Patient access representative jobs in Pittsburgh, PA - 461 jobs
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Patient Access Representative
Patient Care Coordinator
Insurance Verification Specialist
Medical Clerk
Customer Service Representative
Prior Authorization Representative
Billing Specialist
Registration Coordinator
Insurance Verification Representative
Patient Representative
Patient Advocate
Pharmacy Prior Authorization Representative
Blinkrx
Patient access representative job in Pittsburgh, PA
Pharmacy Prior Authorization Specialist
is 100% on-site located in Robinson Township, PA (Pittsburgh)
Responsibilities:
Assist in the initiation of new prior authorization requests to providers
Identify the correct prior authorization form required for the patient's insurance provider
Coordinate with prescribers and medical offices to ensure applicable information is translated onto prior authorization forms
Follow up with medical offices to check the status of prior authorization requests
Assist with communicating the status of prior authorizations to both patients and providers
Coordinate with medical offices to handle Appeals
Respond to internal questions from other departments related to prior authorization requests
Requirements:
High school diploma or GED required, Bachelor's degree strongly preferred
Customer service or inbound call center experience required
Strong verbal and written communication skills
Sound technical skills, analytical ability, attention to detail, good judgment, and strong operational focus
A passion for providing top-notch patient care
Ability to work with peers in a team effort and cross-functionally
Must be flexible to work shifts ranging from 8am - 8pm.
Full time position, on-site in our Robinson location
Preferred Qualifications:
1+ year(s) working with prior authorizations or insurance verification in a pharmacy
Knowledge of pharmacy benefits and pharmacy claims
Hours/Location:
Shift: 40hours/week (rotational shifts between 9am-8pm)
Weekly rotating schedules from 11:00am - 7:00p, 12:00pm - 8:00pm and once a month 9:00am - 5:00pm.
** Possible rotational Saturday's shift 9:00AM - 5:00PM**
100% Onsite in Pittsburgh, PA (Robinson Township)
Perks:
Health Benefits, 401K
Holiday pay
Overtime eligible
Casual dress code
Free Snacks
Free Shuttle service
$35k-51k yearly est. 2d ago
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Customer Service Representative
The Judge Group 4.7
Patient access representative job in Pittsburgh, PA
About the Company
Job Title : Customer Service Representative
Worksite : Onsite
Duration : 3+ Months
About the Role
Job Description:
Qualifications:
Exceptional communication and organizational skills.
Strong attention to detail, especially in recordkeeping and compliance.
Previous experience in customer service, sales, or biotech preferred.
2+ years of service or relevant experience preferred.
Responsibilities:
Achieve daily, weekly, and monthly goals.
Comply with assigned schedules, assignments, and productivity metrics.
Promptly, efficiently, and accurately contact existing customer or lead database.
Assure the quality, integrity, and accuracy of client information.
Master product information for accurate dissemination to customers.
Comply with standard operating procedures and instructions within a quality management system.
Assist customers and medical professionals throughout the birthing process and delivery lifecycle of ViaCord's service.
Successfully resolve customer challenges.
Handle escalated customer issues as needed.
Build and maintain strong customer relationships.
Promote an open communication model and a positive teamwork environment.
Partner with Customer Service Management to assist with new-hire training, as needed.
Participate in continuous improvement projects within the department.
Participate in cross-functional improvement initiatives.
Required Skills:
Exceptional communication and organizational skills.
$28k-35k yearly est. 17h ago
Medical Billing Specialist - 228152
Medix™ 4.5
Patient access representative job in Monroeville, PA
Medix is hiring an experienced Medical Billing Specialist to support a specialty Ophthalmology practice in Monroeville, PA!
!
Schedule: Monday - Friday Day Shift - 40 Hours a week, 8 hours a day
Pay: $19-24/hour
Location: Monroeville, PA (Onsite)
Position Requirements:
Perform posting charges in electronic practice management system.
Post electronic payments, credit card and cash payments in patient accounts in PM system.
Resolve denials.
Review eligibility prior to visit and updating information for clinical use.
Obtain prior authorizations for branded drug falling rules of step therapy on various payer portals.
Work with specialty pharmacies to receive part b drugs for patients.
Submit request for foundation payments and subsequent posting of those payments.
Talk to insurance companies to resolve payer issues.
Answer patient invoice questions.
Conduct internal audits comparing encounter forms to be billed with medical record in Nextgen.
Position Requirements:
Practice Management software experience with posting charges and payments.
Experience submitting claims.
Must be detail oriented with strong attention to detail.
Excellent verbal and written communication skills.
Proficient typing skills.
Good understanding of computer software.
Previous experience in billing a must and preferably in a private medical practice.
Nextgen experience preferred but not required.
This is a rapidly growing organization with lots of growth opportunities. Apply today!
$19-24 hourly 1d ago
Patient Care Coordinator
Senior Medical Officer (Physician) In Atlanta, Georgia 4.5
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.
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
Educational/ Experience Requirements:
High school graduate or GED
License, Certification, Registration
N/A
Required Skills and Abilities:
2+ years of patient facing experience working for a healthcare practice or hospital
Current BLS card for healthcare providers or willing to obtain
EMR documentation experience preferred
High level of professionalism
Strong customer geriatric focus/service skills
Strong computer skills, including Word, Excel, and PowerPoint
Strong verbal, written, presentation, and interpersonal communication skills
Pay Range: $40k to $50k
Work Environment: Hybrid - 2 days in office, 3 days from home
Travel requirements: N/A
Sponsorship Statement
WellBe does not offer employment-based visa sponsorship for this position. Applicants must be legally authorized to work in the United States without the need for employer sponsorship now or in the future.
Pay Transparency Statement
Compensation for this position will be disclosed in accordance with applicable state and local pay transparency laws
Safety-Sensitive Statement
This position has been designated as safety-sensitive. As such, the employee must be able to perform job duties in a manner that ensures the safety of themselves, coworkers, patients, and the public. The role requires full cognitive and physical functioning at all times. Employees in safety-sensitive positions are subject to drug and alcohol testing, including substances that may impair judgment or motor function, in accordance with applicable federal and state laws and company policy. Due to the safety-sensitive nature of this role and in alignment with federal law and workplace safety standards, the use of marijuana-including medical or recreational use-is prohibited. WellBe Senior Medical will comply with applicable state laws regarding medical marijuana and reasonable accommodations, where such laws do not conflict with safety requirements or federal regulations.
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 of 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.
Background Check Statement
Employment is contingent upon successful completion of a background check, as permitted by law. As a healthcare organization, WellBe conducts monthly FACIS (Fraud and Abuse Control Information System) checks on all employees. Continued employment is contingent upon satisfactory results of these checks, in accordance with applicable laws and regulations.
Equal Employment Opportunity (EEO) Statement
WellBe is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected status.
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 accommodation 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, interview or employment process, please contact Human Resources at ***********************
At-Will Employment Statement
Employment with WellBe is at-will unless otherwise specified by contract. This does not constitute an employment contract.
Disclaimer
This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary.
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
$40k-50k yearly Auto-Apply 5d ago
Patient Access Specialist/Front Desk (PRN/Casual Day Shift)
Allegheny Health Network 4.9
Patient access representative job in Pittsburgh, PA
About Us
HIGHLIGHTS: PatientAccess Specialist/Front Office
SHIFT: Day Shift (7A-7P)
JOB TYPE: PRN/Casual
FACILITY TYPE: 18 bed Small-Format Hospital (8 ER, 10 Inpatient)
JOB PERKS: Night/Weekend shift differentials, 401K MATCH (100% vested on day one of eligibility), Paid Employee Referrals! FREE Parking!
LOCATION: Harmar: 2501 Freeport Rd., Pittsburgh, PA 15238
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 PatientAccess 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.
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$30k-34k yearly est. Auto-Apply 60d+ ago
Patient 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.
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
Educational/ Experience Requirements:
* High school graduate or GED
License, Certification, Registration
* N/A
Required Skills and Abilities:
* 2+ years of patient facing experience working for a healthcare practice or hospital
* Current BLS card for healthcare providers or willing to obtain
* EMR documentation experience preferred
* High level of professionalism
* Strong customer geriatric focus/service skills
* Strong computer skills, including Word, Excel, and PowerPoint
* Strong verbal, written, presentation, and interpersonal communication skills
Pay Range: $40k to $50k
Work Environment: Hybrid - 2 days in office, 3 days from home
Travel requirements: N/A
Sponsorship Statement
WellBe does not offer employment-based visa sponsorship for this position. Applicants must be legally authorized to work in the United States without the need for employer sponsorship now or in the future.
Pay Transparency Statement
Compensation for this position will be disclosed in accordance with applicable state and local pay transparency laws
Safety-Sensitive Statement This position has been designated as safety-sensitive. As such, the employee must be able to perform job duties in a manner that ensures the safety of themselves, coworkers, patients, and the public. The role requires full cognitive and physical functioning at all times. Employees in safety-sensitive positions are subject to drug and alcohol testing, including substances that may impair judgment or motor function, in accordance with applicable federal and state laws and company policy. Due to the safety-sensitive nature of this role and in alignment with federal law and workplace safety standards, the use of marijuana-including medical or recreational use-is prohibited. WellBe Senior Medical will comply with applicable state laws regarding medical marijuana and reasonable accommodations, where such laws do not conflict with safety requirements or federal regulations.
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 of 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.
Background Check Statement
Employment is contingent upon successful completion of a background check, as permitted by law. As a healthcare organization, WellBe conducts monthly FACIS (Fraud and Abuse Control Information System) checks on all employees. Continued employment is contingent upon satisfactory results of these checks, in accordance with applicable laws and regulations.
Equal Employment Opportunity (EEO) Statement
WellBe is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected status.
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 accommodation 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, interview or employment process, please contact Human Resources at ***********************
At-Will Employment Statement
Employment with WellBe is at-will unless otherwise specified by contract. This does not constitute an employment contract.
Disclaimer
This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary.
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
$40k-50k yearly Auto-Apply 4d ago
Patient 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. 26d ago
Patient (Member) Success Specialist - Orlando
Peopleone Health Medical Group Pa
Patient access representative job in Oakmont, PA
Job DescriptionDescription:
ABOUT PEOPLEONE HEALTH:
PeopleOne Health is one of the fastest-growing providers of value-based primary care and has earned the best-in-class member satisfaction scores. We deliver exceptional healthcare that reduces costs and significantly improves health outcomes by focusing on preventive care, behavior change, and keeping people healthier. The key to our successful culture is living our motto: care for yourself; care for each other; care for our members.
JOB SUMMARY:
As a Patient (Member) Success Specialist at PeopleOne Health, you are more than a point of contact-you are a trusted guide and advocate in our members' healthcare journeys. Inspired by hospitality excellence, this role is designed to create memorable, personalized experiences that foster trust, loyalty, and long-term engagement.
You will serve as the primary liaison for new and existing members, ensuring they feel valued, understood, and supported at every stage of their healthcare experience. From pre-enrollment to proactive outreach, your efforts will directly impact member satisfaction, retention and the overall success of our member relationships. This role is generally the first point of contact that our new members have with us, so the impression we leave matters!
At PeopleOne Health, we are committed to transforming healthcare into a personalized, member-centric experience. As a Patient (Member) Success Specialist, you will play a pivotal role in shaping a new standard of care that prioritizes trust, engagement, and improved health outcomes.
SUPERVISORY RESPONSIBILITIES:
This position provides supervision to others: No
ESSENTIAL JOB FUNCTIONS:
Personalized Onboarding & Enrollment: Welcome new members with warmth and clarity, guiding them through the enrollment process and introducing them to the full spectrum of their health care experience.
Proactive Outreach: Contact members by phone, text, and email to encourage engagement with available services.
Trust-Building Communication: Utilize empathetic listening and clear communication to establish strong, trusting relationships, ensuring members feel heard and valued.
Health Navigation Support: Assist members in understanding and accessing their exclusive member benefits, scheduling appointments, and connecting with appropriate care providers, ensuring a seamless healthcare journey.
Advocacy & Problem Resolution: Act as a dedicated advocate for members, swiftly addressing any issues or barriers they encounter, and collaborating with internal teams to implement effective solutions.
Feedback Integration: Collect and relay member feedback to inform continuous improvement initiatives, contributing to the evolution of services and processes that better meet member needs.
Motivational Guidance: Motivate and guide members to take advantage of all the programs and offerings in their membership to increase engagement across all PeopleOne Health solutions.
Community Building: Foster a sense of community among members by promoting engagement in clinical programs, educational resources, and our member portal community.
Event Engager: Participate in onsite client events to further educate eligible population and members, enroll new members and help schedule existing members.
Enrollment Processing: Assist the team with processing member enrollments accurately and efficiently.
Member Support: Provide exceptional customer service by responding to prospective member and enrolled member inquiries received via phone, email, and text. Resolve questions efficiently, offer accurate information, and ensure a positive experience with every interaction.
Requirements:
SKILLS & ABILITIES:
Fluency in English required; bilingual candidates with strong verbal and written skills in Spanish or Creole are preferred.
Exceptional communication skills, both verbal and written, with the ability to convey information clearly and empathetically.
Strong problem-solving abilities and a proactive approach to addressing member needs.
Ability to work collaboratively within a team and across departments to enhance the member experience.
EDUCATION & CERTIFICATIONS :
High school diploma or equivalent required.
Associate or Bachelor's degree in a healthcare related field preferred.
EXPERIENCE:
Proven experience in customer service, hospitality, or healthcare settings, with a strong emphasis on relationship-building and personalized care.
Familiarity with healthcare benefits, enrollment processes, and patient navigation is preferred.
eCW experience is a plus.
Zendesk experience is a plus.
PHYSICAL REQUIREMENTS:
(The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the position's essential functions.)
While performing the duties of this position, the employee is regularly required to talk or hear
The employee is occasionally required to stand; walk; sit; and reach with hands and arms
Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus
This is a remote position with occasional travel required to PeopleOne Health offices and onsite client events
Must occasionally lift and/or move up to 20 pounds
Must be able to stand for extended periods during events or onsite engagements as needed
$29k-37k yearly est. 2d ago
Insurance 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+ ago
Patient Access Representative
Hospital & Other Career
Patient access representative job in Beaver, PA
Department: Patient Registration
Work Hours: Full-Time. Various days; Monday through Sunday and rotating shifts; daylight, afternoon and night. Must be flexible to work weekends and holidays.
Must be willing to travel between campuses in Beaver, Chippewa and Calcutta, OH.
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.
$29k-37k yearly est. 30d ago
Inpatient Registration Coordinator
Gateway Rehabilitation Center 3.6
Patient access representative job in Aliquippa, PA
Gateway Rehab has a great opportunity for an Inpatient Registration Coordinator at our Center Township, PA location. In this role, you will provide clerical support to the inpatient team. This position requires consistent evening hours, with the occasional holiday and weekend coverage.
Responsibilities
Completes administrative requirements with individuals entering residential care.
Completes patient consents thoroughly and accurately.
Maintains the patient bed board and ensures accurate data entry for all patient level of care changes, including discharges/transfers.
Tracks and ensures compliance with PA WITS to report data to SCAs (Single County Authorities).
Collaborates with multiple departments (security, nursing, clinical evaluators, therapy, and respective management) to ensure patient-centered care.
Required Knowledge and Skills
Data entry skills.
Strong verbal communication skills.
Excellent oral and written communication skills preferred.
Strong computer skills preferred.
Ability to work on a team, as well as independently given the situation.
Requirements
High school diploma or GED
Preferred Requirements
Some college
Additional Requirements:
A valid driver's license and favorable driving record required.
Pass PA Criminal History Record Check.
Obtain PA Childline and FBI clearances.
Pass Drug Screen.
TB Test
Work Conditions
Office-based
Substance Use Disorder Center
Gateway Rehab proudly offers competitive wages and benefit packages, along with career advancement opportunities. Join us today!
GRC is an Equal Opportunity Employer committed to diversity, equity, inclusion, and belonging. We value diverse voices and lived experiences that strengthen our mission and impact.
$28k-33k yearly est. 4d ago
Patient Care Coordinator
Pantherx Specialty LLC 3.9
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+ ago
Patient Care Coordinator
Upstream Rehabilitation Inc.
Patient access representative job in Moon, PA
Drayer Physical Therapy, a brand partner of Upstream Rehabilitation, is looking for a Patient Care Coordinator to join our team in Moon Township, 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
Upstream Rehabilitation is an Equal Opportunity Employer that strives to provide an inclusive work environment where our differences are celebrated for the value they bring to our communities, our patients and our teammates. Upstream Rehabilitation does not discriminate on the basis of race, color, national origin, religion, gender (including pregnancy), sexual orientation, age, disability, veteran status, or other status protected under applicable law.
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 a full-time, onsite position located at 5 Penn Center Blvd, Pittsburgh, PA 15205, 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
Location/Hours
Full time position hourly, on-site role in Pittsburgh (Robinson)
Work hours: first 6-8 weeks of training 10am-6pm; then rotating shifts 8am-9pm OR fixed shifts of 12-8pm OR 1-9pm
Availability for rotating Saturday shifts 9am-5pm (once a month)
Scheduling flexibility, as your schedule may change over time according to business needs
Benefits
Medical, dental, and vision insurance plans that fit your needs
401(k) retirement plan
Daily snack stipend for onsite marketplace
Pre-tax transit benefits and free onsite parking
Free Shuttle service
#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 13d ago
Insurance 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
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$26k-31k yearly est. Auto-Apply 29d ago
Medical Clerk
Hacc, Central Pennsylvania's Community College 3.9
Patient access representative job in Aliquippa, 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
Position Details
We are seeking a detail-oriented and organized Medical Clerk to support the administrative operations of our healthcare facility. The Medical Clerk will be responsible for maintaining patient records, scheduling appointments, handling correspondence, and providing general clerical support to medical staff.
Earn $18.00 per hour with the selection of the Enhanced Pay option.
Position Details
We are seeking a detail-oriented and organized Medical Clerk to support the administrative operations of our healthcare facility. The Medical Clerk will be responsible for maintaining patient records, scheduling appointments, handling correspondence, and providing general clerical support to medical staff.
Key Responsibilities:
Greet patients and assist with check-in/check-out procedures
Maintain and update patient medical records and files
Schedule and confirm patient appointments
Answer phones and direct calls to appropriate personnel
Process insurance forms and billing information
Ensure confidentiality and compliance with HIPAA regulations
Perform general office duties such as data entry, filing, scanning, and faxing
Assist medical staff with administrative tasks as needed
Benefits
Merakey offers generous benefits that promote well-being, financial security, and work-life balance, including:
Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support.
Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions.
DailyPay -- access your pay when you need it!
On the Goga well-being platform, featuring self-care tools and resources.
Access Care.com for backup childcare, elder care, and household services.
Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP).
Tuition reimbursement and educational partnerships.
Employee discounts and savings programs on entertainment, travel, and lifestyle.
Access to Pryor Online Learning for free online personal development classes.
Learn more about our full benefits package - ****************************************
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!
$15.3-18 hourly 3d ago
Lead, Insurance Verification Specialist
Adapthealth LLC
Patient access representative job in Beaver, PA
Requirements
Minimum Job Qualifications:
High School Diploma required; Associated degree preferred.
Three (3) years' work related in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry required.
Two (2) HME claims experience is preferred.
Exact job experience is considered any of the above tasks in a Medicare certified HME, IV or HH environment that routinely bills insurance.
AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual's race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.
$26k-31k yearly est. 11d ago
Standardized Patient
Lake Erie College of Osteopathic Medicine 4.6
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. 7d ago
Patient 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.
Patient access representative job in Greensburg, PA
About Us
HIGHLIGHTS: PatientAccess Specialist/Front Office
SHIFT: Days
JOB TYPE: PRN/Casual
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 PatientAccess 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.
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$30k-34k yearly est. Auto-Apply 60d+ ago
Learn more about patient access representative jobs
How much does a patient access representative earn in Pittsburgh, PA?
The average patient access representative in Pittsburgh, PA earns between $25,000 and $41,000 annually. This compares to the national average patient access representative range of $27,000 to $41,000.
Average patient access representative salary in Pittsburgh, PA
$33,000
What are the biggest employers of Patient Access Representatives in Pittsburgh, PA?
The biggest employers of Patient Access Representatives in Pittsburgh, PA are: