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Patient access representative jobs in Allentown, PA - 378 jobs

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  • Patient Services Representative

    Good Shepherd Rehab 4.6company rating

    Patient access representative job in Allentown, PA

    * Enhances clinicians' effectiveness by providing information management support, which includes answering and triaging phone calls, scheduling patients visits, verifying and securing both initial and ongoing insurance coverage for therapy services, and providing patients with relevant information concerning their insurance coverage. * ESSENTIAL FUNCTIONS * Office Skills * Demonstrates excellent interpersonal communication skills that translate across the phone, e-mail and in person. * Effectively and efficiently schedules patients' initial and follow up visits as needed. * Greets patients & visitors; Registers patients. * Assists with answering & triaging referral telephone calls; demonstrates the ability to understand and differentiate between the different types of therapy. * Utilizes patient EMR system * Collects and verifies insurance information for new and existing patients who have a change in insurance during course of care. * Attains correct insurance benefit information from insurers. * Communicates benefits, and potential financial responsibility to patients. * Collects patient copays at time of service and consolidates payments on a weekly/daily basis based on location. * Follows up with patients who have out-of-pocket costs. * Communicates with and resolves patient questions regarding insurance and benefits. * Obtains authorization for necessary services from insurers for patient * Performs accurate and timely maintenance of authorization functions, referrals and visit limit tracking in Cerner. * Prevents disruption of service by securing necessary authorizations prior to the end date after consulting with therapist. * Answers patient calls regarding authorization questions. * Researches denials due to authorization or referral issues to determine cause and resolution; resubmits claims after gathering necessary information. * Assists in obtaining patient satisfaction surveys * Performs other duties as requested * Documentation * Accurately utilizes patient EMR system * Accurately copies record when requested * Accurately tracks the need for insurance reauthorizations for patients * Team Effort * Identifies work unit issues & implements solutions * Orients new staff * Demonstrates flexibility to help others (provide coverage, adjust work schedule to meet needs) * Shares knowledge with others * Embraces change and promotes a positive work environment * Demonstrates management skills by prioritizing, organizing and completing job responsibilities. * PROTECTS CUSTOMER AND ORGANIZATION INFORMATION * By keeping information confidential, following Good Shepherd's policy and procedures for release of information, maintaining secure medical records and maintaining security for the contents of the business office. * QUALIFICATIONS: * To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Education * High School Diploma required * Associate's Degree preferred * Work Experience * 1-2 years of experience in an administrative position with computer skills required * Prior health insurance experience preferred * Licenses / Certifications * N/A
    $31k-35k yearly est. 15d ago
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  • Patient Care Coordinator

    All American Home Care

    Patient access representative job in Allentown, PA

    ←Back to all jobs at All American Home Care LLC Patient Care Coordinator All American Home Care LLC is an EEO Employer - M/F/Disability/Protected Veteran Status · Providing coordinated care to patients by developing, monitoring, and evaluating their home health care plans. · Ensure a high level of care for the patient given by the home health aides. · Scheduling agency home health care aides accordingly and ensuring agency aides work their scheduled shift. · Managing last minute calls outs, finding appropriate coverage. · Developing an on-call pool of agency aides with various shifts in coordination with Human Resources · Communicate with referral sources and Case Managers to provide an excellent customer service experience · Listening to needs of clients and matching them to the appropriate caregiver(s) · Manage Caseload of 100+ patients · Review the care plan with patients and caregiver · Resolve caregiver and client grievances and complaints · Address over utilization of hours · Reporting personnel performance issues · Ensure caseload retention · Contribute to team efforts by accomplishing related results as needed Minimum Qualifications: High school graduate 2+ Years experience in a Home Care or Service Coordination role. Demonstrated capability maintaining strict confidentiality Proven ability to generate leads and monitor referrals Strong typing and computer skills Comfortable with closing/asking for business Well organized, accurate, and attentive to detail Excellent communication, public relations and follow up skills Experience with HHA Exchange and EVV Bilingual English/Spanish preferred. Our mission at All American Home Care is to provide quality care to people at all stages of life that need assistance and prefer the comfort and familiarity that their own home offers. Our compassionate, experienced caregivers help our patients enjoy a higher quality of life and cultivate a sense of confidence and satisfaction that transcends the ordinary client/caregiver relationship. Much like our staff, we consider our valued patients as part of our family-the ever-expanding All American Home Care family. Job Type: Full-time Salary: $18.00 - $23.00 per hour Benefits: 401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance Schedule: 8 hour shift Monday to Friday Supplemental pay types: Bonus pay COVID-19 considerations: Education: High school or equivalent (Preferred) Experience: HHA EXCHANGE: 1 year (Preferred) EVV: 1 year (Preferred) Language: Spanish (Preferred) Please visit our careers page to see more job opportunities.
    $18-23 hourly 60d+ ago
  • Patient Care Coordinator

    Carering Health

    Patient access representative job in Allentown, PA

    We are a leading provider of homecare services throughout the states of Pennsylvania and Delaware. Our mission is to provide exceptional homecare services to patients who need our help the most. We are seeking talented, passionate individuals to join our team as Patient Care Coordinators and help our patients live happier and healthier lives. What We Offer*: We know that, to be the best place for our patients, we must be the best place to work for our employees. We offer the following to our employees: Make a difference every day in the lives of those who need our help the most Competitive pay Paid on a weekly basis Medical/dental/vision/life insurance Paid holidays/PTO/401(k) match Career growth opportunities Great and collaborative work environment Work‐life balance Responsibilities Screen new patients and caregivers On‐board new patients, including providing assistance with any documentation/clearance requirements On‐board new caregivers, including orientation/training Staff patient cases with caregivers and ensure patient cases are started promptly Ensure compliance with the law and Company policy, including caregiver clock‐in and clock‐out requirements Communicate with patients, caregivers, and patient families to ensure satisfaction and quality service delivery Assist with on‐site visits, as needed Qualifications Bilingual preferred Passion and dedication to help those in need Strong work ethic Strong communication skills No homecare experience necessary - we will provide you with all the training you need! High school diploma/GED (associate's degree or bachelor's degree preferred)
    $18k-38k yearly est. Auto-Apply 5d ago
  • Registration Specialist - Emergency Department

    Schuylkill 3.2company rating

    Patient access representative job in Gilbertsville, PA

    Imagine a career at one of the nation's most advanced health networks. Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work. LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day. Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network. Summary Coordinates all aspects of patient registration, insurance verification, and scheduling of patients accurately. Conducts patient interviews by phone and in-person for the purpose of establishing an account by gathering demographic, insurance, and clinical information to ensure appropriate patient scheduling and optimal financial clearance. Works in an emergency department which encompasses varying levels of patient care. Educates patients regarding financial responsibilities and collects out of pocket fees. Job Duties Interviews patients using open-ended questions to obtain pertinent demographic, insurance (referral/authorization), and other information. Engages patients throughout the registration process to create a welcoming and positive patient experience whether in person or via phone. Ensures referring providers' orders are complete and match the appointment scheduled. Obtains a new order prior to test/treatment if order is incomplete or inaccurate. Scans insurance cards, scripts, patient identification, and all pertinent documentation including regulatory forms accurately. Secures signatures to ensure timely reimbursement, which includes consents signed specific to service(s) being rendered. Determines and collects patient financial liability and creates estimates, if applicable. Refers patients to financial resources as needed for assistance with financial counseling. Reviews daily schedule and identifies potential scheduling conflicts affecting department flow and confers with colleagues and providers for a resolution. Maintains compliance with registration accuracy. Minimum Qualifications High School Diploma/GED 1 year Customer service or 1 year Healthcare environment such as a hospital and/or physician office Computer and typing proficiency. Must be able to interact with a diverse customer base, including those seeking emergency services or treatment due to an accident or illness. Must successfully pass the required training in two attempts or less. Must adapt to change in volumes and demands positively and professionally effectively managing time and prioritizing tasks. Remains calm and resilient in a noisy, high-stress environment. Must react quickly in critical situations utilizing critical thinking skills. Preferred Qualifications Associate's Degree Health care or related field 2 years registration/insurance verification in a health care setting Knowledge of medical terminology. Bi-lingual - Spanish/English. Physical Demands Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR. Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require. Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities. **************************** Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes. Work Shift: Evening Shift Address: 1109 Grosser Road Primary Location: Lehigh Valley Hospital- Gilbertsville Position Type: Onsite Union: Not Applicable Work Schedule: 1445-2315; every other weekend; every other holiday Department: 1004-09845 Registration - Gilbertsville
    $37k-44k yearly est. Auto-Apply 14d ago
  • Patient Care Coordinator

    Patriot Home Care 4.1company rating

    Patient access representative job in Allentown, PA

    We are a leading provider of homecare services throughout the states of Pennsylvania and Delaware. Our mission is to provide exceptional homecare services to patients who need our help the most. We are seeking talented, passionate individuals to join our team as Patient Care Coordinators and help our patients live happier and healthier lives. What We Offer*: We know that, to be the best place for our patients, we must be the best place to work for our employees. We offer the following to our employees: Make a difference every day in the lives of those who need our help the most Competitive pay Paid on a weekly basis Medical/dental/vision/life insurance Paid holidays/PTO/401(k) match Career growth opportunities Great and collaborative work environment Work‐life balance Responsibilities Screen new patients and caregivers On‐board new patients, including providing assistance with any documentation/clearance requirements On‐board new caregivers, including orientation/training Staff patient cases with caregivers and ensure patient cases are started promptly Ensure compliance with the law and Company policy, including caregiver clock‐in and clock‐out requirements Communicate with patients, caregivers, and patient families to ensure satisfaction and quality service delivery Assist with on‐site visits, as needed Qualifications Bilingual preferred Passion and dedication to help those in need Strong work ethic Strong communication skills No homecare experience necessary - we will provide you with all the training you need! High school diploma/GED (associate's degree or bachelor's degree preferred)
    $22k-35k yearly est. Auto-Apply 60d+ ago
  • Oncology Scheduler - Alliance Cancer Specialists

    Sourcedge Solutions

    Patient access representative job in Doylestown, PA

    Note: Please send resume to ****************** Oncology Scheduler Required Education, Skills and/or High School Diploma or GED Minimum of six months of previous experience in scheduling Medical terminology or previous experience in healthcare setting Ability to communicate using both written and verbal skills Proficiency with organizational and interpersonal skills Analytical skills to maintain and modify the scheduling module Responsibilities: Under general supervision and according to established policies and procedures, schedules procedures for all appointments in Medical/Radiation Enters scheduling information into computer system, generates daily reports and distributes to appropriate departments Demonstrates the knowledge and skills necessary to provide care appropriate to the age of assigned patient population Schedules/reschedules procedures based on available time slots, patients' availability, physicians' orders Completes registration requirements including insurance authorizations Attempts to accommodate physicians by scheduling multiple procedures on single day if possible Works closely with all modalities to reschedule chemo/treatments on a timely basis Contacts other Hospital departments to schedule ordered procedures requiring coordination of multiple departments or personnel Enters and updates provider's schedules in the computer system ensuring accurate patient information, monthly billing visits, charges and the like Follows established schedule and updates providers templates when needed, communicates changes with patients Generates computer printout of schedules and delivers to applicable department Prepares patient EMR and is correctly registered and generates reports related to patient/procedure volumes on a monthly and ad hoc basis May perform related clerical duties including typing, photocopying, and filing as time permits or workload requires
    $33k-57k yearly est. Easy Apply 60d+ ago
  • Scheduling Specialist- Operating Room

    Tower Health

    Patient access representative job in Pottstown, PA

    The Scheduling Specialist is responsible for arranging surgical procedures, post op appointments and therapy services, according to protocol, to meet the needs and availability of the patient, the physician and available OR time. They review patients demographic information, insurance and medical history, insuring accuracy. They coordinate and communicate changes to existing schedule with appropriate departments/staff and make adjustments to ensure maximum utilization of the physician's available OR time. Duties include scanning documents into EMR, maintaining surgery spreadsheet, reviewing preoperative and postoperative instructions, sending telephone encounters and communicating with the Authorization Specialist to obtain prior authorizations for procedures. Ensures operating room has necessary paperwork and special equipment for surgery if requested by the physician. * Generous time off, tuition assistance, and comprehensive benefits * Instant access throughout the pay period with Tower Advance Pay, ensuring financial flexibility and convenience * Employee Assistance Program, Retirement Savings Program, Life Insurance, and more! #POTTS Qualifications Education Requirements * High School Diploma - OR - GED - OR - Relevant experience may be considered in lieu of education Experience * Relevant Experience Required Skills * Collaborative Skills * Computer Skills to include use and navigation * Customer Service Skills * Detail Oriented * Epic Proficiency * Excellent Communications Skills * Excellent Interpersonal Skills * General Clerical Skills * Good Reasoning Skills * Keyboarding * Listening Skills * Medical Terminology * Microsoft Office Applications * Multitasking * Organizational Skills * Problem Solving Skills * Service Orientation * Strong Team Player We believe in the power of people to create great care. Pottstown Hospital is a 213-bed facility with a full range of health services, including inpatient and outpatient, medical and surgical, and diagnostic and emergency care, to name a few. We believe in the power of people to create great care. We deliver compassionate, safe, quality care. And we work hard every day to be a place of healing, caring, and connection for patients and families in the community we call home. Awards: * Healthgrades Patient Safety Excellence Award (2023) * Lown Institute Hospitals Index: Grade A Cost Efficiency, Grade A Inclusivity * The Pottstown Mercury Readers' Choice Award - Best Hospital * Get With The Guidelines Stroke SILVER PLUS * Get With The Guidelines Heart Failure GOLD PLUS Accreditations * Accredited by The Joint Commission * Certified Primary Stroke Center * Certified in Hip/Knee Replacement, Heart Failure * Accreditation by the American College of Surgeons * Commission on Cancer * Accreditation with the American College of Radiation Oncology * American College of Radiology Accreditation * CT Scan, MRI, Mammography, Nuclear Medicine, and PET Scan * Intersocietal Accreditation Commission (IAC) * Extracranial Cerebrovascular Testing * Designated Lung Cancer Screening Center by the American College of Radiology **************************** Overview Tower Health, a regional healthcare system, serves communities across multiple counties in Pennsylvania. Its network includes Reading Hospital, Phoenixville Hospital, Pottstown Hospital, and St. Christopher's Hospital for Children (in partnership with Drexel University). Committed to academic medicine and training, Tower Health offers various programs, including residency and fellowship programs, the Drexel University College of Medicine at Tower Health, and the Reading Hospital School of Health Sciences. Additionally, the system provides a wide range of healthcare services, such as Reading Hospital Rehabilitation at Wyomissing, home healthcare via Tower Health at Home, TowerDirect ambulance and emergency response, Tower Health Medical Group, Tower Health Providers (a clinically integrated network), and Tower Health Urgent Care facilities across its service area.
    $33k-56k yearly est. Auto-Apply 9d ago
  • Patient Services Specialist

    American Oncology Network

    Patient access representative job in Easton, PA

    Pay Range: The primary responsibilities of Patient Services Specialist (PSS) to provide quality customer service by greeting the patient, collecting their information and payments in addition to scheduling appointments and maintaining medical records. Due to the different AON office layouts, the below responsibilities and tasks will be broken up or not based on size and skill in office. Key Performance Areas: Create and maintain patient charts within the EMR and billing systems for New and Hospital Consult Patients. Accurately record and communicate Hospital Consults to the appropriate physician. Responsible for all physician requests regarding schedule changes, patient appointments, etc. including maintaining all future schedules to adhere to physician preferences such as max number of patients, gaps between patients, canceling appointments etc. and fix any problems in advance. Responsible to work with physicians to assign new patients to appropriate clinician per office policy, if applicable. Keeps records of physician assignments, dates, and diagnoses, if applicable. Accurately and promptly check-in patients per clinic policy, collect and document payments, and verify demographic information is up to date. Collect or scan patient identification, patient chart photo and insurance cards. Prepare and work reports in accordance with AON and clinic protocols to ensure all patient care is accurate and timely. Schedule patient appointments including follow-ups, treatments, referrals, and outside testing ordered by the physician and provide to the patient in accordance with clinic policy. Prepare the clinic daily close deposit and documents. Balance the Cash drawer if applicable. Distribute documents to appropriate departments. Maintain E-Fax servers and distribute appropriately and/or accurately enter to patient chart as required. Fax or mail records requested by patients or outside physicians. Requests missing information for future appointments from facility or provider and has them faxed to the clinic then files record in chart. Check-in Station (if applicable) Check sign-in list as patients arrive for appointments. Promptly note patient's arrival in EMR system and note the patient's location to notify appropriate staff of patient's arrival. Verify the patient's identity according to AONS' Patient I.D. policy and either affixes the patient's name label on the patient's shoulder or hands the patient the label and ensures that he/she affixes the label on their shoulder area. Collect patient co-pays at time of sign-in and print or write a receipt and give to the patient. Notify Financial Counselor if patient is unable to make payment. Receipts are written or printed and given to patient. Post all payments in computer. Log payment on A/R sheets. Copy insurance cards and picture I.D. of all new patients. Be sure patient completes medical history forms and notify Financial Counselor of the arrival of the patient as needed. Verify information on the patient's demographic sheet. Have patient initial and date every 30 days and in January of every year. Answer telephone promptly and route calls or take messages as appropriate. Relay messages to the doctor on rounds. Responsible for taking phones off the answering service promptly at 9:00 a.m. and for switching calls to answering service at 5:00 p.m. Retrieve messages left with answering service/voice mail and distribute as necessary. Take hospital consult information and relay to physicians and Hospital Rounds Coordinator or other assigned person. Contact patients who do not keep appointment to determine reason and reschedule. Document the call and reason in patient's Onco/EMR. If patient cannot be reached by phone, send appropriate letter. Cancel missed appointments in computer to produce clean schedules at end of the workday. Forward sign-in sheets to the EDI Department at the corporate office. Schedule in computer or designated calendar, physician's meetings and drug representative's lunches. Give death certificate to physician for signature. Call funeral home when paperwork is completed. Run trial close each day. Fax appropriate information to the business office according to AON policy. Contact patients the day before their appointment to remind them of appointment time. Reschedule appointments as needed. Compile and distribute information sheets and discs for the PET Scanner in those offices where applicable. Check-Out Station (if applicable) Schedule follow-up appointments for clinic as directed by physician's orders and depart patients out of EMR system. Schedule outside testing, referrals to other physicians and hospital admissions as ordered by physicians, if applicable. Print out patient's list of appointments and explain each appointment, if applicable. If outside testing requires preparation, give the patient the preparation and non-prescription medication and explain process to patient/family member. Request and collect payment from patients as stated on A/R Report and/or computer. Notify financial counselor if patient is unable to make payment. Receipts are written or printed and given to patient. Post credit card payments in computer. Log payment on A/R sheets. Work with physician and nursing staff to establish manageable daily schedules. (i.e., know how many patients a physician can see in one day, and adjust schedule if necessary to alleviate patient load). Maintain schedules to be sure patients are rescheduled to accommodate physician's vacations, conferences, and personal appointments. Run trial close daily. Verify with office manager and fax to business office. Notifies financial counselor of any insurance change or STAT outside scheduling, or hospital admission. Answers phones promptly and routes calls or takes messages as appropriate. Balance cash drawer in a.m. and p.m. daily. Handles cash drawer according to AON procedure. Checks and maintains front staff and medical record query reports. Medical Records Station if applicable Assemble all new patient and Hospital Follow-Up (HFU) charts. Obtain pertinent information for patient's appointments by calling referring Doctor, hospital, labs, etc. Must verify all records received. (Depending on office operation, i.e. handled at other PSS station at some offices). Maintain fax machine with supplies. Distribute received faxes promptly. Open, sort, and distribute daily mail and any other reports delivered by lab facilities, home health agencies, etc. Empty courier box upon arrival and distribute interoffice mail promptly. Request from and distributes to outside physicians, correspondence, reports, test results on individual patients. This is accomplished through the medical records activity code in OncoEMR. Front staff activity as well as refer to doctor activity codes are also initiated by the AON physician of record. Medical records, refer to doctor and front staff reports are run daily and processed accordingly. Fax or mail records requested by patients or outside physicians. Send charts to corporate office for copying by outside copying company in response to subpoenas or other legal requests per policy. Answer telephones promptly and route calls or take messages as appropriate.Run daily close each day. Fax appropriate information to the business office Fax Server if applicable Checks fax server periodically throughout the day for new faxes to be filed. Always verifies date of birth before selecting account to file records. Deletes faxes once they have been labeled and filed correctly. Notifies Onco/EMR support or office manager to remove faxes that were filed incorrectly in patient's chart. Notifies Onco support or office manager when a procedure is missing from the Name/Subject drop down list to be added. Files all documents in the correct category and with the correct document Name/Subject. Job Duties Common to all stations: Provide support and understanding to our patients and their caregivers to create a friendly and welcoming environment. Graciously answer telephones promptly and route calls or document messages including voicemails as appropriate within the EMR. Activate and deactivate the answering service as required for clinic hours. Must understand and follow the policy for emergency calls Perform the tasks of other patient services specialist stations that employee has been trained on. Will be expected to cover other stations for absences, lunches, vacations, etc. Comply with all Federal and State laws and regulations pertaining to patient care, patients' rights, safety, billing, privacy and collections. Adhere to all AON and departmental policies and procedures, including IT policies and procedures and disaster recovery plan. Assist in training other AON employees. Keep work area and records in a neat and orderly manner. Maintain all company equipment in a safe and working order. Maintain and ensure the confidentiality of all patient and employee information at all times in accordance to policy and HIPAA regulations. Will be expected to work at any AON location to help meet AON business needs. Required Qualifications: Education: High School Diploma; Associates degree a plus Experience: Minimally one year healthcare field. Physician office preferred. Patient/Customer focused. Attention to detail with strong ability to multitask. Excellent interpersonal skills. Strong communication skills with a wide variety of personalities. Core Capabilities: Analysis & Critical Thinking: Critical thinking skills including solid problem solving, analysis, decision-making, planning, time management and organizational skills. Must be detailed oriented with the ability to exercise independent judgment. Interpersonal Effectiveness: Developed interpersonal skills, emotional intelligence, diplomacy, tact, conflict management, delegation skills, and diversity awareness. Ability to work effectively with sensitive and confidential material and sometimes emotionally charged matters. Communication Skills: Good command of the English language. Second language is an asset but not required. Effective communication skills (oral, written, presentation), is an active listener, and effectively provides balanced feedback. Customer Service & Organizational Awareness: Strong customer focus. Ability to build an engaging culture of quality, performance effectiveness and operational excellence through best practices, strong business and political acumen, collaboration and partnerships, as well as a positive employee, physician and community relations. Self-Management: Effectively manages own time, conflicting priorities, self, stress, and professional development. Self-motivated and self-starter with ability work independently with limited supervision. Ability to work remotely effectively as required. Must be able to work effectively in a fast-paced, multi-site environment with demonstrated ability to juggle competing priorities and demands from a variety of stakeholders and sites. Computer Skills: Proficiency in MS Office Word, Excel, Power Point, and Outlook required. Travel: 0% Standard Core Workdays/Hours: Monday to Friday 7:30 AM - 4:30 PM. Occasional overtime may be required, and weekend shifts based on location hours and operational needs. #AONA
    $34k-41k yearly est. Auto-Apply 60d+ ago
  • Patient Advocate - Lehigh Valley, PA

    Patient Funding Alternatives

    Patient access representative job in Lehigh, PA

    Job Description Patient Advocate Specialist Lehigh Valley, PA ChasmTeam is partnering with a growing national company to build a team that provides real benefits to patients! We are seeking hard-working, self-starters who enjoy a challenge as we work together to help patients. The Patient Advocate plays a critical role in identifying, educating, and enrolling eligible hospital patients into the Health Insurance Premium Payment (HIPP) Program. You'll clearly explain program details, gather required documentation, and serve as a compassionate, professional advocate throughout each step of the enrollment process. This role demands mission-driven advocacy, proactive problem-solving, empathetic communication, and resilience - all while balancing compassion with an urgency to ensure patients receive timely support. By facilitating employer-sponsored health insurance coverage, the Patient Helper Program helps medically complex Medicaid beneficiaries access comprehensive care. We're looking for driven individuals with a “can-do” spirit, unwavering perseverance, and the capacity to support diverse patient populations navigating complex healthcare systems. Key Responsibilities Patient Engagement & Advocacy Educate patients and families in a clear, compassionate, and culturally sensitive manner about the HIPP program. Assess family dynamics and adapt communication style to effectively meet their needs. Obtain necessary authorizations and documentation from patients/families. Foster trust with patients while maintaining appropriate professional boundaries. Demonstrate cultural competence and empathy when engaging with vulnerable populations. HIPP Enrollment & Case Management Accurately collect all essential data for HIPP applications (e.g., employer information, insurance details). Employ proactive problem-solving to overcome barriers and ensure timely, accurate submissions. Collaborate seamlessly with the Patient Financial Assistance team to finalize enrollments. Consistently deliver against performance metrics such as enrollments completed, case resolution time, and documentation accuracy. Program Maintenance & Benefit Coordination Clarify how employer-provided health insurance works in coordination with Medicaid. Verify and update ongoing patient eligibility for HIPP to maintain continuity. Assist with resolving insurance-related issues upon request from patients or clients. Technology & Documentation Utilize CRM/case management system to manage referrals and patient records. Upload, scan, and securely transmit required documentation. Record patient interactions meticulously in compliance with privacy and legal standards. Efficiently operate Apple tools such as iPads and iPhones for enrollment-related tasks. Client & Hospital Relationship Management Represent the organization as the on-site contact at the hospital. Establish and maintain collaborative relationships with hospital staff, state agency personnel, and community partners. Always uphold the organization's values with ethical integrity and professionalism. Required Qualifications High school diploma or GED and completion of formal training in customer service, patient services, healthcare administration, social services, or case management. Foundational knowledge of healthcare terminology and insurance processes gained via coursework or certification. Ability to pass hospital credentialing, including vaccinations and drug/alcohol screening. Preferred Qualifications Associate's or Bachelor's degree in Social Work, Healthcare Administration, Public Health, or related field. Training in motivational interviewing, trauma-informed care, or medical billing/coding. Continuing education in Medicaid/Medicare eligibility, health equity, or patient advocacy. Three to five years' experience in patient-facing roles within a healthcare setting. Full Bilingual proficiency in Spanish is strongly preferred. Core Skills & Competencies Technical Skills-Preferred Proficiency with CRM or case management systems. Knowledge of Medicaid/Medicare eligibility and benefits coordination. Ability to interpret medical billing and insurance documents. Strong compliance-based documentation practices. Interpersonal Skills Active listening and empathetic communication. De-escalation tactics for emotionally distressed patients. Cultural awareness and sensitivity in communication. Collaboration with cross-functional teams, including hospital and internal staff. Key Traits for Success Mission-Driven Advocacy - Consistently puts patient needs first. Ego Resilience - Thrives amid adversity and changing demands. Empathy - Provides compassionate support while ensuring professionalism. Urgency - Balances speed and sensitivity in patient interactions. Detail Orientation - Ensures accuracy and completeness in documentation. Cultural Competence - Demonstrates respect and understanding of diverse experiences. Adaptability - Successfully operates in evolving policy and procedural environments. Why Join Us? As a Patient Advocate, you'll make a real difference-helping patients navigate complex health and insurance systems, securing critical benefits, and enabling focus on healing and well-being. Join a mission-driven, supportive team where your work matters and your growth is encouraged. Full benefits offered, including Health, Dental, Vision, 401(k) with company match, STD/LTD, Life Insurance, and more.
    $32k-41k yearly est. 6d ago
  • Patient Care Coordinator

    Option Companion Care

    Patient access representative job in Lansdale, PA

    We are seeking a Patient Care Coordinator to join our team. In this role, you will work collaboratively with patients to determine their medical needs, develop the best course of action, and oversee their treatment plans, ensuring each client gets high-quality, individualized care. The ideal candidate is compassionate, patient, and knowledgeable about healthcare practices. Responsibilities Providing coordinated care to patients by developing, monitoring, and evaluating their home health care plans Ensure a high level of care for the patient given by the home health aides Scheduling agency home health care aides accordingly and ensuring agency aides work their scheduled shift Managing last minute calls outs, finding appropriate coverage Communicate with referral sources and Service Coordinators to provide an excellent customer service experience Educate patients on their healthcare options & matching them to the appropriate caregiver(s) Manage Caseload of 100+ patients Great customer and patient service Ability to work under pressure Review the care plan with patients and caregiver Resolve caregiver and client grievances and complaints Address over utilization of hours Reporting personnel performance issues Detailed Oriented Excellent communication skills A caring and compassionate personality Ensure caseload retention Contribute to team efforts by accomplishing related results as needed Recruit and train staff Qualifications High school graduate 3 Years experience in a Home Care or Service Coordination role Demonstrated capability maintaining strict confidentiality Proven ability to generate leads and monitor referrals Strong typing and computer skills Comfortable with closing/asking for business Well organized, accurate, and attentive to detail Excellent communication, public relations and follow up skills Experience with HHA Exchange and EVV Benefits/Perks Flexible Scheduling Competitive Compensation Careers Advancement Our mission at Option Companion Care is to provide quality care to people at all stages of life that need assistance and prefer the comfort and familiarity that their own home offers. Our compassionate, experienced caregivers help our patients enjoy a higher quality of life and cultivate a sense of confidence and satisfaction that transcends the ordinary client/caregiver relationship. Much like our staff, we consider our valued patients as part of our family.
    $18k-38k yearly est. 30d ago
  • Patient Care Coordinator II

    Phoenix Physical Therapy

    Patient access representative job in Pennsburg, PA

    DEPARTMENT: Operations FLSA: Non-Exempt Clinic Director GRADE: The Patient Care Coordinator II supports the clinic by helping to achieve revenue goals by attracting new patients, managing the administrative and operational functions, and coordinating patient interactions and needs. The PCC II will be responsible for managing daily, weekly and monthly operations as outlined in the PCC II Front Office Manual and adhering to policies and procedures, scheduling, accuracy of entering patient demographics, verification of insurance, collection of monies, charge entry and proper documentation of accounts. The PCC II will need to be flexible, adaptable to change and able to learn new skills. KEY RESPONSIBILITIES: Will learn and understand the front office operations and performs these operations as presented in the PCC II manual, Scheduling/Billing/EMR manual or any other manuals developed. Greets and registers patients or other visitors, informs staff of patients' arrival, and directs patients to appropriate department or examination room. Fills out patient forms where applicable and competently explains the details surrounding the paperwork presented to the patient. Gathers and updates patient information, including patient demographics, insurance and case information Collects and inputs patient insurance information and verifies active coverage or eligibility. Responsible for all components of scheduling appointments and properly documenting accounts as needed; will maintain continuity of care when scheduling patient appointments Understands the importance of productivity; Will schedule and recapture appointments, missing in action patients, and pro-actively rescheduling appointments in the current week as well as the duration of the prescription Collect all monies that are due prior to each visit including, but not limited to co-payments, deductibles, co-insurance, payments on statements, supplies, gym memberships, self pays, attorney checks. Documents all monies in the system appropriately and provides system receipt Audits each visit to ensure there is a valid prescription, proper authorization / referral / precertification, and collects monies due each visit. Answers and transfers phone calls, arranges for referrals, or relays messages. Follows up and reviews daily reports and proactively follows up and communicates the need for a prescription, authorization / referral / precertification to ensure there are no delays with patient care Reconciles all over-the-counter collections daily and drop off deposit cash and checks at the designated bank within an appropriate time frame Accurately verifies benefits via phone, ask detailed questions outside of what is provided, and sets up accounts accurately Ensures that all visits performed are properly authorized and makes efforts to minimize the occurrence of any unauthorized visits Ensures that all “Plan of Cares” for Medicare are signed and returned by the physician within 30 days of the patient's Initial Evaluation Utilizes websites only in instances in which the websites are relevant and approved by Phoenix Physical Therapy. (ex: insurance websites for authorization, National Provider Identifier (NPI) websites, etc.) May perform occasional clerical duties, such as data entry, filing, or photocopying; clerical duties may require experience with medical records or electronic health record systems. May assist in the clinic to; clean, disinfect, and general cleanliness. Maintains safe, secure, and healthy work environment by establishing, following, and enforcing standards and procedures and complying with legal regulations. Other duties as assigned. Qualifications MINIMUM JOB REQUIREMENTS: Education / Training: High School Diploma or GED required; Associates Degree or college level business courses preferred. 2 years of previous experience in a medical billing practice and medical terminology ( HCFA 1500, CPT and ICD 9 codes) preferred Current CPR Certificate Specialized Knowledge/Skills: Excellent Customer Service Performs work under direct supervision. Handles basic issues and problems and refers more complex issues to higher-level staff. Ability to communicate effectively and professionally with a wide variety of people. Strong organizational skills with attention to detail and accuracy. Proficient with Microsoft word, strong data entry skills with EMR systems Ability to handle multiple tasks in a very busy environment. Physical Requirements: Consistent and regular use of phone required. Must be able to keep numbers in correct order on a very consistent and regular basis. Regular and consistent use of keyboard and mouse. Ability to climb stairs on occasion. Must be able to occasionally lift up to 25 pounds. Consistent sitting for many hours at one time. Majority of day (75%+) is spent sitting at a desk. Additional challenges may arise, at which time Phoenix may revise this job description. ***Phoenix Physical Therapy is committed to having a workforce that reflects diversity at all levels and is an equal opportunity employer. Qualified applicants are considered for employment, and employees are treated during employment without regard to race, color, religion, national origin, citizenship, age, sex, sexual orientation, gender identity, marital status, ancestry, physical or mental disability, veteran status, or any other characteristic protected under applicable law.
    $18k-38k yearly est. 3d ago
  • Secondary Billing & Follow-Up Representative

    Medcentris

    Patient access representative job in Pottstown, PA

    Definition and Role Under the direction of the Assistant Director of Revenue Cycle - Revenue Recovery, the Remote Secondary Billing & Follow Up Specialist is responsible for monitoring billing & claims follow up on all claims and resolutions from participating insurance carriers and working proactively to collect from secondary insurance carriers. Job Responsibilities and Duties Responsible for billing 60-65 claims per day. Familiar with Medicare, Medicaid & Blue Cross Payers Duties include editing claims, billing out claims & following up with secondary payors. Previous experience Nextgen Meditouch software + Knowledge of insurance Payers, EMR,Claims. Performs follow up on all outstanding accounts assigned in accordance with established standards & procedures. Assists with chart audits as necessary. Reviews & edits any rejections stemming from electronic billing submission, correct & resubmit the claims. Researches, responds, and documents insurer and patient correspondence/inquiry notes regarding coding coverage, benefits, and reimbursement on patient accounts. Responds to telephone inquiries from patients, insurance carriers and outside agencies in a courteous manner. Makes management aware of any issues or changes in the billing system, insurance carriers, and/or networks. Send secondary claims to appropriate payers. Physical Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing this job the employee is frequently required to sit, talk, and listen. The employee is occasionally required to walk, use hands and fingers to feel, handle, or operate objects, tools, or controls, and reach with hands and arms. The employee must occasionally lift and/or move objects weighing up to 25 pounds. Specific vision abilities required by this job include close vision and the ability to adjust and focus. Emotional/Psychological: Constant ability to make decisions and concentrate. Qualifications Qualifications Entry Level Position Demonstrated understanding of medical terminology, Insurance, EMR, & Claims required. Knowledge of patient confidentiality and HIPAA regulations. Knowledge of CPT, HCPCS, and ICD10 coding required. Knowledge of medical billing and collection practices. Understands Medicare and Medical Assistance regulations as they apply to job functions. Knowledge of working with electronic health records (EHR/EMR) or healthcare related computer systems. Establishes and demonstrates competency in accounts receivable systems & associated applications. Ability to communicate effectively with insurance carriers, patients, and co-workers. Ability to comply with procedural guidelines and instructions and to solicit assistance when situations arise that deviate from the norm. Excellent verbal and auditory skills are required for communicating with internal staff and representatives from external departments & agencies.
    $30k-38k yearly est. 7d ago
  • Specialty Pharmacy Patient Care Coordinator

    Kennedy Medical Group, Practice, PC

    Patient access representative job in Montgomery, PA

    Job Details Specialty Pharmacy Patient Care Coordinators handle a broad variety of interactions with clients, providers, payers and manufacturers critical to the services provided by the Specialty Pharmacy. The core functions include handling incoming and outgoing client and patient interactions and follow thru and resolution of customer inquiries. Interactions include calls from patients, families, provider offices, payers, and manufacturers. Handles other miscellaneous tasks, including the reconciliation of delivery tickets, and investigating expired prescriptions and encounters. Handle every interaction with the utmost service and resolve; providing a patient/client experience that supports our commitment to efficient and effective connections to care. Interact with a diverse patient base to ascertain the reason for the interaction and assist the client with their inquiry, concerns or problems with a focus on first call resolution. Demonstrate commitment to service and follow-through. Follow departmental protocols to ensure patient safety and accurate data entry. Job Description Essential Functions • Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. • Receive, Handle, and Triage calls/interactions accordingly based on client's needs including but not limited to: Assessing refill needs, scheduling delivery of medications, copay collections, package & delivery tracking, obtaining payer/copay card information, status updates of orders, receiving/relaying information to the client • Practice First Call Resolution by identifying and assessing client needs to work towards a satisfactory solution • Assess for clinical escalation to pharmacist where appropriate • Accurately research and document all interactions within the Electronic Medical Record (EMR) per departmental policy and guidance • Access EMR and other software to answer, coordinate, track, and monitor interactions across multiple channels of communication. Maintain qualitative and quantitative individual and team performance targets. • Identify issues and communicate solutions to customers, pharmacies, physicians, and payers regarding scheduling and delivery information, prescription order status, eligibility, and claims information • Effectively collaborate with internal departments and external entities to resolve customer issues, including billing, logistics, insurance coverage, and manufacturer copay card programs • Additional administrative and pharmacy tasks and duties may be assigned by management Competencies (Knowledge, Skills, and Abilities Required): Competency Description Maintain knowledge of and comply with regulatory guidelines set forth by the State Board of Pharmacy, FDA, DEA, DHS, Medicare, TJC, and URAC as applicable to functional role Demonstrated ability to listen skillfully, accurately collect & document relevant information, and build relationships and trust with Knowledge of and ability to utilize practices, tools, and techniques for communicating with a client Knowledge of the major responsibilities, accountabilities, and overall organization of the client support function or department, ability to properly support client inquiries and bring problems to a timely resolution. Independently resolves complex client conflicts including but not limited to: damaged/lost products, order placement, and outstanding balances and invoices Multi-task between several issues at one time Minimum Education and Experience Requirements: Education: High School Diploma or GED equivalent preferred AND Experience: 3+ years experience in customer service role 1+ years experience in a specialty pharmacy, hospital, health insurance company, benefits department or other related healthcare environment. Minimum Certifications, Registration or License Requirements: None Required Additional Information • Proficient in the use of computers and Microsoft applications. Type 35 wpm. • Experience with clinical software systems; Specialty Medications and Medicare billing is highly preferred. • Ability to communicate professionally and efficiently in both written and verbal format with patients, physicians, payors and clinical staff in-person and on the phone. • Flexibility to adapt to changes in the departmental needs including but not limited to: offering assistance to other team members, adjusting assignments, etc. • Detailed orientated with excellent organization skills, ability to learn quickly, solve problems and make informed educated decisions. •Ability to adapt in a dynamic work environment •Demonstrated ability to handle difficult conversations in a professional and caring manner Work Shift Workday Day (United States of America) Worker Sub Type Regular Employee Entity Thomas Jefferson University Hospitals, Inc. Primary Location Address 3500 Horizon Drive, King of Prussia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educa tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. Benefits Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance. For more benefits information, please click here
    $18k-38k yearly est. Auto-Apply 44d ago
  • Oncology Scheduler - Alliance Cancer Specialists

    Sourcedge Solutions

    Patient access representative job in Sellersville, PA

    Note: Please send resume to ****************** Oncology Scheduler Required Education, Skills and/or High School Diploma or GED Minimum of six months of previous experience in scheduling Medical terminology or previous experience in healthcare setting Ability to communicate using both written and verbal skills Proficiency with organizational and interpersonal skills Analytical skills to maintain and modify the scheduling module Responsibilities: Under general supervision and according to established policies and procedures, schedules procedures for all appointments in Medical/Radiation Enters scheduling information into computer system, generates daily reports and distributes to appropriate departments Demonstrates the knowledge and skills necessary to provide care appropriate to the age of assigned patient population Schedules/reschedules procedures based on available time slots, patients' availability, physicians' orders Completes registration requirements including insurance authorizations Attempts to accommodate physicians by scheduling multiple procedures on single day if possible Works closely with all modalities to reschedule chemo/treatments on a timely basis Contacts other Hospital departments to schedule ordered procedures requiring coordination of multiple departments or personnel Enters and updates provider's schedules in the computer system ensuring accurate patient information, monthly billing visits, charges and the like Follows established schedule and updates providers templates when needed, communicates changes with patients Generates computer printout of schedules and delivers to applicable department Prepares patient EMR and is correctly registered and generates reports related to patient/procedure volumes on a monthly and ad hoc basis May perform related clerical duties including typing, photocopying, and filing as time permits or workload requires
    $33k-56k yearly est. Easy Apply 60d+ ago
  • Registration Specialist

    Schuylkill 3.2company rating

    Patient access representative job in Pennsburg, PA

    Imagine a career at one of the nation's most advanced health networks. Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work. LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day. Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network. Summary Coordinates all aspects of patient registration, insurance verification, and scheduling of patients accurately. Conducts patient interviews by phone and in-person for the purpose of establishing an account by gathering demographic, insurance, and clinical information to ensure appropriate patient scheduling and optimal financial clearance. Educates patients regarding financial responsibilities and collects out of pocket fees. Job Duties Interviews patients using open-ended questions to obtain pertinent demographic, insurance (referral/authorization), and other information. Engages patients throughout the registration process to create a welcoming and positive patient experience whether in person or via phone. Ensures referring providers' orders are complete and match the appointment scheduled. Obtains a new order prior to test/treatment if order is incomplete or inaccurate. Scans insurance cards, scripts, patient identification, and all pertinent documentation including regulatory forms accurately. Secures signatures to ensure timely reimbursement, which includes consents signed specific to service(s) being rendered. Determines and collects patient financial liability and creates estimates, if applicable. Refers patients to financial resources as needed for assistance with financial counseling. Reviews daily schedule and identifies potential scheduling conflicts affecting department flow and confers with colleagues and providers for a resolution. Maintains compliance with registration accuracy. Minimum Qualifications High School Diploma/GED 1 year Customer service or 1 year Healthcare environment such as a hospital and/or physician office Computer and typing proficiency. Must be able to interact with a diverse customer base, including those seeking emergency services or treatment due to an accident or illness. Must successfully pass the required training in two attempts or less. Preferred Qualifications Associate's Degree Health care or related field 2 years registration/insurance verification in a health care setting Knowledge of medical terminology. Bi-lingual - Spanish/English. Physical Demands Lift and carry 7 lbs., continuous sitting >67%, frequent keyboard use/repetitive motion, frequent fine motor activity/wrist position deviation. Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require. Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities. **************************** Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes. Work Shift: Day Shift Address: 101 W 7th St Primary Location: Health Center at Pennsburg Position Type: Onsite Union: Not Applicable Work Schedule: Monday-Friday variable Department: 1004-09388 Outpatient Registration Float - CC
    $37k-44k yearly est. Auto-Apply 60d+ ago
  • Patient Services Representative

    Good Shepherd Rehab 4.6company rating

    Patient access representative job in Telford, PA

    * Enhances clinicians' effectiveness by providing information management support, which includes answering and triaging phone calls, scheduling patients visits, verifying and securing both initial and ongoing insurance coverage for therapy services, and providing patients with relevant information concerning their insurance coverage. * ESSENTIAL FUNCTIONS * Office Skills * Demonstrates excellent interpersonal communication skills that translate across the phone, e-mail and in person. * Effectively and efficiently schedules patients' initial and follow up visits as needed. * Greets patients & visitors; Registers patients. * Assists with answering & triaging referral telephone calls; demonstrates the ability to understand and differentiate between the different types of therapy. * Utilizes patient EMR system * Collects and verifies insurance information for new and existing patients who have a change in insurance during course of care. * Attains correct insurance benefit information from insurers. * Communicates benefits, and potential financial responsibility to patients. * Collects patient copays at time of service and consolidates payments on a weekly/daily basis based on location. * Follows up with patients who have out-of-pocket costs. * Communicates with and resolves patient questions regarding insurance and benefits. * Obtains authorization for necessary services from insurers for patient * Performs accurate and timely maintenance of authorization functions, referrals and visit limit tracking in Cerner. * Prevents disruption of service by securing necessary authorizations prior to the end date after consulting with therapist. * Answers patient calls regarding authorization questions. * Researches denials due to authorization or referral issues to determine cause and resolution; resubmits claims after gathering necessary information. * Assists in obtaining patient satisfaction surveys * Performs other duties as requested * Documentation * Accurately utilizes patient EMR system * Accurately copies record when requested * Accurately tracks the need for insurance reauthorizations for patients * Team Effort * Identifies work unit issues & implements solutions * Orients new staff * Demonstrates flexibility to help others (provide coverage, adjust work schedule to meet needs) * Shares knowledge with others * Embraces change and promotes a positive work environment * Demonstrates management skills by prioritizing, organizing and completing job responsibilities. * PROTECTS CUSTOMER AND ORGANIZATION INFROMATION * By keeping information confidential, following Good Shepherd's policy and procedures for release of information, maintaining secure medical records and maintaining security for the contents of the business office. * QUALIFICATIONS: * To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Education * High School Diploma required * Associate's Degree preferred * Work Experience * 1-2 years of experience in an administrative position with computer skills required * Prior health insurance experience preferred * Licenses / Certifications * N/A
    $31k-35k yearly est. 19d ago
  • Patient Care Coordinator

    Carering Health

    Patient access representative job in Reading, PA

    We are a leading provider of homecare services throughout the states of Pennsylvania and Delaware. Our mission is to provide exceptional homecare services to patients who need our help the most. We are seeking talented, passionate individuals to join our team as Patient Care Coordinators and help our patients live happier and healthier lives. What We Offer*: We know that, to be the best place for our patients, we must be the best place to work for our employees. We offer the following to our employees: Make a difference every day in the lives of those who need our help the most Competitive pay Paid on a weekly basis Medical/dental/vision/life insurance Paid holidays/PTO/401(k) match Career growth opportunities Great and collaborative work environment Work‐life balance Responsibilities Screen new patients and caregivers On‐board new patients, including providing assistance with any documentation/clearance requirements On‐board new caregivers, including orientation/training Staff patient cases with caregivers and ensure patient cases are started promptly Ensure compliance with the law and Company policy, including caregiver clock‐in and clock‐out requirements Communicate with patients, caregivers, and patient families to ensure satisfaction and quality service delivery Assist with on‐site visits, as needed Qualifications Bilingual preferred Passion and dedication to help those in need Strong work ethic Strong communication skills No homecare experience necessary - we will provide you with all the training you need! High school diploma/GED (associate's degree or bachelor's degree preferred)
    $18k-38k yearly est. Auto-Apply 5d ago
  • Patient Care Coordinator

    All American Home Care

    Patient access representative job in Reading, PA

    ←Back to all jobs at All American Home Care LLC Patient Care Coordinator All American Home Care LLC is an EEO Employer - M/F/Disability/Protected Veteran Status The Patient Care Coordinator (PCC) plays a critical role in ensuring home care clients receive timely, consistent, and high-quality services. This position serves as the main point of contact between clients, caregivers, service coordinators, and internal teams, supporting daily scheduling, coordination, and communication. This role requires strong organization, urgency, and the ability to manage multiple priorities in a fast-paced healthcare environment. Key Responsibilities Coordinate and maintain caregiver schedules to ensure client coverage Communicate with clients, families, caregivers, and service coordinators Monitor open cases and assist with staffing needs and schedule changes Handle call-outs, last-minute coverage issues, and escalations Maintain accurate documentation and notes in internal systems Support onboarding readiness by confirming caregiver availability and compliance Collaborate closely with Recruitment, Coordination, and Management teams Ensure professionalism, confidentiality, and compliance at all times Qualifications Prior experience in home care, healthcare coordination, scheduling, or case management preferred Strong communication and problem-solving skills Ability to work under pressure and manage urgent situations Excellent organizational and multitasking abilities Comfortable using computer systems, spreadsheets, and scheduling tools Bilingual (English/Spanish) a plus Reliable, detail-oriented, and team-focused What We're Looking For Someone who understands that home care is time-sensitive A professional who stays calm, organized, and solutions-focused A team player who communicates clearly and follows through Why Join All American Home Care Supportive team environment Opportunity for growth within healthcare operations Meaningful work making a direct impact on patient care Please visit our careers page to see more job opportunities.
    $18k-38k yearly est. 10d ago
  • Patient Care Coordinator

    Patriot Home Care 4.1company rating

    Patient access representative job in Reading, PA

    We are a leading provider of homecare services throughout the states of Pennsylvania and Delaware. Our mission is to provide exceptional homecare services to patients who need our help the most. We are seeking talented, passionate individuals to join our team as Patient Care Coordinators and help our patients live happier and healthier lives. What We Offer*: We know that, to be the best place for our patients, we must be the best place to work for our employees. We offer the following to our employees: Make a difference every day in the lives of those who need our help the most Competitive pay Paid on a weekly basis Medical/dental/vision/life insurance Paid holidays/PTO/401(k) match Career growth opportunities Great and collaborative work environment Work‐life balance Responsibilities Screen new patients and caregivers On‐board new patients, including providing assistance with any documentation/clearance requirements On‐board new caregivers, including orientation/training Staff patient cases with caregivers and ensure patient cases are started promptly Ensure compliance with the law and Company policy, including caregiver clock‐in and clock‐out requirements Communicate with patients, caregivers, and patient families to ensure satisfaction and quality service delivery Assist with on‐site visits, as needed Qualifications Bilingual preferred Passion and dedication to help those in need Strong work ethic Strong communication skills No homecare experience necessary - we will provide you with all the training you need! High school diploma/GED (associate's degree or bachelor's degree preferred)
    $22k-35k yearly est. Auto-Apply 60d+ ago
  • Specialty Pharmacy Patient Care Coordinator

    Kennedy Medical Group, Practice, PC

    Patient access representative job in Montgomery, PA

    Job Details Specialty Pharmacy Patient Care Navigators handle a broad variety of interactions with clients, providers, payers and manufacturers critical to the services provided by the Specialty Pharmacy. The core functions include handling incoming and outgoing client and patient interactions and follow thru and resolution of customer inquiries. Interactions include calls from patients, families, provider offices, payers, and manufacturers. Handles other miscellaneous tasks, including the reconciliation of delivery tickets, and investigating expired prescriptions and encounters. Handle every interaction with the utmost service and resolve; providing a patient/client experience that supports our commitment to efficient and effective connections to care. Interact with a diverse patient base to ascertain the reason for the interaction and assist the client with their inquiry, concerns or problems with a focus on first call resolution. Demonstrate commitment to service and follow-through. Follow departmental protocols to ensure patient safety and accurate data entry. Job Description Essential Functions • Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. • Receive, Handle, and Triage calls/interactions accordingly based on client's needs including but not limited to: Assessing refill needs, scheduling delivery of medications, copay collections, package & delivery tracking, obtaining payer/copay card information, status updates of orders, receiving/relaying information to the client • Practice First Call Resolution by identifying and assessing client needs to work towards a satisfactory solution • Assess for clinical escalation to pharmacist where appropriate • Accurately research and document all interactions within the Electronic Medical Record (EMR) per departmental policy and guidance • Access EMR and other software to answer, coordinate, track, and monitor interactions across multiple channels of communication. Maintain qualitative and quantitative individual and team performance targets. • Identify issues and communicate solutions to customers, pharmacies, physicians, and payers regarding scheduling and delivery information, prescription order status, eligibility, and claims information • Effectively collaborate with internal departments and external entities to resolve customer issues, including billing, logistics, insurance coverage, and manufacturer copay card programs • Additional administrative and pharmacy tasks and duties may be assigned by management Competencies (Knowledge, Skills, and Abilities Required): Competency Description Maintain knowledge of and comply with regulatory guidelines set forth by the State Board of Pharmacy, FDA, DEA, DHS, Medicare, TJC, and URAC as applicable to functional role Demonstrated ability to listen skillfully, accurately collect & document relevant information, and build relationships and trust with Knowledge of and ability to utilize practices, tools, and techniques for communicating with a client Knowledge of the major responsibilities, accountabilities, and overall organization of the client support function or department, ability to properly support client inquiries and bring problems to a timely resolution. Independently resolves complex client conflicts including but not limited to: damaged/lost products, order placement, and outstanding balances and invoices Multi-task between several issues at one time Minimum Education and Experience Requirements: Education: High School Diploma or GED equivalent preferred AND Experience: 3+ years experience in customer service role 1+ years experience in a specialty pharmacy, hospital, health insurance company, benefits department or other related healthcare environment. Minimum Certifications, Registration or License Requirements: None Required Additional Information • Proficient in the use of computers and Microsoft applications. Type 35 wpm. • Experience with clinical software systems; Specialty Medications and Medicare billing is highly preferred. • Ability to communicate professionally and efficiently in both written and verbal format with patients, physicians, payors and clinical staff in-person and on the phone. • Flexibility to adapt to changes in the departmental needs including but not limited to: offering assistance to other team members, adjusting assignments, etc. • Detailed orientated with excellent organization skills, ability to learn quickly, solve problems and make informed educated decisions. •Ability to adapt in a dynamic work environment •Demonstrated ability to handle difficult conversations in a professional and caring manner Work Shift Workday Day (United States of America) Worker Sub Type Regular Employee Entity Thomas Jefferson University Hospitals, Inc. Primary Location Address 3500 Horizon Drive, King of Prussia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educa tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. Benefits Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance. For more benefits information, please click here
    $18k-38k yearly est. Auto-Apply 44d ago

Learn more about patient access representative jobs

How much does a patient access representative earn in Allentown, PA?

The average patient access representative in Allentown, PA earns between $26,000 and $43,000 annually. This compares to the national average patient access representative range of $27,000 to $41,000.

Average patient access representative salary in Allentown, PA

$34,000

What are the biggest employers of Patient Access Representatives in Allentown, PA?

The biggest employers of Patient Access Representatives in Allentown, PA are:
  1. Planned Parenthood
  2. St. Luke's Health System
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