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Patient Access Representative jobs at PeaceHealth - 41 jobs

  • Patient Access Representative - Admitting

    Peace Health 4.1company rating

    Patient access representative job at PeaceHealth

    PeaceHealth is seeking a Patient Access Representative - Admitting for a Per Diem/Relief, 0.000001 FTE, Variable position. The salary range for this job opening at PeaceHealth is $23.49 - $31.71. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc. Job Summary Assists in coordinating the activities between scheduling, insurance verification and pre-certification. Acts as a clinical liaison with physician practices interacting with pre-visit services. Essential Functions * Pre-registers/registers patients with accurate patient demographic, financial data. May register patients using varying methods depending upon location, which may include mobile cart. * Collects patient balances, co-payment, co-insurance, or other payment types. * Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival. * Responds to customer's inquiries. * Assists with departmental coverage as needed. * Manages daily appointment schedules which may include reminder calls and calling all referrals. * May transport patients utilizing escort or wheeled transport equipment. * Performs other duties as assigned. Qualifications Education * Preferred: High School Diploma or equivalent Experience * Required: Minimum of 1 year medical office or related customer service experience and * Preferred: Experience with Microsoft Office applications, including Word, Excel and Outlook Skills * Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding. (Preferred) * Knowledge of insurance process and regulations. (Preferred) * Must be able to manage conflict effectively and professionally. (Required) * Excellent time management skills, with an emphasis on meeting time sensitive deadlines. (Required) * Good customer service skills and good interpersonal skills. (Required) Department / Location Specific Notes PHMG and Outpatient Clinics: * Strong background in customer service may be considered in lieu of medical office or related experience. Southwest: * For PFS Admitting Department, some positions are designated as floating between locations. St. Joseph Medical Center, Peace Island Medical Center, United General Medical Center, Ketchikan Medical Center, Cottage Grove Medical Center and Peace Harbor Medical Center: * Management of ED incoming phone calls, and may be required to provide switchboard coverage. * Monitor OB Prosec/McKinley alarm system. * May be required to assist with Cardiac Rehab departmental charge entry. Working Conditions Lifting * Consistently operates computer and other office equipment. * Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. * Sedentary work. Environmental Conditions * Predominantly operates in an office environment. Mental/Visual * Ability to communicate and exchange accurate information. * The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. PeaceHealth is committed to the overall wellbeing of our caregivers. The benefits included in positions less than 0.5 FTE are 403b retirement plan for caregiver contributions; wellness benefits, discount program, and expanded EAP and mental health program. See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility. For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.
    $23.5-31.7 hourly 60d+ ago
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  • Patient Access Representative - Admitting

    Peace Health 4.1company rating

    Patient access representative job at PeaceHealth

    PeaceHealth is seeking a Patient Access Representative - Admitting for a Full Time, 1.00 FTE, Variable position. The salary range for this job opening at PeaceHealth is $22.61 - $33.94. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc. This position is represented by a collective bargaining agreement. There may be more than one opening on this posting. Job Summary Assists in coordinating the activities between scheduling, insurance verification and pre-certification. Acts as a clinical liaison with physician practices interacting with pre-visit services. Essential Functions * Pre-registers/registers patients with accurate patient demographic, financial data. May register patients using varying methods depending upon location, which may include mobile cart. * Collects patient balances, co-payment, co-insurance, or other payment types. * Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival. * Responds to customer's inquiries. * Assists with departmental coverage as needed. * Manages daily appointment schedules which may include reminder calls and calling all referrals. * May transport patients utilizing escort or wheeled transport equipment. * Performs other duties as assigned. Qualifications Education * High School Diploma Preferred: or equivalent Experience * Minimum of 1 year Required: Medical office or related customer service experience and * Preferred: Experience with Microsoft Office applications, including Word, Excel and Outlook Credentials Skills * Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding. (Preferred) * Knowledge of insurance process and regulations. (Preferred) * Must be able to manage conflict effectively and professionally. (Required) * Excellent time management skills, with an emphasis on meeting time sensitive deadlines. (Required) * Good customer service skills and good interpersonal skills. (Required) Department / Location Specific Notes PHMG and Outpatient Clinics: * Strong background in customer service may be considered in lieu of medical office or related experience. Southwest: * For PFS Admitting Department, some positions are designated as floating between locations. Working Conditions Lifting * Consistently operates computer and other office equipment. * Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. * Sedentary work. Environmental Conditions * Predominantly operates in an office environment. Mental/Visual * Ability to communicate and exchange accurate information. * The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program. See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility. For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state, or federal laws.
    $22.6-33.9 hourly 5d ago
  • Patient Access Representative - Admitting

    Peacehealth 4.1company rating

    Patient access representative job at PeaceHealth

    PeaceHealth is seeking a **Patient Access Representative - Admitting for a Per Diem/Relief, 0.000001 FTE, Variable position.** The salary range for this job opening at PeaceHealth is $23.49 - $31.71. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc. Spotlight on PeaceHealth Peace Island Medical Center | Friday Harbor, WA A Better Workplace Community (********************************************* **Job Summary** Assists in coordinating the activities between scheduling, insurance verification and pre-certification. Acts as a clinical liaison with physician practices interacting with pre-visit services. **Details of Position** + Pre-registers/registers patients with accurate patient demographic, financial data. May register patients using varying methods depending upon location, which may include mobile cart. + Collects patient balances, co-payment, co-insurance, or other payment types. + Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival. + Responds to customer's inquiries. + Assists with departmental coverage as needed. + Manages daily appointment schedules which may include reminder calls and calling all referrals. + May transport patients utilizing escort or wheeled transport equipment. + Performs other duties as assigned. **What You Bring** + Preferred: High School Diploma or equivalent + Required: Minimum of 1-year medical office or related customer service experience and + Preferred: Experience with Microsoft Office applications, including Word, Excel and Outlook **Skills** + Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding. (Preferred) + Knowledge of insurance process and regulations. (Preferred) + Must be able to manage conflict effectively and professionally. (Required) + Excellent time management skills, with an emphasis on meeting time sensitive deadlines. (Required) + Good customer service skills and good interpersonal skills. (Required) **Department / Location Specific Notes** **_Peace Island Medical Center:_** + Management of ED incoming phone calls, and may be required to provide switchboard coverage. + Monitor OB Prosec/McKinley alarm system. + May be required to assist with Cardiac Rehab departmental charge entry. **Working Conditions** + Consistently operates computer and other office equipment. + Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. + Sedentary work. + Predominantly operates in an office environment. + Ability to communicate and exchange accurate information. + The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. PeaceHealth is committed to the overall wellbeing of our caregivers. The benefits included in positions less than 0.5 FTE are 403b retirement plan for caregiver contributions; wellness benefits, discount program, and expanded EAP and mental health program. See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility (********************************************************************************************************************************** . For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws. REQNUMBER: 117650
    $23.5-31.7 hourly 60d+ ago
  • Customer Service Representative

    Brigham and Women's Hospital 4.6company rating

    Boston, MA jobs

    Site: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Start Date: Monday, February 23, 2026 MGB Health Plan is expanding and hiring multiple Customer Service Reps for February 2026 Benefits start Day 1 Job Summary The Opportunity The Customer Service Professional (CSP) acts as the primary point of contact for our members, providers and other key stakeholders focusing on exceptional customer satisfaction and first call resolution. The CSP's interact with customers to provide information and troubleshoot complex issues in response to inquiries about coverage, benefits, services, and to handle and resolve complaints. The Customer Service Rep in this role must be committed to building customer confidence and increasing customer satisfaction by delivering to callers an exceptional experience focused on quality and accuracy. The CSP's will be initially trained on member demographic changes and benefit inquires. Additional member claims training will be delivered ±60 days after CSP has completed benefits and eligibility training After successfully demonstrating core competencies by meeting or exceeding key performance measurements, the individual will be trained to handle Provider claims inquiries as business needs dictate. Qualifications The CSP is Responsible For * Serves as the primary liaison for members and providers for all lines of business including MassHealth, and Commercial members regarding general program inquires such as eligibility verifications, authorizations, referrals, claims, material fulfillment, address changes and Primary Care Physician assignments as well as member related policy and procedures. * The CSP must be able to handle and demonstrate skills in handling benefits, claims and eligibility calls for the member and provider population. * Identify customer issues/concerns rapidly and precisely * Research required information using available resources and triage when necessary * Handles and resolve customer inquiries and complaints, exhausting all efforts within the CSP's scope before requesting assistance * Identify and escalate priority issues in order to create efficiencies * Initiates follow up customer calls where necessary * Complete call logs to record customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken * Refer customer grievances and appeals to designated departments for further investigation * Responsible for navigating multiple systems in order to resolve customer issues * Acts as the primary representative for Mass General Brigham Health Plan for our customers focusing on first call resolution and customer engagement. * - Anticipates and meets, or exceeds, internal and/or external customer expectations and requirements; establishes and maintains effective relationships with customers and gains their trust and respect. Qualifications and Skills for Success * High School Diploma or Equivalent required * Associate's Degree in related field or Healthcare Management preferred * Exceptional Customer Service skills, both verbal and written communication must be concise, clear, compliant, personable and professional * Ability to multi task and prioritize * Call Center experience a plus * Maintain Customer Service Behavior Competencies * Flexibility/Adaptability/Willingness/Team Player/ Positive Attitude * Relationship Building/Caring * Service Excellence/Accountability/Critical Thinking Additional Job Details (if applicable) Working Model Required Monday - Friday EST hours: * First one full Month Training Schedule: M-F 8:30 AM - 5:00 PM EST * Post Training Schedule: 9:00 AM - 5:30 PM (Mon, Tue, Wed, and Fri) with 11:30 AM - 8:00 PM (Thurs) (EST) or 9:30 AM - 6:00 PM (Monday-Friday) EST This is a remote position; a quiet, secure, stable, and compliant work station is required from within the US, with MGB provided equipment and Video required during the work week Start Date required: Monday, February 23, 2026 Remote Type Remote Work Location 399 Revolution Drive Pay Range $19.42 - $27.74/Hourly Grade 3 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 8925 Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $19.4-27.7 hourly Auto-Apply 21d ago
  • Home Base Patient Services Coordinator II (PSC II)

    Brigham and Women's Hospital 4.6company rating

    Boston, MA jobs

    Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Home Base, a Red Sox Foundation and Massachusetts General Hospital program, is dedicated to healing the invisible wounds - including post-traumatic stress, traumatic brain injury, anxiety, depression, co-occurring substance use disorder, family relationship challenges and other issues associated with Military service - for Veterans of all eras, Service Members, Military Families and Families of the Fallen through world-class clinical care, wellness, education, and research. The Home Base Patient Service Coordinator (PSC) serves as a key member of the team that provides superior care and exceptional service to its patients. One critical dimension of this service focuses on patient check-in process and improving the human experience upon our patients' arrival to our practice and throughout the duration of their visit. The Home Base PSC will play an important role in redefining and reinvigorating the patient welcome and check-in experience. The PSC will be the crucial "face and attitude" of this patient-centered practice. While also providing medical scheduling services, the PSC will have the unique opportunity to work within a supportive team setting enabled by systems and technologies that will allow the employee to provide patient care and services at their highest levels. In addition, the PSC will be responsible to assist in special projects when skillset and capacity allow, as deemed appropriate by the Practice Manager. Job Summary Summary Performs both administrative and clinical functions to support smooth and efficient clinical service or practice operations under general supervision. Performs basic clerical work and tasks that are repetitive and routine. Administrative duties related to patient visits including scheduling, check-in, check-out duties. Actual job duties may vary by Department. Does this position require Patient Care? No Essential Functions * Perform routine administrative and clerical duties relating to a clinical service or physician practice office. * Make patient appointments and maintain appointment records. * Greet and assist patients. * Answer telephones, assist callers with routine inquiries, and schedule appointments. * File materials in patient folders and print appointment schedules. * Process patient billing forms and scan documents to patient medical record/LMR. * Call for patient medical records and laboratory test results. * Open and distribute unit mail or faxes. * Type forms, records, schedules, memos, etc., as directed. * Handles, screens and/or takes messages related to prior authorizations, provider questions, prescription refills, and test results. * Acts as "Super User" for scheduling, registration and billing systems. * Provides assistance and training to others in these areas. * May perform more complex or specialized functions (i.e. schedule changes/blocking) at more advanced competency level. Qualifications Education High School Diploma or Equivalent required Can this role accept experience in lieu of a degree? No Licenses and Credentials Certified Medical Administrative Assistant [CMAA] - Data Conversion - Various Issuers preferred Experience office experience 2-3 years required Knowledge, Skills and Abilities * Proficiency with all Office Suite, * Knowledge of office operations and standards and understanding of office procedures including filing, copying, scanning, printing and faxing. * Ability to use phone system and manage more non-routine phone calls and solve routine issues as appropriate. * Communicating effectively in writing as appropriate for the needs of the audience and talking to others to convey information effectively. * Understanding written sentences and paragraphs in work related documents, to correspond and communicate with others clearly and effectively (including composing/editing e-mail, memos and letters), and to take complete and accurate messages. * Managing one's own time and the time of others. * Well organized and good time management skills to manage multiple tasks effectively, follow established protocols, and work within systems. Additional Job Details (if applicable) Physical RequirementsStanding Occasionally (3-33%) Walking Occasionally (3-33%) Sitting Constantly (67-100%) Lifting Occasionally (3-33%) 20lbs - 35lbs Carrying Occasionally (3-33%) 20lbs - 35lbs Pushing Rarely (Less than 2%) Pulling Rarely (Less than 2%) Climbing Rarely (Less than 2%) Balancing Occasionally (3-33%) Stooping Occasionally (3-33%) Kneeling Rarely (Less than 2%) Crouching Rarely (Less than 2%) Crawling Rarely (Less than 2%) Reaching Occasionally (3-33%) Gross Manipulation (Handling) Constantly (67-100%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Hybrid Work Location One Constitution Wharf Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $17.36 - $24.45/Hourly Grade 3 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $17.4-24.5 hourly Auto-Apply 30d ago
  • Precertification and Authorization Rep-Supplemental/PRN-Remote

    Mayo Clinic Health System 4.8company rating

    Rochester, MN jobs

    Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Responsibilities The Precertification and Authorization Representative is an intermediate level position that is responsible for resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all commercial, government and other payors across hospital (inpatient & outpatient), ED, and clinic/ambulatory environments. In addition, this position may be responsible for pre-appointment insurance review (PAIR) and denials recovery functions within the Patient Access department. This may include processing of pre-certification and prior authorization for workers compensation/third party liability (WC/TPL), managed care and HMO accounts, as well as working assigned registration denials for government and non-government accounts. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit's performance expectations. Qualifications High School Diploma or GED and 2+ years of relevant experience required OR Bachelor's degree required Additional Requirements include: Prior Auth / Authorization, Cancer Services, Microsoft Office, Radiation Oncology, Insurance Verification, Appeals, and Pre Determination experience preferred. Ability to read and communicate effectively Basic computer/keyboarding skills, intermediate mathematic competency Good written and verbal communication skills Knowledge of proper phone etiquette and phone handling skills Position requires general knowledge of healthcare terminology and CPT-ICD10 codes. Basic knowledge of and experience in insurance verification and claim adjudication is preferred. Requires excellent verbal communication skills, and the ability to work in a complex environment with varying points of view. Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail. Knowledge of Denial codes is preferred. Knowledge of and experience using an Epic RC/EMR system is preferred. Healthcare Financial Management Association (HFMA) Certification Preferred. * This position is a 100% remote work. Individual may live anywhere in the US. This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position. Exemption Status Nonexempt Compensation Detail $21.48 -$33.60/ hour Benefits Eligible No Schedule Part Time Hours/Pay Period Supplemental/PRN Schedule Details Monday through Friday, 16 hours guaranteed, but up to 40 based off the needs of the team. Hours are 7:30 AM Central to 5:00 PM Central. Weekend Schedule N / A International Assignment No Site Description Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. Equal Opportunity All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the 'EOE is the Law'. Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. Recruiter Ronnie Bartz
    $21.5-33.6 hourly 3d ago
  • PFS Representative CBO Billing Follow-up Denials Mgt

    Banner Health 4.4company rating

    Remote

    Department Name: Amb Billing & Follow Up Work Shift: Day Job Category: Revenue Cycle Estimated Pay Range: $18.02 - $27.03 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work Certificationâ„¢. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care. Our PFS Representatives are a crucial part of revenue cycle involving reducing AR and improving patient experience firsthand, post-care. As a member of the PFS Rep CBO, Billing Follow-up Denials Mgt team, you will work with the Insurance companies on behalf of the patient to assist with obtaining payments for our Acute teams and/or Ambulatory teams. In this role, you'll bring your experience with EOBs and medical claims experience to research and hold payers accountable to pay the expected rates according to the contracts in place with Banner Health, within the allowed timeframes. Experience with different payers is a plus, along with knowledge for various denials, such as no authorization, eligibility denials, etc. Schedule: Full time, Monday-Friday, 8hr shifts, typically 8am-5pm (depending on team) Location: REMOTE, Banner provides equipment Ideal candidate: 1 year patient financial services (Central Billing) or medical claims experience (clearly reflected in attached resume); Experience with submitting appeals and understanding of EOB; General knowledge of codes used for claim processing. This can be a remote position if you live in the following state(s) only: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV, WY Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a team to ensure reimbursement for services in a timely and accurate manner. CORE FUNCTIONS 1. May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. Coordinates with other staff members and physician office staff as necessary ensure correct processing. 2. As assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company's collection/self-pay policies to ensure maximum reimbursement. 3. May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appeals and corrections as necessary. 4. Builds strong working relationships with assigned business units, hospital departments or provider offices. Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. Provides assistance and excellent customer service to these internal clients. 5. Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues. Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers. 6. Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances. 7. Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately. 8. Works independently under general supervision, following defined standards and procedures. Reports to a Supervisor or Manger. Uses critical thinking skills to solve problems and reconcile accounts in a timely manner. External customers include all hospital patients, patient families and all third party payers. Internal customers include facility medical records and patient financial services staff, attorneys, and central services staff members. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge. Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences. Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required. PREFERRED QUALIFICATIONS Work experience with the Company's systems and processes is preferred. Previous cash collections experience is preferred. Additional related education and/or experience preferred. Anticipated Closing Window (actual close date may be sooner): 2026-05-07 EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy
    $18-27 hourly Auto-Apply 6d ago
  • PFS Rep CBO Billing Follow-up Denials Mgt

    Banner Health 4.4company rating

    Remote

    Department Name: Rev Cycle Ambulatory Imaging Work Shift: Day Job Category: Revenue Cycle Estimated Pay Range: $18.02 - $27.03 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work Certificationâ„¢. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care. Our PFS Representatives are a crucial part of revenue cycle involving reducing AR and improving patient experience firsthand, post-care. As a member of the PFS Rep CBO, Billing Follow-up Denials Mgt team, you will work with the Insurance companies on behalf of the patient to assist with obtaining payments for our Banner Imaging teams. In this role, you'll bring your experience with EOBs and medical claims experience to research and hold payers accountable to pay the expected rates according to the contracts in place with Banner Health, within the allowed timeframes. Experience with different payers is a plus, along with knowledge for various denials, such as no authorization, eligibility denials, etc. In this role you will expand your knowledge in appeals, follow up on denials, sending medical records, eligibility, follow up no response on accounts, verifying Authorization, and negotiating with insurance and payers. Schedule: Full time, Monday-Friday. Training is 8am-5pm AZ time. Flexible scheduling after training is complete. Location: REMOTE, Banner provides equipment Ideal candidate: 1 year patient financial services (Central Billing) or medical claims experience (clearly reflected in attached resume); Experience with submitting appeals and understanding of EOB; General knowledge of codes used for claim processing. This can be a remote position if you live in the following state(s) only: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV, WY. Please note, training will be 8am-5pm AZ time, and after training scheduling will be between 6am-6pm AZ time. Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a team to ensure reimbursement for services in a timely and accurate manner. CORE FUNCTIONS 1. May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. Coordinates with other staff members and physician office staff as necessary ensure correct processing. 2. As assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company's collection/self-pay policies to ensure maximum reimbursement. 3. May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appeals and corrections as necessary. 4. Builds strong working relationships with assigned business units, hospital departments or provider offices. Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. Provides assistance and excellent customer service to these internal clients. 5. Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues. Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers. 6. Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances. 7. Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately. 8. Works independently under general supervision, following defined standards and procedures. Reports to a Supervisor or Manger. Uses critical thinking skills to solve problems and reconcile accounts in a timely manner. External customers include all hospital patients, patient families and all third party payers. Internal customers include facility medical records and patient financial services staff, attorneys, and central services staff members. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge. Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences. Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required. PREFERRED QUALIFICATIONS Work experience with the Company's systems and processes is preferred. Previous cash collections experience is preferred. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy
    $18-27 hourly Auto-Apply 5d ago
  • Precertification and Authorization Rep-Supplemental/PRN-Remote

    Mayo Clinic 4.8company rating

    Rochester, MN jobs

    This role reports up through the Revenue Cycle Patient Access team. The Precertification and Authorization Call Center Representative I reports to the Patient Access Supervisor. The position requires interaction and collaboration with insurance company representatives, patients, and physicians, as well as other departments that call into the Prior Auth department. The Precertification and Authorization Call Center Representative I is an intermediate level position that is responsible for resolving referral, precertification, and/or prior authorization concerns, to support calls coming into the Prior authorization department. This role is to answer questions when call is received and route to the correct area if further assistance is needed. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit's performance expectations. Qualifications High School Diploma or GED and 2+ years of relevant experience required OR Bachelor's degree required Additional Requirements include: Ability to read and communicate effectively Basic computer/keyboarding skills, intermediate mathematic competency Good written and verbal communication skills Knowledge of proper phone etiquette and phone handling skills Position requires general knowledge of healthcare terminology and CPT-ICD10 codes. Basic knowledge of and experience in insurance verification and claim adjudication is preferred. Requires excellent verbal communication skills, and the ability to work in a complex environment with varying points of view. Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail. Knowledge of Denial codes is preferred. Knowledge of and experience using an Epic RC/EMR system is preferred. Healthcare Financial Management Association (HFMA) Certification Preferred. *This position is a 100% remote work. Individual may live anywhere in the US. **This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position. During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.
    $44k-52k yearly est. Auto-Apply 5d ago
  • Precertification and Authorization Rep-Supplemental/PRN-Remote

    Mayo Clinic 4.8company rating

    Rochester, MN jobs

    The Precertification and Authorization Representative is an intermediate level position that is responsible for resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all commercial, government and other payors across hospital (inpatient & outpatient), ED, and clinic/ambulatory environments. In addition, this position may be responsible for pre-appointment insurance review (PAIR) and denials recovery functions within the Patient Access department. This may include processing of pre-certification and prior authorization for workers compensation/third party liability (WC/TPL), managed care and HMO accounts, as well as working assigned registration denials for government and non-government accounts. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit's performance expectations. Qualifications High School Diploma or GED and 2+ years of relevant experience required OR Bachelor's degree required Additional Requirements include: Prior Auth / Authorization, Cancer Services, Microsoft Office, Radiation Oncology, Insurance Verification, Appeals, and Pre Determination experience preferred. Ability to read and communicate effectively Basic computer/keyboarding skills, intermediate mathematic competency Good written and verbal communication skills Knowledge of proper phone etiquette and phone handling skills Position requires general knowledge of healthcare terminology and CPT-ICD10 codes. Basic knowledge of and experience in insurance verification and claim adjudication is preferred. Requires excellent verbal communication skills, and the ability to work in a complex environment with varying points of view. Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail. Knowledge of Denial codes is preferred. Knowledge of and experience using an Epic RC/EMR system is preferred. Healthcare Financial Management Association (HFMA) Certification Preferred. *This position is a 100% remote work. Individual may live anywhere in the US. **This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
    $44k-52k yearly est. Auto-Apply 5d ago
  • Patient Access Representative - Oncology

    Peace Health 4.1company rating

    Patient access representative job at PeaceHealth

    PeaceHealth is seeking a Patient Access Representative - Oncology for a Per Diem/Relief, Day position. The salary range for this job opening at PeaceHealth is $22.61 - $33.94. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc. Job Summary Assists in coordinating the activities between scheduling, insurance verification and pre-certification. Acts as a clinical liaison with physician practices interacting with pre-visit services. Details of the Position: * Pre-registers/registers patients with accurate patient demographic, financial data. May register patients using varying methods depending upon location, which may include mobile cart. * Collects patient balances, co-payment, co-insurance, or other payment types. * Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival. * Responds to customer's inquiries. * Assists with departmental coverage as needed. * Manages daily appointment schedules which may include reminder calls and calling all referrals. * May transport patients utilizing escort or wheeled transport equipment. * Performs other duties as assigned. What you bring: * High School Diploma preferred or equivalent. * Minimum of 1 year Required: Medical office or related customer service experience. * Preferred: Experience with Microsoft Office applications, including Word, Excel and Outlook. Skills * Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding. (Preferred) * Knowledge of insurance process and regulations. (Preferred) * Must be able to manage conflict effectively and professionally. (Required) * Excellent time management skills, with an emphasis on meeting time sensitive deadlines. (Required) * Good customer service skills and good interpersonal skills. (Required) Department / Location Specific Notes Care Delivery and Outpatient Clinics: * Strong background in customer service may be considered in lieu of medical office or related experience. Working Conditions * Consistently operates computer and other office equipment. * Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. * Sedentary work. * Predominantly operates in an office environment. * Ability to communicate and exchange accurate information. * The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. For additional information or questions, please email Jen Worthington at **************************** or call ************. PeaceHealth is committed to the overall wellbeing of our caregivers. The benefits included in positions less than 0.5 FTE are 403b retirement plan for caregiver contributions; wellness benefits, discount program, and expanded EAP and mental health program. See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility. For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state, or federal laws. This position is represented by a collective bargaining agreement. There may be more than one opening on this posting.
    $22.6-33.9 hourly Easy Apply 60d+ ago
  • Patient Access Representative - Admitting

    Peacehealth 4.1company rating

    Patient access representative job at PeaceHealth

    PeaceHealth is seeking a **Patient Access Representative - Admitting for a Per Diem/Relief, Variable position.** The salary range for this job opening at PeaceHealth is $21.37 - $32.04. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc. Spotlight on PeaceHealth St. Joseph Medical Center | Bellingham, WA A Better Workplace Community (********************************************* **Job Summary** Assists in coordinating the activities between scheduling, insurance verification and pre-certification. Acts as a clinical liaison with physician practices interacting with pre-visit services. **Details of the Position:** + Pre-registers/registers patients with accurate patient demographic, financial data. May register patients using varying methods depending upon location, which may include mobile cart. + Collects patient balances, co-payment, co-insurance, or other payment types. + Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival. + Responds to customer's inquiries. + Assists with departmental coverage as needed. + Manages daily appointment schedules which may include reminder calls and calling all referrals. + May transport patients utilizing escort or wheeled transport equipment. + Performs other duties as assigned. **What you bring:** + High School Diploma Preferred: or equivalent. + Minimum of 1 year Required: Medical office or related customer service experience. + Preferred: Experience with Microsoft Office applications, including Word, Excel and Outlook **Skills** + Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding. (Preferred) + Knowledge of insurance process and regulations. (Preferred) + Must be able to manage conflict effectively and professionally. (Required) + Excellent time management skills, with an emphasis on meeting time sensitive deadlines. (Required) + Good customer service skills and good interpersonal skills. (Required) **Working Conditions** + Consistently operates computer and other office equipment. + Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. + Sedentary work. + Predominantly operates in an office environment. + Ability to communicate and exchange accurate information. + The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. For additional information or questions, please email Jen Worthington at **************************** or call ************. PeaceHealth is committed to the overall wellbeing of our caregivers. The benefits included in positions less than 0.5 FTE are 403b retirement plan for caregiver contributions; wellness benefits, discount program, and expanded EAP and mental health program. See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility (********************************************************************************************************************************** . For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state, or federal laws. This position is represented by a collective bargaining agreement. There may be more than one opening on this posting. REQNUMBER: 112572
    $21.4-32 hourly Easy Apply 60d+ ago
  • Patient Access Representative - Endoscopy Outpatient Lab

    Peace Health 4.1company rating

    Patient access representative job at PeaceHealth

    PeaceHealth is seeking a Patient Access Representative - Endoscopy Outpatient Lab for a Part Time, 0.80 FTE, Day position. The salary range for this job opening at PeaceHealth is $22.59 - $30.49. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc. Job Summary Assists in coordinating the activities between scheduling, insurance verification and pre-certification. Acts as a clinical liaison with physician practices interacting with pre-visit services. Details of the Position: * Pre-registers/registers patients with accurate patient demographic, financial data. May register patients using varying methods depending upon location, which may include mobile cart. * Collects patient balances, co-payment, co-insurance, or other payment types. * Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival. * Responds to customer's inquiries. * Assists with departmental coverage as needed. * Manages daily appointment schedules which may include reminder calls and calling all referrals. * May transport patients utilizing escort or wheeled transport equipment. * Performs other duties as assigned. What you bring: * High School Diploma Preferred: or equivalent * Minimum of 1 year Required: Medical office or related customer service experience * Preferred: Experience with Microsoft Office applications, including Word, Excel and Outlook Skills * Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding. (Preferred) * Knowledge of insurance process and regulations. (Preferred) * Must be able to manage conflict effectively and professionally. (Required) * Excellent time management skills, with an emphasis on meeting time sensitive deadlines. (Required) * Good customer service skills and good interpersonal skills. (Required) Department / Location Specific Notes Care Delivery and Outpatient Clinics: * Strong background in customer service may be considered in lieu of medical office or related experience. Working Conditions * Consistently operates computer and other office equipment. * Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. * Sedentary work. * Predominantly operates in an office environment. * Ability to communicate and exchange accurate information. * The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. For additional information or questions, please email Jen Worthington at **************************** or call ************. PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program. See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility. For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.
    $22.6-30.5 hourly Easy Apply 32d ago
  • Patient Access Representative - Clinical Non Union Float Pool

    Peace Health 4.1company rating

    Patient access representative job at PeaceHealth

    PeaceHealth is seeking a Patient Access Representative - Clinical Non Union Float Pool for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $22.59 - $30.49. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc. Job Summary Assists in coordinating the activities between scheduling, insurance verification and pre-certification. Acts as a clinical liaison with physician practices interacting with pre-visit services. Details of the Position: * Pre-registers/registers patients with accurate patient demographic, financial data. May register patients using varying methods depending upon location, which may include mobile cart. * Collects patient balances, co-payment, co-insurance, or other payment types. * Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival. * Responds to customer's inquiries. * Assists with departmental coverage as needed. * Manages daily appointment schedules which may include reminder calls and calling all referrals. * May transport patients utilizing escort or wheeled transport equipment. * Performs other duties as assigned. What you bring: * High School Diploma preferred or equivalent. * Minimum of 1 year Required: Medical office or related customer service experience. * Preferred: Experience with Microsoft Office applications, including Word, Excel and Outlook. Skills * Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding. (Preferred) * Knowledge of insurance process and regulations. (Preferred) * Must be able to manage conflict effectively and professionally. (Required) * Excellent time management skills, with an emphasis on meeting time sensitive deadlines. (Required) * Good customer service skills and good interpersonal skills. (Required) Working Conditions * Consistently operates computer and other office equipment. * Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. * Sedentary work. * Predominantly operates in an office environment. * Ability to communicate and exchange accurate information. * The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. For additional information or questions, please email Jen Worthington at **************************** or call ************. PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program. See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility. For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.
    $22.6-30.5 hourly Easy Apply 60d+ ago
  • Patient Access Representative - Priority Care

    Peace Health 4.1company rating

    Patient access representative job at PeaceHealth

    PeaceHealth is seeking a Patient Access Representative - Priority Care for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $22.59 - $30.49. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc. Job Summary Assists in coordinating the activities between scheduling, insurance verification and pre-certification. Acts as a clinical liaison with physician practices interacting with pre-visit services. Details of the Position: * Pre-registers/registers patients with accurate patient demographic, financial data. May register patients using varying methods depending upon location, which may include mobile cart. * Collects patient balances, co-payment, co-insurance, or other payment types. * Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival. * Responds to customer's inquiries. * Assists with departmental coverage as needed. * Manages daily appointment schedules which may include reminder calls and calling all referrals. * May transport patients utilizing escort or wheeled transport equipment. * Performs other duties as assigned. What you bring: * High School Diploma Preferred: or equivalent * Minimum of 1 year Required: Medical office or related customer service experience and * Preferred: Experience with Microsoft Office applications, including Word, Excel and Outlook Skills * Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding. (Preferred) * Knowledge of insurance process and regulations. (Preferred) * Must be able to manage conflict effectively and professionally. (Required) * Excellent time management skills, with an emphasis on meeting time sensitive deadlines. (Required) * Good customer service skills and good interpersonal skills. (Required) Department / Location Specific Notes Care Delivery and Outpatient Clinics: * Strong background in customer service may be considered in lieu of medical office or related experience. Working Conditions * Consistently operates computer and other office equipment. * Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. * Sedentary work. * Predominantly operates in an office environment. * Ability to communicate and exchange accurate information. * The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. For additional information or questions, please email Jen Worthington at **************************** or call ************. PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program. See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility. For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.
    $22.6-30.5 hourly Easy Apply 34d ago
  • Patient Access Representative - Clinical Non Union Float Pool

    Peacehealth 4.1company rating

    Patient access representative job at PeaceHealth

    PeaceHealth is seeking a **Patient Access Representative - Clinical Non Union Float Pool for a Full Time, 1.00 FTE, Day position.** The salary range for this job opening at PeaceHealth is $22.59 - $30.49. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc. **Job Summary** Assists in coordinating the activities between scheduling, insurance verification and pre-certification. Acts as a clinical liaison with physician practices interacting with pre-visit services. **Details of the Position:** + Pre-registers/registers patients with accurate patient demographic, financial data. May register patients using varying methods depending upon location, which may include mobile cart. + Collects patient balances, co-payment, co-insurance, or other payment types. + Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival. + Responds to customer's inquiries. + Assists with departmental coverage as needed. + Manages daily appointment schedules which may include reminder calls and calling all referrals. + May transport patients utilizing escort or wheeled transport equipment. + Performs other duties as assigned. **What you bring:** + High School Diploma preferred or equivalent. + Minimum of 1 year Required: Medical office or related customer service experience. + Preferred: Experience with Microsoft Office applications, including Word, Excel and Outlook. **Skills** + Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding. (Preferred) + Knowledge of insurance process and regulations. (Preferred) + Must be able to manage conflict effectively and professionally. **(Required)** + Excellent time management skills, with an emphasis on meeting time sensitive deadlines. **(Required)** + Good customer service skills and good interpersonal skills. **(Required)** **Working Conditions** + Consistently operates computer and other office equipment. + Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. + Sedentary work. + Predominantly operates in an office environment. + Ability to communicate and exchange accurate information. + The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. For additional information or questions, please email Jen Worthington at **************************** or call ************. PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program. See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility (********************************************************************************************************************************** . For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws. REQNUMBER: 120060
    $22.6-30.5 hourly Easy Apply 60d+ ago
  • Patient Access Representative - Priority Care

    Peacehealth 4.1company rating

    Patient access representative job at PeaceHealth

    PeaceHealth is seeking a **Patient Access Representative - Priority Care for a Full Time, 1.00 FTE, Day position.** The salary range for this job opening at PeaceHealth is $22.59 - $30.49. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc. **Job Summary** Assists in coordinating the activities between scheduling, insurance verification and pre-certification. Acts as a clinical liaison with physician practices interacting with pre-visit services. **Details of the Position:** + Pre-registers/registers patients with accurate patient demographic, financial data. May register patients using varying methods depending upon location, which may include mobile cart. + Collects patient balances, co-payment, co-insurance, or other payment types. + Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival. + Responds to customer's inquiries. + Assists with departmental coverage as needed. + Manages daily appointment schedules which may include reminder calls and calling all referrals. + May transport patients utilizing escort or wheeled transport equipment. + Performs other duties as assigned. **What you bring:** + High School Diploma Preferred: or equivalent + **Minimum of 1 year Required** : Medical office or related customer service experience and + Preferred: Experience with Microsoft Office applications, including Word, Excel and Outlook **Skills** + Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding. (Preferred) + Knowledge of insurance process and regulations. (Preferred) + Must be able to manage conflict effectively and professionally. **(Required)** + Excellent time management skills, with an emphasis on meeting time sensitive deadlines. **(Required)** + Good customer service skills and good interpersonal skills. **(Required)** **Department / Location Specific Notes** Care Delivery and Outpatient Clinics: + Strong background in customer service may be considered in lieu of medical office or related experience. **Working Conditions** + Consistently operates computer and other office equipment. + Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. + Sedentary work. + Predominantly operates in an office environment. + Ability to communicate and exchange accurate information. + The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. For additional information or questions, please email Jen Worthington at **************************** or call ************. PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program. See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility (********************************************************************************************************************************** . For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws. REQNUMBER: 122463
    $22.6-30.5 hourly Easy Apply 34d ago
  • Patient Access Representative - Walk In Clinic

    Peace Health 4.1company rating

    Patient access representative job at PeaceHealth

    PeaceHealth is seeking a Patient Access Representative - Walk In Clinic for a Per Diem/Relief, Day position. The salary range for this job opening at PeaceHealth is $22.59 - $30.49. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc. Job Summary Assists in coordinating the activities between scheduling, insurance verification and pre-certification. Acts as a clinical liaison with physician practices interacting with pre-visit services. Details of the Position: * Pre-registers/registers patients with accurate patient demographic, financial data. May register patients using varying methods depending upon location, which may include mobile cart. * Collects patient balances, co-payment, co-insurance, or other payment types. * Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival. * Responds to customer's inquiries. * Assists with departmental coverage as needed. * Manages daily appointment schedules which may include reminder calls and calling all referrals. * May transport patients utilizing escort or wheeled transport equipment. * Performs other duties as assigned. What you bring: * High School Diploma preferred or equivalent. * Minimum of 1 year Required: Medical office or related customer service experience. * Preferred: Experience with Microsoft Office applications, including Word, Excel and Outlook. Skills * Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding. (Preferred) * Knowledge of insurance process and regulations. (Preferred) * Must be able to manage conflict effectively and professionally. (Required) * Excellent time management skills, with an emphasis on meeting time sensitive deadlines. (Required) * Good customer service skills and good interpersonal skills. (Required) Department / Location Specific Notes Care Delivery and Outpatient Clinics: * Strong background in customer service may be considered in lieu of medical office or related experience. United General Medical Center: * Management of ED incoming phone calls and may be required to provide switchboard coverage. * Monitor OB Prosec/McKinley alarm system. * May be required to assist with Cardiac Rehab departmental charge entry. Working Conditions * Consistently operates computer and other office equipment. * Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. * Sedentary work. * Predominantly operates in an office environment. * Ability to communicate and exchange accurate information. * The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. PeaceHealth is committed to the overall wellbeing of our caregivers. The benefits included in positions less than 0.5 FTE are 403b retirement plan for caregiver contributions; wellness benefits, discount program, and expanded EAP and mental health program. For additional information or questions, please email Jen Worthington at **************************** or call ************. See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility. For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.
    $22.6-30.5 hourly Easy Apply 60d+ ago
  • Patient Access Representative - Walk In Clinic

    Peacehealth 4.1company rating

    Patient access representative job at PeaceHealth

    PeaceHealth is seeking a **Patient Access Representative - Walk In Clinic for a Per Diem/Relief, Day position.** The salary range for this job opening at PeaceHealth is $22.59 - $30.49. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc. **Job Summary** Assists in coordinating the activities between scheduling, insurance verification and pre-certification. Acts as a clinical liaison with physician practices interacting with pre-visit services. **Details of the Position:** + Pre-registers/registers patients with accurate patient demographic, financial data. May register patients using varying methods depending upon location, which may include mobile cart. + Collects patient balances, co-payment, co-insurance, or other payment types. + Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival. + Responds to customer's inquiries. + Assists with departmental coverage as needed. + Manages daily appointment schedules which may include reminder calls and calling all referrals. + May transport patients utilizing escort or wheeled transport equipment. + Performs other duties as assigned. **What you bring:** + High School Diploma preferred or equivalent. + Minimum of 1 year Required: Medical office or related customer service experience. + Preferred: Experience with Microsoft Office applications, including Word, Excel and Outlook. **Skills** + Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding. (Preferred) + Knowledge of insurance process and regulations. (Preferred) + Must be able to manage conflict effectively and professionally. (Required) + Excellent time management skills, with an emphasis on meeting time sensitive deadlines. (Required) + Good customer service skills and good interpersonal skills. (Required) **Department / Location Specific Notes** Care Delivery and Outpatient Clinics: + Strong background in customer service may be considered in lieu of medical office or related experience. United General Medical Center: + Management of ED incoming phone calls and may be required to provide switchboard coverage. + Monitor OB Prosec/McKinley alarm system. + May be required to assist with Cardiac Rehab departmental charge entry. **Working Conditions** + Consistently operates computer and other office equipment. + Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. + Sedentary work. + Predominantly operates in an office environment. + Ability to communicate and exchange accurate information. + The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. PeaceHealth is committed to the overall wellbeing of our caregivers. The benefits included in positions less than 0.5 FTE are 403b retirement plan for caregiver contributions; wellness benefits, discount program, and expanded EAP and mental health program. For additional information or questions, please email Jen Worthington at **************************** or call ************. See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility (********************************************************************************************************************************** . For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws. REQNUMBER: 120290
    $22.6-30.5 hourly Easy Apply 60d+ ago
  • Patient Service Representative (PSR) - Patient Access

    Aurora Health Care 4.7company rating

    Porter, WA jobs

    Department: 10370 Enterprise Revenue Cycle - Grafton WI Arrival Status: Part time Benefits Eligible: Yes Hours Per Week: 20 Schedule Details/Additional Information: Part time 2nd shift weekdays 7:00 pm to 11:00 pm Monday - Friday Holiday Rotation included Pay Range $19.45 - $29.20 Manages front desk responsibilities, including greet, check-in, register walk-in patients, answer phones and collect patient responsibility. Reviews and/or obtains demographic and insurance information and collects patient responsibility. Informs the patient of the organization expectation of payment at time of service. Greets and checks in patients arriving for their appointments. Ensures patient information is complete and accurate. Collects patient responsibility as identified in the pre-registration process. Completes the registration process on walk-in patients, verifies and/or updates patient demographic and insurance information if changes or additions have occurred. Verifies insurance benefits, obtains/calculates patient responsibility and request payment. Communicates to patient the organization expectation of payment at time of service. Identifies patients in need of financial assistance and refers patients to Financial Advocate when necessary. Collaborates with Financial Advocate to coordinate patient's financial resources and responsibilities including requesting patient to sign a Financial Obligation Form (FOF) or Advanced Beneficiary Notice (ABN) as needed. Monitors patient flow to ensure patients are cared for in the most efficient and courteous manner. Performs visit closure, including checking out patients, collecting additional patient responsibility (when applicable) and providing patient with appropriate documents. Schedules patient visits using guidelines established within scheduling system. Assists with new caregiver onboarding. Works assigned EPIC work queues, following the department's work flow process. Maintains excellent public relations with patients, families, and clinical staff as well as demonstrates a willingness and ability to work collaboratively with others for concise and timely flow of information. Proactively communicates issues involving customer service and process improvement opportunities to management. Maintains knowledge of and reference materials for Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization/referral and a list of current accepted insurance plans. Licenses & Certifications None Required. Degrees High School Graduate. Required Functional Experience Typically requires 1 year of experience in customer service or clerical/office experience, including answering phones and assisting customers. Knowledge, Skills & Abilities Demonstrated ability to identify and understand issues and problems. Examines data and draws logical conclusions based on information available. Knowledge and ability to articulate explanations of Medicare/HIPAA/EMTALA rules and regulations and comply with updates on insurance pre-certification requirements. Mathematical aptitude, effective communication skills and critical thinking skills. Understanding of basic human anatomy, medical terminology and procedures for application in the patient referral/pre-certification/authorization processes. Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to speak effectively to customers or employees of organization, maintaining a pleasant, professional demeanor. Ability to handle sensitive and confidential information according to internal policies. Ability to problem solve in a high profile and high stress area, working independently to set and meet deadlines and prioritize work. Demonstrated technical proficiency including experience with insurance verification/eligibility tools, EPIC electronic medical record, patient liability estimation tools, Microsoft Office, Internet Explorer and phone technology. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
    $19.5-29.2 hourly Auto-Apply 5d ago

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