Patient access representative jobs in Bellevue, NE - 275 jobs

The Patient Access Representative is the first contact with patients of Charles Drew HealthCenter and is expected to provide superior level customer services and registration and intake services to patients and staff in a positive supportive manner. The Patient Access Representative is a highly motivated professional that works cooperatively with others to achieve productivity standards and exceptional customer service. Understand and commit to quality healthcare and excellence in customer service including confidentiality. POSITION DUTIES & RESPONSIBILITIES Greet and direct patients and visitors in a prompt and courteous manner. Inform patients of financial responsibility, what to bring, and payment methods. Collects and records co-payment from patients: completes accurate documentation of transactions, reconciles daily deposits to receipts. In accordance with health center standards and guidelines, schedule medical appointments for patients using the practice management software. Maintain thorough understanding and knowledge of our healthcare services and programs in order to answer questions and direct calls appropriately. Conduct accurate fee assessment to determine payor source and eligibility for private insurance, Medicaid, Medicare, or special grants. Follow standard process and procedures for administering sliding fee scale for self-pay patients Provide convenient appointment times and locations and manage patient expectations by providing service and center-specific guidelines and instructions for health center visits. Meet and maintain daily, weekly and monthly performance goals in respect to creating appointments and rescheduling appointments Maintain confidentiality and exercise sensitivity and a nonjudgmental manner in dealing with sexuality and sensitive client issues. Educate clients about services, and fees. Utilize and master a variety of information technology systems in support of all aspects of client appointment processing, including the practice management system, NextGen. Ensure clients are advised of follow up needs per alert notes in NextGen and EMR. Refer patients to other internal providers for services (Dental, Behavior Health, Nutrition and WIC). Maintain and adhere to all Joint Commission, OSHA, HIPAA and CDHC policies and guidelines. Audit daily scheduled appointments (Sliding fees, interpreter, transportation, duplicate charts). Communicate effectively and thoughtfully to patients from diverse backgrounds Reconcile and batch out daily deposits. POSITION REQUIREMENTS * Education: High School Diploma or GED equivalent required * Licensure: None * Experience: 1- 3 years customer service experience required. Previous registration and intake experience in a primary health care setting strongly preferred. * Expertise: Strong communication skills; strong customer service skills strong organizational skills; knowledge in NextGen; ability to handle multiple work independently; knowledge of medical terminology is preferred. * Language: English * Hours of Work: 40 hour work week, varies Monday-Friday, 8am-7pm; evenings and weekends, as required * Travel: Local, intrastate, and interstate travel, as required * Exposure: The exposure characteristics described here are representative of those an employee encounters while performing the essential functions of this position. While performing the essential functions of this job, the employee occasionally is exposed to fumes or airborne particles and toxic or caustic chemicals. Additionally, the employee may be occasionally exposed to blood borne and other hazardous chemicals. Finally, the noise level in the work environment can occasionally be quite loud. In all cases personal protective equipment will be provided to the employee in combination with adequate ventilation and other engineering controls to minimize the risk of exposure or other hazardous occurrence. * Physical: Reasonable accommodation may be made to enable individuals with special challenges to perform these essential functions.

Patient Care Coordinators are responsible for providing exceptional service by welcoming our patients and ensuring all check-in and checkout processes are completed. Acknowledge and greets patients, customer, and vendors as they walk into the practice, in a friendly and welcoming manner Answers and responds to telephone inquiries in a professional and timely manner Schedules appointments Gathers patients and insurance information Verifies and enters patient demographics into EMR ensuring all fields are complete Verifies vision and medical insurance information and enters EMR Maintains a clear understanding of insurance plans and is able to communicate insurance information to the patients Pulls schedules to ensure insurance eligibility prior to patient appointment and ensures files are complete Prepare insurance claims and run reports to ensure all charges are billed and filed Print and prepare forms for patients visit Collects and documents all charges, co-pays, and payments into EMR Allocates balances to insurance as needed Always maintains a clean workspace Practices economy in the use of _me, equipment, and supplies Performs other duties as needed and as assigned by manager

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Shift: First Shift (United States of America) Sr Patient Access Associate - Full Time Learn More: My Job In A Minute: Patient Access Associate - Nebraska Medicine To support your application, please upload a resume that includes your complete work history. We realize this may go further back than you'd typically include, but having a full picture -especially of roles involving customer service- is important for our review process. Schedule: Full-Time, 40 hr/wk Monday - Friday: 4:30 AM - 1:00 PM ***Mandatory Full-Time Training for the first 3 weeks: Mon - Fri, 7:00 AM - 3:30 PM*** Training begins on your first day and is required for all new hires. It is non-negotiable and must be completed before moving into your regular schedule. Please only apply if you can fully commit to three consecutive weeks of full-time, daytime training when your start date is scheduled. Location: Nebraska Medical Center | Nebraska Medicine Omaha, NE Position Overview - Key Responsibilities In-Person Role • Face-to-face and bedside patient contact required • Cross-training and floating to other desks are required Customer Service & Communication • Serve as the first impression of the organization • Strong customer service skills required • Escorting and wayfinding for patients Registration & Patient Intake • Obtain patient demographic and insurance information • Enter data into the electronic health record (EHR) • Pre-register patients over the phone • Collect point-of-service payments • Obtain required regulatory forms Area-Specific Duties • Check in clinic and outpatient appointments • Admit surgical and inpatients • Register and arrive patients in the Emergency Department Performance Expectations • Work in a fast-paced, high-volume environment • Meet productivity and quality metrics (e.g., work queues) Why Work at Nebraska Medicine? Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration. Leading Health Network Work with the region's top academic health network, partnering with UNMC to transform lives through education, research, and patient care. Dignity and Respect: We value all backgrounds and experiences, reflecting the communities we serve. Educational Support Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs. Be part of something extraordinary at Nebraska Medicine! Duties: Sr Patient Access Associate Ensure patients and customers are greeted in a professional, timely and efficient manner and accounts are created accurately and efficiently in order to optimize cash flow for organization while exceeding customer expectations and complying with all state and federal regulations and laws throughout the processes of scheduling confirmation, pre-registration/pre admission, registration/admission, insurance verification, receipting of payments, and patient way finding/escorting. Coverage for position is required 24 hours a day 7 days a week with needs in various areas of the organization, including the emergency department. Face to face and bedside patient contact required. Required Qualifications: Sr Patient Access Associate • Minimum of two years customer service experience required. • High school education or equivalent required. • Ability to work in a proactive self-directed manner required. • Multi-tasking and problem solving abilities required. • Strong written and verbal communication skills required. • Strong communication and organizational skills with aptitude for detail-oriented work required. • Demonstrates the ability to form and maintain working relationships within the organization to foster a team environment required. • Ability to type 35 wpm with 95% accuracy rating required. •Basic Life Support (BLS) certification within six months of hire or transfer date required required, must be from an American Heart Association (AHA) endorsed program (effective for new hires starting January 1, 2023 or later). Basic Life Support (BLS) within six months of hire or transfer date required (cost will be funded by department). Preferred Qualifications: Sr Patient Access Associate • Experience in health care, collections, registration, or revenue cycle preferred. • Associate's degree in business, healthcare or related field preferred. • Experience in health care revenue cycle functions including insurance or registration preferred. • Experience with Microsoft Office products, specifically Word and Excel preferred. • Depending on the position available, fluency in Spanish preferred. Recruiter Contact Sarah Placzek ************************ Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans' status.

We are seeking a Patient Access Representative to join our ED Admissions team. This is a full-time, 40-hour-per-week position with alternating shifts. The regular schedule includes Tuesdays, Wednesdays, and Thursdays from 11:30 a.m. to 8:00 p.m.; alternating Mondays and Fridays from 3:00 p.m. to 11:00 p.m.; and every other weekend (Saturday/Sunday) from 3:00 p.m. to 11:00 p.m. This role also requires working alternating holidays. Responsibilities include, but are not limited to, registering patients, prioritizing individuals who require immediate nursing attention, obtaining all required patient information and signatures, and answering and screening incoming calls and cashier duties. The ideal candidate will be able to manage multiple tasks in a fast-paced environment and interact with patients, visitors, and staff in a knowledgeable, courteous, and efficient manner. At Montgomery County Memorial Hospital, we pride ourselves in small-town values and advanced medical care. We are the largest employer in Montgomery County and have been serving our communities since 1907. MCMH is committed to providing quality, innovative healthcare for our patients and their families. We value creating a positive work environment with opportunities for growth. MCMH offers competitive pay, IPERS and an attractive benefits package that includes Health, Dental and Vision Insurance, Paid Time Off, Life Insurance, Short Term Disability, Discounts on Healthcare Services, FSA, 457 Deferred Savings Plan, Tuition Assistance, Cafeteria Discount, Wellness Program, Free Access to On-Site Gym, and more! This institution is an equal opportunity provider and employer.

Acts as the initial contact person fielding incoming calls to BTNRH, focusing on customer service and the patient experience. Offers timely, courteous and confidential assistance to every caller ensuring first call resolution whenever possible. Collects and maintains accurate information on each patient to facilitate the patient encounter. Duties include the use of automated systems to expedite patient scheduling, insurance verification, call message routing, granting portal access and performing preregistration and other scheduling workflows or duties as assigned.SCHEDULE: Monday-Friday 8a-5pMAJOR RESPONSIBILITIES & DUTIES: Answers incoming calls and respond to patient inquiries in a courteous and professional manner. Determines appropriate actions to be taken which may include: Scheduling of appointment(s), Insurance inquiries, Service Estimates, InBasket messaging to clinical care team as well as call escalation with warm transfer when emergent needs are identified. Schedules appointments for patients and follow up on requested documentation which may include obtaining legal guardian consent, pre-visit paperwork, requesting external medical records, etc. Schedules, reschedules and cancels appointments as requested, communicating with patients, guardians and departments as necessary. Verifies patient insurance information and assist with billing inquiries such as estimated out of pocket liabilities. Coordinates interpretation services as needed for appointments. Provides instruction, driving/parking directions prior to appointment based on service location. Secures and maintains accurate and detailed patient records updating pertinent demographic, guardianship, insurance and emergency contact information at time of scheduling and patient assistance. Addresses patient complaints and escalate issues as needed. Remains current with provider and specialty specific scheduling preferences. Recognizes and responds appropriately to urgent/emergent situations per protocols. Stays up to date on hospital policies and procedures. Reviews daily work queues (WQ's) to assure accuracy of appointment information and completion of needed appointments. Meets quality and productivity standards for scheduling, registration, and phone management events, as defined by department leadership. Notifies appropriate leader, clinic or provider and utilizes incident reporting system if/as service recovery is needed to resolve a customer complaint/concern. KNOWLEDGE, SKILLS, AND ABILITIES: Ability to safeguard the privacy of the medical information in the patient record, maintaining strict confidentiality of the patient's medical and financial records. Ability to communicate clearly and concisely both orally and in writing with all staff, physicians, and patients in all aspects of the job to allow efficiency and promptness for patient care. Demonstrates good judgment and reasoning skills along with high attention to detail. Ability to multitask efficiently and effectively working in a very busy work environment with a high volume of incoming/outgoing calls. Ability to serve as a positive role model, supporting the mission of the organization. REQUIRED QUALIFICATIONS: High school diploma or equivalent required. One year of experience in a Healthcare industry call center, medical office or customer service-related field required. Basic computer skills and experience with electronic medical record software required. PREFERRED QUALIFICATIONS: Associate degree or higher preferred. Previous work with EPIC preferred. Other Duties: This job description incorporates the essential functions and duties required for this position. However, other duties may be required and assigned at times and as determined by a supervisor in order to meet the needs of the organization. Serves as a role model in carrying out activities and behaviors that reflect the values and principles of the Boys Town mission. PHYSICAL REQUIREMENTS, EQUIPMENT USAGE, WORK ENVIRONMENT: Position is relatively sedentary in a normal office administrative environment involving minimum exposure to physical risks. Will use office equipment such as a computer/laptop, monitor, keyboard, and a general workstation set-up. Care and respect for others is more than a commitment at Boys Town - it is the foundation of who we are and what we do. At Boys Town, we cultivate a culture of belonging for all employees that respects their individual strengths, views, and experiences. We believe that our differences enable us to be a better team - one that makes better decisions, drives innovation, and delivers better business results. About Boys Town: Boys Town has been changing the way America cares for children and families since 1917. With over a century of service, our employees have helped us grow from a small boardinghouse in downtown Omaha, Nebraska, into one of the largest national child and family care organizations in the country. With the addition of Boys Town National Research Hospital in 1977, our services branched out into the health care and research fields, offering even more career opportunities to those looking to make a real difference. Our employees are our #1 supporters when it comes to achieving Boys Town's mission, which is why we are proud of their commitment to making the world a better place for children, families, patients, and communities. A unique feature for employees and their dependents enrolled in medical benefits are reduced to no cost visits for services performed by a Boys Town provider at a Boys Town location. Additional costs savings for the employee and their dependents are found in our pharmacy benefits with low to zero-dollar co-pays on certain maintenance drugs. Boys Town takes your mental health seriously with no cost mental health visits to an in-network provider. We help our employees prepare for retirement with a generous match on their 401K or 401K Roth account. Additional benefits include tuition reimbursement, parenting resources from our experts and professional development opportunities within the organization, just to name a few. Working at Boys Town is more than just a job, it is a way of life. This advertisement describes the general nature of work to be performed and does not include an exhaustive list of all duties, skills, or abilities required. Boys Town is an equal employment opportunity employer and participates in the E-Verify program. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and/or expression, national origin, age, disability, or veteran status. To request a disability-related accommodation in the application process, contact us at **************.

OrthoNebraska creates the inspired healthcare experience all people deserve by giving people a direct path to personalized care and life-enhancing outcomes. With a focus on safety and people, we set the bar high in providing high-quality care with an unmatched experience. Our team members are critical to our success and growth and are rewarded for their dedication and hard work. IF this sounds like the type of team and environment you want to be a part of apply today! Position Summary: The Patient Access Representative, serves as the patient's first impression of OrthoNebraska. We are looking for an individual who can provide top-notch service, in a fast-paced environment and exceed the expectations of our patients. Some primary functions of this role include, but are not limited to, accurate entry of patient information into the chart, insurance verification, scheduling future appointments and the collection of upfront payments. Position details Status Full-Time Shift Days FTE / Hours 1.0 / 40 Schedule Mon - Fri: 8:30a - 5:00pm Position Requirements Education: High School diploma or equivalent required. Licensure: N/A Certification: N/A Experience: 2+ years of customer service-related experience, required. 2+ years prior healthcare experience, preferred. 2+ years experience working in a fast-paced environment preferred. Required Knowledge/Skills/Abilities Understanding the revenue cycle is preferred. Proficient with the use of an Electronic Medical Record and/or a background utilizing computer software programs in the workplace. Interpersonal skills required for this role include welcoming personality, customer service focus, empathetic, positive and professional image, team player, strong communication skills, critical thinking skills, adaptability, and flexibility. Essential Job Functions Always provide exceptional customer service by placing the patients' needs above all else. Utilization of multiple computer software programs, simultaneously. Preregistration of patient charts, prior to service Insurance verification for eligibility Collect copayments and patient balance payments, in a professional manner. Enter patient demographic and insurance information into the Electronical Medical Record efficiently and accurately Check in patient in an efficient, complete, and personalized manner. Schedule appointments accurately with patient convenience as a priority. Leave a lasting impression that differentiates OrthoNebraska from other organizations. Assist patients with wayfinding within our campus. Assist patients with paperwork, when necessary. Maintain confidentiality and demonstrate respect for patient rights. Regularly attend and actively participate in team meetings, which may be held outside of normal business hours. Comply with safety activities, policies and procedures and regulatory requirements such as OSHA and The Joint Commission. Team member is responsible for all other duties as assigned. Physical requirements: This position is classified as Sedentary Work in the Dictionary of Occupational Titles, requiring the exertion of up to 10 pounds of force occasionally) up to (33% of the time) and/or a negligible amount of force frequently (33%-66% of the time) to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Must be able to pass background check. We also conduct pre-employment physical and drug testing. Any job offer will be contingent upon successful completion of a pre-employment physical with a drug screen, background check and obtaining active licensures per job requirements.

PQC is seeking a dedicated and experienced Referral Clerk to work onsite at Offutt AFB. Background: The Air Force Medical Service provides medical services for more than 2.63 million active-duty Service Members, Veterans and eligible beneficiaries. When specialty care is referred, the Referral Management Center is responsible for assisting the member, coordinating the referral with the specialty office, tracking the referral to closure, and returning all results of treatment to the patient's medical record. The successful candidate for this position will assist members and medical professionals throughout the referral process. At PQC, our employees are our best asset. We pride ourselves on growth and exceeding expectations, not only for our customers but also for our employees. We believe that having the best of the best on staff translates into having the best of the best in customer results. PQC was awarded 2018 8(a) Graduate of the year by the Small Business Administration. Duty hours will be Monday- Friday, 7:30 am to 4:30 pm. Hourly Rate: $17.75 + $5.09 benefits Members of our team Enjoy: Working with a highly engaged staff Competitive compensation Comprehensive benefits Medical Dental Vision Life Short Term Disability Long Term Disability Paid Time Off Paid Holidays Paid Weather Days Reimbursement for certifications Duties: Provide outstanding customer service in greeting patients/visitors at a front desk Answer and direct telephone calls to appropriate section for assistance, handle independently or take messages, as required Determine patient eligibility for services and schedules medical appointments for referred care Obtain updates and files medical records using electronic medical records systems Request medical records and ensures arrival of medical records prior to appointment Obtain documentation as requested by healthcare providers (test results, or documentation not yet filed in records) Qualifications: High school diploma or (GED) equivalency. General office administrative and clerical skills to perform receptionist duties and answer telephones. Knowledge of word processing, and Microsoft applications (including Windows, Word, Excel, Outlook). Preferred two years of healthcare administrative experience in either an inpatient or outpatient care setting within the last three years. General medical ethics, telephone etiquette, professional written/ verbal/ electronic communication, and customer service skills.

If you are looking for a rewarding career where you can positively impact the lives of others, this could be the job for you! Nebraska Cancer Specialists is the regional leader in cancer diagnosis, treatment and research. We are seeking FT patient focused individuals in our scheduling department. The Patient Care Coordinator will schedule patient appointments, lab, therapies, scans and referrals. Why join the team at Nebraska Cancer Specialists: Monday through Friday, daytime hours Paid time off, with holidays and your birthday off paid by the practice Excellent benefits including AFFORDABLE healthcare and paid Short & Long Term Disability and Life Insurance 401k employer contributions CEU/Conference allowance Educational Assistance Other great perks Comments from some of our new employees! "The thing that motivates me the most is knowing I am part of such an amazing team that cares for our patients as well as their staff. NCS has already showed me in the less than 90 days I have been here they appreciate each and every employee by going above and beyond in so many ways. I honestly believe I work for the best place and am where I am meant to be." "I am excited about being a bright spot in our patients difficult journey. I know that they most definitely do not want to be here but my hope is that the patients find some kind of comfort in us. I'd say I'm worried about finding my footing here but have great people around me to help me with that!" Job functions include: Check in patients as they arrive for their appointment Schedule appointments by reviewing providers' orders in the Q- including scans/consults/test/procedures either with our office or other medical facilities. Welcome and greet patients/families/visitors to clinic in a manner that is helpful and friendly. Handle phone calls in a timely manner and provide detailed messages and much more! Requirements A high school diploma or equivalent Preference will be given to candidates with experience in customer service and/or patient scheduling, reception, secretary work, electronic medical records, and multi-line phones. Ability to work at other locations as needed and for meetings Our team embodies our core values: Purpose, Innovation, Relationship and Excellence. NCS is an equal opportunity employer and participates in E-Verify.

We are looking to hire a Patient Care Coordinator/Front Desk Receptionist who is excited about a fun and rewarding career in the Pediatric Dental field. This is a Full-Time position with competitive pay and great benefits! Lincoln Pediatric Dentistry has four locations: North, Southeast, East, and Yankee Hill. WHO WE ARE: Lincoln Pediatric Dentistry is dedicated to putting our patients first and making every visit a joyful experience. At Lincoln Pediatric Dentistry we have built our practice around one main principle - compassion. We show compassion to our patients, their families and to each other. Visit our Website: ************************************** WHO WE ARE LOOKING FOR: Proven experience in a customer service or administrative role, preferably in a healthcare setting. Strong communication and interpersonal skills Knowledge of dental terminology, procedures, and insurance processes is beneficial. Ability to multitask, stay organized, and work in a fast-paced environment. RESPONSIBILITIES: Greet and welcome patients in a friendly and professional manner. Answer phone calls, emails, and inquiries promptly, addressing patient concerns and questions. Schedule and confirm patient appointments efficiently, considering dentist availability and treatment requirements. Coordinate and manage the dental appointment calendar to optimize the daily schedule. Verify and update patient insurance information. Collect and process payments for services rendered. Provide patients with information on treatment costs, insurance coverage, and payment options. Collaborate with dental staff to coordinate patient care and address any scheduling conflicts. Maintain a clean and organized reception area. Address patient concerns and complaints professionally and promptly. We offer a fun and fast-paced work environment with flexible work hours, competitive salaries ($18+hr DOE), and excellent benefits packages. Lincoln Pediatric Dentistry participates in E-Verify.

Job DescriptionWe are looking to hire a Patient Care Coordinator/Front Desk Receptionist who is excited about a fun and rewarding career in the Pediatric Dental field. This is a Full-Time position with competitive pay and great benefits! Lincoln Pediatric Dentistry has four locations: North, Southeast, East, and Yankee Hill. WHO WE ARE: Lincoln Pediatric Dentistry is dedicated to putting our patients first and making every visit a joyful experience. At Lincoln Pediatric Dentistry we have built our practice around one main principle - compassion. We show compassion to our patients, their families and to each other. Visit our Website: ************************************** WHO WE ARE LOOKING FOR: Proven experience in a customer service or administrative role, preferably in a healthcare setting. Strong communication and interpersonal skills Knowledge of dental terminology, procedures, and insurance processes is beneficial. Ability to multitask, stay organized, and work in a fast-paced environment. RESPONSIBILITIES: Greet and welcome patients in a friendly and professional manner. Answer phone calls, emails, and inquiries promptly, addressing patient concerns and questions. Schedule and confirm patient appointments efficiently, considering dentist availability and treatment requirements. Coordinate and manage the dental appointment calendar to optimize the daily schedule. Verify and update patient insurance information. Collect and process payments for services rendered. Provide patients with information on treatment costs, insurance coverage, and payment options. Collaborate with dental staff to coordinate patient care and address any scheduling conflicts. Maintain a clean and organized reception area. Address patient concerns and complaints professionally and promptly. We offer a fun and fast-paced work environment with flexible work hours, competitive salaries ($18+hr DOE), and excellent benefits packages. Lincoln Pediatric Dentistry participates in E-Verify.

The Insurance Verification and Authorization Specialist is responsible for verifying patient insurance and benefits and obtaining prior authorization for scheduled medical services and hospital admissions following payer specific guidelines. Responsible for ensuring urgent/emergent cases are worked within one business day of admission and all elective cases worked prior to date of service. PRINCIPAL JOB FUNCTIONS: * *Commits to the mission, vision, beliefs and consistently demonstrates our core values. * *Serves as work resource and liaison to hospital departments, physician offices, and patients for pre-service authorizations or financial responsibility questions. * *Adheres to federal regulations regarding Advance Directives, COBRA, Medicare, Corporate Compliance, Joint Commission, OSHA and HIPAA; reports safety and customer concerns. * Maintains productivity and quality standards as defined through the organizational and departmental goals and objectives. * *Verifies third party insurance coverage from daily admissions and scheduling databases; including contacting ordering physician's office for missing insurance and procedure information and updates appropriate software systems. * Facilitates authorization process with offices and providers. * Serves as work resource and liaison to hospital departments, physicians' offices, and patients for pre-service authorization or financial responsibility questions. * *Ensures that pre-certification and/or authorization and referral requirements have been completed by placing phone calls to insurance companies, physician offices, patients, and utilizing web based applications and/or internet resources; obtains clinical information from physician offices and/or Bryan system; contacts Health Information Management to obtain CPT and/or ICD-9 codes. * Submits patients supporting medical records and necessary information to payer authorization representatives for prior authorizations via fax, phone or online portals. * *Notifies Care Management when eligibility and/or benefits are complete on applicable admissions; notifies CM about Medicare Dental Carries patients. * Accurately and completely documents all actions taken regarding the prior authorization process including the authorization numbers, authorized dates and other applicable information in the applicable computer systems. * Maintains accurate payer website information and logins to ensure the most current information is obtained for the necessary authorization requirements. * Provides effective communication, proactively and in response, to patients/family members, team members, physicians and other healthcare providers while maintaining confidentiality. * *Supports the financial goals of Bryan Medical Center by communicating with patients and their insurance companies to obtain pertinent information about procedure reimbursements and patient responsibilities. * *Explains notice of non-coverage or offers to re-schedule elective tests and procedures, when patient's pre-authorization is not obtained; notifies patient and physician of outcome. * Communicates with Patient Financial Services regarding denials and appeals/reconsideration letters received from payers. * Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk "*". Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: * Knowledge of training and development principles and practices. * Knowledge of patient accounting operations, registration and standard intake techniques. * Knowledge of third party payer requirements, credit and collection practices. * Knowledge of credit payment practices and procedures. * Knowledge of medical terminology. * Knowledge of ICD 10/CPT coding preferred. * Knowledge of federal regulations including COBRA, Advance Directives, Medicare, Medicaid, Joint Commission, OSHA and HIPAA as they relate to hospital intake and payment for services. * Knowledge of computer hardware equipment and software applications relevant to work functions. * Knowledge of customer service philosophies and practices. * Skill in the operation of a standard keyboard including 10-key pad. * Ability to prioritize work demands and work with minimal supervision. * Ability to communicate effectively both verbally and in writing. * Ability to maintain confidentiality relevant to sensitive information. * Ability to establish and maintain effective working relationships with all levels of personnel, medical staff, volunteer and ancillary departments including diverse patient populations. * Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: High school diploma or equivalency required. Associates degree preferred. Certified Medical Assistant or Licensed Practical Nurse preferred. Minimum of one (1) year of relevant work experience (i.e. hospital billing, coding or prior pre-authorization experience) preferred. Must be 19 years of age to witness legal consents. PHYSICAL REQUIREMENTS: (DOT) - Characterized as medium work requiring exertion of 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or a greater than negligible up to 10 pounds of force constantly to move objects.

Schedules and pre-registers patients for appointments, outpatient visits, procedures, and other appointments captured by the department. Complete any administrative work that goes along with scheduling the appointment. Transcribe any external orders from Physican. Handle high call volumes for multiple locations and departments. **Essential Functions** + Utilize multiple systems to perform all scheduling functions as needed. + Excellent computer skills with the expectation to self-resolve technical issues with minimal assistance + Providing patients with preparation and location information. + Correctly collecting and inputting patient data into the system. + Validating patient insurance and explaining benefits as needed. + Manage multiple phone calls, including answering, transferring, and conferencing between multiple parties. + Acting as a mentor for new hires as needed. + Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards. + Performs other duties as assigned. **Skills** + Customer Service Etiquette + Basic Medical Insurance Knowledge + Intermediate Computer Operating Knowledge + Multi-Channel Phone Experience + 30+ WPM Typing Speed + Active Listening + Reading Comprehension + Critical Thinking + Active Learning + Complex Problem Solving **Qualifications** + High school diploma or equivalent OR (4) years of revenue cycle experience. + Minimum of (2) years of revenue cycle experience and/or (2) years of contact center experience. "Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings." The following states are currently paused for sourcing new candidates or for new relocation requests from current caregivers: California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, Washington **Physical Requirements** + Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs. + Frequent interactions with customers require employees to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately. + Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use. + For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles. **Location:** Peaks Regional Office **Work City:** Broomfield **Work State:** Colorado **Scheduled Weekly Hours:** 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $19.29 - $24.99 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here (***************************************************** . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.

1. Communicates professionally and courteously with all patients/customers and members of the work team while completing tasks in an effective, efficient manner to promote the highest quality of customer service, patient safety and support the facilitation of patient care. Performs account creation and registration tasks via face to face, over the telephone or at the bedside patient interview in accordance with established policies to obtain complete and accurate demographic and insurance information. Actively listens to understand what information is being conveyed. Conveys genuine warmth, care and concern to patients, customers and peers through appropriate tone of voice and demeanor. Shows willingness to assist all patients, customers, and peers by seeing needs and following through. Identifies, documents and reports to Manager any exceptions, account creation errors, unresolved complaints/concerns, and critical issues in a timely manner. Mentors new staff members as assigned. Collaborates with an inter-disciplinary team approach, acting as an advocate on behalf of patients and families to ensure patient safety and support the facilitation of patient care, satisfaction and quality of services is carried out in a timely manner. Gathers all data defined in an accurate, efficient and timely manner utilizing appropriate departmental databases. Properly re-identifies patient upon completion of account creation/verification and places armband. 2. Maintains and demonstrates working knowledge to carry out policy and procedure to effectively comply with departmental, organizational, regulatory, and agency needs. Utilizes knowledge and critical thinking to equitably apply policy and procedure to all patients and customers. Promotes secure environment for the procurement of patient's protected health information (PHI). Complies with regulatory requirement such as OSHA, JCAHO, and HIPAA. Understands the concept of the Iowa Trauma System Community Level and Emergency Care Facility Categorization Criteria. Participates in accordance with the Trauma Team Activation Policy/Protocol. Fulfills the roles and responsibilities of a trauma team member. May be asked to perform job duties above and beyond the description (but within of practice/knowledge) in the event of an emergency. 3. Provides exceptional customer service support. Ensures outstanding public relations. Ensures that contacts with the registration area are positively enhanced by serving as a resource for patients, families of patients and hospital management and staff. Provides accurate information to all customers by phone or other communication media. Answers telephone calls and related questions in a professional manner and with patience and maturity. Assists with administrative duties. Communicates effectively with department contacts, patients and management to thoroughly investigate and resolve patient account issues. 4. Performs other duties as assigned.

Patient Care Coordinators are responsible for providing exceptional service by welcoming our patients and ensuring all check-in and checkout processes are completed. * Acknowledge and greets patients, customer, and vendors as they walk into the practice, in a friendly and welcoming manner * Answers and responds to telephone inquiries in a professional and timely manner * Schedules appointments * Gathers patients and insurance information * Verifies and enters patient demographics into EMR ensuring all fields are complete * Verifies vision and medical insurance information and enters EMR * Maintains a clear understanding of insurance plans and is able to communicate insurance information to the patients * Pulls schedules to ensure insurance eligibility prior to patient appointment and ensures files are complete * Prepare insurance claims and run reports to ensure all charges are billed and filed * Print and prepare forms for patients visit * Collects and documents all charges, co-pays, and payments into EMR * Allocates balances to insurance as needed * Always maintains a clean workspace * Practices economy in the use of _me, equipment, and supplies * Performs other duties as needed and as assigned by manager * High school diploma or equivalent * Basic computer literacy * Strong organizational skills and attention to detail * Strong communication skills (verbal and written) * Must be able to maintain patient and practice confidentiality Physical Demands * This position requires the ability to communicate and exchange information, utilize equipment necessary to perform the job, and move about the office.

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Shift: Second Shift (United States of America) Sr Patient Access Associate - Part Time - Emergency Department Learn More: My Job In A Minute: Patient Access Associate - Nebraska Medicine Location: Emergency Services at Nebraska Medical Center | Nebraska Medicine Omaha, NE To support your application, please upload a resume that includes your complete work history. We realize this may go further back than you'd typically include, but having a full picture -especially of roles involving customer service- is important for our review process. Schedule: Part-Time, 24 hr/wk Days: Saturday, Sunday, Monday Shift: 2:00 PM - 10:30 PM ***Mandatory Full-Time Training for the first 3 weeks: Mon - Fri, 7:00 AM - 3:30 PM*** Training begins on your first day and is required for all new hires. It is non-negotiable and must be completed before moving into your regular schedule. Please only apply if you can fully commit to three consecutive weeks of full-time, daytime training when your start date is scheduled. What You'll Do Greet and support patients at the front desk or bedside in the Emergency Department Complete pre-registration or pre-admission steps Register/admit patients and verify insurance information Collect copays and point-of-service payments Escort or direct patients and families to care areas Ensure accurate, timely, and compassionate service in a high-acuity environment What to Expect Fast-paced, high-pressure setting with face-to-face and bedside registration Frequent exposure to urgent medical situations and visible injuries 24/7 department coverage with rotating shifts, including nights, weekends, and holidays Strong safety protocols and team support always in place What We're Looking For Detail-oriented multitasker with sound judgment and quick thinking Calm, professional communicator in urgent or emotionally charged situations Adaptable, empathetic team player committed to patient care and service excellence Why Work at Nebraska Medicine? Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration. Leading Health Network Work with the region's top academic health network, partnering with UNMC to transform lives through education, research, and patient care. Dignity and Respect: We value all backgrounds and experiences, reflecting the communities we serve. Educational Support Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs. Be part of something extraordinary at Nebraska Medicine! Duties: Sr Patient Access Associate Ensure patients and customers are greeted in a professional, timely and efficient manner and accounts are created accurately and efficiently in order to optimize cash flow for organization while exceeding customer expectations and complying with all state and federal regulations and laws throughout the processes of scheduling confirmation, pre-registration/preadmission, registration/admission, insurance verification, receipting of payments, and patient way finding/escorting. Coverage for position is required 24 hours a day 7 days a week with needs in various areas of the organization, including the emergency department. Face to face and bedside patient contact required. Required Qualifications: Sr Patient Access Associate • Minimum of two years customer service experience required. • High school education or equivalent required. • Ability to work in a proactive self-directed manner required. • Multi-tasking and problem-solving abilities required. • Strong written and verbal communication skills required. • Strong communication and organizational skills with aptitude for detail-oriented work required. • Demonstrates the ability to form and maintain working relationships within the organization to foster a team environment required. • Ability to type 35 wpm with 95% accuracy rating required. •Basic Life Support (BLS) certification within six months of hire or transfer date required, must be from an American Heart Association (AHA) endorsed program (effective for new hires starting January 1, 2023 or later). Basic Life Support (BLS) within six months of hire or transfer date required (cost will be funded by department). Preferred Qualifications: Sr Patient Access Associate • Experience in health care, collections, registration, or revenue cycle preferred. • Associate's degree in business, healthcare or related field preferred. • Experience in health care revenue cycle functions including insurance or registration preferred. • Experience with Microsoft Office products, specifically Word and Excel preferred. • Depending on the position available, fluency in Spanish preferred. Recruiter Contact Sarah Placzek ************************ Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans' status.

Serves as a patient advocate and resource through the scheduling, pre-registration, registration, admitting/discharge and authorization process. Greets, screens and checks in patients, families vendors and visitors in a professional manner while working to exceed customer service expectations. Pre-registers current and prospective patients which includes: performing verification of demographic and insurance eligibility/benefit information, identifying and communicating out of pocket liability, providing cost estimations as well as attempting to collect in advance or at time of service as well as making referrals to Patient Financial Counselor for self-pay or inability to pay.Availabile Shifts: Medical Office Building 2- 14080 Boys Town Hospital Road: Monday-Friday 7:30a-4:30p Medical Office Building 2- 14080 Boys Town Hospital Road: Monday-Friday 7:15a-4:15p Medical Office Building 2- 14080 Boys Town Hospital Road: Monday-Friday 8:15a-5:15p Lakeside Clinic- 16929 Frances St: Monday-Friday 8:15a-5:15p MAJOR RESPONSIBILITIES & DUTIES: Provides excellent customer service to any individuals presenting for clinic care, surgery, admissions or in need of direction by being able to assist any who present to their Access location with their admitting, registration/check-in, collections or other needs as identified. Maintains excellent communication and positive rapport with all points of contact which include internal and external entities, documenting pertinent discussions and details of correspondence in all applicable systems to provide tracking and point of reference. Responsible for obtaining and communicating accurate benefit information and eligibility, pre-determination/pre-authorization as well as detailed benefit and patient liabilities per insurance company requirements and established time frames, i.e. online vs. telephone to ensure credible coverage and benefits are in place. Follows established protocols and procedures for verification and collection of pertinent demographics. Communicates with Medical Unit Manager or Director to determine bed assignment and resource availability at time of admission if not performed in advance of patient presentation. Communicates arrival of surgical patients following registration or admission providing transport assistance as needed to pertinent care unit. Monitors patient care waiting areas, being situationally aware of setting to ensure a clean, safe and comfortable environment for anyone presenting to BTNRH. Processes incoming calls both internal and externally to aid in services which may include but are not limited to: scheduling, pre-registration, processing nurse call information, pharmacy refills and referral requests, physician and/or staff paging needs, financial counseling queries, admission/discharge notifications as well as vetting special requests and questions as needed. Assists in coordinating and scheduling interpretive services as identified needed. Responsible for opening and closing of clinic/admission locations ensuring security systems are utilized as directed. Works to collect co-payment and payment on account at time of service and is responsible for preparing daily bank deposits at appropriate intervals, carefully following payment and cash controls as directed. Communicates in a positive and professional manner with the patient / guarantor on any scheduling, registration, authorization or financial issues, including assisting with Financial Assistance application or referrals, Confirms legal guardianship status when applicable, obtaining legal guardianship documentation and consents. KNOWLEDGE, SKILLS, AND ABILITIES: Ability to apply knowledge of electronic medical records, charts and medical terminology. Knowledge of insurance terms, reimbursement procedures, rates and policies related to medical terminology. Ability to maintain petty cash funds, make change and process credit cards. Ability to give attention to detail and follow established standards and procedures. Knowledge of Explanation of Benefits (EOB), CPT, HCPC and Diagnosis Codes. Must have excellent verbal/ written communication skills to communicate effectively with physicians, clinicians, patients and families. Knowledge of telephone etiquette required. Ability to handle multiple tasks at a time. REQUIRED QUALIFICATIONS: High school diploma or equivalent required. Basic Life Support (BLS) certification within 120 days of transfer or hire required. PREFERRED QUALIFICATIONS: Minimum of 3 years' experience working in a clinic and/or hospital setting preferred. Knowledge of Explanation of Benefits (EOB) preferred. Other Duties: This job description incorporates the essential functions and duties required for this position. However, other duties may be required and assigned at times and as determined by a supervisor in order to meet the needs of the organization. Serves as a role model in carrying out activities and behaviors that reflect the values and principles of the Boys Town mission. PHYSICAL REQUIREMENTS, EQUIPMENT USAGE, WORK ENVIRONMENT: Position is relatively sedentary in a normal office administrative environment involving minimum exposure to physical risks. Will use office equipment such as a computer/laptop, monitor, keyboard, and a general workstation set-up. Care and respect for others is more than a commitment at Boys Town - it is the foundation of who we are and what we do. At Boys Town, we cultivate a culture of belonging for all employees that respects their individual strengths, views, and experiences. We believe that our differences enable us to be a better team - one that makes better decisions, drives innovation, and delivers better business results. About Boys Town: Boys Town has been changing the way America cares for children and families since 1917. With over a century of service, our employees have helped us grow from a small boardinghouse in downtown Omaha, Nebraska, into one of the largest national child and family care organizations in the country. With the addition of Boys Town National Research Hospital in 1977, our services branched out into the health care and research fields, offering even more career opportunities to those looking to make a real difference. Our employees are our #1 supporters when it comes to achieving Boys Town's mission, which is why we are proud of their commitment to making the world a better place for children, families, patients, and communities. A unique feature for employees and their dependents enrolled in medical benefits are reduced to no cost visits for services performed by a Boys Town provider at a Boys Town location. Additional costs savings for the employee and their dependents are found in our pharmacy benefits with low to zero-dollar co-pays on certain maintenance drugs. Boys Town takes your mental health seriously with no cost mental health visits to an in-network provider. We help our employees prepare for retirement with a generous match on their 401K or 401K Roth account. Additional benefits include tuition reimbursement, parenting resources from our experts and professional development opportunities within the organization, just to name a few. Working at Boys Town is more than just a job, it is a way of life. This advertisement describes the general nature of work to be performed and does not include an exhaustive list of all duties, skills, or abilities required. Boys Town is an equal employment opportunity employer and participates in the E-Verify program. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and/or expression, national origin, age, disability, or veteran status. To request a disability-related accommodation in the application process, contact us at **************.

Job Description PQC is seeking a dedicated and experienced Referral Clerk to work onsite at Offutt AFB. Background: The Air Force Medical Service provides medical services for more than 2.63 million active-duty Service Members, Veterans and eligible beneficiaries. When specialty care is referred, the Referral Management Center is responsible for assisting the member, coordinating the referral with the specialty office, tracking the referral to closure, and returning all results of treatment to the patient's medical record. The successful candidate for this position will assist members and medical professionals throughout the referral process. At PQC, our employees are our best asset. We pride ourselves on growth and exceeding expectations, not only for our customers but also for our employees. We believe that having the best of the best on staff translates into having the best of the best in customer results. PQC was awarded 2018 8(a) Graduate of the year by the Small Business Administration. Duty hours will be Monday- Friday, 7:30 am to 4:30 pm. Hourly Rate: $17.75 + $5.09 benefits Members of our team Enjoy: Working with a highly engaged staff Competitive compensation Comprehensive benefits Medical Dental Vision Life Short Term Disability Long Term Disability Paid Time Off Paid Holidays Paid Weather Days Reimbursement for certifications Duties: Provide outstanding customer service in greeting patients/visitors at a front desk Answer and direct telephone calls to appropriate section for assistance, handle independently or take messages, as required Determine patient eligibility for services and schedules medical appointments for referred care Obtain updates and files medical records using electronic medical records systems Request medical records and ensures arrival of medical records prior to appointment Obtain documentation as requested by healthcare providers (test results, or documentation not yet filed in records) Qualifications: High school diploma or (GED) equivalency. General office administrative and clerical skills to perform receptionist duties and answer telephones. Knowledge of word processing, and Microsoft applications (including Windows, Word, Excel, Outlook). Preferred two years of healthcare administrative experience in either an inpatient or outpatient care setting within the last three years. General medical ethics, telephone etiquette, professional written/ verbal/ electronic communication, and customer service skills.

Reviews all procedures,referrals and prescription medications with the applicable insurance policies to ensure all the payer required guidelines are met prior to the service being rendered to ensure maximum reimbursment. Responsible for communication with all offices and appropriate personnel regarding the authorizaiton of services. Responsible for any required retro-authorizations as well as communicating any peer-to-peer review requirements between the payer and the ordering provider or assigned advanced physician provider. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs of Bryan Health and consistently demonstrates our core values. 2. *Serves as work resource and liaison to hospital departments, physician offices and patients for pre-service authorization. 3. *Adheres to federal regulations regarding Advance Directives, COBRA, Medicare, Corporate Compliance, Joint Commission, OSHA and HIPAA; reports safety and customer concerns. 4. Maintains productivity and quality standards as defined through the organizational and departmental goals and objectives. 5. Serves as work resource and liaison to internal and external hospital departments, physicians' offices and patients for pre-service authorizations. 6. Submits patients supporting medical records and necessary information to payer authorization representatives for prior authorizations via fax, phone or online portals. 7. Submits prior-authorization request for prescription medications using online portals, fax or phone along with supporting medical records. 8. *Accurately and completely documents all actions taken regarding the prior authorization process including the authorization numbers, authorized dates and all other applicable information in the applicable computer systems 9. *Ensures that pre-certification and/or authorization and referral requirements have been completed by placing phone calls to insurance companies, physician offices, patients, and utilizing web based applications and/or internet resources; obtains clinical information from physician offices and/or Bryan system; contacts BPN coding staff to obtain CPT and/or ICD-9 codes. 10. *Explains notice of non-coverage or offers to re-schedule elective tests and procedures when patient's pre-authorization is not obtained; notifies patient and physician of outcome; Provides effective communication, proactively and in response, to patients/family members, team members, physicians and other healthcare providers while maintaining confidentiality. 11. *Coordinates obtaining waiver of liability when third party payers deny coverage or services that are non-covered. 12. *Prepares and provides patients with an estimate, if one is warranted, for their expected services and/or connect the patient/guarantor to the estimates team. 13. Maintains accurate payer website information and logins to ensure most current information is obtained for the necessary authorization requirements. 14. Communicates with Patient Financial Services regarding denials and appeals/reconsideration letters received from payers. 15. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 16. Participates in meetings, committees and department projects as assigned. 17. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk "*". Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. EDUCATION AND EXPERIENCE: High School diploma and one (1) year relevant work experience in a medical clinic, health care, insurance industry, pharmacy or medical billing office required. Certified Medical Assistant or Medication Aide, coding certificate or other clinical background preferred. Must be 19 years of age to witness legal consents.

Responsible for verifying patient insurance and benefits and obtaining prior authorization for scheduled medical services and hospital admissions following payer specific guidelines. Responsible for ensuring urgent/emergent cases are worked within one business day of admission and all elective cases worked prior to date of service. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Serves as work resource and liaison to hospital departments, physician offices, and patients for pre-service authorizations or financial responsibility questions. 3. *Adheres to federal regulations regarding Advance Directives, COBRA, Medicare, Corporate Compliance, Joint Commission, OSHA and HIPAA; reports safety and customer concerns. 4. Maintains productivity and quality standards as defined through the organizational and departmental goals and objectives. 5. *Verifies third party insurance coverage from daily admissions and scheduling databases; including contacting ordering physician's office for missing insurance and procedure information and updates appropriate software systems. 6. Facilitates authorization process with offices and providers. 7. Serves as work resource and liaison to hospital departments, physicians' offices, and patients for pre-service authorization or financial responsibility questions. 8. *Ensures that pre-certification and/or authorization and referral requirements have been completed by placing phone calls to insurance companies, physician offices, patients, and utilizing web based applications and/or internet resources; obtains clinical information from physician offices and/or Bryan system; contacts Health Information Management to obtain CPT and/or ICD-9 codes. 9. Submits patients supporting medical records and necessary information to payer authorization representatives for prior authorizations via fax, phone or online portals. 10. *Notifies Care Management when eligibility and/or benefits are complete on applicable admissions; notifies CM about Medicare Dental Carries patients. 11. Accurately and completely documents all actions taken regarding the prior authorization process including the authorization numbers, authorized dates and other applicable information in the applicable computer systems. 12. Maintains accurate payer website information and logins to ensure the most current information is obtained for the necessary authorization requirements. 13. Provides effective communication, proactively and in response, to patients/family members, team members, physicians and other healthcare providers while maintaining confidentiality. 14. *Supports the financial goals of Bryan Medical Center by communicating with patients and their insurance companies to obtain pertinent information about procedure reimbursements and patient responsibilities. 15. *Explains notice of non-coverage or offers to re-schedule elective tests and procedures, when patient's pre-authorization is not obtained; notifies patient and physician of outcome. 16. Prepare and provide patients with an estimate, if one is warranted, for their expected services and/or connect the patient/guarantor to the estimates team. 17. Communicates with Patient Financial Services regarding denials and appeals/reconsideration letters received from payers. 18. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 19. Participates in meetings, committees and department projects as assigned. 20. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk "*". Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. EDUCATION AND EXPERIENCE: High school diploma or equivalency required. Associates degree preferred. Certified Medical Assistant or Licensed Practical Nurse preferred. Minimum of one (1) year of relevant work experience (i.e. hospital billing, coding or prior pre-authorization experience) preferred. Must be 19 years of age to witness legal consents.