Prior authorization representative full time jobs - 101 jobs
Construction & Commissioning Scheduler
Blackrock Resources LLC 4.4
New Albany, OH
You must be able to work in the U.S. without sponsorship. No C2C or 3rd parties, please.
Schedule: Full-time | On-site presence required
Industry: Industrial/Power/Data Center Construction
We're looking for an experienced Construction & Commissioning Scheduler to support large-scale, complex projects from the ground up. This is a hands-on, on-site role where you'll collaborate with project management, engineering, and field teams to develop and maintain detailed schedules that drive successful project delivery.
What You'll Do:
Build and manage comprehensive Primavera P6 schedules across engineering, procurement, construction, and commissioning phases.
Partner with project managers, superintendents, and subcontractors to keep timelines accurate and achievable.
Track progress, analyze variances, and recommend adjustments to keep projects on target.
Generate look-ahead schedules, performance reports, and updates for leadership and client reviews.
Support forecasting, resource loading, and earned value analysis to ensure clear visibility into project health.
Align construction and commissioning activities for smooth transitions and seamless project closeouts.
What You Bring:
Bachelor's degree in Engineering, Construction Management, or a related field (or equivalent experience).
5+ years of experience scheduling large-scale industrial, data center, or power generation projects.
Strong command of Primavera P6.
Proven track record supporting both construction and commissioning phases.
Excellent communication, organizational, and analytical skills.
Ability to work on-site in New Albany, Ohio.
Preferred Experience:
EPC or large-scale construction background.
Knowledge of commissioning processes and turnover documentation.
Familiarity with cost control, earned value management, and integration with project systems like Excel, Power BI, or CMMS tools.
If you thrive in a fast-paced, collaborative environment and enjoy bringing structure to complex projects, this could be the perfect next step for you.
$65k-91k yearly est. 4d ago
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Memory Care Coordinator (LPN)
Danbury Westerville
Gahanna, OH
You walk in the door to a work family who wants to make the day count. We truly believe our employees and residents are a family that comes together to enjoy the good things in life, including one another. When our employees feel special, so do our residents.
We offer a great FULL TIME benefits and perks package!
Short Term Disability (Guardian)-for employee only, benefit percentage 60% of salary!
Long Term Disability (Guardian)-for employee only, benefit percentage 60% of salary!
Health Advocate (Employee Assistance Program)-for Employee, Spouse, Dependents, Parents, and Parents in Law.
Examples that are available for help: Emotional Support-Stress, Relationships, Addictions, Mental Illness, Anger, Loss, Depression, Time Management.
Medical (BCBS)-for Employee, Spouse, and/or Dependents.
HSA (Health Savings Account) is optional if Medical is selected. Great tax benefit!
Dental (Guardian)- for Employee, Spouse, and/or Dependents.
Hospital Indemnity (Guardian)- for Employee, Spouse, and/or Dependents.
MetLife Legal (Legal Shield)- for Employee, Spouse, and/or Dependents.
Assistance with Adoption, Lawyers, Wills and Trusts and much more!
No waiting periods, no claim forms, no deductibles!
Wide range of coverages for your fur babies!
All dog and cat breeds are covered.
~ Tuition Reimbursement
Bonuses :
Resident Referral Bonus Opportunities
Employee Referral Bonus Opportunities
Employees are not mandated to have the COVID-19 vaccine.
As a member of the community leadership team, this person must have business experience to direct and manage the overall administrative activities: reception and secretarial, recordkeeping, and human resources at the community level to assure that proper administrative procedures are maintained. The office manager interacts with residents and their sponsors in financial matters as well.
Plan and coordinate a therapeutic program which meets spiritual, social, emotional, physical, and intellectual needs of the resident
· Asses resident characteristics (i.e., stages, sex, ethnic background, prior lifestyles, cognitive and functional abilities) and, in conjunction with other departments, plans and organizes program content
· Assist in developing, implementing, and conducting in service training and education of care to all staff regarding memory care programs/activities working alongside the Director of Nursing and Life Enrichment Director.
· Market the program through involvement in community organizations and participates in the local Alzheimer's and like associations
· Maintain accurate and timely documentation that complies with state regulations and community policy
· Work with management to develop and maintain written program objectives and procedures for implementation; Serve as a role model for staff regarding care of dementia resident
· In coordination with the nursing department and Director of Life Enrichment, perform a pre-admission assessment for each potential resident
· Assist with the resident's admission to ensure a smooth transition
· Assist with the adjustment of the resident and family to the community; Keep abreast of current research, new programs, and community resources which may benefit residents and families and makes referrals as appropriate to facilitate the resident's use of resources, and to promote the resident's increase level of social functioning
· Assist residents in the maintenance and adequate supply of personal clothing and other personal items
· Refer the resident/resident's sponsor internal and external services that are available to the Director of Life Enrichment
· Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Executive Director
Must be an LPN
·Two years of previous experience in programming: including but not limited to: POC (plan of care programs, scheduling staff, coordinating meeting with POAs and families, planning activities and working with dementia residents in an assisted living environment
· Background in nursing/ proving one on one care for seniors
· Flexible schedule, including availability to work evenings, weekends and holidays as needed
We are an Equal Opportunity Employer and considers all applicants for positions without the regard to race, color, religion, sex, national origin, age, sexual orientation, marital or veteran status, or non-job-related handicap or disability.
$23k-38k yearly est. 1d ago
Medical Registration Representative
Compdrug 3.8
Columbus, OH
Do you provide excellent customer care?
Do you enjoy learning new things?
Are you a problem solver?
Do you thrive working in fast paced environment?
If you answered
yes
to these questions, we would love to hear from you! We have an immediate opening on our Medical Registration Team for a person-centered representative who are the gateway to services daily. This is an amazing opportunity to utilize your customer service skills while impacting the patient experience one individual at a time. Full Time - Core Schedule:
Monday 5:45 am - 2:30 pm
Tuesday 5:45 am - 1:30 pm
Wednesday 5:45 am - 1:30 pm
Thursday 5:45 am - 1:30 pm
Friday 5:45 am - 1:30 pm
Saturday 5:45 am - 9:30 am (occasional) Essential duties
Greets visitors, answers all agency incoming phone calls, responds professionally to inquiries.
Responds to inquiries in a person-centered manner with the goal of service and problem solving.
Brings experience and knowledge in serving individuals via the phone with compassion and empathy in a trauma informed, person centered manner.
Utilizes person centered language, appropriate body language and models pro-social adult behavior.
Registers new patients and establishes record in electronic health record. Collects necessary documentation.
Provides support to colleagues by way of scheduling, routing calls, distributing mail.
Maintains high level of confidentiality while interacting with patients with empathy and respect.
Identifies and escalates potential issues with processes and flow. Participates in problem solving and continuous quality improvements as appropriate.
Adheres to company policies and procedures.
Other duties as assigned.
Regular and timely attendance.
Qualifications
At least two years' experience in a high-volume customer or patient serving role.
Prefer experience working with vulnerable and/or resource insecure population(s).
Excellent oral and written communication skills, including the ability to communicate and collaborate effectively with all levels in sometimes stressful situations.
Excellent problem-solving skills.
Proficiency with windows and Microsoft office products coupled with an ability and interest in learning new processes and systems, including electronic medical record.
Basic understanding and ability to comply with medical privacy regulations, including HIPAA and Title 42.
Bring a trauma informed care, person centered approach to the position.
For more than 40 years, CompDrug has offered comprehensive services in prevention, intervention and treatment to those seeking help for their addictions and mental health issues. It is now the largest opioid treatment program in Ohio, offering medication-assisted treatment using FDA-approved medications. CompDrug's more than 100 full-time employees provide drug testing, outpatient counseling for men and women, and numerous prevention programs for youths and adults. Programs include: Anger Management services, and others. Prevention Services include: Youth to Youth International, Pregnant Moms, Senior Sense, HIV Early Intervention and Business Against Substance Abuse (BASA). Those services combined reach thousands of people every day and are instrumental in saving lives, preventing problems, and proving that treatment works. CompDrug has met the standard for high quality treatment and prevention services, winning several awards and gaining National Accreditation for its Opioid Treatment Program through CARF (Commission for Accreditation for Rehabilitation Facilities), beginning in 2002. Today, all of CompDrug's programs have achieved the highest level of accreditation awarded by CARF. CompDrug provides its employees with a collaborative, flexible and supportive environment where ideas and contributions are recognized and valued. Employees are encouraged to develop and grow their skills through training, on the job learning experiences and problem solving. CompDrug provides a comprehensive benefit package, including medical, dental and vision coverage, student loan repayment, life insurance, maternity/paternity leave, disability, 403b and paid time off. Qualified individuals may apply online at compdrug.org.
Equal Opportunity Employer. We are a drug free workplace.
$29k-35k yearly est. 33d ago
Patient Services Representative I
Columbus Arthritis Center
Columbus, OH
Columbus Arthritis Center is one of the largest rheumatology practices in Ohio, committed to delivering exceptional, compassionate care in a respectful and welcoming environment. We believe our people are the foundation of our success and are dedicated to supporting employee growth, engagement, and teamwork.
We are currently seeking two full-time Medical Receptionists to join our Patient Services Team at our NEW location at 170 Taylor Station Road. This role is often the first point of contact for our patients and plays a vital role in creating a positive patient experience.
What You'll Do
Greet and assist patients and visitors in a courteous, professional, and compassionate manner
Schedule and reschedule patient appointments accurately using the NextGen system
Facilitate patient flow by notifying clinical staff of patient arrivals
Verify patient demographics, registration forms, and insurance information
Collect patient payments, post transactions, and balance the cash drawer daily
Respond to patient questions and concerns with empathy and professionalism
Maintain patient privacy and confidentiality in compliance with HIPAA
Open and close the office and assist with front-desk operations as needed
Communicate effectively with providers and staff to ensure coordinated care
What We're Looking For
Strong attendance, punctuality, and reliability
Excellent customer service and communication skills
Professional demeanor with a positive, patient-centered attitude
Ability to multitask and remain calm in a fast-paced environment
Strong attention to detail and accuracy
Comfort using computers and electronic health records
Ability to lift up to 25 lbs and alternate between sitting and standing throughout the day
Work Environment
Primarily front-desk and computer-based work
Extended periods of sitting or standing
Collaborative outpatient clinical setting
Why Join Columbus Arthritis Center
Stable, weekday schedule - no evenings or weekends
Supportive team environment
Opportunity to grow within a large, well-established specialty practice
Be part of a mission-driven organization focused on compassionate care
$28k-34k yearly est. 4d ago
Patient Registration Representative
Ohiohealth 4.3
Columbus, OH
**We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities.
** Summary:**
This position begins the Revenue Cycle process by collecting accurate demographic and financial information to produce a clean claim necessary to receive timely reimbursement. In addition, this position provides exceptional support and customer service during encounters with patients, families, visitors, and OhioHealth Physicians and associates.
**Responsibilities And Duties:**
Accurately identifies patient in EMR system.
Obtains and enters accurate patient demographic and financial information through a standard work process (via phone, virtual, face to face and/or bedside location) to complete registration all while maintaining patient confidentiality and providing exceptional customer service.
Provides exceptional customer service during every encounter with patients, families, visitors, and OhioHealth physicians and associates.
Performs registration functions in any of the Patient Access areas.
Uses critical thinking skills to make decisions, resolve issues, and/or escalate concerns when they arise.
Uses various computer programs to enter and retrieve information.
Verifies insurance eligibility using online eligibility system, payer websites or by phone call.
Secures and tracks insurance authorizations and processed BXC patients.
Transcribes ancillary orders.
Scheduled outpatients.
Generates, prints and provides patient estimates utilizing price estimator products.
Collects patient's Out of Pocket expenses and past balances to meet individual and departmental goals.
Attempts to collect residual balances from previous visits.
Answers questions or concerns regarding insurance residuals and self-pay accounts.
Uses knowledges of CPT codes to accurately select codes from clinical descriptions.
Generates appropriate regulatory documents and obtains consent signatures.
Identifies and/or determines patient Out of Network acceptance into the organization.
Reviews insurance information and speaks to patients regarding available financial aid.
Explains billing procedures, hospital policies and provides appropriate literature and documentation.
Scans required documents used for claim submission into patient's medical record.
Escorts or transports patients in a safe and efficient manner to and from various destinations.
Assists clinical staff in administrative duties as needed.
Complies with policies and procedures that are unique to each access area.
Assists with training new associates.
Oversees functions of reception desks and lobbies including, but not limited to, cleanliness and order of lobbies and surrounding work areas.
Goes to the Nursing Units to register or obtain consents.
Uses multi-line phone system, transferring callers to appropriate patient rooms or other locations.
Makes reminder phone calls to patient.
Processes offsite registrations; processes offsite paper registrations; processes pre-registered paper accounts.
Maintains patient logs for statistical purposes.
Reviewed insurance information and determines need for referrals and/or financial counseling.
Educations patients on MyChart, including its activation.
Based on Care Site, may also have responsibility for Visitor Management which includes credentialing visitors and providing wayfinding assistance to their destination.
**Minimum Qualifications:**
High School or GED (Required)
**Additional Job Description:**
**SPECIALIZED KNOWLEDGE**
Excellent communication, organization, and customer service skills. Basic computer skills. One to two years precious experience in a medical office setting.
**Work Shift:**
Day
**Scheduled Weekly Hours :**
40
**Department**
Patient Contact Center
Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry
Equal Employment Opportunity
OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment
$30k-33k yearly est. 6d ago
Patient Service Representative
Quantum Health 4.7
Dublin, OH
At a Glance
Hiring Classes: Next hiring classes scheduled for November 2025+
Starting Pay: $18+ per hour
Schedule: Full time position, 40 hours/week, Monday - Friday, no weekends
Available Shifts: 11:30am-8:30pm; 12pm-9pm; 12:30pm-9:30pm; 1pm-10pm
Shift Differential: +$0.50 per hour (11:00am-8:30pm EST); +$1.50 per hour (12:00pm-10:00pm EST)
Who We Are
Founded in 1999, Quantum Health is an independent healthcare navigation organization headquartered in Central Ohio. We believe no one should have to navigate the complexity of healthcare alone. Our mission is to make healthcare simpler and more effective for our members. We are a big-hearted, tech-savvy team committed to ensuring our members get the care they need at the most affordable cost-we call ourselves Healthcare Warriors .
With more than 2,000 employees and counting, we are committed to building diverse and inclusive teams. If you're excited about this role, we encourage you to apply-even if you don't meet every requirement.
The Impact You'll Make
As a Patient Service Representative, you will play a crucial role in helping members navigate their healthcare journey with confidence. You will be their main point of contact, assisting with questions about benefits, claims, and provider options while ensuring they receive the right care at the right time. Your ability to listen, problem-solve, and provide clear guidance will directly impact their healthcare experience. Through each interaction, you will not only resolve concerns but also empower members with knowledge to make informed decisions about their care.
Beyond answering questions, you will proactively identify potential cost-saving opportunities, advocate for necessary services, and collaborate with internal teams to streamline healthcare access. Whether it's helping a member understand their medical bills, coordinating pharmacy needs, or removing barriers to care, your support will make a meaningful difference in their lives.
Learn more by watching the “What it means to Warrior with us” video, here!
What Success Looks Like
Resolve inquiries efficiently by handling inbound/outbound calls and addressing concerns in a timely manner.
Show empathy and support to members during difficult healthcare situations.
Provide clear guidance on healthcare plans, billing, and provider options.
Advocate for members by coordinating with providers and insurers to remove barriers to care.
Work collaboratively with internal teams to ensure accurate and seamless service.
Meet performance goals while continuously learning and developing expertise in healthcare navigation.
All other duties as assigned.
What You'll Bring
Education: High School Diploma or General Education Development (GED) equivalent required; college coursework or degree is a plus!
Customer-Focused Mindset: Passion for helping others and ensuring a positive experience for members.
Problem-Solving Skills: Ability to think critically, use available resources, and adapt to evolving challenges.
Strong Communication: Comfortable handling phone conversations and emails professionally and efficiently.
Tech Savvy: Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently.
Accountability & Dependability: A consistent, reliable presence with a commitment to meeting work schedule expectations and a commitment to working within Quantum Health's policies, values and ethics, and protect the sensitive data entrusted to us.
Growth-Oriented Attitude: Eagerness to learn, take on new challenges, and develop professionally within the healthcare industry.
Why Join Us?
Ability to Make a Difference: As the first point of contact for our members, you will have a direct impact on their healthcare experience - solving real problems, providing clarity, and ensuring they get the care they need when they need it.
Career Growth: Access to training, mentorship, and advancement opportunities, supported by a dedicated Learning and Development team.
Engaging Work Culture: A collaborative, inclusive, and community-driven workplace with team-building activities and social events.
Hybrid Work Flexibility: Success in this role starts with strong in-office collaboration during your onboarding. Once you and your leader agree that you are performing confidently, you may transition to a hybrid schedule - provided you have a home environment suitable for remote work. *(manager approval is required)
Comprehensive Benefits: Flexible wellness programs, additional leave policies, and comprehensive benefits designed to support work-life balance.
--
#LI-ONSITE
Ready to Make an Impact?
If you're looking for a career where you can help others while growing professionally, we want to hear from you! Apply today and be part of a team that's redefining healthcare navigation.
What's in it for you
Compensation: Competitive base and incentive compensation
Coverage: Health, vision and dental featuring our best-in-class healthcare navigation services, along with life insurance, legal and identity protection, adoption assistance, EAP, Teladoc services and more.
Retirement: 401(k) plan with up to 4% employer match and full vesting on day one.
Balance: Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more.
Development: Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development.
Culture: Recognition as a Best Place to Work for 15+ years, dedication to diversity, philanthropy and sustainability, and people-first values that drive every decision.
Environment: A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and drinks, complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary and dry-cleaning services and more!
What you should know
Internal Associates: Already a Healthcare Warrior? Apply internally through Jobvite.
Process: Application > Phone Screen > Online Assessment(s) > Interview(s) > Offer > Background Check.
Diversity, Equity and Inclusion: Quantum Health welcomes everyone. We value our diverse team and suppliers, we're committed to empowering our ERGs, and we're proud to be an equal opportunity employer .
Tobacco-Free Campus: To further enable the health and wellbeing of our associates and community, Quantum Health maintains a tobacco-free environment. The use of all types of tobacco products is prohibited in all company facilities and on all company grounds.
Compensation Ranges: Compensation details published by job boards are estimates and not verified by Quantum Health. Details surrounding compensation will be disclosed throughout the interview process. Compensation offered is based on the candidate's unique combination of experience and qualifications related to the position.
Sponsorship: Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.
Agencies: Quantum Health does not accept unsolicited resumes or outreach from third-parties. Absent a signed MSA and request/approval from Talent Acquisition to submit candidates for a specific requisition, we will not approve payment to any third party.
Reasonable Accommodation: Should you require reasonable accommodation(s) to participate in the application/interview/selection process, or in order to complete the essential duties of the position upon acceptance of a job offer, click here to submit a recruitment accommodation request.
Recruiting Scams: Unfortunately, scams targeting job seekers are common. To protect our candidates, we want to remind you that authorizedrepresentatives of Quantum Health will only contact you from an email address ending **********************. Quantum Health will never ask for personally identifiable information such as Date of Birth (DOB), Social Security Number (SSN), banking/direct/tax details, etc. via email or any other non-secure system, nor will we instruct you to make any purchases related to your employment. If you believe you've encountered a recruiting scam, report it to the Federal Trade Commission and your state's Attorney General.
$18 hourly Auto-Apply 60d+ ago
Billing Specialist
Squire Patton Boggs 4.9
Columbus, OH
Job Title
Billing Specialist
Ref No.
COL5041
Job Location
Columbus
Work Type
Full Time
Description
Squire Patton Boggs is one of the world's strongest integrated legal practices. With over 1,500 lawyers spanning more than 40 offices across four continents, the firm is renowned for its local connections and global influence, delivering comprehensive legal services across North America, Europe, the Middle East, Asia Pacific, and Latin America.
We are seeking a qualified CSR (Client Services Representative) in our Columbus, OH office to provide full service administrative financial support to assigned attorneys and/or legal assistants of the Firm; speak with clients, record information into the Firm's accounting system, compile data and prepare bills. This position requires advanced client service skills, extensive law firm financial billing and collections experience, superior judgment and the ability to work with minimal supervision and assistance.
Job responsibilities include, but are not limited to:
Provide billing and financial support to assigned billing attorneys
Input and maintain client billing guidelines as applicable
Prepare and present pre-bills to attorneys in accordance with client matter billing terms
Process edits, post invoices and forward final bills to billing attorney and/or client as directed
Prepare and review accounts receivable and WIP reports and assist with collections process
Review all New Account Memoranda for completeness and open new client matters
Reviews and processes Accounts Payable (AP) and Accounts Receivable (AR) as needed
Assist attorneys with monitoring hours, realization or other financial analysis as it pertains to fixed-fee or other alternative fee arrangements
Qualified candidates must have an A.A. or equivalent from a two-year college or technical school; at least one-year related experience in a large law firm; or equivalent combination of education and experience. Proficiency in Aderant Expert, 3E or similar time and billing software and knowledge of electronic billing systems is preferred.
We offer excellent benefits, competitive compensation, and the opportunity to work in a professional, collaborative work environment.
Squire Patton Boggs is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion or creed, sex, national origin, citizenship status, sexual orientation, gender identity, disability, veteran status, or any other condition protected by applicable law. This non-discrimination policy applies to all aspects of employment.
#LI-MK1
$47k-60k yearly est. 33d ago
Medical Patient Services Representative
Columbus Oncology & Hematology
Westerville, OH
Job Description
Columbus Oncology is looking for a full-time Medical Patient Services Representative to join our team! This position would primarily be located at 300 Polaris Pkway #330, Westerville, Ohio 43082. Why work for us?
Our culture is unique. We work every day to promote a culture that is positive, supportive and patient-centered.
We offer our employees a competitive wage, benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a generous PTO program, and a 401k profit-sharing plan.
Our focus is to serve our patients by delivering quality, hematology and oncology services in a community-based setting.
We ensure our patients are supported every step of the way, and this starts at the front desk, continues through our clinics, and extends to our back-office operations.
What will you do?
Verify insurance coverage and explain benefits, deductibles, coinsurance and out of pocket maximums.
Provide patients with detailed cost estimates for treatment.
Identify and search for drug manufacturer financial assistance programs.
Collect and post account payments, and reconcile daily payments.
Meet with patients in person or over the phone to discuss account balances, set up payment plans, changes with insurance and billing questions.
What will you need to be successful?
Must have at least two years of experience in medical billing, or patient financial services.
Have the ability to learn our technology platforms, which include NextGen, Phreesia and AssistPoint.
Strong understanding of health insurance plans, including payer types, out of pocket responsibility.
An understanding of EOBs (explanation of benefits) and billing statements.
Knowledge of financial programs such as drug assistance programs, manufacturer copay programs, and foundations.
Ability to communicate financial information clearly and compassionately to patients and families.
Columbus Oncology Associates is an Equal Opportunity Employer and proudly a Drug-Free Workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.
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it GrVMCC38
$28k-34k yearly est. 25d ago
Patient Access Representative
Mount Carmel Health System 4.6
Grove City, OH
* Patient Financial Specialist I; Ensures the collection of accurate and complete registration/admission information and completion of required forms for all patients. Ensures collections of patient deductibles, co-pays, coinsurance and deposits. Gathers and evaluates confidential patient financial data for purposes of determining patient qualification for financial assistance and/or patient financial responsibility. Collects payments and facilitates resolution of billing questions. Acts as an information resource to other departments and physician offices. Understands relation between diagnosis and procedure using CPT and ICD-9 coding to ensure compliance with third party regulations. Understands Medicare, Medicaid and other third party information requirements and adheres to all third party regulations. Abides by all pertinent legislation regarding use/disclosure of medical and financial information, debt collection and credit reporting. Establishes payment arrangements for patients and evaluates past account history. Abides by the department Service vision.
* Specialty: Emergency Room
* Location: 5300 N Meadows Dr, Grove City, OH 43123
* Hours of office: Monday, Wednesday, Thursday, every other weekend 9:00am - 6:30pm
What You Will Do:
* Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution.
* Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
* Responsible for distribution of analytical reports.
* Process Focus: Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized.
* Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.
* Data Management & Analysis: Research & compiles information to support ad-hoc operational projects & initiatives.
* Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
* Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts.
* Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
Minimum Qualifications:
* High school diploma or equivalent.
* HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
* Entry level position. Minimum one (1) year customer service experience. Patient Access experience preferred.
Additional Qualifications (nice to have)
* Medical terminology required & knowledge of diagnostic & procedural coding
* Insurance verification with the ability to explain benefits, secure necessary authorizations
Position Highlights and Benefits:
* Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
* Retirement savings account with employer match starting on day one.
* Generous paid time off programs.
* Employee recognition programs.
* Tuition/professional development reimbursement.
* Relocation assistance (geographic and position restrictions apply).
* Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing.
* Employee Referral Rewards program.
* Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day!
* Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.
Ministry/Facility Information:
Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!
Must be available full time during the first 2 weeks for training: 8:00 am - 4:30 pm.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are 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, veteran status, or any other status protected by federal, state, or local law.
$30k-34k yearly est. 46d ago
Patient Service Representative- Polaris Parkway Internal Medicine and Pediatrics
Central Ohio Primary Care 4.7
Westerville, OH
The Patient Service Representative is a key point of contact for patients and provides patients and guests with a positive customer service experience from start to finish during their visit.
Full Time/Benefits Eligible
Monday 8a - 5:30p, Tuesday 8ap,- 5:30 Wednesday 7a-4p, Thursday 7a-4p and Friday 7a-3p.
Columbus, OH
Essential Duties and Responsibilities:
Ensure patients have a positive experience during their visit, whether in-person, telehealth and/or over the phone.
Communicate regularly with clinical staff to ensure patients and office needs are met. Collaborate with team to create a positive patient experience.
Greet patients and complete established check-in procedures upon arrival. Responsible for registration, including data entry of patient information and insurance verification.
Collect copays, deductibles and/or outstanding balances.
Responsible for checking patients out and scheduling follow up appointments and communicating necessary items at time of check out.
Answer phone calls and email inquiries from patients and COPC administrative departments in a timely manner; direct or escalate inquiries when needed. Contact patients for appointment reminders or scheduling purposes.
Complete clerical tasks including but not limited to distributing mail and reports, filing, scanning, scheduling, data input, management of electronic fax inbox and general support to all office personnel.
Ensure confidentiality of patient data and stay up to date with HIPAA regulations.
Working patient portal with potential to rotate to the front office working check-in and check-out.
Referrals
EPIC Duties
Qualifications:
Experience, Education, Licensures & Certifications
Preferred: 1 year of administrative experience in a healthcare related setting
Required: High School diploma or GED; or at least six (6) months customer service or healthcare experience
Knowledge, Skills & Abilities
Excellent interpersonal and verbal communication skills; as well as interpersonal relationship building abilities;
Strong organizational and written communication skills;
Ability to multi-task, prioritize, manage time effectively and respond timely to patients and/or visitors;
Strong knowledge of HIPAA guidelines and understanding of patient privacy and ability to demonstrate a high level of confidentiality;
Ability to work independently and in a team environment; and able to lead by example;
Excellent computer skills, knowledge of Microsoft programs, and understanding of Electronic Health Record ( EHR systems)
$28k-32k yearly est. 13d ago
Patient Representative, Jerome Medical Center - Part Time, 1st Shift (Includes every third weekend rotation).
Memorial Health 4.4
Marysville, OH
We are looking for a Patient Representative to join our collaborative team at Memorial Health!
What you'll do:
Greets patients and visitors upon entry to the facility, provides excellent patient experiences.
Completes patient registrations, collecting patient demographic, guarantor, and financial information in person and via telephone.
Validates patient insurance coverage(s) via real-time eligibility and various tools.
Requests payment for determined co-payments and prior balances, manages the cash drawer.
Collects copies of patient photo id and insurance card(s) and scans to the EMR system.
Explains patient forms and requests signatures.
Encourages patient MyChart activation.
Initiates interpreter services for patients with a preferred language other than English.
Completes downtime procedures as outlined by departmental policy, assists with downtime recovery.
Reviews quality of work and performs self-audits, assists with the management of several EMR work queues to support a smooth claims process.
Performs other duties as required or assigned.
Requirements
Completion of high school education or equivalent; proficient in Windows, Outlook, Word, and Excel; must possess excellent customer service skills and telecommunications experience; requires background in Patient Access with a general understanding of the role that Patient Access has on the hospital Revenue Cycle; Associate degree or equivalent combination of education/experience and medical terminology is preferred.
Attains American Heart Association's BLS certification within first thirty (30) days of employment, maintains continuous certification. Attends Behavioral Health De-escalation Training Class (within six months of hire)
Shift
1p-5p Monday - Friday, Every third weekend rotation
Hours
40 (Every two weeks)
Time Off
• Vacation
• Sick Leave
• 11 Paid Holidays
• Personal Day
Retirement
• Ohio Public Employee Retirement System
• Deferred Compensation
Other
• Tuition Reimbursement
• Kidzlink Daycare Center
• Employee Recognition
• Free Parking
• Wellness Center
• Competitive Salaries
• Community/Family Atmosphere
We look forward to seeing your application!
It is our commitment to inclusivity and diversity and our ongoing determination to provide a welcoming and inclusive environment for all staff and guests of the Hospital, regardless of age, color, disability, gender, gender expression or gender identity, genetic information, national origin, race, religion, sexual orientation, or veteran status. For any questions or needed accommodations, please contact Memorial Health Human Resources at ************.
$29k-33k yearly est. 36d ago
Patient Care Coordinator
Dasco Home Medical Equipment 3.5
Westerville, OH
Requirements
REQUIRED EDUCATION AND/OR EXPERIENCE:
High School diploma or GED equivalent.
PREFERRED EDUCATION AND/OR EXPERIENCE:
Associate's degree in related field.
Six months' experience in healthcare/medical/insurance/DME customer service role
ADDITIONAL QUALIFICATIONS:
None.
COMPETENCIES:
Communication proficiency
Compliance
Customer service / client focus
Results driven
Stress management
POSITION TYPE/EXPECTED HOURS OF WORK:
The Patient Care Coordinator position is full-time, and hours of work and days are Monday through Friday, 8:00 a.m. to 5:00 p.m.
SUPERVISORY RESPONSIBILITY:
This position has no supervisory role.
WORK ENVIRONMENT:
This job operates primarily in a home or professional office environment but also spends some time in a warehouse setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. May utilize home medical equipment when demonstrating to patients.
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The employee is typically required to sit; frequently stands, occasionally required to climb or balance; and stoop, kneel, crouch or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include both close and distance vision, color and peripheral vision, depth perception and ability to adjust focus.
TRAVEL:
Travel is not a daily requirement for this position but may be needed for occasional local deliveries. Overnight travel may be required for continuing education and meetings at the corporate office.
OTHER DUTIES:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
EEO
#ind100
$21k-31k yearly est. 9d ago
Patient Representative, Jerome Medical Center - Part Time, 1st Shift (Includes every third weekend rotation).
Memorial Hospital Union County 4.5
Marysville, OH
We are looking for a Patient Representative to join our collaborative team at Memorial Health! What you'll do: * Greets patients and visitors upon entry to the facility, provides excellent patient experiences. * Completes patient registrations, collecting patient demographic, guarantor, and financial information in person and via telephone.
* Validates patient insurance coverage(s) via real-time eligibility and various tools.
* Requests payment for determined co-payments and prior balances, manages the cash drawer.
* Collects copies of patient photo id and insurance card(s) and scans to the EMR system.
* Explains patient forms and requests signatures.
* Encourages patient MyChart activation.
* Initiates interpreter services for patients with a preferred language other than English.
* Completes downtime procedures as outlined by departmental policy, assists with downtime recovery.
* Reviews quality of work and performs self-audits, assists with the management of several EMR work queues to support a smooth claims process.
* Performs other duties as required or assigned.
Requirements
Completion of high school education or equivalent; proficient in Windows, Outlook, Word, and Excel; must possess excellent customer service skills and telecommunications experience; requires background in Patient Access with a general understanding of the role that Patient Access has on the hospital Revenue Cycle; Associate degree or equivalent combination of education/experience and medical terminology is preferred.
Attains American Heart Association's BLS certification within first thirty (30) days of employment, maintains continuous certification. Attends Behavioral Health De-escalation Training Class (within six months of hire)
Shift
1p-5p Monday - Friday, Every third weekend rotation
Hours
40 (Every two weeks)
Time Off
* Vacation
* Sick Leave
* 11 Paid Holidays
* Personal Day
Retirement
* Ohio Public Employee Retirement System
* Deferred Compensation
Other
* Tuition Reimbursement
* Kidzlink Daycare Center
* Employee Recognition
* Free Parking
* Wellness Center
* Competitive Salaries
* Community/Family Atmosphere
We look forward to seeing your application!
It is our commitment to inclusivity and diversity and our ongoing determination to provide a welcoming and inclusive environment for all staff and guests of the Hospital, regardless of age, color, disability, gender, gender expression or gender identity, genetic information, national origin, race, religion, sexual orientation, or veteran status. For any questions or needed accommodations, please contact Memorial Health Human Resources at ************.
$28k-32k yearly est. 37d ago
Patient Registration Clerk - Part Time, Variable
Hocking Valley Community Hospital 3.3
Logan, OH
Hocking Valley Community Hospital (HVCH) is looking for a Patient Registration Clerk to become part of our supportive and hardworking team.
Revenue Cycle Department - Part Time, Variable hours/days
The starting rate is $15.50/hr, firm.
Additional shift differential pay.
What We Offer
Flexible scheduling opportunities to help with work-life balance, burnout, and mental well-being.
Medical, Dental, and Vision insurance is paid in part by the hospital. Opt out, pay out option for full time employees.
Life/AD&D and Long-Term Disability are paid by the hospital.
Voluntary Life and Supplemental Insurance options such as Short-Term Disability, Cancer, Accident, etc.
Flexible Spending Accounts (Healthcare and Dependent Care) and Health Savings Accounts.
OPERS pension plan with a hospital contribution of 14% and optional Deferred Compensation for retirement.
Paid sick, vacation, and 11 paid holidays with carry-over and cash out options. Vacation can be used after 90 days of employment as it accrues.
Student Loan Forgiveness and Federal Tuition Grant Programs such as Public Service Loan Forgiveness eligibility.
Tuition/Education Reimbursement and our Grow Your Own Program to financially support employees in obtaining education/certifications/licenses while working at the hospital.
Tuition Discounts: Hocking College (50% discount on tuition), Mt. Carmel College of Nursing, Ohio Christian University, Chamberlain University, Walden University, Excelsior University, Purdue Global, Cincinnati University, and Grand Canyon University.
Brand new State-of-the-Art SIM Lab for advanced training and education.
Clinical Ladder/Residency program for nurses.
Employee Engagement Committee to bring wellness and fun back to healthcare.
Single location, free, and close parking - no dealing with taking shuttles to work!
Education, development, and career advancement opportunities.
Employee Assistance and Wellness Programs.
Our Desired Candidate Will Have
High School Diploma (or GED or High School Equivalence Certificate) strongly preferred.
One year previous medical office and patient registration experience strongly preferred.
Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, and other office procedures and terminology.
Computer literacy, good typing skills is necessary.
Knowledgeable of insurance providers is a plus.
Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
Self-starter with the ability to adapt.
Excellent communication skills.
Ability to function as a team player.
Who We Are
Welcome to Hocking Valley Community Hospital, your trusted full-service critical access hospital located in the heart of beautiful Hocking Hills, Logan, Ohio. We are dedicated to providing exceptional care close to home, ensuring that our community has access to high-quality medical services without the need to travel far. Equipped with state-of-the-art equipment and technology, we deliver advanced medical treatments and diagnostic services to meet your healthcare needs.
Safety is our top priority, and we are committed to maintaining the highest standards for both patients and employees. Our friendly and compassionate team fosters an employee-first culture, as evidenced by our 4/5 rating on Indeed from current and past employees. We also rank in the top 20% in Wellbeing Scores, highlighting our commitment to the well-being of our staff. Our dedication to patient care is reflected in our excellent patient satisfaction scores, as we proudly rank 10th out of 134 hospitals in Ohio. We have an employee satisfaction score of 88% for two years in a row! Visit our website at hvch.org to see why employees love working here and why we put employees first!
At Hocking Valley Community Hospital, we prioritize health and comfort, striving to make every visit a positive experience. Here, you have a name and a face, not just a number.
Not familiar with Hocking Hills? See our serene beauty and abundance of outdoor and family activities: *************************************
Applicants must be authorized to work in the U.S. without sponsorship, now or in the future.
Hocking Valley Community Hospital (HVCH) is an Equal Employment Opportunity Employer and as such we are committed to having a workforce that reflects diversity at all levels. Both applicants and employees are treated without regard to race, color, religion, national origin, citizenship, age, sex, sexual orientation, gender identity, marital status, ancestry, physical or mental disability, veteran status, or any other characteristic protected under applicable law.
Hocking Valley Community Hospital has a zero tolerance substance policy, including any form of marijuana, and completes extensive drug screening on candidates and employees. We also conduct extensive background checks that adhere to the Ohio Revised Code for public hospitals. Please ask HR if you have any questions or concerns at ***********.
$15.5 hourly Easy Apply 32d ago
Patient Services Representative - Urbana Primary Care
Mercy Health 4.4
Urbana, OH
Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Mercy Health About Us As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive.
Patient Services Representative - Urbana Primary Care
Job Summary:
The Patient Services Representative is the first line of quality service to our patients and the community. This position will be responsible for processing patient registration, verifying demographics, obtaining insurance cards, and patient identification. Responsibilities include scheduling appointments, transcribing orders, explaining financial options to patients, and updating medical records accurately and efficiently. This position will provide excellent customer service and may be asked to occasionally cover other physician practice locations as needed.
Essential Functions:
* Serves as the primary point of contact between patients and physician practices
* Provides strong communication and excellent customer service skills by greeting patients and the community in a respectful manner
* Answers internal and external calls in a friendly and helpful manner, routes calls, schedules patients, and enters necessary information for patient scheduling into the computer system in a timely and accurate manner.
* Processes patients in practice as they present for their appointments.
* Possesses the ability to troubleshoot and resolve problems promptly, ensuring patient flow is maintained and informs supervisor of any department and patient issues immediately
* Processes admission paperwork, including basic insurance verification. Secures, completes and verifies all pertinent patient demographic and insurance information as part of the registration process., Corrects registration errors as needed.
* Records time indicators for lobby wait times.
* Calculates patient liabilities and actively collects and processes patient payments.
* Reconciles cash drawer at the close of the day.
* Performs charge entry for external services (i.e. nursing homes) as necessary.
* Schedules referrals or follow-up appointments and/or assists with scheduling, rescheduling or canceling other services for patients. Assists patients with online scheduling and MyChart as necessary.
* Assists patients in obtaining necessary referrals for follow-up services and record referrals on tracking tool (referral/consults).
* Responsible for and/or assist in obtaining proper authorizations and pre-certifications if applicable for all procedures scheduled through the physician practice
* Pulls patient charts as needed per office policy, files and maintains information as appropriate in chart per policy, and routes charts to clinical staff as indicated in office per policy
* Verifies RX benefits in electronic health record, per protocol
* Refers patients to financial counselors when additional financial counseling or payment arrangements are needed. Completes accounts in revenue cycle software
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
Education:
High School Diploma or GED (required)
Licensure/Certification:
None
Experience:
Prior experience in patient registration/healthcare (preferred)
Mercy Health is an equal opportunity employer.
As a Mercy Health associate, you're part of a Misson that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
What we offer
* Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
* Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts
* Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
* Tuition assistance, professional development and continuing education support
Benefits may vary based on the market and employment status.
Department:
MH Urbana Hospital Primary Care
It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health- Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email *********************. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************.
$29k-32k yearly est. Auto-Apply 6d ago
Insurance and Billing Specialist
Concord Counseling Services 3.5
Westerville, OH
Full-time Description
Concord Counseling Services is one of the most highly acclaimed, behavioral health non-profit centers in Central Ohio. Based in Westerville and founded in 1972, Concord is dedicated to healing people in mind and spirit with programs and services that change lives.
Why Choose Concord?
Concord is fully accredited by the national Commission on Accreditation of Rehabilitation Facilities signifying quality & excellence, person-centered care, continuous improvement, accountability and trustworthiness.
You will work alongside professionals who demonstrate our agency values of inclusion, teamwork, commitment and integrity. At Concord you will find collaboration, mentorship, a commitment to your professional growth, and a culture that supports you bringing your whole authentic self to work every day.
Your Job Opportunity
The Insurance & Billing Specialist position serves as a key role in improving the overall effectiveness of revenue cycle collections for client services.
•Reviews and corrects third-party claim denials and follows up to maximize cash flow
•Verifies client eligibility and estimated copays / deductibles authorizations at intake and insurance updates
•Sets up client insurance within the electronic medical records (EMR) system upon intake and updates
•Credentials new staff with payers including Medicaid, Medicare, and commercial insurance
•Responsible for creating and mailing itemized patient statements and answers clients billing questions.
•Monitor work flow and recommend process/procedural improvements as needed.
•Maintains compliance with federal, state and local regulations, HIPAA and the Corporate Responsibility Program
•Troubleshoots system insurance issues that end users may have.
•Assist with EMR infrastructure as it pertains to claim submission & payment data entry
Requirements
Qualifications Required for Success for the Insurance and Billing Specialist
•1 or more years of experience working with third party payers preferably in community mental health environment or healthcare setting
•Proficient with Excel and an electronic medical records system (EMR).
•Experience in claim processing and follow-up in a healthcare practice environment preferred.
•Knowledge of Medicare and Medicaid regulations and other insurance guidelines
•Understanding credentialing of direct service staff with third party payers
•An understanding of healthcare billing to minimize the error rate in claim submission
What We Offer You
•Comprehensive Health Benefits: medical, dental, vision, and prescription drug coverage for peace of mind. Flexible spending and health savings accounts available.
•Retirement Security: Contribute to a 401(k) plan and watch your savings grow for a secured future.
•Protection Against Uncertainties: Concord paid life insurance and long-term disability ensuring financial security during unexpected challenges.
•Work-Life Balance: Enjoy ample vacation, sick and self-care time and observe 9 agency holidays to rejuvenate and spend quality time with loved ones.
If you are ready to serve with your heart, apply now at ********************************************* Counseling Services is an Equal Opportunity Employer.
$29k-35k yearly est. 5d ago
Patient Access Representative
Trinity Health Corporation 4.3
Grove City, OH
* Patient Financial Specialist I; Ensures the collection of accurate and complete registration/admission information and completion of required forms for all patients. Ensures collections of patient deductibles, co-pays, coinsurance and deposits. Gathers and evaluates confidential patient financial data for purposes of determining patient qualification for financial assistance and/or patient financial responsibility. Collects payments and facilitates resolution of billing questions. Acts as an information resource to other departments and physician offices. Understands relation between diagnosis and procedure using CPT and ICD-9 coding to ensure compliance with third party regulations. Understands Medicare, Medicaid and other third party information requirements and adheres to all third party regulations. Abides by all pertinent legislation regarding use/disclosure of medical and financial information, debt collection and credit reporting. Establishes payment arrangements for patients and evaluates past account history. Abides by the department Service vision.
* Specialty: Emergency Room
* Location: 5300 N Meadows Dr, Grove City, OH 43123
* Hours of office: Monday, Wednesday, Thursday, every other weekend 9:00am - 6:30pm
What You Will Do:
* Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution.
* Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
* Responsible for distribution of analytical reports.
* Process Focus: Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized.
* Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.
* Data Management & Analysis: Research & compiles information to support ad-hoc operational projects & initiatives.
* Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
* Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts.
* Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
Minimum Qualifications:
* High school diploma or equivalent.
* HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
* Entry level position. Minimum one (1) year customer service experience. Patient Access experience preferred.
Additional Qualifications (nice to have)
* Medical terminology required & knowledge of diagnostic & procedural coding
* Insurance verification with the ability to explain benefits, secure necessary authorizations
Position Highlights and Benefits:
* Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
* Retirement savings account with employer match starting on day one.
* Generous paid time off programs.
* Employee recognition programs.
* Tuition/professional development reimbursement.
* Relocation assistance (geographic and position restrictions apply).
* Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing.
* Employee Referral Rewards program.
* Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day!
* Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.
Ministry/Facility Information:
Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!
Must be available full time during the first 2 weeks for training: 8:00 am - 4:30 pm.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are 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, veteran status, or any other status protected by federal, state, or local law.
$29k-32k yearly est. 29d ago
Patient Care Coordinator/ Engager
Lucid Hearing Holding Company 3.8
Chillicothe, OH
Our Mission: "Helping People Hear Better"
Lucid Hearing is a leading innovator in the field of assistive listening and hearing solutions, and it has established itself as a premier manufacturer and retailer of hearing solutions with its state-of-the-art hearing aids, testing equipment, and a vast network of locations within large retail chains. As a fast-growing business in an expanding industry, Lucid Hearing is constantly searching for passionate people to work within our amazing organization.
Club: Sam's Club in Chillicothe, OH
Hours: Full time/ Tuesday-Saturday 9am-6pm
Pay: $18+/hr
What you will be doing:
• Share our passion of giving the gift of hearing by locating people who need hearing help
• Directing members to our hearing aid center inside the store
• Interacting with Patients to set them up for hearing tests and hearing aid purchases
• Secure a minimum of 4 immediate or scheduled full hearing tests daily for the hearing aid specialist or audiologist that works in the center
• 30-50 outbound calls daily.
• Promote all Lucid Hearing products to members with whom they engage.
• Educate members on all of products (non hearing aid and hearing aid) when interacting with them
• Assist Providers when necessary, calling past tested Members, medical referrals to schedule return, etc.
What are the perks and benefits of working with Lucid Hearing:
Medical, Dental, Vision, & Supplemental Insurance Benefits
Company Paid Life Insurance
Paid Time Off and Company Paid Holidays
401(k) Plan and Employer Matching
Continual Professional Development
Career Growth Opportunities to Become a LEADER
Associate Product Discounts
Qualifications
Who you are:
Willingness to learn and grow within our organization
Sales experience preferred
Stellar Communication skills
Business Development savvy
Appointment scheduling experience preferred
A passion for educating patients with hearing loss
Must be highly energetic and outgoing (a real people person)
Be comfortable standing multiple hours
Additional Information
We are an Equal Employment Opportunity Employer.
$18 hourly 60d+ ago
Patient Account Associate II EDI Coordinator
Intermountain Health 3.9
Columbus, OH
Creates and optimizes EDI connectivity for ERAs, completes and monitors enrollments, manages and maintains payer portals. **Essential Functions** + Develops and implements strategies for adhering to commercial and Government requirements of emerging payment techniques and various payor portal access requirements, not limited to: development of procedures, assessing and communicating reporting and documentation. Establishing processes for the Intermountain system in complying with payor requirements
+ Serves as a subject matter expert for commercial payor requirements and mechanisms for alternative payment methods. Accountable for understanding and communicating the related commercial and regulatory programs payment techniques and portal access requirements.
+ Acts as a technical resource related to portal access and functionality for operational management and staff. Manages and maintains all tickets related to government and commercial payor portals across the organization.
+ Acts as a subject matter expert for the RSC as it relates to EDI enrollments to obtain remittance advice. Acts as a liaison between the organization and vendors, and internal and external partners. Collaborates with interdepartmental leadership and vendors to implement streamlined workflows, training and communication.
+ Supports leadership in coordinating with clearinghouse vendors and works to obtain electronic payments where the clearinghouse contracts are not in place. Creates and provides monitoring and trending reports to the Cash Management Leadership teams. Utilizes reporting to partner with internal and external partners and provide suggested solutions for identified trends
+ Research errors identified by payor payments being sent in means other than EFT/ERA or via clearinghouse. Achieve and maintain electronic payment activity at 100% or as payors allow. Works with clearinghouse to enroll payors and resolve payment/system issues.
+ Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.
+ Performs other duties as assigned
**Skills**
+ Written and Verbal Communication
+ Detail Oriented
+ EDI Enrollment
+ Teamwork and Collaboration
+ Ethics
+ Data Analysis
+ People Management
+ Time Management
+ Problem Solving
+ Reporting
+ Process Improvements
+ Conflict Resolution
+ Revenue Cycle Management (RCM)
**Qualifications**
+ High school diploma or equivalent required
+ Two (2) years for back-end Revenue Cycle (payor enrollment, payment posting, billing, follow-up)
+ Associate degree in related field preferred
Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings
We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside in California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, and Washington
**Physical Requirements**
+ Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess colleagues' needs.
+ Frequent interactions with colleagues that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately
+ Manual dexterity of hands and fingers to include frequent computer use for typing, accessing needed information, etc
**Location:**
Peaks Regional Office
**Work City:**
Broomfield
**Work State:**
Colorado
**Scheduled Weekly Hours:**
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$24.00 - $36.54
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
$31k-34k yearly est. 60d+ ago
Billing Specialist
McKinley Hall 4.0
Springfield, OH
Join Our Team as a Billing Specialist! Are you a detail-oriented individual with a knack for numbers and a passion for healthcare? We are looking for a dynamic Billing Specialist to join our Finance division! In this full-time role, you'll manage the complete billing process, ensuring accuracy and compliance while working closely with clients, insurance providers, our electronic health record and our dedicated team. Responsibilities: • Assist with all billing operations from start to finish, ensuring confidentiality and precision.
Work with insurance companies to submit and reconcile payments.
• Handle client payment collections, verify statements, and resolve discrepancies with ease. • Collaborate with various departments to address billing issues and streamline processes. • Stay updated on insurance billing procedures and changes to provide top-notch service! Qualifications:
• High school diploma or equivalent and at least three years of experience in handling insurance claims in a healthcare setting.
• Strong computer skills, analytical mindset, and excellent teamwork abilities.
Why Join Us?
Be part of a supportive and innovative team dedicated to improving healthcare services. Competitive salary, opportunities for professional growth, and a chance to make a real difference in the community await you! If you're ready to take your career to the next level and thrive in a rewarding environment, we want to hear from you!
$29k-36k yearly est. 60d+ ago
Learn more about prior authorization representative jobs