Patient access representative jobs in Albany, GA - 68 jobs
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Patient Access Representative
Customer Service Representative
Patient Care Coordinator
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Patient Care Coordinator/ Engager
Lucid Hearing 3.8
Patient access representative job in Albany, GA
Our Mission: "Helping People Hear Better" Lucid Hearing is a leading innovator in the field of assistive listening and hearing solutions, and it has established itself as a premier manufacturer and retailer of hearing solutions with its state-of-the-art hearing aids, testing equipment, and a vast network of locations within large retail chains. As a fast-growing business in an expanding industry, Lucid Hearing is constantly searching for passionate people to work within our amazing organization.
Club:
Sam's Club in Albany, GA
Hours:
Full time/ Tuesday-Saturday 9am-6pm
Pay:
$18+/hr
What you will be doing:
•
Share our passion of giving the gift of hearing by locating people who need hearing help
• Directing members to our hearing aid center inside the store
• Interacting with Patients to set them up for hearing tests and hearing aid purchases
• Secure a minimum of 4 immediate or scheduled full hearing tests daily for the hearing aid specialist or audiologist that works in the center
• 30-50 outbound calls daily.
• Promote all Lucid Hearing products to members with whom they engage.
• Educate members on all of products (non hearing aid and hearing aid) when interacting with them
• Assist Providers when necessary, calling past tested Members, medical referrals to schedule return, etc.
What are the perks and benefits of working with Lucid Hearing:
Medical, Dental, Vision, & Supplemental Insurance Benefits
Company Paid Life Insurance
Paid Time Off and Company Paid Holidays
401(k) Plan and Employer Matching
Continual Professional Development
Career Growth Opportunities to Become a LEADER
Associate Product Discounts
Qualifications
Who you are:
Willingness to learn and grow within our organization
Sales experience preferred
Stellar Communication skills
Business Development savvy
Appointment scheduling experience preferred
A passion for educating patients with hearing loss
Must be highly energetic and outgoing (a real people person)
Be comfortable standing multiple hours
Additional Information
We are an Equal Employment Opportunity Employer.
$18 hourly 3d ago
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CUSTOMER SERVICE REPRESENTATIVE
The Staffing People
Patient access representative job in Leesburg, GA
THE CUSTOMER SERVICE REPRESENTATIVE WILL BE WORKING IN AN OFFICE. THIS PERSON WILL BE COMPLETING PAPERWORK, DATA ENTRY, AND PROVIDING EXCEPTIONAL CUSTOMER SERVICE.
Job Responsibilities:
Maintain a positive, empathetic and professional attitude at all times. Respond directly to customer inquiries. Communicate with customers through various means. Acknowledge and resolve customer complaints. Process orders and requests. Communicate and coordinate with colleagues as necessary. Provide feedback on the efficiency of the customer service process. Ensure customer satisfaction. Data entry. Completing reports and/or correspondence. Utilizing computers, computer software and office equipment. All other duties as assigned.
$25k-32k yearly est. 3d ago
Customer Service Representative
Whatley Oil LLC
Patient access representative job in Shellman, GA
Responsible for day to day interactions with customers and staff. This includes but is not limited to:
Cash Register Operations
Stocking and Inventory
Housekeeping
Deli
This is a part time position with no more than 28 hours a week. This position will be mostly nights and weekends.
$25k-32k yearly est. Auto-Apply 60d+ ago
Customer Service Representative - Albany, GA
Kedia Corporation
Patient access representative job in Albany, GA
Kedia Corporation connects people with what they want on a global scale. We are committed through use of innovation to create exceptional user experiences. Kedia is engineering. Using cutting edge techniques, we have defined the way business will continue future operations. Our company provides a challenging, fast paced, and growth oriented foundation to develop and empower people to innovate in the business services field
Job Description
Tasks
Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.
Keep records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken.
Check to ensure that appropriate changes were made to resolve customers' problems.
Determine charges for services requested, collect deposits or payments, or arrange for billing.
Refer unresolved customer grievances to designated departments for further investigation.
Review insurance policy terms to determine whether a particular loss is covered by insurance.
Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments.
Resolve customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills.
Compare disputed merchandise with original requisitions and information from invoices and prepare invoices for returned goods.
Obtain and examine all relevant information to assess validity of complaints and to determine possible causes, such as extreme weather conditions that could increase utility bills.
Tools
used in this occupation:
Autodialers
- Autodialing systems; Predictive dialers
Automated attendant systems
- Voice broadcasting systems
Automatic call distributor ACD
- Automatic call distribution ACD system
Scanners
Standalone telephone caller identification
- Calling line identification equipment; Dialed number identification systems DNIS
Technology
used in this occupation:
Contact center software
- Avaya software; Multi-channel contact center software; Timpani Contact Center; Timpani Email
Customer relationship management CRM software
- Austin Logistics CallSelect; Avidian Technologies Prophet; SSA Global software; Telemation e-CRM
Electronic mail software
- Astute Solutions PowerCenter; IBM Lotus Notes; Microsoft Outlook
Network conferencing software
- Active Data Online WebChat; eStara Softphone; Parature eRealtime; Timpani Chat
Spreadsheet software
- Microsoft Excel
Knowledge
Customer and Personal Service
- Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
Clerical
- Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
English Language
- Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
Qualifications
Skills
Active Listening
- Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Speaking
- Talking to others to convey information effectively.
Service Orientation
- Actively looking for ways to help people.
Persuasion
- Persuading others to change their minds or behavior.
Reading Comprehension
- Understanding written sentences and paragraphs in work related documents.
Critical Thinking
- Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Writing
- Communicating effectively in writing as appropriate for the needs of the audience.
Coordination
- Adjusting actions in relation to others' actions.
Social Perceptiveness
- Being aware of others' reactions and understanding why they react as they do.
Negotiation
- Bringing others together and trying to reconcile differences.
Abilities
Oral Comprehension
- The ability to listen to and understand information and ideas presented through spoken words and sentences.
Oral Expression
- The ability to communicate information and ideas in speaking so others will understand.
Speech Clarity
- The ability to speak clearly so others can understand you.
Speech Recognition
- The ability to identify and understand the speech of another person.
Written Expression
- The ability to communicate information and ideas in writing so others will understand.
Near Vision
- The ability to see details at close range (within a few feet of the observer).
Problem Sensitivity
- The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
Written Comprehension
- The ability to read and understand information and ideas presented in writing.
Deductive Reasoning
- The ability to apply general rules to specific problems to produce answers that make sense.
Inductive Reasoning
- The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
Additional Information
If this sounds like the right job for you, then use the button below to submit your resume. We look forward to receiving your application.
$25k-32k yearly est. 3d ago
Patient Access Representative II - Day
The Hospital Authority of Miller County 4.1
Patient access representative job in Colquitt, GA
Description:
The PatientAccess Services Representative II is responsible for independently managing patient registration, insurance verification, and customer service functions. The representative at this level is expected to have a thorough understanding of patientaccess workflows and manage more complex situations. In addition to performing all outpatient and inpatient registration functions including hospital cashiering and insurance verification. Ensures that patients meet financial requirements. Provides general information to hospital users, patients, and families.
Communicates effectively to service delivery areas to maximize patient flow and customer service. Provides excellent patient focused customer service.
Shifts for the PAS Department are:
1st Shift (7 AM - 3 PM)
2nd Shift (3 PM - 11 PM)
3rd Shift (11 PM - 7 AM)
GENERAL REQUIREMENTS:
• Performs all job responsibilities in alignment with the mission and vision of the organization.
• Performs other duties as required and completes all job functions as per departmental policies and procedures.
• Maintains current knowledge in present areas of responsibility (i.e., self-education, attends ongoing educational programs).
• Attend staff meetings and complete mandatory in-services and requirements and competency evaluations on time.
• Wear protective clothing and equipment as appropriate.
GENERAL SKILLS:
• Ability to communicate in English, both verbally and in writing.
• Additional languages preferred.
• Strong written and verbal skills.
• Basic Computer Skills
WORKING CONDITIONS:
• General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.
• May be exposed to high noise levels and bright lights.
• May be exposed to limited hazardous substances or body fluids, or infectious organisms.
• May be required to change from one task to another or different nature without loss of efficiency or composure.
• Periods of high stress and fluctuating workloads may occur.
• May be scheduled as needed including overtime.
PHYSICAL REQUIRMENTS & DEMANDS:
• Have near normal hearing: Hear alarms/telephone/normal speaking voice.
• Have near normal vision: Clarity of vision (both near and far), ability to distinguish colors.
• Have good manual dexterity.
• Have good eye-hand foot coordination.
• Ability to perform repetitive tasks/motion.
• Continuously within shift (67-100%): Standing, Walking.
• Frequently within shift (34-66%): Bending/Stooping, Pushing/Pulling, Lift/carry up to 20lbs, Lift/carry greater than 20 lbs. with assistance.
• Occasionally within shift (1-33%): Sitting, Climbing, Twist at waist, Lift/Carry greater than 50 lbs. with assistance, Reaching above shoulder.
MISSION STATEMENT:
QUALITY HEALTHCARE: In our continuing effort to enhance the quality of life for the communities we serve, the Hospital Authority of Miller County is committed to the delivery of superior, safe, cost-effective healthcare through the provisions of education prevention, diagnosis, and treatment.
JOB SPECIFIC COMPETENCIES:
• Responsible for obtaining necessary demographic and financial data through patient interviews, the centralized scheduling system and system queries to complete the pre-registration process.
• Assures all check-in procedures are completed, and monitors patient wait times, communicating changes to the patient, as necessary. Reads and interprets insurance responses.
• Communicates financial obligations to patients and collects fees at time of service as appropriate.
• Accurately performs medical record maintenance and releases.
• Performs cash posting following department guidelines.
• Abides by organizational and HIPAA guidelines, privacy practices, patient confidentiality and patient rights.
• Must maintain high regard for confidentiality.
• Notifies patient or guarantor of anticipated financial responsibility including copays, deductibles, or coinsurances and collects accordingly. Performs cash posting following department guidelines.
• Communicates the purpose of and completes all necessary regulatory forms with patient.
• Completes patient's visit by scheduling any necessary follow-up appointments to include any specialty or ancillary services as possible.
• Documents financial arrangements.
• Assist with departmental workflow as needed.
• Communicates with Physician Offices, Staff, and other departments.
• Familiar with Advance Beneficiary Notice, Medicare Secondary Questionnaire, Medicare Outpatient Observation Notice, Important Message from Medicare, precertification, ICD-10 coding, Medical Terminology.
• Identifies patients who require early financial counseling intervention.
• Maintains knowledge of departmental applications i.e., CERNER, Relias, Heartland, Hometown Health, GAMMIS, Availity, my ABILITY, and other systems utilized by PatientAccess Services.
• Multiple tasks and responsibilities. I must pay attention to detail. Ability to perform efficiently and effectively under stress.
• Adherent to Strict EMTALA guidelines in financial data collection and collection of co-pays are followed.
• Strong teamwork between the clinical staff and the financial staff is required.
• Strong teamwork, communication and customer service skills are required.
• Handles a high volume of incoming calls.
• Responds to questions and concerns and directs them to an appropriate location or department.
• Responsible for reviewing hospital outpatient service orders for accuracy and medical necessity when required.
• Performs all other duties and projects assigned.
• Presents consent forms and notifications to patients and obtains all necessary patient signatures and information at time of arrival.
• May initiate and perform administrative duties to ensure efficient daily business operations, including participating in the office/department opening and closing procedures, assisting with maintaining, ordering, and restocking front office supplies, and receiving and distributing mail.
• Assist Supervisor and/or Manager with development of staff by being available to teammates, acting as a resource to help complete complicated/complex tasks, providing on the job training to team, and seeking out opportunities to become actively involved in staff workflow and development.
Additional Responsibilities: May be separate from PAR Duties
Auditing and Quality Review
In addition to core registration responsibilities, the PatientAccessRepresentative will perform regular audits and quality checks to ensure accuracy, compliance, and optimal patient experience. The following auditing duties are included in this role:
Auditing Responsibilities:
• Insurance Verification and Accuracy:
Review and verify insurance information for all Inpatient and Swing Bed admissions to ensure accurate and up-to-date coverage is documented.
• Required Documentation Compliance:
Confirm that all required patient forms, including but not limited to the MOON (Medicare Outpatient Observation Notice) form, have been properly signed by the patient or their guarantor.
• Primary Care Provider Accuracy:
Audit patient records to ensure that the Primary Care Physician (PCP) listed is accurate and updated in the system.
• Medicare Secondary Payer (MSP) Questionnaires: Ensure that MSP questionnaires are completed and accurate, with appropriate documentation and any necessary follow up completed in a timely manner
• Medicare and Medicaid Eligibility Checks
For all patients listed with Medicare or Medicaid, verify eligibility and confirm there are no active Medicare Advantage or Medicaid CMO (Care Management Organization) plans that would alter billing or coverage
• Portal Consent for Underage Patients
Audit portal consents for patients under age 18 to ensure proper authorization and that access limitations for minors are observed in accordance with privacy regulations.
• Portal Enrollment Confirmation
Review patient portal consent forms to ensure patients who opted to sign up were successfully sent an invitation and access link. Investigate and resolve any issues preventing access.
PROFESSIONAL REQUIREMENTS:
• Follows Code of Conduct policy.
• Adheres to dress code; appearance is neat and clean.
• Completes annual educational requirements.
• Maintains regulatory requirements.
• Always maintain patient confidentiality.
• Reports to work on time and as scheduled; completes work within designated time.
• Wears identification when on duty; use computerized time clock system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and/or skills fair and department in-services, as scheduled.
• Attempts to end conversations and other interactions in a positive manner leave others with a good impression of the Hospital Authority of Miller County and its employees.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission statement of the organization.
GUEST RELATIONS STANDARDS:
(All guest relation violations are subject to disciplinary action up to and including termination):
• Always treat others in a friendly, helpful manner.
• Refers co-workers to proper sources when unable to provide an answer.
• Interact with others in a professional and friendly manner.
• Takes interest in others and always gives full cooperation to fellow workers.
• Always maintains an open line of communication with other departments.
• Thoroughly familiar with the hospital and the services it offers.
OTHER:
• Responsibility to Report: It is the responsibility of every employee of HAMC to comply with federal, state, and local laws and regulations, as well as HAMC Policies and Procedures. Every employee is held accountable to participate in, comply with and report concerns to his or her supervisor or the Compliance Officer if illegal or unethical behavior is suspected.
• As an employee of HAMC, you have been granted user access to applicable ePHI systems based on your position. This user or role-based access is intended to give you the minimum necessary access to perform your job function(s) only and should be used only as applicable.
OTHER DUITIES:
Please note this job description is not designed to cover or contain a comprehensive list of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Requirements:
EDUCATION, CREDENTIALS & EXPERIENCE REQUIREMENTS:
Associate degree from an accredited college or University is required.
Minimum of six (6) years medical office experience required.
Complete the competency check List at 30 days, 3-month and 6-month intervals, with the expectation of demonstrating mastery of job skill outlined for each area. (ER, MCMC, MDC, Rehab)
Previous experience with health insurance and patient billing required.
Completion of medical terminology course required.
Ability to train, mentor, and support junior staff.
Proficient in registration process and electronic health records (EHR) at Hospital Authority of Miller County
Under the leadership of the Director, PatientAccess, the PatientAccessRepresentative is an active member of the PatientAccess team that delivers patient registration services and support that is consistent with the strategic vision, goals, philosophy, and direction of PatientAccess and CRHS. The PatientAccessRepresentative conducts the in-patient registration process, registration interviews and enters registration data into the system. The Representative obtains room assignment and insurance verification, calculates charges, collects payment for services and explains hospital policies regarding payment for charges. The PatientAccessRepresentative directs patients to the proper area for treatment and addresses routine patient inquiries and problems. The Representative communicates registration issues with adults and geriatrics while being sensitive to communication barriers, including hearing and vision limitations, literacy levels and emotional state.
Basic Qualifications:
Education:
Requires a high school diploma or a GED state certification.
Experience:
Requires up to three months of on-the- job work-related experience to become familiar with CRHS's Outpatient and Emergency Department patient registration policies and procedures.
Licensure, Registrations & Certifications:
Offered an on-the-job certification through Hometown University during the probationary period.
Essential Job Responsibilities:
Meets and greets patients and family members putting them at ease with appropriate greeting with proper body language and eye contact.
Ensure all patients are registered in a timely manner, prioritizing registrations during periods of high volume.
Obtains and inputs complete and accurate patient demographic information, including verification of existing personal and business information.
Notifies the appropriate Insurance company of admissions at the point of registration and obtains pre-authorization approval.
Processes patient registration in a prompt, courteous and professional manner.
Ensures that each patient is assigned a unique Medical Record Account (E) number.
Knows and directs patients to the appropriate locations for all services required.
Obtains the guarantor's signature on all documents.
Secures the patient ID band to the patient.
Receives payments and issues receipts for all patients' payments by cash, check, or bank card.
Refers all self-pay patients to the Financial Counselor for screening.
Obtains room assignments for direct admissions from the House Supervisor.
Distribute registration records to Business Office, HIM, Physicians, and appropriate ancillary departments.
Addresses patient queries accurately and in a timely manner.
Provides backup for switchboard after 9:30 PM and for meal breaks. Monitors all alarm control panels, calling appropriate codes or notifying the maintenance department and house supervisor as necessary.
Complies with all CRHS privacy policies and procedures including those implementing the HIPAA Privacy rule.
Attends in-service training, education programs and meetings as required or directed.
Adheres to established CRHS and departmental policies, procedures and objectives for quality assurance, safety, environmental, and infection control.
Performs other related job duties as assigned.
$25k-29k yearly est. 6d ago
Patient Access Specialist
Southwell, Inc.
Patient access representative job in Tifton, GA
DEPARTMENT: PATIENTACCESS FACILITY: Tift Regional Medical Center WORK TYPE: PRN SHIFT: Varied HOURS: The PatientAccess Specialist is generally the first point of contact for patients entering the facility or scheduling appointments. The PatientAccess Specialists role includes scheduling physician ordered exams, obtaining pre-certification/prior-authorization (as required), collecting patient responsibilities, and registering patients system-wide.
RESPONSIBILITIES:
* Obtain and verify patient demographics, guarantor and insurance information for new or established patients either by telephone or face to face for inpatient and outpatient population system-wide in accordance with departmental policy.
* Create a patient/case record in the ADT registration system in accordance with established policy and procedures for inpatient, ambulatory surgery, non-patient laboratory, radiology and/or other diagnostic ancillary tests/services.
* Answer telephones and transfer calls to appropriate personnel and departments.
* Schedule outpatient hospital exams system-wide as ordered by physicians in an accurate and timely manner, in accordance with department standards and protocols.
* Analyze insurance information/reason for admission or encounter to determine pre-certification and/or pre-authorization requirements.
* Contact insurance carriers to obtain pre-certification and pre-authorization numbers. Contact patients/providers offices as needed to verify/obtain data.
* Ensure the patient record is updated with accurate information and the insurance record reflects all appropriate insurance, appropriately prioritized. (coordination of benefits)
* Ensure all registrations are completed prior to discharge.
* Ensure all deductibles and co-payments are collected in accordance with insurance benefits and departmental policy for inpatient and outpatient population
* Ensure patients are apprised of advanced beneficiary notice, as appropriate and in accordance with Medicare Medical Review Policies.
* Provide cross coverage to other PatientAccess locations as needed.
* Assist in other projects as needed and as assigned by department leadership.
* Promote excellent customer service to internal and external customers.
* Providing cost estimates for all required patients system-wide to ensure compiance with the Good Faith Estimate Act.
* Maintining productivity standards as outlined by leadership.
* Adhearing to Point of Service (POS) collections standards as outlined by leadership.
* Verifies that the minimum data set for all orders is obtained prior to scheduling/registration
* Scanning in of valid forms of ID, Insurance card, and Physician Order
* Informs patient of Consent for Treatment, Patient Bill of Rights, Joint Privacy Practice, and other required admission forms at the point of service.
* Keeps abreast of pertinent federal, and state regulations and laws and Tift Regional Health System, Inc. ("TRHS") policies as they presently exist and as they change or are modified.
* Understands and adheres to: TRHS' compliance standards as they appear in TRHS's Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy; and HIPAA and TRHS policies regarding privacy and security of protected health information.
* Demonstrates the ability to perform tasks that meet the age-specific requirements of the persons, patients, vendors, and staff that the employee is charged to interact with as required by the position.
* Offers suggestions on ways to improve operations of department and reduce costs.
* Attends all mandatory education programs.
* Improves self-knowledge through voluntarily attending continuing education/certification classes.
* Maintains required competency levels as identified in written exams, skills checklists, skills labs, annual safety and health requirements as well as service excellence education hours requirements.
* Cross-trains in order to better assist co-workers and to provide maximum efficiency in the department.
* Volunteers/participates on hospital committees, functions, and department projects.
* Manages resources effectively.
* Reports equipment in need of repair in order to extend life of equipment and removes malfunctioning equipment out of service with timely reporting to the appropriate personnel.
* Makes good use of time so as to not create needless overtime.
EDUCATION:
* High School Diploma
OR
* GED
OTHER INFORMATION:
One (1) year of applicable medical office/hospital based customer service experience preferred.
CHAA certification preferred.
Southwell/Tift Regional Health System, Inc. is an Equal Opportunity Employer.
$24k-31k yearly est. 60d+ ago
Customer Service Rep(05778) - 604 S. Main St.
Domino's Franchise
Patient access representative job in Moultrie, GA
You got game? You got spring in your step? You want the best job in the world! And schedules that work with you, not against you? That's right, we live to beat the rush and make it possible to make, bake or take pizzas during the hungry hours of the day and night, part or full time. You'll have plenty of time left over for school, hanging with your friends, or whatever. Sound good? Even if you just need a second job for some extra cash, Domino's Pizza is the perfect place for you.
We are searching for qualified customer service reps with personality and people skills. We're growing so fast it's hard to keep up, and that means Domino's has lots of ways for you to grow (if that's what you want), perhaps to management, perhaps beyond. Whether it's your hobby, main-gig, or supplemental job, drop us a line. We're bound to have just the thing for you.
ADVANCEMENT
Many of our team members began their careers as delivery drivers and today are successful Domino's franchise owners. From customer service representative to management, General Manager to Manager Corporate Operations or Franchisee, our stores offer a world of opportunity.
DIVERSITY
Our mission is to recognize, appreciate, value and utilize the unique talents and contributions of all individuals. To create an environment where all team members, because of their differences, can reach their highest potential.
SUMMARY STATEMENT
We take pride in our team members and our team members take pride in Domino's Pizza! Being the best pizza delivery company in the world requires exceptional team members working together. At Domino's Pizza, our people come first!
Additional Information
Currently, we are looking for closing shift availability.
Starting Pay: $9 for part time availability. $10 for full time availability.
$9-10 hourly 10d ago
Customer Service Representative - State Farm Agent Team Member
Michelle McBroom-State Farm Agent
Patient access representative job in Blakely, GA
Job DescriptionBenefits:
Licensing paid by agency
Bonus based on performance
Competitive salary
Flexible schedule
Health insurance
Opportunity for advancement
Paid time off
Training & development
ROLE DESCRIPTION:
As a Customer Service Representative - State Farm Agent Team Member with Michelle McBroom - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Your attention to detail, customer service skills, and desire to help people make you a fit. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
We look forward to connecting with you if you are the customer-focused and empathetic team member we are searching for. We anticipate internal growth opportunities for especially driven and sales-minded candidates.
RESPONSIBILITIES:
Answer customer inquiries and provide policy information.
Assist customers with policy changes and updates.
Process insurance claims and follow up with customers.
Maintain accurate records of customer interactions.
QUALIFICATIONS:
Communication and interpersonal skills.
Detail-oriented and able to multitask.
Previous customer service experience preferred.
$24k-32k yearly est. 21d ago
Customer Service Representative
Ucw Logistics
Patient access representative job in Cordele, GA
Union Compress Warehouse of Cordele (UCWC), the largest cotton warehouse in the Southeast is currently hiring for a full-time customer service representative in the corrugated box division. UCUW is a well established company with excellent benefits. Must have good basic clerical knowledge and computer skills and the ability to communicate effectively both internally and externally. Must be able to pay close attention to details. Previous experience in 3PL and McLeod is a plus. UCWC has a trailer tracking program in place for all trailers used at the facility and the main focus of this position will be to keep track of approximately 300 trailers as well as other duties as assigned.
$25k-32k yearly est. Auto-Apply 22d ago
Patient Care Coordinator/ Engager
Lucid Hearing Holding Company 3.8
Patient access representative job in Albany, GA
Our Mission: "Helping People Hear Better"
Lucid Hearing is a leading innovator in the field of assistive listening and hearing solutions, and it has established itself as a premier manufacturer and retailer of hearing solutions with its state-of-the-art hearing aids, testing equipment, and a vast network of locations within large retail chains. As a fast-growing business in an expanding industry, Lucid Hearing is constantly searching for passionate people to work within our amazing organization.
Club: Sam's Club in Albany, GA
Hours: Full time/ Tuesday-Saturday 9am-6pm
Pay: $18+/hr
What you will be doing:
• Share our passion of giving the gift of hearing by locating people who need hearing help
• Directing members to our hearing aid center inside the store
• Interacting with Patients to set them up for hearing tests and hearing aid purchases
• Secure a minimum of 4 immediate or scheduled full hearing tests daily for the hearing aid specialist or audiologist that works in the center
• 30-50 outbound calls daily.
• Promote all Lucid Hearing products to members with whom they engage.
• Educate members on all of products (non hearing aid and hearing aid) when interacting with them
• Assist Providers when necessary, calling past tested Members, medical referrals to schedule return, etc.
What are the perks and benefits of working with Lucid Hearing:
Medical, Dental, Vision, & Supplemental Insurance Benefits
Company Paid Life Insurance
Paid Time Off and Company Paid Holidays
401(k) Plan and Employer Matching
Continual Professional Development
Career Growth Opportunities to Become a LEADER
Associate Product Discounts
Qualifications
Who you are:
Willingness to learn and grow within our organization
Sales experience preferred
Stellar Communication skills
Business Development savvy
Appointment scheduling experience preferred
A passion for educating patients with hearing loss
Must be highly energetic and outgoing (a real people person)
Be comfortable standing multiple hours
Additional Information
We are an Equal Employment Opportunity Employer.
$18 hourly 45d ago
Customer Service Representative - Albany, GA
Kedia Corporation
Patient access representative job in Albany, GA
Kedia Corporation connects people with what they want on a global scale. We are committed through use of innovation to create exceptional user experiences. Kedia is engineering. Using cutting edge techniques, we have defined the way business will continue future operations. Our company provides a challenging, fast paced, and growth oriented foundation to develop and empower people to innovate in the business services field
Job Description
Tasks
Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.
Keep records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken.
Check to ensure that appropriate changes were made to resolve customers' problems.
Determine charges for services requested, collect deposits or payments, or arrange for billing.
Refer unresolved customer grievances to designated departments for further investigation.
Review insurance policy terms to determine whether a particular loss is covered by insurance.
Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments.
Resolve customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills.
Compare disputed merchandise with original requisitions and information from invoices and prepare invoices for returned goods.
Obtain and examine all relevant information to assess validity of complaints and to determine possible causes, such as extreme weather conditions that could increase utility bills.
Tools used in this occupation:
Autodialers - Autodialing systems; Predictive dialers Automated attendant systems - Voice broadcasting systems Automatic call distributor ACD - Automatic call distribution ACD system ScannersStandalone telephone caller identification - Calling line identification equipment; Dialed number identification systems DNIS
Technology used in this occupation:
Contact center software - Avaya software; Multi-channel contact center software; Timpani Contact Center; Timpani EmailCustomer relationship management CRM software - Austin Logistics CallSelect; Avidian Technologies Prophet; SSA Global software; Telemation e-CRMElectronic mail software - Astute Solutions PowerCenter; IBM Lotus Notes; Microsoft OutlookNetwork conferencing software - Active Data Online WebChat; eStara Softphone; Parature eRealtime; Timpani ChatSpreadsheet software - Microsoft ExcelKnowledgeCustomer and Personal Service - Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.Clerical - Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
Qualifications
Skills
Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.Speaking - Talking to others to convey information effectively.Service Orientation - Actively looking for ways to help people.Persuasion - Persuading others to change their minds or behavior.Reading Comprehension - Understanding written sentences and paragraphs in work related documents.Critical Thinking - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.Writing - Communicating effectively in writing as appropriate for the needs of the audience.Coordination - Adjusting actions in relation to others' actions.Social Perceptiveness - Being aware of others' reactions and understanding why they react as they do.Negotiation - Bringing others together and trying to reconcile differences.
AbilitiesOral Comprehension - The ability to listen to and understand information and ideas presented through spoken words and sentences.Oral Expression - The ability to communicate information and ideas in speaking so others will understand.Speech Clarity - The ability to speak clearly so others can understand you.Speech Recognition - The ability to identify and understand the speech of another person.Written Expression - The ability to communicate information and ideas in writing so others will understand.Near Vision - The ability to see details at close range (within a few feet of the observer).Problem Sensitivity - The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.Written Comprehension - The ability to read and understand information and ideas presented in writing.Deductive Reasoning - The ability to apply general rules to specific problems to produce answers that make sense.Inductive Reasoning - The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
Additional InformationIf this sounds like the right job for you, then use the button below to submit your resume. We look forward to receiving your application.
$25k-32k yearly est. 60d+ ago
Patient Access Representative I- DAY
The Hospital Authority of Miller County 4.1
Patient access representative job in Colquitt, GA
Description:
The PatientAccess Services RepresentativePatientAccess Specialist I is an entry-level position focused on learning and mastering the fundamental aspects of patient registration and customer service. The specialist will work under close supervision while gaining confidence and accuracy in registration processes. performs all outpatient and inpatient registration functions including hospital cashiering and insurance verification. Ensures that patients meet financial requirements. Provides general information to hospital users, patients, and families. Communicates effectively to service delivery areas to maximize patient flow and customer service. Provides excellent patient focused customer service.
Shifts in the PAS Department are:
1st Shift (7 AM - 3 PM)
2nd Shift (3 PM - 11 PM)
3rd Shift (11 PM - 7 AM)
EDUCATION, CREDENTIALS & EXPERIENCE REQUIREMENTS:
High School graduate or equivalent
Previous medical office experience preferred.
Previous experience with health insurance and patient billing required.
Completion of medical terminology course required.
Complete a 30-day and 60 Day Competency Check List to become Certified as an Advanced beginner.
GENERAL REQUIREMENTS:
Performs all job responsibilities in alignment with the mission and vision of the organization.
Performs other duties as required and completes all job functions as per departmental policies and procedures.
Maintains current knowledge in present areas of responsibility (i.e., self-education, attends ongoing educational programs).
Attend staff meetings and complete mandatory in-services and requirements and competency evaluations on time.
Wear protective clothing and equipment as appropriate.
GENERAL SKILLS:
Ability to communicate in English, both verbally and in writing.
Additional languages preferred.
Strong written and verbal skills.
Basic Computer Skills
WORKING CONDITIONS:
General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.
May be exposed to high noise levels and bright lights.
May be exposed to limited hazardous substances or body fluids, or infectious organisms.
May be required to change from one task to another or different nature without loss of efficiency or composure.
Periods of high stress and fluctuating workloads may occur. May be scheduled as needed including overtime.
PHYSICAL REQUIRMENTS & DEMANDS:
Have near normal hearing: Hear alarms/telephone/normal speaking voice.
Have near normal vision: Clarity of vision (both near and far), ability to distinguish colors.
Have good manual dexterity.
Have good eye-hand foot coordination.
Ability to perform repetitive tasks/motion.
Continuously within shift (67-100%): Standing, Walking.
Frequently within shift (34-66%): Bending/Stooping, Pushing/Pulling, Lift/carry up to 20lbs, Lift/carry greater than 20 lbs. with assistance.
Occasionally within shift (1-33%): Sitting, Climbing, Twist at waist, Lift/Carry greater than 50 lbs. with assistance, Reaching above shoulder.
MISSION STATEMENT:
QUALITY HEALTHCARE: In our continuing effort to enhance the quality of life for the communities we serve, the Hospital Authority of Miller County is committed to the delivery of superior, safe, cost-effective healthcare through the provisions of education prevention, diagnosis, and treatment.
JOB SPECIFIC COMPETENCIES:
Responsible for obtaining necessary demographic and financial data through patient interviews, the centralized scheduling system and system queries to complete the pre-registration process.
Assures all check-in procedures are completed, and monitors patient wait times, communicating changes to the patient, as necessary. Reads and interprets insurance responses.
Communicates financial obligations to patients and collects fees at time of service as appropriate.
Accurately performs medical record maintenance and releases.
Performs cash posting following department guidelines.
Abides by organizational and HIPAA guidelines, privacy practices, patient confidentiality and patient rights.
Must maintain high regard for confidentiality.
Notifies patient or guarantor of anticipated financial responsibility including copays, deductibles, or coinsurances and collects accordingly. Performs cash posting following department guidelines.
Communicates the purpose of and completes all necessary regulatory forms with patience.
Completes patient's visit by scheduling any necessary follow-up appointments to include any specialty or ancillary services as possible.
Documents financial arrangements.
Assist with departmental workflow as needed.
Communicates with Physician Offices, Staff, and other departments.
Familiar with Advance Beneficiary Notice, Medicare Secondary Questionnaire, Medicare Outpatient Observation Notice, Important Message from Medicare, precertification, ICD-10 coding, Medical Terminology.
Identifies patients who require early financial counseling intervention.
Maintains knowledge of departmental applications i.e., CERNER, Relias, Heartland, Hometown Health, GAMMIS, Availity, my ABILITY, and other systems utilized by PatientAccess Services.
Multiple tasks and responsibilities. I must pay attention to detail. Ability to perform efficiently and effectively under stress.
Adherent to Strict EMTALA guidelines in financial data collection and collection of co-pays are followed.
Strong teamwork between the clinical staff and the financial staff is required.
Strong teamwork, communication and customer service skills are required.
Manages a high volume of incoming calls.
Responds to questions and concerns and directs them to an appropriate location or department.
Responsible for reviewing hospital outpatient service orders for accuracy and medical necessity when required.
Performs all other duties and projects assigned.
Presents consent forms and notifications to patients and obtains all necessary patient signatures and information at time of arrival.
May initiate and perform administrative duties to ensure efficient daily business operations, including participating in the office/department opening and closing procedures, assisting with maintaining, ordering, and restocking front office supplies, and receiving and distributing mail.
Assist Supervisor and/or Manager with development of staff by being available to teammates, acting as a resource to help complete complicated/complex tasks, providing on the job training to team, and seeking out opportunities to become actively involved in staff workflow and development.
Additional Responsibilities: May be separate from PAR Duties Auditing and Quality Review In addition to core registration responsibilities, the PatientAccessRepresentative will perform regular audits and quality checks to ensure accuracy, compliance, and optimal patient experience. The following auditing duties are included in this role:
Auditing Responsibilities:
Insurance and Verification and Accuracy:
Review and verify insurance information for all Inpatient and Swing Bed admissions to ensure accurate and up-to-date coverage is documented.
Required Documentation Compliance:
Confirm that all required patient forms, including but not limited to the MOON (Medicare Outpatient Observation Notice) form, have been properly signed by the patient and their guarantor.
Primary Care Provider Accuracy:
Audit patient records to ensure that the Primary Care Physician (PCP) listed is accurate and updated in the system.
Medicare and Medicaid Eligibility Checks
For all patients listed with Medicare or Medicaid, verify eligibility and confirm there are no active Medicare Advantage or Medicaid CMO (Care Management Organization) plans that would alter billing or coverage
Portal Consent for Underage Patients
Audit portal consents for patients under age 18 to ensure proper authorization and that access limitations for minors are observed in accordance with privacy regulations.
Portal Enrollment Confirmation
Review patient portal consent forms to ensure patients who opted to sign up were successfully sent an invitation and access link. Investigate and resolve any issues preventing access.
PROFESSIONAL REQUIREMENTS:
Follows Code of Conduct policy.
Adheres to dress code; appearance is neat and clean.
Completes annual educational requirements.
Maintains regulatory requirements.
Always maintain patient confidentiality.
Reports to work on time and as scheduled; completes work within designated time.
Wears identification when on duty; use computerized time clock system correctly.
Completes in-services and returns in a timely fashion.
Attends annual review and/or skills fair and department in-services, as scheduled.
Attempts to end conversations and other interactions in a positive manner leave others with a good impression of the Hospital Authority of Miller County and its employees.
Complies with all organizational policies regarding ethical business practices.
Communicates the mission statement of the organization.
GUEST RELATIONS STANDARDS:
(All guest relation violations are subject to disciplinary action up to and including termination):
Always treat others in a friendly, helpful manner.
Refers co-workers to proper sources when unable to provide an answer.
Interact with others in a professional and friendly manner.
Takes interest in others and always gives full cooperation to fellow workers.
Always maintains an open line of communication with other departments.
Thoroughly familiar with the hospital and the services it offers.
OTHER:
Responsibility to Report: It is the responsibility of every employee of HAMC to comply with federal, state, and local laws and regulations, as well as HAMC Policies and Procedures. Every employee is held accountable to participate in, comply with and report concerns to his or her supervisor or the Compliance Officer if illegal or unethical behavior is suspected.
As an employee of HAMC, you have been granted user access to applicable ePHI systems based on your position. This user or role-based access is intended to give you the minimum necessary access to perform your job function(s) only and should be used only as applicable.
OTHER DUITIES:
Please note this job description is not designed to cover or contain a comprehensive list of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Requirements:
EDUCATION, CREDENTIALS & EXPERIENCE REQUIREMENTS:
High School graduate or equivalent
Previous medical office experience preferred.
Previous experience with health insurance and patient billing required.
Completion of medical terminology course required.
Complete a 30-day and 60 Day Competency Check List to become Certified as an Advanced beginner.
$23k-30k yearly est. 14d ago
Patient Access Specialist
Southwell, Inc.
Patient access representative job in Tifton, GA
DEPARTMENT: PATIENTACCESS FACILITY: Tift Regional Medical Center WORK TYPE: PRN SHIFT: Varied The PatientAccess Specialist is generally the first point of contact for patients entering the facility or scheduling appointments. The PatientAccess Specialists role includes scheduling physician ordered exams, obtaining pre-certification/prior-authorization (as required), collecting patient responsibilities, and registering patients system-wide.
RESPONSIBILITIES:
* Obtain and verify patient demographics, guarantor and insurance information for new or established patients either by telephone or face to face for inpatient and outpatient population system-wide in accordance with departmental policy.
* Create a patient/case record in the ADT registration system in accordance with established policy and procedures for inpatient, ambulatory surgery, non-patient laboratory, radiology and/or other diagnostic ancillary tests/services.
* Answer telephones and transfer calls to appropriate personnel and departments.
* Schedule outpatient hospital exams system-wide as ordered by physicians in an accurate and timely manner, in accordance with department standards and protocols.
* Analyze insurance information/reason for admission or encounter to determine pre-certification and/or pre-authorization requirements.
* Contact insurance carriers to obtain pre-certification and pre-authorization numbers. Contact patients/providers offices as needed to verify/obtain data.
* Ensure the patient record is updated with accurate information and the insurance record reflects all appropriate insurance, appropriately prioritized. (coordination of benefits)
* Ensure all registrations are completed prior to discharge.
* Ensure all deductibles and co-payments are collected in accordance with insurance benefits and departmental policy for inpatient and outpatient population
* Ensure patients are apprised of advanced beneficiary notice, as appropriate and in accordance with Medicare Medical Review Policies.
* Provide cross coverage to other PatientAccess locations as needed.
* Assist in other projects as needed and as assigned by department leadership.
* Promote excellent customer service to internal and external customers.
* Providing cost estimates for all required patients system-wide to ensure compiance with the Good Faith Estimate Act.
* Maintaining productivity standards as outlined by leadership.
* Adhering to Point of Service (POS) collections standards as outlined by leadership.
* Verifies that the minimum data set for all orders is obtained prior to scheduling/registration
* Scanning in of valid forms of ID, Insurance card, and Physician Order
* Informs patient of Consent for Treatment, Patient Bill of Rights, Joint Privacy Practice, and other required admission forms at the point of service.
* Keeps abreast of pertinent federal, and state regulations and laws and Tift Regional Health System, Inc. ("TRHS") policies as they presently exist and as they change or are modified.
* Understands and adheres to: TRHS' compliance standards as they appear in TRHS's Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy; and HIPAA and TRHS policies regarding privacy and security of protected health information.
* Demonstrates the ability to perform tasks that meet the age-specific requirements of the persons, patients, vendors, and staff that the employee is charged to interact with as required by the position.
* Offers suggestions on ways to improve operations of department and reduce costs.
* Attends all mandatory education programs.
* Improves self-knowledge through voluntarily attending continuing education/certification classes.
* Maintains required competency levels as identified in written exams, skills checklists, skills labs, annual safety and health requirements as well as service excellence education hours requirements.
* Cross-trains in order to better assist co-workers and to provide maximum efficiency in the department.
* Volunteers/participates on hospital committees, functions, and department projects.
* Manages resources effectively.
* Reports equipment in need of repair in order to extend life of equipment and removes malfunctioning equipment out of service with timely reporting to the appropriate personnel.
* Makes good use of time so as to not create needless overtime.
EDUCATION:
* High School Diploma or Equivalent
CREDENTIALS:
OTHER INFORMATION:
One (1) year of applicable medical office/hospital based customer service experience preferred.
CHAA certification preferred.
Southwell/Tift Regional Health System, Inc. is an Equal Opportunity Employer.
$24k-31k yearly est. 60d+ ago
CUSTOMER SERVICE REPRESENTATIVE
The Staffing People
Patient access representative job in Vienna, GA
ARE YOU PASSIONATE ABOUT DELIVERING EXCEPTIONAL CUSTOMER EXPERIENCES? DO YOU THRIVE IN A FAST-PACED ENVIRONMENT WHERE ATTENTION TO DETAIL AND COMMUNICATION SKILLS ARE KEY? WE RE LOOKING FOR A CUSTOMER SERVICE REPRESENTATIVE TO BE THE FACE OF OUR BRAND AND ENSURE OUR CUSTOMERS ARE SUPPORTED EVERY STEP OF THE WAY.
AS A VITAL MEMBER OF OUR SUPPORT TEAM, YOU LL HANDLE CUSTOMER INQUIRIES, PURCHASING COMMUNICATIONS, AND RELATIONSHIP MANAGEMENT THROUGH EMAIL AND DIGITAL CHANNELS. YOUR WORK WILL DIRECTLY IMPACT CUSTOMER SATISFACTION AND RETENTION.
$25k-32k yearly est. 3d ago
Patient Accounts Clerk - Full Time - Days
Crisp Regional 4.2
Patient access representative job in Cordele, GA
Essential Job Responsibilities:
Open and verify daily deposits.
Maintain and update multiple spreadsheets and documentation.
Manage the OnBase processes.
Maintain and review Charity Care applications.
Send patients requests for additional or missing information on Charity applications.
Client billing invoices
Verify Altum Healthcare and collection agency payment invoices.
Prepare documentation for all accounts preparing for legal action.
Works additional projects related to cash ie patient credit balance review.
Performs other related job duties as assigned
$26k-29k yearly est. 60d+ ago
Patient Care Coordinator/ Engager
Lucid Hearing Holding Company, LLC 3.8
Patient access representative job in Albany, GA
Job Description
Our Mission: "Helping People Hear Better"
Lucid Hearing is a leading innovator in the field of assistive listening and hearing solutions, and it has established itself as a premier manufacturer and retailer of hearing solutions with its state-of-the-art hearing aids, testing equipment, and a vast network of locations within large retail chains. As a fast-growing business in an expanding industry, Lucid Hearing is constantly searching for passionate people to work within our amazing organization.
Club: Sam's Club in Albany, GA
Hours: Full time/ Tuesday-Saturday 9am-6pm
Pay: $18+/hr
What you will be doing:
• Share our passion of giving the gift of hearing by locating people who need hearing help
• Directing members to our hearing aid center inside the store
• Interacting with Patients to set them up for hearing tests and hearing aid purchases
• Secure a minimum of 4 immediate or scheduled full hearing tests daily for the hearing aid specialist or audiologist that works in the center
• 30-50 outbound calls daily.
• Promote all Lucid Hearing products to members with whom they engage.
• Educate members on all of products (non hearing aid and hearing aid) when interacting with them
• Assist Providers when necessary, calling past tested Members, medical referrals to schedule return, etc.
What are the perks and benefits of working with Lucid Hearing:
Medical, Dental, Vision, & Supplemental Insurance Benefits
Company Paid Life Insurance
Paid Time Off and Company Paid Holidays
401(k) Plan and Employer Matching
Continual Professional Development
Career Growth Opportunities to Become a LEADER
Associate Product Discounts
Qualifications
Who you are:
Willingness to learn and grow within our organization
Sales experience preferred
Stellar Communication skills
Business Development savvy
Appointment scheduling experience preferred
A passion for educating patients with hearing loss
Must be highly energetic and outgoing (a real people person)
Be comfortable standing multiple hours
Additional Information
We are an Equal Employment Opportunity Employer.
$18 hourly 10d ago
Patient Access Representative II - Day
The Hospital Authority of Miller County 4.1
Patient access representative job in Colquitt, GA
Full-time Description
The PatientAccess Services Representative II is responsible for independently managing patient registration, insurance verification, and customer service functions. The representative at this level is expected to have a thorough understanding of patientaccess workflows and manage more complex situations. In addition to performing all outpatient and inpatient registration functions including hospital cashiering and insurance verification. Ensures that patients meet financial requirements. Provides general information to hospital users, patients, and families.
Communicates effectively to service delivery areas to maximize patient flow and customer service. Provides excellent patient focused customer service.
Shifts for the PAS Department are:
1st Shift (7 AM - 3 PM)
2nd Shift (3 PM - 11 PM)
3rd Shift (11 PM - 7 AM)
GENERAL REQUIREMENTS:
• Performs all job responsibilities in alignment with the mission and vision of the organization.
• Performs other duties as required and completes all job functions as per departmental policies and procedures.
• Maintains current knowledge in present areas of responsibility (i.e., self-education, attends ongoing educational programs).
• Attend staff meetings and complete mandatory in-services and requirements and competency evaluations on time.
• Wear protective clothing and equipment as appropriate.
GENERAL SKILLS:
• Ability to communicate in English, both verbally and in writing.
• Additional languages preferred.
• Strong written and verbal skills.
• Basic Computer Skills
WORKING CONDITIONS:
• General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.
• May be exposed to high noise levels and bright lights.
• May be exposed to limited hazardous substances or body fluids, or infectious organisms.
• May be required to change from one task to another or different nature without loss of efficiency or composure.
• Periods of high stress and fluctuating workloads may occur.
• May be scheduled as needed including overtime.
PHYSICAL REQUIRMENTS & DEMANDS:
• Have near normal hearing: Hear alarms/telephone/normal speaking voice.
• Have near normal vision: Clarity of vision (both near and far), ability to distinguish colors.
• Have good manual dexterity.
• Have good eye-hand foot coordination.
• Ability to perform repetitive tasks/motion.
• Continuously within shift (67-100%): Standing, Walking.
• Frequently within shift (34-66%): Bending/Stooping, Pushing/Pulling, Lift/carry up to 20lbs, Lift/carry greater than 20 lbs. with assistance.
• Occasionally within shift (1-33%): Sitting, Climbing, Twist at waist, Lift/Carry greater than 50 lbs. with assistance, Reaching above shoulder.
MISSION STATEMENT:
QUALITY HEALTHCARE: In our continuing effort to enhance the quality of life for the communities we serve, the Hospital Authority of Miller County is committed to the delivery of superior, safe, cost-effective healthcare through the provisions of education prevention, diagnosis, and treatment.
JOB SPECIFIC COMPETENCIES:
• Responsible for obtaining necessary demographic and financial data through patient interviews, the centralized scheduling system and system queries to complete the pre-registration process.
• Assures all check-in procedures are completed, and monitors patient wait times, communicating changes to the patient, as necessary. Reads and interprets insurance responses.
• Communicates financial obligations to patients and collects fees at time of service as appropriate.
• Accurately performs medical record maintenance and releases.
• Performs cash posting following department guidelines.
• Abides by organizational and HIPAA guidelines, privacy practices, patient confidentiality and patient rights.
• Must maintain high regard for confidentiality.
• Notifies patient or guarantor of anticipated financial responsibility including copays, deductibles, or coinsurances and collects accordingly. Performs cash posting following department guidelines.
• Communicates the purpose of and completes all necessary regulatory forms with patient.
• Completes patient's visit by scheduling any necessary follow-up appointments to include any specialty or ancillary services as possible.
• Documents financial arrangements.
• Assist with departmental workflow as needed.
• Communicates with Physician Offices, Staff, and other departments.
• Familiar with Advance Beneficiary Notice, Medicare Secondary Questionnaire, Medicare Outpatient Observation Notice, Important Message from Medicare, precertification, ICD-10 coding, Medical Terminology.
• Identifies patients who require early financial counseling intervention.
• Maintains knowledge of departmental applications i.e., CERNER, Relias, Heartland, Hometown Health, GAMMIS, Availity, my ABILITY, and other systems utilized by PatientAccess Services.
• Multiple tasks and responsibilities. I must pay attention to detail. Ability to perform efficiently and effectively under stress.
• Adherent to Strict EMTALA guidelines in financial data collection and collection of co-pays are followed.
• Strong teamwork between the clinical staff and the financial staff is required.
• Strong teamwork, communication and customer service skills are required.
• Handles a high volume of incoming calls.
• Responds to questions and concerns and directs them to an appropriate location or department.
• Responsible for reviewing hospital outpatient service orders for accuracy and medical necessity when required.
• Performs all other duties and projects assigned.
• Presents consent forms and notifications to patients and obtains all necessary patient signatures and information at time of arrival.
• May initiate and perform administrative duties to ensure efficient daily business operations, including participating in the office/department opening and closing procedures, assisting with maintaining, ordering, and restocking front office supplies, and receiving and distributing mail.
• Assist Supervisor and/or Manager with development of staff by being available to teammates, acting as a resource to help complete complicated/complex tasks, providing on the job training to team, and seeking out opportunities to become actively involved in staff workflow and development.
Additional Responsibilities: May be separate from PAR Duties
Auditing and Quality Review
In addition to core registration responsibilities, the PatientAccessRepresentative will perform regular audits and quality checks to ensure accuracy, compliance, and optimal patient experience. The following auditing duties are included in this role:
Auditing Responsibilities:
• Insurance Verification and Accuracy:
Review and verify insurance information for all Inpatient and Swing Bed admissions to ensure accurate and up-to-date coverage is documented.
• Required Documentation Compliance:
Confirm that all required patient forms, including but not limited to the MOON (Medicare Outpatient Observation Notice) form, have been properly signed by the patient or their guarantor.
• Primary Care Provider Accuracy:
Audit patient records to ensure that the Primary Care Physician (PCP) listed is accurate and updated in the system.
• Medicare Secondary Payer (MSP) Questionnaires: Ensure that MSP questionnaires are completed and accurate, with appropriate documentation and any necessary follow up completed in a timely manner
• Medicare and Medicaid Eligibility Checks
For all patients listed with Medicare or Medicaid, verify eligibility and confirm there are no active Medicare Advantage or Medicaid CMO (Care Management Organization) plans that would alter billing or coverage
• Portal Consent for Underage Patients
Audit portal consents for patients under age 18 to ensure proper authorization and that access limitations for minors are observed in accordance with privacy regulations.
• Portal Enrollment Confirmation
Review patient portal consent forms to ensure patients who opted to sign up were successfully sent an invitation and access link. Investigate and resolve any issues preventing access.
PROFESSIONAL REQUIREMENTS:
• Follows Code of Conduct policy.
• Adheres to dress code; appearance is neat and clean.
• Completes annual educational requirements.
• Maintains regulatory requirements.
• Always maintain patient confidentiality.
• Reports to work on time and as scheduled; completes work within designated time.
• Wears identification when on duty; use computerized time clock system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and/or skills fair and department in-services, as scheduled.
• Attempts to end conversations and other interactions in a positive manner leave others with a good impression of the Hospital Authority of Miller County and its employees.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission statement of the organization.
GUEST RELATIONS STANDARDS:
(All guest relation violations are subject to disciplinary action up to and including termination):
• Always treat others in a friendly, helpful manner.
• Refers co-workers to proper sources when unable to provide an answer.
• Interact with others in a professional and friendly manner.
• Takes interest in others and always gives full cooperation to fellow workers.
• Always maintains an open line of communication with other departments.
• Thoroughly familiar with the hospital and the services it offers.
OTHER:
• Responsibility to Report: It is the responsibility of every employee of HAMC to comply with federal, state, and local laws and regulations, as well as HAMC Policies and Procedures. Every employee is held accountable to participate in, comply with and report concerns to his or her supervisor or the Compliance Officer if illegal or unethical behavior is suspected.
• As an employee of HAMC, you have been granted user access to applicable ePHI systems based on your position. This user or role-based access is intended to give you the minimum necessary access to perform your job function(s) only and should be used only as applicable.
OTHER DUITIES:
Please note this job description is not designed to cover or contain a comprehensive list of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Requirements
EDUCATION, CREDENTIALS & EXPERIENCE REQUIREMENTS:
Associate degree from an accredited college or University is required.
Minimum of six (6) years medical office experience required.
Complete the competency check List at 30 days, 3-month and 6-month intervals, with the expectation of demonstrating mastery of job skill outlined for each area. (ER, MCMC, MDC, Rehab)
Previous experience with health insurance and patient billing required.
Completion of medical terminology course required.
Ability to train, mentor, and support junior staff.
Proficient in registration process and electronic health records (EHR) at Hospital Authority of Miller County
$23k-30k yearly est. 14d ago
Patient Accounts Clerk - Full Time - Days
Crisp Regional Hospital, Inc. 4.2
Patient access representative job in Cordele, GA
Job Description
Essential Job Responsibilities:
Open and verify daily deposits.
Maintain and update multiple spreadsheets and documentation.
Manage the OnBase processes.
Maintain and review Charity Care applications.
Send patients requests for additional or missing information on Charity applications.
Client billing invoices
Verify Altum Healthcare and collection agency payment invoices.
Prepare documentation for all accounts preparing for legal action.
Works additional projects related to cash ie patient credit balance review.
Performs other related job duties as assigned
$26k-29k yearly est. 9d ago
Patient Representative
Southwell, Inc.
Patient access representative job in Tifton, GA
DEPARTMENT: PATIENT RELATIONS FACILITY: Tift Regional Medical Center WORK TYPE: Full Time SHIFT: Daytime The PatientRepresentative serves as a liaison between patient and hospital staff. Assists patients in interpreting hospital policies, procedures, and services. Assist patients in obtaining solutions to problems and concerns. Assist staff in gaining awareness of patients' perceptions of the hospital experience.
RESPONSIBILITIES:
* Assist patients in interpreting hospital policies, procedures, and services.
* Assist patients in obtaining solutions to problems and concerns.
* Assist staff in gaining awareness of patient's perceptions of the hospital experience.
* Visits waiting rooms to assist with waiting patients and family and offer explanations for delays.
* Visits with inpatients in the hospital and ICU waiting area and offer assistance upon request.
* Maintains cleanliness in the unit area.
* Communicates patient care concerns to triage or charge nurse.
* Satisfactorily completes the competency checklist to include testing knowledge and skills.
* Addresses patient complaints and forwards to nurse manager as needed.
* Demonstrates the ability to handle confidential information with discretion for the patient, family, and/or co-worker.
* Provides spiritual needs of patients and families by notifying the patient's minister or our minister of the week which is on call.
* Assist in obtaining clothes when necessary for patients who are being discharged or being transferred to another facility when there is no other resource or assistance available.
* Encourages patients who are waiting to maintain an NPO status until the physician evaluates them.
* Effectively uses Language Line and Hospital Interpreter to communicate with patients who do not speak English.
* Notifies Security and Housekeeping as necessary to address issues in the waiting room.
* Offer information and direction to families and patients who need help in finding other departments, parking and other patients.
* Informs patients of wait times and explains delays.
* Ensure that all individuals will be offered access to care regardless of race, creed, sex, national origin or source of payment for care.
* Protects patient's rights treating them with dignity, respect and courtesy.
* Protects patient's valuables as directed in hospital policies and procedures.
* Follows policies related to informed consent, confidentiality, patient rights, and access to chart and advanced directive information.
* Assists families with meals and medications when there is a substantial lack of financial resources.
* Assists families of patients with help in finding a place to stay and any other need they might have during their stay.
* Attends all mandatory in-services and completes CBL's on Net Learning (i.e. Infection Control, Safety, Body Mechanics, and Fire Safety, etc.).
* Reviews bulletin board and emails for updates.
* Attends 80% of staff meetings or reads and initials minutes.
* Supports and adapts to progressive changes in work environment.
* Improves self- knowledge through voluntarily attending continuing education/certification classes.
* Maintains required competency levels as identified in written exams, skills checklists, and skills labs and annual safety updates.
* Accepts and acts upon constructive criticism in order to improve abilities.
* Works as a team player with a positive attitude.
* Conducts self in professional manner and demonstrates the ability to diffuse intense situations.
* Conveys genuine concern for patient, family, health and welfare.
* Keeps abreast of pertinent federal, and state regulations and laws and Tift Regional Health System, Inc. ("TRHS") policies as they presently exist and as they change or are modified.
* Understands and adheres to: TRHS' compliance standards as they appear in TRHS's Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy; and HIPAA and TRHS policies regarding privacy and security of protected health information.
* Demonstrates the ability to perform tasks that meet the age-specific requirements of the persons, patients, vendors, and staff that the employee is charged to interact with as required by the position.
* Offers suggestions on ways to improve operations of department and reduce costs.
* Attends all mandatory education programs.
* Improves self-knowledge through voluntarily attending continuing education/certification classes.
* Maintains required competency levels as identified in written exams, skills checklists, skills labs, annual safety and health requirements as well as service excellence education hours requirements.
* Cross-trains in order to better assist co-workers and to provide maximum efficiency in the department.
* Volunteers/participates on hospital committees, functions, and department projects.
* Manages resources effectively.
* Reports equipment in need of repair in order to extend life of equipment and removes malfunctioning equipment out of service with timely reporting to the appropriate personnel.
* Makes good use of time so as to not create needless overtime.
EDUCATION:
* High School Diploma or Equivalent
OTHER INFORMATION:
Previous experience in hospital environment is preferred.
Southwell/Tift Regional Health System, Inc. is an Equal Opportunity Employer.
$25k-31k yearly est. 3d ago
Learn more about patient access representative jobs
How much does a patient access representative earn in Albany, GA?
The average patient access representative in Albany, GA earns between $21,000 and $35,000 annually. This compares to the national average patient access representative range of $27,000 to $41,000.
Average patient access representative salary in Albany, GA