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Patient access representative jobs in Monroeville, PA
- 420 jobsAll
Patient Access Representative
Patient Care Coordinator
Insurance Verification Specialist
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Insurance Verification Representative
Patient Representative
Patient Advocate
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Patient Care Coordinator
Senior Medical Officer (Physician) In Atlanta, Georgia
Patient access representative job in Pittsburgh, PA
WELLBE INTRODUCTION The WellBe care model is a Physician Led Advanced Geriatric Care Program focused on the quality of care of the frail, poly-chronic, and elderly Medicare Advantage patients. This population is typically underserved and very challenged with access to overall health care. To address these problems, we have elected to bring the care to the patient, instead of trying to bring the patient to the care. WellBe's Care Model is to provide our members the entire continuum of care from chronic to urgent care in the home, hospital, skilled nursing facility, assisted living, palliative care, and to end of life care. WellBe's physician/advanced practicing clinician led geriatric care teams' partner with the patient's primary care physician to provide concierge level geriatric medical care and social support in the home as well as delivering and coordinating across the entire care continuum. GENERAL SUMMARY Our Patient Care Coordinator are part of a home-based care team that provides compassionate care to the frail population who suffer from chronic and acute illnesses or injuries. Our PCA's are responsible for answering incoming and outgoing calls, coordinating care with the rest of the medical team, scheduling patient appointments, specialist appointments and coordinating diagnostic tests, being a community resource, working to engage patients that currently are not engaged, and contributing complete and accurate data in patient's records. The successful candidate will employ critical thinking and decision making, be comfortable with technology, have flexibility, and love working with patients and a collaborative interdisciplinary team. We offer a positive, upbeat work environment where all medical personnel work together for the good of the patient. Job Description SKILLS & COMPETENCIES Practices the WellBe mission: To help our patients lead healthier, meaningful lives by delivering the most Complete Care. Updates and maintains all digital client records and assist in transitioning hard copy records to digital format Acts as a community resource for the patient Conduct patient scheduling, registration and eligibility verification Manage patient medical records as appropriate Answer phone calls and emails from patients, make outcoming calls, prioritize patient concerns as appropriate Answer patient non-clinical questions and explains the process Schedules/coordinates WellBe provider visits with patients, tests, specialist appoints, social resources. Ensures all appropriate patient information is in the EMR Provide positive customer service and treat all patients and staff with respect Prioritizes urgent patient needs, scheduling needs for Complete Care Assessment, and efforts to engage the unengaged Collaborates with the interdisciplinary team and participate in regularly scheduled team meetings Support APC in ongoing panel management and quality of care efforts (e.g., HEDIS) Completes next day visit chart prep Utilize reporting to help providers track, meet and exceed team goal, Other tasks needed to accomplish team's objectives/goals Job Requirements Job Requirements Educational/ Experience Requirements: High school graduate or GED License, Certification, Registration MA Certification-Preferred Required Skills and Abilities: 2+ years of experience working for a healthcare practice or hospital EMR documentation experience preferred High level of professionalism Strong critical thinking skills Strong customer centric focus/service skills Strong computer skills, including Word, Excel, and PowerPoint Strong verbal, written, presentation, and interpersonal communication skills Supervisory Responsibility: N/A Travel requirements: No travel is required Work Conditions: Ability to lift up to 20lbs. Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assist with weights of more than 100lbs. Ability to stand for extended periods. Ability to drive to patient locations (ie. home, hospital, SNF, etc). Fine motor skills/Visual acuity Drug Screening Requirement: As a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening. Ongoing employment may also be contingent upon compliance with the company's Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion drug testing. The company reserves the right to test for substances that may impair an employee's ability to safely and effectively perform their job duties. Americans with Disabilities Act: WellBe Senior Medical is committed to complying with the Americans with Disabilities Act (ADA) and applicable state and local laws. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the job. If you require an accommodation during the application or employment process, please contact Human Resources at *********************** The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role.$27k-33k yearly est. Auto-Apply 60d+ agoAssociate, Cash Management Representative
BNY External
Patient access representative job in Pittsburgh, PA
Associate, Cash Management Representative I At BNY, our culture allows us to run our company better and enables employees' growth and success. As a leading global financial services company at the heart of the global financial system, we influence nearly 20% of the world's investible assets. Every day, our teams harness cutting-edge AI and breakthrough technologies to collaborate with clients, driving transformative solutions that redefine industries and uplift communities worldwide. Recognized as a top destination for innovators, BNY is where bold ideas meet advanced technology and exceptional talent. Together, we power the future of finance - and this is what #LifeAtBNY is all about. Join us and be part of something extraordinary. About BNY Investments: BNY Investments is a division of BNY, one of the world's largest and most-trusted financial services groups. BNY Investments is a leading investment manager, with $2.1 trillion* in assets under management as of June 30, 2024. Through an investor-first approach, the firm brings to clients the best of both worlds: specialist expertise from seven specialist investment managers offering solutions across every major asset class, backed by the strength, stability, and global presence of BNY. We're seeking a future team member for the role of Associate, Cash Management Representative I, to join our Client Operations Delivery team. This role is in Pittsburgh, Pennsylvania. In this role, you'll make an impact in the following ways: Process and approve client directed cash flows Analyze control reports Provide client service to internal and external clients Mitigate risk to the firm in any way possible To be successful in this role, we're seeking the following: Bachelor's degree or equivalent experience High attention to detail Excellent communication skills At BNY, our culture speaks for itself, check out the latest BNY news at: BNY Newsroom BNY LinkedIn Here's a few of our recent awards: America's Most Innovative Companies, Fortune, 2025 World's Most Admired Companies, Fortune 2025 “Most Just Companies”, Just Capital and CNBC, 2025 Our Benefits and Rewards: BNY offers highly competitive compensation, benefits, and wellbeing programs rooted in a strong culture of excellence and our pay-for-performance philosophy. We provide access to flexible global resources and tools for your life's journey. Focus on your health, foster your personal resilience, and reach your financial goals as a valued member of our team, along with generous paid leaves, including paid volunteer time, that can support you and your family through moments that matter. BNY is an Equal Employment Opportunity/Affirmative Action Employer - Underrepresented racial and ethnic groups/Females/Individuals with Disabilities/Protected Veterans.$43k-79k yearly est. Auto-Apply 8d agoPatient Care Coordinator
AEG
Patient access representative job in Murrysville, PA
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$45k-57k yearly est. 4d agoPatient Access Representative
Hospital & Other Career
Patient access representative job in Sewickley, PA
Department: Patient Registration, 24/7 department. Work Hours: Full-Time. Looking for someone who has flexibility to work days, evenings, nights, weekends, holidays and cross campuses. This position provides exceptional service to our patients and their families by creating a positive first impression to the Health System. This position greets, interviews, and guides patients and their family members through the registration process for Heritage Valley Health System. They will collect and enter all necessary information to ensure accurate hospital records, including patient's demographic and insurance information to facilitate the billing process. They are also responsible for combining ancillary schedules for all patients and for assisting patients with the automated check-in process via our patient kiosks. Requirements: Customer service-focused, friendly personality with excellent communication skills and a desire to want to help people. Must have a high school diploma or GED equivalent and willingness to want to learn new things. No experience necessary, only a strong work ethic and desire to learn alongside the latest technology. Must be able to effectively communicate with a patient and their family to gain the necessary medical information needed. Must also be able to analyze problems quickly determining appropriate solutions and performing multiple tasks at once. Good prioritization and organization skills are necessary for success. Preferred: Healthcare background and/or bachelor or associates degree, knowledge of ICD-9 or ICD-10 coding, medical terminology, billing, and health insurance rules/processes.$28k-37k yearly est. 60d+ agoPatient Access Specialist/Front Desk (Part-Time/Swing Shift)
Allegheny Health Network
Patient access representative job in Pittsburgh, PA
About Us HIGHLIGHTS: Patient Access Specialist/Front Office SHIFT: Swing Shift JOB TYPE: Part-Time FACILITY TYPE: 18 bed Small-Format Hospital (8 ER, 10 Inpatient) JOB PERKS: Night/Weekend shift differentials, 401K MATCH (100% vested day one of eligibility!), Paid Employee Referrals! FREE Parking! LOCATION: Brentwood AHN Neighborhood Hospital: 3290 Saw Mill Run Blvd., Pittsburgh, PA 15227 We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros. Position Overview The purpose of this position is to serve as a liaison between patient/family, payers, Patient Financial Services, and other health care team members. You'll be asked to facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement. Essential Job Functions Maintain compliance with EMTALA, DNV, HIPAA and all other hospital and government regulations applicable to the Admissions settings and in handling of Medical Records Provide excellent customer service at all times by effectively meeting customer needs, understanding who the customers are, and building quality relationships The Patient Access Specialist plays a role in protecting patient safety by ensuring each patient is properly identified and triaged when they arrive to the hospital Answer telephone in a professional and courteous manner, record messages and communicate to appropriate medical staff Provide and obtain signatures on required forms and consents Obtain, verify, and enter complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle Verify insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into the patient accounting system Obtain insurance authorizations as required by individual insurance plans where applicable Maximize the efficiency and accuracy of the collection process by pursuing collections at the time of service in a customer service-oriented fashion Scan all registration and clinical documentation into the system and maintain all medical records Assist with coordinating the transfer of patients to other hospitals when necessary Respond to medical record requests from patients, physicians and hospitals Maintain cash drawer according to policies Maintain log of all patients, payments received, transfers and hospital admissions Maintain visitor/vendor log Other Job Functions Maintain a clean working environment for the facility. This includes the front desk, restroom, waiting room, break area and patient rooms when assistance is needed by medical staff Receive deliveries including mail from various carriers and forward to appropriate departments as needed Notify appropriate contact of any malfunctioning equipment or maintenance needs Attend staff meetings or other company sponsored or mandated meetings as required Assist medical staff as needed Perform additional duties as assigned Basic Qualifications High School Diploma or GED, required 2 years of patient registration and insurance verification experience in a health care setting, preferred Emergency Department registration experience, strongly preferred Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required. Basic understanding of medical terminology Excellent customer service Working knowledge of MS Office (MS Word, Excel and Outlook), strongly preferred. Position requires fluency in English; written and oral communication Fluency in both English & Spanish is a requirement in the El Paso Market Pennsylvania Candidates: Act 33 (Child Abuse History Clearance), & Act 73 (FBI Fingerprint Criminal History Clearance) completed within the last 5 years, or must be obtained prior to start date. We can recommend jobs specifically for you! Click here to get started.$30k-34k yearly est. Auto-Apply 1d agoPatient Advocate - Pittsburgh, PA
Patient Funding Alternatives
Patient access representative job in Pittsburgh, PA
Job Description Patient Advocate UPMC 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 onsite 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-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.$31k-40k yearly est. 29d agoInsurance Verification Representative
Healthcare Support Staffing
Patient access representative job in Pittsburgh, PA
i s an American company which operates as the second-largest pharmacy store chain in the United States. Treatment of complex, chronic, and/or rare conditions High cost, often exceeding $10,000, with some costing more than $100,000 annually Availability through exclusive, restricted, or limited distribution Special storage, handling, and/or administration requirements Ongoing monitoring for safety and/or efficacy Risk Evaluation Mitigation Strategy Job Description Responsible for verifying patient eligibility, coordinating benefits, claims and determining patient coverage/responsibility for services including, but not limited to primarily major medical insurance benefits verification, complex insurance plan verification and high volume PBM plans. Also responsible for the coordination of benefits investigation and partnering with patient assistance programs. Essential Functions: Utilizes all available resources to obtain and enter insurance coverage information for ordered services into patient's file. Verifies patient insurance coverage of medications, administration supplies and related pharmacy services. Facilitates and completes the Prior Authorization process with insurance companies and practitioner offices. Completes a full Medical Verification for all medications, administration supplies and related pharmacy services. Notifies patients, physicians, practitioners and/or clinics of any financial responsibility of services provided and requested services that are not provided by the facility. Facilitates pharmacy and/or major medical claims with insurance companies and practitioner offices and investigates and facilitates prior authorization any other insurance rejections. Provides notification of urgent orders to the Senior level or Group Supervisor and communicates with other departments when an urgent need for filling a prescription or delivery is necessary; Places outbound calls to patients or physicians offices to obtain additional information needed to process the script or to notify of delay in processing script. Manages inbound calls on the Insurance line from patients, clients, physicians, practitioners and clinics regarding inquiries about services provided, financial responsibility and insurance coverage. Qualifications High School Diploma/GED 1 year insurance verification and/or pharmacy technician experience OR at least 6 months specialty pharmacy experience. Understanding of claims processes Understanding the authorization process is a must. At least 1 year experience in obtaining prior authorizations from a pharmacy benefit or medical billing experience Needs to have an understanding of Commercial Insurance, Medicare and Medicaid - Please make sure this is on the resume Strong Data Entry Skills Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets) Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions) Additional Information Advantages of this Opportunity: Competitive salary, negotiable based on relevant experience Benefits offered, Medical, Dental, and Vision Fun and positive work environment Monday through Friday 8am-5pm$30k-35k yearly est. 60d+ agoPatient Care Coordinator
Upstream Rehabilitation
Patient access representative job in Pittsburgh, PA
Drayer Physical Therapy, a brand partner of Upstream Rehabilitation, is looking for a Patient Care Coordinator to join our team in Pittsburgh, PA Are you looking for a position in a growing organization where you can make a significant impact on the lives of others? What is a Patient Care Coordinator? A Patient Care Coordinator is an entry-level office role that is responsible for maintaining pleasant and consistent daily operations of the clinic. Our Patient Care Coordinators have excellent customer service skills. Patient Care Coordinators learn new things - a lot! The Patient Care Coordinator multitasks in multiple computer programs each day. A day in the life of a Patient Care Coordinator: Greets everyone who enters the clinic in a friendly and welcoming manner. Schedules new referrals received by fax or by telephone from patients, physician offices. Verifies insurance coverage for patients. Collects patient payments. Maintains an orderly and organized front office workspace. Other duties as assigned. Fulltime positions include: Annual paid Charity Day to give back to a cause meaningful to you Medical, Dental, Vision, Life, Short-Term and Long-Term Disability Insurance 3-week Paid Time Off plus paid holidays 401K + company match Position Summary: The Patient Care Coordinator - I (PCC-I) supports clinic growth through excellence in execution of the practice management role and patient intake processes. This individual will work in collaboration with the Clinic Director (CD) to carry out efficient clinic procedures. The PCC-I position is responsible for supporting the mission, vision, and values of Upstream Rehabilitation. Responsibilities: Core responsibilities Collect all money due at the time of service Convert referrals into evaluations Schedule patient visits Customer Service Create an inviting clinic atmosphere. Make all welcome calls Monitor and influence arrival rate through creation of a great customer experience Practice Management Manage schedule efficiently Manage document routing Manage personal overtime Manage non-clinical documentation Manage deposits Manage caseload, D/C candidate, progress note, and insurance reporting Monitor clinic inventory Training o Attend any required training with the Territory Field Trainers (TFT) for Raintree and other business process updates. Complete quarterly compliance training. Qualifications: High School Diploma or equivalent Communication skills - must be able to relate well to Business Office and Field leadership Ability to multitask, organizational detail, ability to meet deadlines, work with little to no supervision As a member of a team, must possess efficient time management and presentation skills Physical Requirements: This position is subject to inside environmental conditions: protections from weather conditions but not necessarily from temperature changes; exposed to noise consistent with indoor environment. This is a full-time position operating within normal business hours Monday through Friday, with an expectation of minimum of 40 hours per week; May be required to attend special events some evenings and weekends, or work additional hours as needed. This position is subject to sedentary work. Constantly sits, with ability to interchange with standing as needed. Constantly communicates with associates, must be able to hear and speak to accurately exchange information in these situations. Frequently operates a computer and other office equipment such as printers, phone, keyboard, mouse and copy machines using gross and fine manipulation. Constantly uses repetitive motions to type. Must be able to constantly view computer screen (near acuity) and read items on screen. Must have ability to comprehend information provided, use judgement to appropriately respond in various situations. Occasionally walks, stands, pushes or pulls 0-20 lbs., lifts 0-20 lbs. from floor to waist; carries, pushes, and pulls 0-20 lbs. Rarely crawls, crouches, kneels, stoops, climbs stairs or ladders, reaches above shoulder height, lifts under 10 lbs. from waist to shoulder. This job description is not an all-inclusive list of all duties that may be required of the incumbent and is subject to change at any time with or without notice. Incumbents must be able to perform the essential functions of the position satisfactorily and that, if requested, reasonable accommodations may be made to enable associates with disabilities to perform the essential functions of their job, absent undue hardship. Please do not contact the clinic directly. Follow @Lifeatupstream on Instagram, and check out our LinkedIn company page to learn more about what it's like to be part of the #upstreamfamily. CLICK HERE TO LEARN EVEN MORE ABOUT UPSTREAM$21k-38k yearly est. Auto-Apply 7d agoPatient Care Coordinator
All American Home Care
Patient access representative job in Pittsburgh, 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 JOIN THE WINNING TEAM! ALL AMERICAN HOME CARE offers an excellent benefit package that includes generous paid time off, paid holidays, healthcare benefits (Health, Vision, and Dental), Life insurance and 401K. JOB SUMMARY: 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 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 expanding All American Home Care family. Please visit our careers page to see more job opportunities.$21k-38k yearly est. 60d+ agoPatient Care Coordinator
Wellbe Senior Medical
Patient access representative job in Pittsburgh, PA
WELLBE INTRODUCTION The WellBe care model is a Physician Led Advanced Geriatric Care Program focused on the quality of care of the frail, poly-chronic, and elderly Medicare Advantage patients. This population is typically underserved and very challenged with access to overall health care. To address these problems, we have elected to bring the care to the patient, instead of trying to bring the patient to the care. WellBe's Care Model is to provide our members the entire continuum of care from chronic to urgent care in the home, hospital, skilled nursing facility, assisted living, palliative care, and to end of life care. WellBe's physician/advanced practicing clinician led geriatric care teams' partner with the patient's primary care physician to provide concierge level geriatric medical care and social support in the home as well as delivering and coordinating across the entire care continuum. GENERAL SUMMARY Our Patient Care Coordinator are part of a home-based care team that provides compassionate care to the frail population who suffer from chronic and acute illnesses or injuries. Our PCA's are responsible for answering incoming and outgoing calls, coordinating care with the rest of the medical team, scheduling patient appointments, specialist appointments and coordinating diagnostic tests, being a community resource, working to engage patients that currently are not engaged, and contributing complete and accurate data in patient's records. The successful candidate will employ critical thinking and decision making, be comfortable with technology, have flexibility, and love working with patients and a collaborative interdisciplinary team. We offer a positive, upbeat work environment where all medical personnel work together for the good of the patient. Job Description SKILLS & COMPETENCIES Practices the WellBe mission: To help our patients lead healthier, meaningful lives by delivering the most Complete Care. Updates and maintains all digital client records and assist in transitioning hard copy records to digital format Acts as a community resource for the patient Conduct patient scheduling, registration and eligibility verification Manage patient medical records as appropriate Answer phone calls and emails from patients, make outcoming calls, prioritize patient concerns as appropriate Answer patient non-clinical questions and explains the process Schedules/coordinates WellBe provider visits with patients, tests, specialist appoints, social resources. Ensures all appropriate patient information is in the EMR Provide positive customer service and treat all patients and staff with respect Prioritizes urgent patient needs, scheduling needs for Complete Care Assessment, and efforts to engage the unengaged Collaborates with the interdisciplinary team and participate in regularly scheduled team meetings Support APC in ongoing panel management and quality of care efforts (e.g., HEDIS) Completes next day visit chart prep Utilize reporting to help providers track, meet and exceed team goal, Other tasks needed to accomplish team's objectives/goals Job Requirements Job Requirements Educational/ Experience Requirements: High school graduate or GED License, Certification, Registration MA Certification-Preferred Required Skills and Abilities: 2+ years of experience working for a healthcare practice or hospital EMR documentation experience preferred High level of professionalism Strong critical thinking skills Strong customer centric focus/service skills Strong computer skills, including Word, Excel, and PowerPoint Strong verbal, written, presentation, and interpersonal communication skills Supervisory Responsibility: N/A Travel requirements: No travel is required Work Conditions: Ability to lift up to 20lbs. Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assist with weights of more than 100lbs. Ability to stand for extended periods. Ability to drive to patient locations (ie. home, hospital, SNF, etc). Fine motor skills/Visual acuity Drug Screening Requirement: As a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening. Ongoing employment may also be contingent upon compliance with the company's Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion drug testing. The company reserves the right to test for substances that may impair an employee's ability to safely and effectively perform their job duties. Americans with Disabilities Act: WellBe Senior Medical is committed to complying with the Americans with Disabilities Act (ADA) and applicable state and local laws. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the job. If you require an accommodation during the application or employment process, please contact Human Resources at *********************** The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role.$21k-38k yearly est. Auto-Apply 60d+ agoPatient Care Coordinator
Carering Health
Patient access representative job in Pittsburgh, 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) #MP123$21k-38k yearly est. Auto-Apply 29d agoPatient Care Coordinator
Pantherx Specialty LLC
Patient access representative job in Pittsburgh, PA
7,000 Diseases - 500 Treatments - 1 Rare Pharmacy PANTHERx is the nation's largest rare disease pharmacy, and we put the patient experience at the top of everything that we do. If you are looking for a career in the healthcare field that embraces authentic dedication to patient care, you don't need to look beyond PANTHERx. In every line of service, in every position and area of expertise, PANTHERx associates are driven to provide the highest quality outcomes for our patients. We are seeking team members who: Are inspired and compassionate problem solvers; Produce high quality work; Thrive in the excitement of the ever-challenging environment of modern medicine; and Are committed to achieving superior health outcomes for people living with rare and devastating diseases. At PANTHERx, we know our employees are the driving force in what we do. We cultivate talent and encourage growth within PANTHERx so that our associates can continue to explore their interests and expand their careers. Guided by our mission to provide uncompromising quality every day, we continue our strategic growth to further reach those affected by rare diseases. Join the PANTHERx team, and define your own RxARE future in healthcare! Location: Pittsburgh, PA Classification: Non-Exempt Status: Full-Time, Hybrid Reports to: RxARECARE Supervisor Purpose: The Patient Care Coordinator interacts with patients over the phone and coordinates prescription refill(s). This role updates billing information, addresses patient concerns, and redirects calls to pharmacists as needed. This position communicates with healthcare providers in a confidential manner, while adhering to applicable healthcare regulations. To accommodate business and patient services, this position may be required to work varied and rotating full-time schedules between 8:00 a.m.-8:00 p.m., Monday-Friday as required by the Manager. Responsibilities: Communicates with patients via phone to establish rapport, ensure clinical compliance, and establish next shipment of medication. Communicates with order management and fulfillment team to engage compliance, and to address concerns as noted during patient communication. Accepts direction from pharmacist(s) and Leadership regarding various elements of specialty call compliance programs. Additional projects and activities as assigned. Required Qualifications: High school diploma or graduate education degree (GED). 1-3 years customer service experience in a call center environment. Excellent communication, organizational and interpersonal skills. Preferred Qualifications: 1-3 years' experience in a specialty pharmacy call center environment. Work Environment: This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Physical Demands: While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands and fingers, handle or feel; and reach with hands and arms. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function of the job. Benefits: Hybrid, remote and flexible on-site work schedules are available, based on the position. PANTHERx Rare Pharmacy also affords an excellent benefit package, including but not limited to medical, dental, vision, health savings and flexible spending accounts, 401K with employer matching, employer-paid life insurance and short/long term disability coverage, and an Employee Assistance Program! Generous paid time off is also available to all full-time employees, as well as limited paid time off for part-time employees. Of course we offer paid holidays too! Equal Opportunity: PANTHERx Rare Pharmacy is an equal opportunity employer, and does not discriminate in recruiting, hiring, promotions or any term or condition of employment based on race, age, religion, gender, ethnicity, sexual orientation, gender identity, disability, protected veteran's status, or any other characteristic protected by federal, state or local laws.$24k-34k yearly est. Auto-Apply 60d+ agoPatient Care Coordinator
Patriot Home Care
Patient access representative job in Pittsburgh, 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) #MP123$24k-34k yearly est. Auto-Apply 29d agoStandardized Patient
Lake Erie College of Osteopathic Medicine
Patient access representative job in Greensburg, PA
JOB SUMMARY: A Standardized Patient (hereafter referred to as "SP") is an individual who will be trained to accurately portray the role of a patient with a specific medical condition or health issue. SPs portray the specific situation or problem exactly the same way each time they encounter a student. The SP will also represent a variety of personality types and be expected to deal with sensitive subject matter. The SP may be asked to give constructive feedback and evaluate the performance of students using standardized measurement tools. The SP Program gives medical students the opportunity to practice their clinical skills in a controlled environment. DUTIES AND RESPONSIBILITIES: * Memorizes/learns a case script portraying a specific health concern or situation along with the specific emotions, behaviors, and disease signs and symptoms during simulated learning situations; * Interacts with medical students in a standardized manner during simulated interactive patient history and/or medical examinations; * Permits interviews and physical examinations, with or without a hospital gown where appropriate, wearing socks, shorts, and undergarments, while on camera, and while being observed live or on video monitor; * Accurately remembers encounters with students for the purpose of accurately rating student behaviors; * Permits observation by new SPs within the learning process; * Maintains confidentiality of information related to cases, student behaviors, evaluation, and personal information regarding other SPs; and * Perform other duties as assigned / needed to maintain Institutional efficiency and effectiveness and to support and promote LECOM's mission. EEO/AA/M/F/Vets/Disabled Minimum Requirements KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS: Must possess required knowledge and be able to explain and demonstrate, with or without reasonable accommodations, that the essential functions of the job can be performed. * Acting, role playing, and improvisational skills, * Ability to portray a person other than him/herself and convincingly maintain a specified character as trained; * Ability to recall case scenario details as cued by students in a role-play situation; * Willingness to objectively evaluate behaviors, skills, and actions of students during and after a mock exam scenario; * Permit examinations that may be performed awkwardly; * Employ active listening skills and good spoken and written communication skills; * Effectively communicate and provide written/verbal performance feedback; * Maintain confidentiality of work related information and materials; * Establish and maintain effective working relationships; * Willingness to work flexible hours on a scheduled and on-call basis; * Ability to work cooperatively and collegially with others, consistent with a workplace of dignity and respect and EEO rules and regulations; * Ability to report to work as scheduled, ready to devote full attention and energy to the important work of LECOM; * Ability to accept work directives from managers and supervisors in a respectful and cooperative manner; and * Ability and willingness to be flexible to accept other duties needed/assigned for the Institution's needs. MINIMUM QUALIFICATIONS: Education and experience equivalent to: High school degree or equivalent is required, Associate's or Bachelor's degree preferred, especially in the following fields of study: health science, psychology, and/or performing arts. Acting experience is helpful, but not required. Must be able to read, understand, and write in English, the dominant student language.$27k-32k yearly est. 9d agoCommercial Biller I
Med-Care Management
Patient access representative job in Greensburg, PA
Requirements Skills / Qualifications: High school diploma or GED Minimum 1 year experience in similar billing or account's receivable role. Excellent time management and organizational skills. Proficient is MS Office with a focus in Excel. Ability to communicate with facilities and members of the health care team professionally. Data entry and analytics experience.$32k-41k yearly est. 51d agoMedical Clerk
Hacc, Central Pennsylvania's Community College
Patient access representative job in Coraopolis, PA
Are you looking for an opportunity to advance your career while working with an extraordinary team? At Merakey, we put heart and soul into everything we do. We are seeking Medical Clerk to join our team at our program in Coraopolis, PA at our Edward J Zapp Center. Position Overview This clerical role within the medical department is responsible for supporting nursing operations and ensuring smooth scheduling and documentation processes. The Medical Clerk works closely with Nursing Supervisors to assist in the management of medical charts and overall departmental organization. Key Responsibilities: Schedule medical appointments for assigned individuals. Coordinate with Nursing Supervisors regarding medical chart management. Process daily mail and prepare large mailings. Update and maintain Policy and Procedure manuals. Organize and manage office files, including mailing medical charts to families. Order and maintain supplies for the nursing office, as needed. Answer and direct calls within the medical suite. Collaborate with direct service professionals and other departments across the company. Perform additional clerical or administrative duties as assigned. Earn $13.29 or up to $15.29 hour with the selection of the Enhanced Pay Option Benefits Merakey offers medical, dental - vision insurance plans, competitive compensation plans and more! DailyPay Work/Life Balance Flexible Schedules Cell Phone Discount Plans Employee Referral Bonuses Tuition Reimbursement Care.com Membership About Merakey Merakey is a non-profit provider of developmental, behavioral health, and education services. More than 8,000 employees provide support to nearly 40,000 individuals and families throughout 12 states across the country each year. Click here to watch a video about Merakey. Merakey strictly follows a zero-tolerance policy for abuse. Merakey is proud to be an Equal Opportunity Employer! We deeply value diversity and do not discriminate on the basis of race, religion, color, national origin, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status. Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply. Merakey welcomes all Veterans to apply!$15.3 hourly 4d agoCommercial Biller I
Medcare Equipment Company
Patient access representative job in Greensburg, PA
Job DescriptionDescription: Job Summary/Job Purpose: Commercial Biller I effectively reviews and processes paperwork necessary to bill for equipment and supplies provided to hospice, commercial and consignment accounts. In this role, you will communicate with the accounts payable departments of these accounts, generate recon reports for review, process invoices and provide follow up on due balances. Job Duties / Essential Functions: Professionally handle all hospice, commercial and consignment account billing activities. Validate reconciliation reports to ensure all essential information is reported with accurate pricing. Respond to facility inquiries regarding invoices and account balances. Generate and issue invoices accurately and in a timely manner. Provide follow up on outstanding invoices through email and phone calls to inquire payment status. Treat all information and data with the appropriate confidentiality and security. All other duties as assigned. Requirements: Skills / Qualifications: High school diploma or GED Minimum 1 year experience in similar billing or account's receivable role. Excellent time management and organizational skills. Proficient is MS Office with a focus in Excel. Ability to communicate with facilities and members of the health care team professionally. Data entry and analytics experience.$30k-40k yearly est. 7d agoPharmacy Insurance Verification Specialist (Pittsburgh)
Blink Health
Patient access representative job in Pittsburgh, PA
Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody. Our two primary products - BlinkRx and Quick Save - remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for patients. BlinkRx is the world's first pharma-to-patient cloud that offers a digital concierge service for patients who are prescribed branded medications. Patients benefit from transparent low prices, free home delivery, and world-class support on this first-of-its-kind centralized platform. With BlinkRx, never again will a patient show up at the pharmacy only to discover that they can't afford their medication, their doctor needs to fill out a form for them, or the pharmacy doesn't have the medication in stock. We are a highly collaborative team of builders and operators who invent new ways of working in an industry that historically has resisted innovation. Join us! This is your opportunity to join a health-tech enterprise. Apply your pharmacy expertise in a new and exciting way that offers tremendous growth opportunities and the chance to be a part of a company that is revolutionizing pharmacy care. This is a full-time, onsite position based in Robinson Township. Responsibilities: Process pharmacy claims accurately and timely to meet client expectations Triage rejected pharmacy insurance claims to ascertain patient pharmacy benefits coverage Maintain compliance with patient assistance program guidelines Document all information and data discovery according to operating procedures Research required information using available resources Maintain confidentiality of patient and proprietary information Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as State and Federal laws Work collaboratively and cross-functionally between management, the Missouri-based pharmacy, compliance and engineering Requirements: High school diploma or GED required, Bachelor's degree strongly preferred One year of Pharmacy Experience, having resolved third party claims Healthcare industry experience with claims background Strong verbal and written communication skills Attention to detail and a strong operational focus A passion for providing top-notch patient care Ability to work with peers in a team effort and cross-functionally Strong technical aptitude and ability to learn complex new software Hours/Location: Shifts: This is a full-time, 40-hour per week role. 3 shift options are available : Rotating shifts between 8 AM - 9 PM EST, Monday - Friday OR 12 PM - 8 PM EST, Monday - Friday EST (fixed shift) OR 1 PM - 9 PM EST, Monday - Friday EST (fixed shift) All shifts require a rotational Saturday shift 9 AM - 5 PM EST There will be a required shift during the 8 week training period of 10 AM - 6 PM EST Perks: Medical, dental, and vision benefits Holiday pay, paid time off, paid sick time Overtime eligible Casual dress code Free Snacks Free Parking #blinkindeed Why Join Us: It is rare to have a company that both deeply impacts its customers and is able to provide its services across a massive population. At Blink, we have a huge impact on people when they are most vulnerable: at the intersection of their healthcare and finances. We are also the fastest growing healthcare company in the country and are driving that impact across millions of new patients every year. Our business model not only helps people, but drives economics that allow us to build a generational company. We are a relentlessly learning, constantly curious, and aggressively collaborative cross-functional team dedicated to inventing new ways to improve the lives of our customers. We are an equal opportunity employer and value diversity of all kinds. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.$28k-32k yearly est. Auto-Apply 9d agoInsurance Verification Specialist
Treatment Plan Coordinator In Orchard Park, New York
Patient access representative job in Pittsburgh, PA
Insurance Verification Specialist (Remote) Join Us in Transforming the Dental Experience Imagine being able to work with a group that strives to make a difference in the everyday lives of individuals. At NADG, we use our individuality and expertise to work with our partnered dental offices and ensure that every practice is able to focus on what they do best-providing best in class patient care. Our guiding principle is empathy, and it allows us to focus on the big picture of what our work is all about: putting every patient first, every visit. Do you have the drive and passion for helping others improve the dental field in the way that we do? Come join our team- assist us in pioneering a new culture of dentistry. Responsibilities The Role You'll Fill at NADG Our Revenue Cycle Department is growing! As a member of our team, you will… Accurately enter data into the dental practice management system, reconciling prior system. Verify insurance coverage and benefits. Accurately build and attach insurance groups and plans. Identify and resolve entry errors and problems. Run reports and reconcile numbers from one system to another. Qualifications The Skills We're Looking for As an ever-growing dental service organization, we are looking for team members with previous experience and impressive qualifications. These include… A high school diploma. Experience with MS Office Products. Ability to navigate the internet using various web portals with ease. 2 years of previous medical or dental insurance experience preferred. Ability to work evenings and potentially some Saturdays. A strong sense of compassion and desire to form positive interpersonal relationships over the phone. Ability to multi-task and prioritize effectively while maintaining good organization and project management skills. Benefits Await! We take pride in our ability to give our team members all the benefits they deserve. This is why we offer… A comprehensive benefits package including 401k Competitive paid time off for full-time and part-time team members which increases as you grow in your career with us Constant opportunities for career growth and continuing education An exciting atmosphere that allows for freedom and individuality - enabling our team to always strive to do the best for our patients Ready to Join Our Team? Our team is ready to welcome the perfect candidate with arms (and mouths) wide open! We're constantly growing and want you to join our practice. Stop searching for jobs - apply today and start your career. If you are professional and organized yet outgoing, flexible, and energetic, you'll fit right in. Our team is full of individuals with different skills and personalities, but each is willing to go the extra mile for our patients while communicating well with our team. If this sounds relatable, then there's a spot for you at our practice. We're excited to hear from you! Equal Opportunity Employer We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, ancestry, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status, or any other characteristic protected by law. #NADG3 We can recommend jobs specifically for you! Click here to get started.$26k-31k yearly est. Auto-Apply 2d agoPatient Access Specialist/Front Office (Part-Time/Days Swing Shift)
Allegheny Health Network
Patient access representative job in Greensburg, PA
About Us HIGHLIGHTS: Patient Access Specialist/Front Office SHIFT: Days Swing Shift (7A-7P, 9A-9P, 11A-11P) JOB TYPE: Part-Time FACILITY TYPE: 18 bed Small-Format Hospital (8 ER, 10 Inpatient) JOB PERKS: Night/Weekend shift differentials, 401K MATCH (100% vested day ONE of eligibility!), Paid Employee Referrals! FREE Parking! LOCATION: Hempfield: 6321 Route 30, Greensburg, PA 15601 We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros. Position Overview The purpose of this position is to serve as a liaison between patient/family, payers, Patient Financial Services, and other health care team members. You'll be asked to facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement. Essential Job Functions Maintain compliance with EMTALA, DNV, HIPAA and all other hospital and government regulations applicable to the Admissions settings and in handling of Medical Records Provide excellent customer service at all times by effectively meeting customer needs, understanding who the customers are, and building quality relationships The Patient Access Specialist plays a role in protecting patient safety by ensuring each patient is properly identified and triaged when they arrive to the hospital Answer telephone in a professional and courteous manner, record messages and communicate to appropriate medical staff Provide and obtain signatures on required forms and consents Obtain, verify, and enter complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle Verify insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into the patient accounting system Obtain insurance authorizations as required by individual insurance plans where applicable Maximize the efficiency and accuracy of the collection process by pursuing collections at the time of service in a customer service-oriented fashion Scan all registration and clinical documentation into the system and maintain all medical records Assist with coordinating the transfer of patients to other hospitals when necessary Respond to medical record requests from patients, physicians and hospitals Maintain cash drawer according to policies Maintain log of all patients, payments received, transfers and hospital admissions Maintain visitor/vendor log Other Job Functions Maintain a clean working environment for the facility. This includes the front desk, restroom, waiting room, break area and patient rooms when assistance is needed by medical staff Receive deliveries including mail from various carriers and forward to appropriate departments as needed Notify appropriate contact of any malfunctioning equipment or maintenance needs Attend staff meetings or other company sponsored or mandated meetings as required Assist medical staff as needed Perform additional duties as assigned Basic Qualifications High School Diploma or GED, required 2 years of patient registration and insurance verification experience in a health care setting, preferred Emergency Department registration experience, strongly preferred Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required. Basic understanding of medical terminology Excellent customer service Working knowledge of MS Office (MS Word, Excel and Outlook), strongly preferred. Position requires fluency in English; written and oral communication Fluency in both English & Spanish is a requirement in the El Paso Market Pennsylvania Candidates: Act 33 (Child Abuse History Clearance), & Act 73 (FBI Fingerprint Criminal History Clearance) completed within the last 5 years, or must be obtained prior to start date. We can recommend jobs specifically for you! Click here to get started.$30k-34k yearly est. Auto-Apply 8d ago
Learn more about patient access representative jobs
How much does a patient access representative earn in Monroeville, PA?
The average patient access representative in Monroeville, PA earns between $25,000 and $42,000 annually. This compares to the national average patient access representative range of $27,000 to $41,000.
Average patient access representative salary in Monroeville, PA
$33,000
What are the biggest employers of Patient Access Representatives in Monroeville, PA?
The biggest employers of Patient Access Representatives in Monroeville, PA are:
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