required.
Licenses, Registrations, or Certifications
None
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Referral Coordinator - Specialty Neurosurgery
San Antonio, TX jobs
All potential applicants are encouraged to scroll through and read the complete job description before applying.
This position is responsible for coordinating the daily business operations of the clinic and assisting the Director in the operational performance of the Hospital Outpatient Department (HOPD). This includes but is not limited to obtaining authorizations for patient services, answering phones, making appointments, chart creation, and filing, assisting patients to exam rooms, taking vital signs, and discharging patients.
CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.
Responsibilities:
Leads the daily activities of the department, including preparation of staff schedules and assignments.
Responsible for day-to-day business operations of the clinic. Reviews daily work and perform data entry as needed.
Obtains authorizations for clinic visits, procedures and surgeries. Calls to obtain patient's diagnostic results from other sites as needed.
Handles all payment transactions to include balancing at the end of the day and making deposits. Enters charges appropriately and completely as needed.
May contact patients to resolve payment difficulties or arrange satisfactory payment plans. Provides assistance to patients to improve customer service.
May perform patient care duties as needed to include assisting patients to and from exam rooms, obtaining vital signs, and cleaning of exam rooms in between patients.
Monitors and controls clinic expenditures within budget. May be responsible for ordering office and medical supplies. Ensures practice is efficient and cost-effective. Identifies and implements cost reduction opportunities.
Coordinates resolution of problems in administrative areas and ensures compliance with regulations and standards.
Facilitates the flow of information between individuals, departments, physicians and leadership to progress toward organizational goals and achieve timely solutions to problems.
Assists the Director in ensuring the compliance of Joint Commission guidelines and National Patient Safety Goals.
Serves as official Timekeeper for the department.
Serves as a liaison between patients, Associates, staff, and providers. Maintains effective and respectful communication with providers, patients, Associates, and staff.
Works with staff and providers to ensure quality patient care and services are provided. Ensures patient safety at all times.
Maintains strict confidentiality. Follows CHRISTUS and Federal guidelines related to HIPAA, designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission.
Maintains established CHRISTUS policies, procedures, objectives, quality assurance, safety, and environmental and infection control protocols.
Performs job responsibilities in a manner consistent with the CHRISTUS Mission and Code of Ethics and is supportive of CHRISTUS' cultural diversity objectives.
Supports and adheres to the Service Guarantee and strives for ever-improved patient satisfaction.
Requirements:
Education/Skills
High School diploma or GED required
Graduate of Medical Assistant or CNA program highly preferred
Must have experience in medical financial reimbursement, billing and collections
Must have knowledge of CPT and ICD10 coding
Must have ability to work independently and exercise good judgment
Must have strong interpersonal and communication skills
Must have prior experience working with PCs, scanning, faxes and multi-line phone systems
Must have ability to use blood pressure monitor and other medical equipment as needed
Bilingual (Spanish/English) highly preferred
Experience
Two years of experience in a medical office, in a patient access position, performing medical billing/collections, or other comparable position in a medical setting required. xevrcyc
Minimum of two years of clinic coordinator/management experience in a medical facility is preferred.
Licenses, Registrations, or Certifications
CPR certification required
MA or CNA certification highly preferred
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
Ambulatory Service Representative - Specialty Neurosurgery
San Antonio, TX jobs
Applying for this role is straight forward Scroll down and click on Apply to be considered for this position.
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and research errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
Education/Skills
High School Diploma or GED
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multi task and work under stressful situation
Effective written and verbal communication skills
Experience
1+ year of customer service experience required
Experience with medical office terminology preferred
Licenses, Registrations, or Certifications
None
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
Ambulatory Service Representative - Cardiovascular Surgery
Lake Jackson, TX jobs
Below covers everything you need to know about what this opportunity entails, as well as what is expected from applicants.
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and researches errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
High School Diploma or GED
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multi task and work under stressful situation
Effective written and verbal communication skills
1+ year of customer service experience required
Experience with medical office terminology preferred
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Ambulatory Service Representative - Neurosurgery
Helotes, TX jobs
Ensure all your application information is up to date and in order before applying for this opportunity.
CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.
Summary:
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and researches errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
High School Diploma or GED
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multi task and work under stressful situation
Effective written and verbal communication skills
1+ year of customer service experience required
Experience with medical office terminology preferred
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Ambulatory Service Representative - Cardiovascular Surgery
New Braunfels, TX jobs
Below covers everything you need to know about what this opportunity entails, as well as what is expected from applicants.
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and researches errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
High School Diploma or GED
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multi task and work under stressful situation
Effective written and verbal communication skills
1+ year of customer service experience required
Experience with medical office terminology preferred
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Ambulatory Service Representative - Neurosurgery
Randolph Air Force Base, TX jobs
Ensure all your application information is up to date and in order before applying for this opportunity.
CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.
Summary:
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and researches errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
High School Diploma or GED
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multi task and work under stressful situation
Effective written and verbal communication skills
1+ year of customer service experience required
Experience with medical office terminology preferred
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Referral Coordinator - Specialty Neurosurgery
Randolph Air Force Base, TX jobs
Make sure to apply quickly in order to maximise your chances of being considered for an interview Read the complete job description below.
CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.
Summary:
This position is responsible for coordinating the referral/authorization of the clinic and assisting the Director in the operational performance of the Hospital Outpatient Department (HOPD). This includes but is not limited to: obtaining authorizations for all patient services, answering phones, making appointments, chart creation, and filing, assisting patients with payment arrangements and insurances related issues.
Responsibilities:
Obtains authorizations for clinic visits, clinic procedures, and minor surgeries. Calls to obtain patient's diagnostic codes from other sites as needed.
Handles payment transactions to include balancing at the end of the day. Enters referral/authorization information appropriately and completely as needed.
Contacts patients to resolve appointments, authorizations and payment difficulties or arrange satisfactory payment plans.
Aids patients to improve customer service.
Coordinates resolution of problems with PCP offices and Imaging Facilities and ensures compliance with regulations and standards.
Facilitates the flow of information between individuals, departments, physicians and leadership to progress toward organizational goals and achieve timely solutions to problems.
Assists Management in ensuring the compliance of Joint Commission guidelines and National Patient Safety Goals.
Serves as a liaison between patients, Associates, staff, and providers.
Maintains effective and respectful communication with providers, patients, Associates, and staff.
Works with staff and providers to ensure quality patient care and services are provided.
Ensures patient safety at all times.
Maintains strict confidentiality. Follows CHRISTUS and Federal guidelines related to HIPAA, designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission.
Maintains established CHRISTUS policies, procedures, objectives, quality assurance, safety, and environmental and infection control protocols.
Performs other job responsibilities as assigned in a manner consistent with the CHRISTUS Mission and Code of Ethics and is supportive of CHRISTUS' cultural diversity objectives.
Supports and adheres to the Service Guarantee and strives for ever-improved patient satisfaction. xevrcyc
Requirements:
Education/Skills
High School diploma or GED required
Must have experience in medical financial reimbursement, billing and collections
Must have knowledge of CPT and ICD10 coding
Must have ability to work independently and exercise good judgment
Must have strong interpersonal and communication skills
Must have prior experience working with PCs, scanning, faxes and multi-line phone systems
Bilingual (Spanish/English) preferred
Experience
Two years of experience in a medical office, in a patient access position, performing medical billing/collections, or other comparable position in a medical setting required.
Licenses, Registrations, or Certifications
None
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Referral Coordinator - Specialty Neurosurgery
Randolph Air Force Base, TX jobs
All potential applicants are encouraged to scroll through and read the complete job description before applying.
This position is responsible for coordinating the daily business operations of the clinic and assisting the Director in the operational performance of the Hospital Outpatient Department (HOPD). This includes but is not limited to obtaining authorizations for patient services, answering phones, making appointments, chart creation, and filing, assisting patients to exam rooms, taking vital signs, and discharging patients.
CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.
Responsibilities:
Leads the daily activities of the department, including preparation of staff schedules and assignments.
Responsible for day-to-day business operations of the clinic. Reviews daily work and perform data entry as needed.
Obtains authorizations for clinic visits, procedures and surgeries. Calls to obtain patient's diagnostic results from other sites as needed.
Handles all payment transactions to include balancing at the end of the day and making deposits. Enters charges appropriately and completely as needed.
May contact patients to resolve payment difficulties or arrange satisfactory payment plans. Provides assistance to patients to improve customer service.
May perform patient care duties as needed to include assisting patients to and from exam rooms, obtaining vital signs, and cleaning of exam rooms in between patients.
Monitors and controls clinic expenditures within budget. May be responsible for ordering office and medical supplies. Ensures practice is efficient and cost-effective. Identifies and implements cost reduction opportunities.
Coordinates resolution of problems in administrative areas and ensures compliance with regulations and standards.
Facilitates the flow of information between individuals, departments, physicians and leadership to progress toward organizational goals and achieve timely solutions to problems.
Assists the Director in ensuring the compliance of Joint Commission guidelines and National Patient Safety Goals.
Serves as official Timekeeper for the department.
Serves as a liaison between patients, Associates, staff, and providers. Maintains effective and respectful communication with providers, patients, Associates, and staff.
Works with staff and providers to ensure quality patient care and services are provided. Ensures patient safety at all times.
Maintains strict confidentiality. Follows CHRISTUS and Federal guidelines related to HIPAA, designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission.
Maintains established CHRISTUS policies, procedures, objectives, quality assurance, safety, and environmental and infection control protocols.
Performs job responsibilities in a manner consistent with the CHRISTUS Mission and Code of Ethics and is supportive of CHRISTUS' cultural diversity objectives.
Supports and adheres to the Service Guarantee and strives for ever-improved patient satisfaction.
Requirements:
Education/Skills
High School diploma or GED required
Graduate of Medical Assistant or CNA program highly preferred
Must have experience in medical financial reimbursement, billing and collections
Must have knowledge of CPT and ICD10 coding
Must have ability to work independently and exercise good judgment
Must have strong interpersonal and communication skills
Must have prior experience working with PCs, scanning, faxes and multi-line phone systems
Must have ability to use blood pressure monitor and other medical equipment as needed
Bilingual (Spanish/English) highly preferred
Experience
Two years of experience in a medical office, in a patient access position, performing medical billing/collections, or other comparable position in a medical setting required. xevrcyc
Minimum of two years of clinic coordinator/management experience in a medical facility is preferred.
Licenses, Registrations, or Certifications
CPR certification required
MA or CNA certification highly preferred
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
Ambulatory Service Representative - Neurosurgery
Leon Valley, TX jobs
CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular carefrom diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.
Summary:
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits.
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and researches errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
High School Diploma or GED
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multi task and work under stressful situation
Effective written and verbal communication skills
1+ year of customer service experience required
Experience with medical office terminology preferred
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Access Services Scheduling Specialist - Hybrid
Round Rock, TX jobs
Must live within a 30 mile radius to location The Scheduling Specialist under general supervision and in accordance with established procedures, schedules outpatient diagnostic procedures including but not limited to radiology and imaging procedures, validates outpatient orders, and captures patient demographic and insurance information.
ESSENTIAL FUNCTIONS OF THE ROLE
Contacts patients or providers for outpatient diagnostic procedures.
Contacts patients to schedule outpatient diagnostic procedures.
Collects patient demographic and insurance information during scheduling phone call with provider or patient.
Validates insurance is in network with the provider.
Compiles patient information such as diagnosis, reason for procedure, medications, allergies and other applicable information prior to scheduled procedure.
Monitors inbound orders process to ensure orders are validated and routed appropriately to ensure patients are contacted timely to schedule procedure.
Contacts department affected by schedule adjustments to ensure patient is prepared and necessary personnel and equipment are available.
Responsible for meeting telephone system metrics and any other productivity standards set by the department to include length of call, length of answer time, and number of calls taken within a specific period.
KEY SUCCESS FACTORS
Must consistently meets performance standards of production, accuracy, completeness and quality.
Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.
Ability to maintain a professional demeanor in a highly stressful and emotional environment, behavioral health and suffering patients in addition to life/death situations.
Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills.
Demonstrates ability to manage multiple, changing priorities in an effective and organized manner.
Excellent data entry, numeric, typing and computer navigational skills.
Basic computer skills and Microsoft Office.
BENEFITS
Our competitive benefits package includes the following
* Immediate eligibility for health and welfare benefits
* 401(k) savings plan with dollar-for-dollar match up to 5%
* Tuition Reimbursement
* PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
QUALIFICATIONS
* EDUCATION - H.S. Diploma/GED Equivalent
* EXPERIENCE - Less than 1 Year of Experience
Access Services Scheduling Specialist - Hybrid
Round Rock, TX jobs
**_Must live within a 30 mile radius to location_** The Scheduling Specialist under general supervision and in accordance with established procedures, schedules outpatient diagnostic procedures including but not limited to radiology and imaging procedures, validates outpatient orders, and captures patient demographic and insurance information.
**ESSENTIAL FUNCTIONS OF THE ROLE**
Contacts patients or providers for outpatient diagnostic procedures.
Contacts patients to schedule outpatient diagnostic procedures.
Collects patient demographic and insurance information during scheduling phone call with provider or patient.
Validates insurance is in network with the provider.
Compiles patient information such as diagnosis, reason for procedure, medications, allergies and other applicable information prior to scheduled procedure.
Monitors inbound orders process to ensure orders are validated and routed appropriately to ensure patients are contacted timely to schedule procedure.
Contacts department affected by schedule adjustments to ensure patient is prepared and necessary personnel and equipment are available.
Responsible for meeting telephone system metrics and any other productivity standards set by the department to include length of call, length of answer time, and number of calls taken within a specific period.
**KEY SUCCESS FACTORS**
Must consistently meets performance standards of production, accuracy, completeness and quality.
Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.
Ability to maintain a professional demeanor in a highly stressful and emotional environment, behavioral health and suffering patients in addition to life/death situations.
Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills.
Demonstrates ability to manage multiple, changing priorities in an effective and organized manner.
Excellent data entry, numeric, typing and computer navigational skills.
Basic computer skills and Microsoft Office.
**BENEFITS**
Our competitive benefits package includes the following
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
**QUALIFICATIONS**
- EDUCATION - H.S. Diploma/GED Equivalent
- EXPERIENCE - Less than 1 Year of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Scheduling Specialist
McKinney, TX jobs
RAYUS now offers DailyPay! Work today, get paid today!
RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments.
This is a part time position working between 20-29 hours/week.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
(85%) Scheduling
Answers phones and handles calls in a professional and timely manner
Maintains positive interactions at all times with patients, referring offices and staff
Schedules patient examinations according to existing company policy
Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately
Ensures all patient data is entered into information systems completely and accurately
Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment
Communicates to technologists any scheduling changes in order to ensure highest patient satisfaction
Maintains an up-to-date and accurate database on all current and potential referring physicians
Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices
Provides back up coverage for front office staff as requested by supervisor (i.e., rest breaks, vacations and sick leave)
Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only)
(10%) Insurance
Pre-certifies all exams with patient's insurance company as required
Verifies insurance for same day add-ons
Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment
(5%) Completes other tasks as assigned
Access Services Scheduling Specialist- ONSITE (Mon-Fri 8am-5pm)
Temple, TX jobs
The Scheduling Specialist under general supervision and in accordance with established procedures, schedules outpatient diagnostic procedures including but not limited to radiology and imaging procedures, validates outpatient orders, and captures patient demographic and insurance information.
**ESSENTIAL FUNCTIONS OF THE ROLE**
Contacts patients or providers for outpatient diagnostic procedures.
Contacts patients to schedule outpatient diagnostic procedures.
Collects patient demographic and insurance information during scheduling phone call with provider or patient.
Validates insurance is in network with the provider.
Compiles patient information such as diagnosis, reason for procedure, medications, allergies and other applicable information prior to scheduled procedure.
Monitors inbound orders process to ensure orders are validated and routed appropriately to ensure patients are contacted timely to schedule procedure.
Contacts department affected by schedule adjustments to ensure patient is prepared and necessary personnel and equipment are available.
Responsible for meeting telephone system metrics and any other productivity standards set by the department to include length of call, length of answer time, and number of calls taken within a specific period.
**KEY SUCCESS FACTORS**
Must consistently meets performance standards of production, accuracy, completeness and quality.
Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.
Ability to maintain a professional demeanor in a highly stressful and emotional environment, behavioral health and suffering patients in addition to life/death situations.
Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills.
Demonstrates ability to manage multiple, changing priorities in an effective and organized manner.
Excellent data entry, numeric, typing and computer navigational skills.
Basic computer skills and Microsoft Office.
**BENEFITS**
Our competitive benefits package includes the following
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
**QUALIFICATIONS**
- EDUCATION - H.S. Diploma/GED Equivalent
- EXPERIENCE - Less than 1 Year of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Bilingual Scheduling Specialist
El Paso, TX jobs
Company Intro
At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation's largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas - including 25 ambulatory surgical centers.
At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees!
Overview
As a Bilingual Scheduling Specialist, you'll be the first touch with our patients and create memorable experiences for all of our patients, providers, and team members. A “patient first approach” is key to success and our Scheduling Specialists play a key role in effectively and compassionately guiding patients and scheduling appointments.
Responsibilities
In a call center environment, display the ability to service patient needs while actively accepting inbound calls with a focus on customer service
Use professional communication etiquette, while servicing patient needs based on appointment availability and nearest location.
Minimum goal achievement based on monthly review of various metrics and expected requirements.
Works with internal partners and clinics on a timely basis to help support and coordinate the needs of our patients.
Focused and open to learning new skills to take on various roles based on business need
Qualifications
High School diploma or equivalent
Bilingual in Spanish (Required)
Ability to navigate custom computer software and internal systems - NextGen experience a plus!
Experience in Medical Office including Insurance Knowledge highly desirable
Detail oriented, reliable and able to multi-task in a fast-paced, high-volume work environment
Excellent verbal and written communication skills; with the ability to show empathy and active listening skills
Ability to maintain a high level of confidentiality (HIPAA guidelines and regulations) and professionalism
Bilingual in Spanish highly preferred but not required
Benefits & Perks
Your health, happiness and your future matters! At AVP, we offer everything from medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays, PTO, Sick Time, opportunity for growth, and much more!
Auto-ApplySurgical Services Scheduling Specialist
Springfield, GA jobs
Full-time Description
Under the general direction of the Director of Surgical Services, the Surgical Services Scheduling Specialist will schedule surgeries, perform patient tracking, input & maintain statistics for the Performance Improvement Program, perform other administrative department duties and assist in the smooth operation of the department in accordance with TJC, federal, state, and local guidelines, organizational and departmental policies, and procedures. Communicates with medical staff, other departments, and outside agencies while maintaining confidentiality. Position requires self-motivation, creativity, and capabilities to function in a semi-autonomous role within a fast paced and dynamic environment.
STANDARDS OF PERFORMANCE
Ensures adherence to proper infection control, OSHA and safety standards.
Responsible for scheduling and coordinating surgeries and IV infusions.
Will pre-register patients for surgery and IV infusions.
Perform Pre-cert for procedures with insurance companies.
Maintain the surgical services logbook.
Maintain and report surgical services statistics.
Complete the weekly flash report.
Scan patient charts post-op.
Perform patient tracking.
Review charge capture review.
Maintain and report PI data.
Manage post-op call log and report findings.
Answer the telephone promptly and courteously.
Fax reports to physicians.
Properly distribute reports.
Notify department manager of any equipment or supply needs.
Participate in continuing education.
Notify the department manager or safety officer of any patient safety concerns, e.g. sanitation, equipment safety, chemical spills.
Other duties as assigned, needed, requested, or required.
CONDITIONS OF EMPLOYMENT
All information is subject to verification. False answers or omissions of information on application materials or inability to meet conditions of employment may be grounds for withdrawal of an offer of employment, or dismissal after being employed.
All Employees are to be COVID-19 Vaccinated or approved for a Religious or Health Exemption.
All employees must be screened daily at COVID-19 screening stations (ER entrance and Therapy entrance) prior to the start of shift and comply with mandatory face masking.
All employees are required to successfully complete criminal background check and or fingerprint background check if applicable for the position.
All employees must possess and maintain a valid and active incumbent Georgia Licensure and or certification based on Job description eligibility requirements.
All employees must comply with EHS drugfree workplace policy and successfully pass pre-employment and post-employment drug screening requirements.
All employees must wear proper PPE based on their designated Job Title:
Materials Management, Environmental Services, and Maintenance staff must wear back brace while lifting anything 25 pounds or higher.
Care Center direct resident care staff must wear a back brace and gait belt at all times while on duty.
Clinical staff are required to wear proper PPE designated to their function and duties.
All employees are required to identify a financial institution for direct deposit of pay before the start of employment and during employment tenure.
Requirements
Minimum Level of Education: Education level equivalent to completion of High School.
Formal Training: Management skills with experience in planning, organizing, implementing, facilitating, interviewing, counseling, and verbal and written communications.
Licensure, Certification, Registration: None Required.
Work Experience: Two years of general office work is preferred, six months of medical office experience preferred.
Surgical Services Scheduling Specialist
Springfield, GA jobs
Description:
Under the general direction of the Director of Surgical Services, the Surgical Services Scheduling Specialist will schedule surgeries, perform patient tracking, input & maintain statistics for the Performance Improvement Program, perform other administrative department duties and assist in the smooth operation of the department in accordance with TJC, federal, state, and local guidelines, organizational and departmental policies, and procedures. Communicates with medical staff, other departments, and outside agencies while maintaining confidentiality. Position requires self-motivation, creativity, and capabilities to function in a semi-autonomous role within a fast paced and dynamic environment.
STANDARDS OF PERFORMANCE
Ensures adherence to proper infection control, OSHA and safety standards.
Responsible for scheduling and coordinating surgeries and IV infusions.
Will pre-register patients for surgery and IV infusions.
Perform Pre-cert for procedures with insurance companies.
Maintain the surgical services logbook.
Maintain and report surgical services statistics.
Complete the weekly flash report.
Scan patient charts post-op.
Perform patient tracking.
Review charge capture review.
Maintain and report PI data.
Manage post-op call log and report findings.
Answer the telephone promptly and courteously.
Fax reports to physicians.
Properly distribute reports.
Notify department manager of any equipment or supply needs.
Participate in continuing education.
Notify the department manager or safety officer of any patient safety concerns, e.g. sanitation, equipment safety, chemical spills.
Other duties as assigned, needed, requested, or required.
CONDITIONS OF EMPLOYMENT
All information is subject to verification. False answers or omissions of information on application materials or inability to meet conditions of employment may be grounds for withdrawal of an offer of employment, or dismissal after being employed.
All Employees are to be COVID-19 Vaccinated or approved for a Religious or Health Exemption.
All employees must be screened daily at COVID-19 screening stations (ER entrance and Therapy entrance) prior to the start of shift and comply with mandatory face masking.
All employees are required to successfully complete criminal background check and or fingerprint background check if applicable for the position.
All employees must possess and maintain a valid and active incumbent Georgia Licensure and or certification based on Job description eligibility requirements.
All employees must comply with EHS drugfree workplace policy and successfully pass pre-employment and post-employment drug screening requirements.
All employees must wear proper PPE based on their designated Job Title:
Materials Management, Environmental Services, and Maintenance staff must wear back brace while lifting anything 25 pounds or higher.
Care Center direct resident care staff must wear a back brace and gait belt at all times while on duty.
Clinical staff are required to wear proper PPE designated to their function and duties.
All employees are required to identify a financial institution for direct deposit of pay before the start of employment and during employment tenure.
Requirements:
Minimum Level of Education: Education level equivalent to completion of High School.
Formal Training: Management skills with experience in planning, organizing, implementing, facilitating, interviewing, counseling, and verbal and written communications.
Licensure, Certification, Registration: None Required.
Work Experience: Two years of general office work is preferred, six months of medical office experience preferred.
Audit Processing and Scheduling Specialist
Texas jobs
Who We Are: With a diverse team of more than 800 people, HealthMark is set apart by our culture, commitment to excellence, and dynamic contributors. We believe in fostering growth, celebrating success, and providing opportunities for every team member to thrive. Joining HealthMark means being part of a thriving organization recognized as a Top Workplace by USA Today. Not only that, but we've made it on the Inc. 5000 list of fastest-growing companies for ten years.
Not only will you get to contribute to the healthcare ecosystem by making health information more accessible to patients, but you will also join a forward-thinking team of innovators who are passionate about the work we do and the people we serve.
What We Do: HealthMark is a mission to revolutionize how medical records are released to patients, providers, and other stakeholders. We provide tech-enabled solutions that help health systems, hospitals, FQHCs, provider-led networks, and other care providers deliver the right medical records to the right patient.
What We Offer:
A collaborative and supportive work environment that values your ideas
Opportunities for professional development and career advancement
Competitive benefits, including medical, dental, and vision insurance, 401k matching, remote opportunities, paid time off, and a paid volunteer day of your choice
The chance to make an impact in the health information field every day
Join us in shaping the future of release of information!
LOCATION: Remote
Job Overview:
We are seeking a motivated and dynamic Audit Processing and Scheduling Specialist to join our team. In this role, you will work closely with the Audit Processing and Scheduling Specialist to ensure the efficient flow of medical record audits to the processing teams. The Audit Processing and Scheduling Specialist will be responsible sorting workloads for all teams, ensuring work is scheduled before deadlines and equally between teams and work with team leads to ensure all available resources are utilized.
Key Responsibilities:
Audit Management:
Receive, track, and prioritize payer audit requests, ensuring all relevant documentation is gathered and reviewed for accuracy.
Maintain a comprehensive inventory of ongoing and completed audits, including statuses, deadlines, and outcomes.
Coordinate with internal teams to facilitate timely and accurate responses to audit requests.
Data Integrity & Compliance:
Verify that all documentation complies with HIPAA, state, and federal regulations regarding protected health information (PHI).
Ensure proper documentation of all communications and actions related to payer audits for accountability and compliance purposes.
Communication & Coordination:
Serve as a liaison between payers, healthcare providers, and internal stakeholders to resolve discrepancies or follow up on missing information.
Communicate effectively with clients and payers to provide updates on audit progress and respond to inquiries.
Reporting & Analysis:
Generate detailed reports on audit inventory, identifying trends, bottlenecks, and areas for improvement.
Collaborate with leadership to develop strategies for enhancing audit management processes.
Report challenges to team leaders and processing managers.
Provide Daily reports to VP for status of all projects
Support the Account Management team in reporting progress to requestors and adjusting priorities
Process Improvement:
Continuously evaluate current practices for audit inventory management, suggesting and implementing improvements to boost efficiency and accuracy.
Qualifications:
1-2-Proven experience in a team leadership or supervisory role.
Strong communication and interpersonal skills, with the ability to motivate, mentor and guide others.
Ability to handle multiple tasks and adapt to a fast-paced work environment.
Problem-solving skills with a proactive approach to resolving issues.
Strong organizational skills and attention to detail.
High School Diploma or GED
Preferred Qualifications:
Experience in Medical Records Auditing or healthcare industry experience
Familiarity with team performance tracking and goal-setting tools.
Auto-Apply