Post job

Patient Access Representative jobs at Prospect Medical Holdings

- 1528 jobs
  • Patient Access Representative I - Full Time, Nights (Hollywood)

    Prospect Medical Holdings 4.5company rating

    Patient access representative job at Prospect Medical Holdings

    The Patient Access Rep I arranges for the efficient and orderly admission of all inpatients and outpatients. Ensures that accurate patient information is collected and that patients are aware of hospital policy and procedures. * Registers all patients according to department procedures. Completes all necessary admission (including consent) forms accurately and thoroughly. Prior to entering patient information into Optimum verifies the medical record status using Master Patient Index function. Ensures that the patient's name, chief complaint and other information are entered accurately. Prepares the patients financial folder and distributes copies to appropriate departments. * Ensures that each account is billable, and if necessary, pre-certification requirements are met. Contacts physician's offices to obtain required pre-admission information as needed. Ensures that patients have required authorization for scheduled procedures. Explains hospital polices regarding payment of service, collects payments and issues receipts. Requests identification cards, and insurance cards during the admission process, obtains copies of all cards (front and back). Verifies insurance coverage and eligibility. Ensures that each patient receives an identification bracelet upon admission. * Operates PBX and answers all incoming calls and transfers to the appropriate department or patient room in a professional. Performs paging via overhead and other hospital systems when required, including announcing and reporting hospital emergency codes. * Ensures physicians are authorized to admit patients. Appropriately refers all physicians on delinquency list to hospital administrator or designee. * Provides a safe environment for patients, visitors and others. Maintains confidentiality of patients, families, employees, and visitors. Southern Cali Hospital Hollywood Required Qualifications: * High School Diploma or GED * One year of previous experience in a customer service role * Basic Understanding of Medical Terminology * Excellent written and verbal communication skills in English * Strong time management skills * Ability to multitask and maintain a work pace appropriate to workload * Excellent customer service skills * Computer literacy and proficiency * Must demonstrate customer service skills appropriate to the job * Hospital Fire and Life Safety Card within 30 days of hire date (Hollywood and Van Nuys only) Preferred Qualifications: * Previous Healthcare Experience * One year of admitting office and/or PBX operator experience * Bilingual skills to communicate effectively with patients and families Pay Rate: Min -$20.00 l Max - $27.50 $2,000 Sign-on Bonus
    $30k-37k yearly est. Auto-Apply 10d ago
  • Medical Biller (Home Infusion)

    Premier Infusion and Healthcare Services, Inc. 4.0company rating

    Torrance, CA jobs

    Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work! Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart. PREMIER BENEFITS - For FULL TIME Employees: ● Competitive Pay ● 401K Matching Plan - Up to 4% ● Quarterly Bonus Opportunities ● Medical, Dental & Vision Insurance ● Employer Paid Life Insurance ● Short Term / Long Term Disability Insurance ● Paid Vacation Time Off ● Paid Holidays ● Referral Incentives ● Employee Assistance Programs ● Employee Discounts ● Fun Company Events JOB DESCRIPTION: BILLER Description of Responsibilities Coordinates and performs business office activities involved with collecting payments for Premier Infusion Care products and follows established procedures for billing. Reporting Relationship Billing Manager Scope of Supervision None Responsibilities include the following: 1. Performs all aspects of billing for commercial insurance companies/ health plans, medical groups, hospitals, hospice facilities, NCPDP, and/or MSO's 2. Bills Medicare for PR-96/204 (denials) required for secondary billing submissions. 3. Follows up on EOB's (explanation of benefits) which includes: - Medicare denials - Billing secondary insurance after Medicare's has denied claims. 4. Calling insurance companies for explanation of denials if questionable. 5. Making corrections on deny claims and re-bills insurance companies. 6. Checks EOB's with contracted fee schedule for accuracy or adjustments as needed. 7. Patient calls for benefit, invoicing, and explanations as needed. 8. Resolves electronic (Office Ally, Novologix, or Emdeon clearing house) report matters. Minimum Qualifications: Effective interpersonal, time management and organizational skills. Office experience preferred. Computer skills that include word processing, and efficient use of the internet and e-mail. Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Must be detail oriented Education and/or Experience: Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) or Higher. At least 1 -2 years of medical or pharmaceutical billing experience or related A/R Knowledge of insurance verification procedures. Proficiency in 10-key preferred. Prior experience in a pharmacy or home health company is of benefit. Prior experience in a consumer related business is also of benefit. Equal Employment Opportunity (EEO) It is the policy of Premier Infusion & Healthcare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & Healthcare Services will provide reasonable accommodations for qualified individuals with disabilities. Job Type: Full-time Work Location: In person
    $38k-45k yearly est. 1d ago
  • Insurance Coordinator

    Premier Infusion and Healthcare Services, Inc. 4.0company rating

    Torrance, CA jobs

    Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work! Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart. PREMIER BENEFITS - For FULL TIME Employees: ● Competitive Pay ● 401K Matching Plan - Up to 4% ● Quarterly Bonus Opportunities ● Medical, Dental & Vision Insurance ● Employer Paid Life Insurance ● Short Term / Long Term Disability Insurance ● Paid Vacation Time Off ● Paid Holidays ● Referral Incentives ● Employee Assistance Programs ● Employee Discounts ● Fun Company Events JOB DESCRIPTION: Description of Responsibilities The Insurance Coordinator is responsible for all new referral insurance verification and/or authorization in a timely matter. Reporting Relationship Insurance Manager Responsibilities include the following: Responsible for insurance verification and/or authorization on patients. Responsible for audit of information from the Intake Referral Form and patient information received from the referral source entered into the computer system correctly. This includes but is not limited to: demographics, insurance, physician, nursing agency, diagnosis, height, weight, and allergies (when information is available and as applicable). Re-verification of verification and/or authorization and demographics on all patients. Participate in surveys conducted by authorized inspection agencies. Participate in in-service education programs provided by the pharmacy. Report any misconduct, suspicious or unethical activities to the Compliance Officer. Perform other duties as assigned by supervisor. Minimum Qualifications: Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus. Must be friendly professional and cooperative with a good aptitude for customer service and problem solving. Education and/or Experience: Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) Prior experience in a pharmacy or home health company is preferred. Prior dental or home infusion experience a plus Prior experience in a consumer related business is preferred Equal Employment Opportunity (EEO) It is the policy of Premier Infusion & HealthCare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & HealthCare Services will provide reasonable accommodations for qualified individuals with disabilities.
    $31k-38k yearly est. 1d ago
  • Full Time Registrar - Trauma Services (Remote)

    The George Washington University Hospital 3.9company rating

    Washington, DC jobs

    Responsibilities Full Time Remote Registrar - Trauma Services (Monday to Friday AM) About GW Hospital The George Washington University Hospital is a 395-bed tertiary care, academic medical center located in downtown Washington, DC. Featuring a Level I Trauma Center and a Level III NICU, GW Hospital offers clinical expertise in a variety of areas, including cardiac, cancer, neurosciences, women's health, and advanced surgery, including robotic and minimally invasive surgery. The mission of GW Hospital is to provide the highest quality health care, advanced medical technology, and world-class service to its patients in an academic medical center dedicated to education and research. For more information, visit gwhospital.com. Physicians are independent practitioners who are not employees or agents of The George Washington University Hospital. The hospital shall not be liable for actions or treatments provided by physicians. Job Summary: The Trauma Registrar is responsible for reviewing and analyzing data from electronic medical records for entry into the trauma registry. Preferred candidates will have experience with the International Classification of Diseases (ICD-10) and the Abbreviated Injury Scale (AIS) coding, as well as medical terminology. Key Responsibilities: Understand and apply the American College of Surgeons inclusion criteria to review reports and charts for qualifying patients. Ensure all registry functions comply with the guidelines set by the American College of Surgeons, the National Trauma Data Bank (NTDB), and the Trauma Quality Improvement Program (TQIP). Participate in inter-rater validation of abstracted patient records. Meet established guidelines for trauma registry record completion. Main Benefits Challenging and rewarding work environment Growth and Development Opportunities within UHS and its Subsidiaries Competitive Compensation Excellent Medical, Dental, Vision, and Prescription Drug Plan 401 (k) plan with company match Qualifications High school diploma or equivalent. Minimum 2 years of related experience. Medical billing/coding knowledge required. Previous experience in trauma registry preferred. Certified Specialist in Trauma Registry or American Trauma Society Trauma Registrar course preferred. Ability to speak and write English fluently. Detail-oriented with strong analytical and critical thinking skills. Knowledge of medical terminology and anatomy. Demonstrated ability in chart review, performance improvement, data abstraction, and database management. Proficient in Microsoft Office. About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. *********** EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
    $29k-37k yearly est. 7d ago
  • Scheduling Specialist - Remote after training

    Radiology Partners 4.3company rating

    Chesterfield, MO jobs

    RAYUS now offers DailyPay! Work today, get paid today! RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments. This is a full-time position, working 11:30am to 8pm. ESSENTIAL DUTIES AND RESPONSIBILITIES: (85%) Scheduling Answers phones and handles calls in a professional and timely manner Maintains positive interactions at all times with patients, referring offices and staff Schedules patient examinations according to existing company policy Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately Ensures all patient data is entered into information systems completely and accurately Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment Communicates to technologists any scheduling changes in order to ensure highest patient satisfaction Maintains an up-to-date and accurate database on all current and potential referring physicians Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices Provides back up coverage for front office staff as requested by supervisor (i.e., rest breaks, vacations and sick leave) Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only) (10%) Insurance Pre-certifies all exams with patient's insurance company as required Verifies insurance for same day add-ons Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment (5%) Completes other tasks as assigned
    $33k-39k yearly est. 1d ago
  • Scheduling Specialist Remote after training

    Radiology Partners 4.3company rating

    Chesterfield, MO jobs

    RAYUS now offers DailyPay! Work today, get paid today! RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments. This is a full-time position working 9:00AM - 5:30PM CST Mon-Fri, Rotating Saturday 7am-1pm CST. ESSENTIAL DUTIES AND RESPONSIBILITIES: (85%) Scheduling Activities Answers phones and handles calls in a professional and timely manner Maintains positive interactions at all times with patients, referring offices and team members Schedules patient examinations according to existing company policy Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately Ensures all patient data is entered into information systems completely and accurately Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment Communicates to technologists any scheduling changes in order to ensure highest level of patient satisfaction Maintains an up-to-date and accurate database on all current and potential referring physicians Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices Provides back up coverage for front office team members as requested by supervisor (i.e., rest breaks, meal breaks, vacations and sick leave) Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only (10%) Insurance Activities Pre-certifies all exams with patient's insurance company as required Verifies insurance for same day add-ons Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment (5%) Other Tasks and Projects as Assigned
    $33k-39k yearly est. 1d ago
  • Patient Resource Representative ( Remote)

    Valley Medical Center 3.8company rating

    Renton, WA jobs

    The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands, and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization. This salary range may be inclusive of several career levels at Valley Medical Center and will be narrowed during the interview process based on several factors, including (but not limited to) the candidate's experience, qualifications, location, and internal equity. TITLE: Patient Resource Representative JOB OVERVIEW: The Patient Resource Representative position is responsible for scheduling, pre-registration, insurance verification, estimates, collecting payments over the phone, and inbound and outbound call handling for Primary and Specialty Clinics supported by the Patient Resource Center. This includes call handling for specialized access programs: Accountable Care Network Contracts Hotline Call Handling, MyChart Scheduling, and Outbound dialing for Referral Epic Workqueues. DEPARTMNT: Patient Resource Center WORK HOURS: As assigned REPORTSTO: Supervisor, Patient Resource Center PREREQUISITES: * High School Graduate or equivalent (G.E.D.) preferred. * Minimum of 2 years of experience in a call center, or 1 year in a physician's office; with experience using multi-line phone systems, Electronic Medical Record systems, and working with several software programs at the same time. * Demonstrates basic skills in keyboarding (35 wpm) * Computer experience in a windows-based environment. * Excellent communication skills including verbal, written, and listening. * Excellent customer service skills. * Knowledge of medical terminology and abbreviations. Ability to spell and understand commonly used terms, preferred. QUALIFICATIONS: * Ability to function effectively and interact positively with patients, peers and providers at all times. * Ability to access, analyze, apply and adhere to departmental protocols, policies and guidelines. * Ability to provide verbal and written instructions. * Demonstrates understanding and adherence to compliance standards. * Demonstrates excellent customer service skills throughout every interaction with patients, customers, and staff: * Ability to communicate effectively in verbal and written form. * Ability to actively listen to callers, analyze their needs and determine the appropriate action based on the caller's needs. * Ability to maintain a calm and professional demeanor during every interaction. * Ability to interact tactfully and show empathy. * Ability to communicate and work effectively with the physical and emotional development of all age groups. * Ability to analyze and solve complex problems that may require research and creative solutions with patient on the telephone line. * Ability to document per template requirements, gather pertinent information and enter data into computer while talking with callers. * Ability to utilize third party payer/insurance portals to identify insurance coverage and eligibility. * Ability to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent * Ability to organize and prioritize work. * Ability to multitask while successfully utilizing varying computer tools and software packages, including: * Utilize multiple monitors in facilitation of workflow management. * Scanning and electronic faxing capabilities * Electronic Medical Records * Telephone software systems * Microsoft Office Programs * Ability to successfully navigate and utilize the Microsoft office suite programs. * Ability to work in a fast-paced environment while handling a high volume of inbound calls. * Ability to meet or exceed department performance standards for Quality, Accuracy, Volume and Pace. * Ability to speak, spell and utilize appropriate grammar and sentence structure. UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT AND WORKING CONDITIONS: See Generic for Administrative Partner. PERFORMANCE RESPONSIBILITIES: * Generic Job Functions: See Generic Job Description for Administrative Partner. * Essential Responsibilities and Competencies: * In-depth knowledge of VMC's mission, vision, and service offerings. * Demonstrates all expectations outlined in the VMC Caregiver Commitment throughout every interaction with patients, customers, and staff. * Delivers excellent customer service throughout each interaction: * Provides first call resolution, whenever possible. * Acknowledge if patient is upset and de-escalate using key words and providing options for resolution. * Identify and assess patients' needs to determine the best action for each patient. This is done through active listening and asking questions to determine the best path forward. * A knowledgeable resource for patient/customers that works to build confidence and trust in the VMC health care system. * Schedules appointments in Epic by following scheduling guidelines and utilizing tools and resources to accurately appoint patient. * Generates patient estimates and follows Point of Service (POS) Collection Guidelines to determine patient liability on or before time of service. Accepts payment on accounts with Patient Financial Responsibility (PFR) as well as any outstanding balances, documents information in HIS and provides a receipt for the amount paid. * Strives to meet patients access needs for timeliness and provider, whenever possible. * Applies VMC registration standards to ensure patient records are accurate and up to date. * Ensures accurate and complete insurance registration through the scheduling process, including verifies insurance eligibility or updates that may be needed. * Reviews registration work queue for incomplete work and resolves errors prior to patient arrival at the clinic. * Utilizes protocols to identify when clinical escalation is needed based on the symptoms that patients report when calling. * Takes accurate and complete messages for clinic providers, staff, and management. * Relays information in alignment with protocols and provides guidance in alignment with patient's needs. * Routes calls to appropriate clinics, support services, or community resource when needed. * Coordinates resources when needed for patients, such as interpreter services, transportation or connecting with other resources needed for our patient to be successful in obtaining the care they need. * Identifies, researches, and resolves patient questions and inquiries about their care and VMC. * Inbound call handling for our specialized access programs * A.C.N. Hotline Call handling * Knowledge of contractual requirements for VMC's Accountable Care Network contracts and facilitates care in a way that meets contractual obligations. * Applies all workflows and protocols when scheduling for patients that call the A.C.N. Hotline * Completes scheduling patients for all departments the PRC supports. * Facilitates scheduling for all clinics not supported by the PRC. * Completes registration and transfer call to clinic staff to schedule. * Completes the MyChart Scheduling process for appointment requests and direct scheduled appointments. * Utilizes and applies protocols as outlined for MyChart scheduling * Meet defined targets for MyChart message turnaround time. * Outbound dialing for patient worklists * Utilizes patient worklists to identify patients that require outbound dialing. * Outbound dialing for referral work queues. * Utilizes referral work queue to identify patients that have an active/authorized referral in the system and reaches out to complete scheduling process. * Schedules per department protocols * Updates the referral in alignment with the defined workflow. * Receives, distributes, and responds to mail for work area. * Monitor office supplies and equipment, keeping person responsible for ordering updated. * Other duties as assigned. Created: 1/25 Grade: OPEIUC FLSA: NE CC: 8318 #LI-Remote Job Qualifications: PREREQUISITES: 1. High School Graduate or equivalent (G.E.D.) preferred. 2. Minimum of 2 years of experience in a call center, or 1 year in a physician's office; with experience using multi-line phone systems, Electronic Medical Record systems, and working with several software programs at the same time. 3. Demonstrates basic skills in keyboarding (35 wpm) 4. Computer experience in a windows-based environment. 5. Excellent communication skills including verbal, written, and listening. 6. Excellent customer service skills. 7. Knowledge of medical terminology and abbreviations. Ability to spell and understand commonly used terms, preferred. QUALIFICATIONS: 1. Ability to function effectively and interact positively with patients, peers and providers at all times. 2. Ability to access, analyze, apply and adhere to departmental protocols, policies and guidelines. 3. Ability to provide verbal and written instructions. 4. Demonstrates understanding and adherence to compliance standards. 5. Demonstrates excellent customer service skills throughout every interaction with patients, customers, and staff: a. Ability to communicate effectively in verbal and written form. b. Ability to actively listen to callers, analyze their needs and determine the appropriate action based on the caller's needs. c. Ability to maintain a calm and professional demeanor during every interaction. d. Ability to interact tactfully and show empathy. e. Ability to communicate and work effectively with the physical and emotional development of all age groups. 6. Ability to analyze and solve complex problems that may require research and creative solutions with patient on the telephone line. 7. Ability to document per template requirements, gather pertinent information and enter data into computer while talking with callers. 8. Ability to utilize third party payer/insurance portals to identify insurance coverage and eligibility. 9. Ability to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent 10. Ability to organize and prioritize work. 11. Ability to multitask while successfully utilizing varying computer tools and software packages, including: a. Utilize multiple monitors in facilitation of workflow management. b. Scanning and electronic faxing capabilities c. Electronic Medical Records d. Telephone software systems e. Microsoft Office Programs 12. Ability to successfully navigate and utilize the Microsoft office suite programs. 13. Ability to work in a fast-paced environment while handling a high volume of inbound calls. 14. Ability to meet or exceed department performance standards for Quality, Accuracy, Volume and Pace. 15. Ability to speak, spell and utilize appropriate grammar and sentence structure.
    $36k-40k yearly est. 9d ago
  • Scheduling Specialist - Cardio

    Baylor Scott & White Health 4.5company rating

    Waco, TX jobs

    **Working Conditions:** + Initial training will be conducted onsite. Following successful completion of training, the role will transition to remote work. **Working Hours:** + Monday to Friday, 8:00 AM to 5:00 PM The Scheduling Specialist 1 under general supervision and in accordance with established procedures, schedules outpatient diagnostic procedures including but not limited to radiology and imaging procedures, validates outpatient orders, and captures patient demographic and insurance information. **ESSENTIAL FUNCTIONS OF THE ROLE** Contacts patients or providers for outpatient diagnostic procedures. Contacts patients to schedule outpatient diagnostic procedures. Collects patient demographic and insurance information during scheduling phone call with provider or patient. Validates insurance is in network with the provider. Compiles patient information such as diagnosis, reason for procedure, medications, allergies and other applicable information prior to scheduled procedure. Monitors inbound orders process to ensure orders are validated and routed appropriately to ensure patients are contacted timely to schedule procedure. Contacts department affected by schedule adjustments to ensure patient is prepared and necessary personnel and equipment are available. Responsible for meeting telephone system metrics and any other productivity standards set by the department to include length of call, length of answer time, and number of calls taken within a specific period. **KEY SUCCESS FACTORS** Must consistently meets performance standards of production, accuracy, completeness and quality. Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette. Ability to maintain a professional demeanor in a highly stressful and emotional environment, behavioral health and suffering patients in addition to life/death situations. Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills. Demonstrates ability to manage multiple, changing priorities in an effective and organized manner. Excellent data entry, numeric, typing and computer navigational skills. Basic computer skills and Microsoft Office. **BENEFITS** Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - H.S. Diploma/GED Equivalent - EXPERIENCE - Less than 1 Year of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $27k-32k yearly est. 55d ago
  • Patient Access Coordinator Full Time

    Envera Health 4.2company rating

    Atlanta, GA jobs

    Envera Health has been repeatedly ranked as a top place to work. If you are passionate about helping people and looking for a career with a positive impact, then you are in the right place! We offer a high-reward bonus program, comprehensive benefits, multiple opportunities for growth, a supportive work environment, and a vibrant culture. We are seeking dependable candidates who are able to handle back-to-back calls with limited breaks throughout the day, as this is a high-volume inbound call position. Envera Health's Patient Access Coordinators work collaboratively with several health organizations & clinics to schedule patient appointments and provide patient support over the phone. Benefits (Full-Time): 14 Paid Days Off (4 personal days & 10 PTO days that accrue as you work) Paid Federal Holidays NEW Employee Bonus ($500*) Bonus Program (up to $400/month) Life Insurance and Long term disability insurance are provided at no cost A few different Health Insurance plan options 401k plan matching (5%) Patient Access Coordinator Responsibilities: Answer a high volume of calls a day using a multi-line phone. (75+ calls/shift - Non-stop Calls) Schedule appointments for multiple clinical sites according to client-specific protocols. Gather & input patient demographic and insurance information into the practice management system. Report complex clinical issues to the appropriate supervisor/client partner. Document call activity, outcomes, and other notes as needed in the client system. Work collaboratively with colleagues to meet the goals and objectives of the department. Assist callers and navigate them to the appropriate resources. Must meet attendance and performance standards. The starting wage for this entry-level position is: $16.00/per hour (non-negotiable), with the ability to obtain additional Monthly Bonuses based on attendance & performance. NEW EMPLOYEES: You will be eligible for a retention bonus of up to $500, subject to taxes and other applicable deductions, after 90 and 180 days of employment. Details and stipulations will be shared with you during Orientation. Required Qualifications: Customer/patient service skills Experience handling a high volume of inbound calls Excellent communication skills over the phone Strong Internet Speed & access to router via Ethernet Cord (Minimum speed: 20mbps Download & 6mbps Upload) Preferred Qualifications: 1+ Year(s) of experience with HIPAA and patient privacy requirements. 2+ Years of experience with medical terminology, EHR systems, and insurance processes. 2+ Years of experience in healthcare customer service or clinical support environments. 2+ Years of experience working in a call center EPIC System Ability to multi-task in a fast-paced environment with a high degree of attention to detail This is a work from home position. See application questions for the list of states we employ in. About Us: Envera Health is an engagement services partner committed to making healthcare better. Through our people, managed services, data and technology, Envera delivers an ecosystem of connectivity to strengthen health systems, drive growth, and deliver better, more connected and coordinated care. Our complete continuum of customized solutions support today's consumer demands by engaging and retaining patients to build relationships that last. Our people are authentic, courageous, innovative, principled, empathetic and entrepreneurial. Our Values: Truth, Collaboration, Joy, Humanity, Performance, Accountability Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The following physical demands are representative of those that must be met by an associate to successfully perform the essential functions of this job: Ability to sit, use hands and fingers, reach with hands and arms, and talk or hear Close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus Ability to stand, walk, climb or balance; stoop, kneel, crouch, or crawl; and lift up to 10 pounds (occasionally)
    $16 hourly Auto-Apply 60d+ ago
  • Contact Center Patient Care Representative

    Orthocincy 4.0company rating

    Edgewood, KY jobs

    **Join our dynamic team as a frontline patient care representative who interacts with our patients to provide exceptional and compassionate patient care! The patient care representative may have the option to work remotely after an introductory training period. General Job Summary: Vital to the success of our organization with providing OrthoCincy patients and all other callers a premier Ortho experience while focusing on their individual needs. Essential Job Functions: Schedules appointments for patients either by phone when they call in, through the company website or when requested from the clinic via computerized message system. Uses computerized system to match physician/clinician availability with patients' preferences in terms of date and time. Ability to handle a high volume of incoming calls, while maintaining a high standard of productivity, efficiency and accuracy while working under pressure. Must be able to respond to various inquiries made by patients, hospitals, insurance companies, as well as other medical entities. Engaging in active listening with all callers, while acting as a contact point person between patients, providers and staff. Maintains scheduling system so records are accurate and complete and can be used to analyze patient/staffing patterns. Updates physicians/clinicians or medical assistants. Ensures that updates (e.g. cancellations or additions) are input daily into master schedule. Send requests to clinic for prescription refills and follow up with patients on messages from clinic via computerized message system. Establish and maintain effective working relationships with patients, providers, co-workers, and the public. Maintaining a calm, pleasant and compassionate tone while being able to diffuse tense situations. Follows HIPAA regulations. Perform other duties necessary or in the best interest of the department/organization. Requirements Education/Experience: High school diploma. Minimum one year experience in a medical practice and/or position encouraged. Experience in a high volume call center a plus. Other Requirements: Schedules will change as department needs change. Performance Requirements: Knowledge: Knowledge of OrthoCincy's Mission, Vision and Values. Knowledge of medical practice protocols related to scheduling appointments. Knowledge of anatomy and medical terminology. Knowledge of computerized scheduling systems. Knowledge of customer service principles and techniques. Knowledge of OSHA and safety standards. Skills: Skill in communicating effectively with providers, employees, customers and patients. Skill in maintaining appointment schedule via computerized means. Effective in critical thinking skills. Strong communication skills in a professional manner during stressful and sensitive situations with patients of all ages. Abilities: Ability to multi-task effectively Ability to communicate calmly and clearly Ability to analyze situations and respond appropriately. Ability to alternate between multiple computer systems in a timely manner. Equipment Operated: Standard office equipment. Work Environment: Standard call center workstation. Mental/Physical Requirements: Involves sitting and viewing a computer monitor 90% of the work day. Must be able to remain focused and attentive without distractions (i.e. personal devices).
    $30k-36k yearly est. 12d ago
  • Scheduling Specialist Remote after training

    Center for Diagnostic Imaging 4.3company rating

    Saint Louis Park, MN jobs

    RAYUS now offers DailyPay! Work today, get paid today! RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments. This is a full-time position working 9:00AM - 5:30PM CST Mon-Fri, Rotating Saturday 7am-1pm CST. ESSENTIAL DUTIES AND RESPONSIBILITIES: (85%) Scheduling Activities * Answers phones and handles calls in a professional and timely manner * Maintains positive interactions at all times with patients, referring offices and team members * Schedules patient examinations according to existing company policy * Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately * Ensures all patient data is entered into information systems completely and accurately * Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment * Communicates to technologists any scheduling changes in order to ensure highest level of patient satisfaction * Maintains an up-to-date and accurate database on all current and potential referring physicians * Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices * Provides back up coverage for front office team members as requested by supervisor (i.e., rest breaks, meal breaks, vacations and sick leave) * Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only (10%) Insurance Activities * Pre-certifies all exams with patient's insurance company as required * Verifies insurance for same day add-ons * Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment (5%) Other Tasks and Projects as Assigned Required: * High school diploma, or equivalent * Microsoft Office Suite experience * Proficient with using computer systems and typing * Able to handle multi-level phone system with a high volume of calls at one time Preferred: * One (1) year customer service experience * Medical terminology and previous clinical business office experience * Bilingual RAYUS is committed to delivering clinical excellence in communities across the U.S., driven by our passion for and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services - all to provide the highest level of patient care possible. We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services! RAYUS Radiology is an EO Employer/Vets/Disabled. We offer benefits (based on eligibility) including medical, dental and vision insurance, 401k with company match, life and disability insurance, tuition reimbursement, adoption assistance, pet insurance, PTO and holiday pay and many more! Visit our career page to see them all ******************************* DailyPay implementation is contingent upon initial set-up period.
    $33k-39k yearly est. 2d ago
  • Patient Service Coordinator (Remote Position: Southern California)

    Innovative Health Management Partner/Newport Orthopedic Institute 3.8company rating

    Newport Beach, CA jobs

    The Patient Service Coordinator is responsible for all aspects of physician and patient scheduling tasks including, but not limited to: scheduling all office visit appointments, confirming office visit appointments, directing new patients to the practice location, and informing the patients of documents and payment arrangements required at the time of visit. The individual must possess the ability to verify insurance eligibility, reschedule appointments, and obtain the correct corresponding authorizations. ESSENTIAL DUTIES & RESPONSIBILITIES: Uses telephone headset and computerized appointment scheduling program to schedule patient appointments for specified physicians according to physician-specified protocol. Enters key demographic and insurance information into a permanent account; checks for IPA authorizations. Follows appointment scheduling protocol for each physician. Follows guidelines for patient access. Verifies insurance eligibility daily to ensure patients are covered for the current month. Ensures patients understand they are to arrive to their appointment with their referral form and x-rays. Informs patients the appointment may be cancelled if the referral and x-rays are not available. Informs patients of practice's policy on collecting payment at the time of service. Informs new patients about the practice's website; encourages them to visit and complete paperwork and print a map with directions to the practice. Checks e-mail regularly and responds to established patients who have requested an appointment through the website. Any urgent calls to a physician should be e-mailed to the Triage department or reach the appropriate specialty area using the backline to assure the call is handled expediently. Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by the practice. Meets all Productivity Standards/Goals. Other duties as assigned. 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 position. Duties, responsibilities, and activities may change at any time with or without notice. QUALIFICATIONS: High school diploma required. Minimum two years' experience working in a physician practice scheduling appointments. Comfortable using e-mail and interacting with Internet applications. Computer literate - with keyboard skills and knowledge of practice management and word processing software. Strong written and verbal communication skills. Strong customer service skills. REQUIREMENTS: The individual MUST reside in Southern California This position requires onsite training at our office for the first few weeks. Upon successful completion of the training period, the role will transition to a fully remote work arrangement. Expected to meet KPI's Within 30 Days Average Call Handling Time: 4-6 minutes Call Abandonment rate: less than 5% Average Speed to Answer: less than 30 seconds Agent absenteeism: Less than 5% Hourly Call Volume: 10 calls per hour Average appointments per day: 70 appointments per day TYPICAL PHYSICAL DEMANDS & WORKING CONDITIONS The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Position requires prolonged sitting, some bending, stooping, and stretching. Good eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment is also required. Employee must have normal range of hearing and eyesight to record, prepare, and communicate appropriate reports and may need to lift up to 15 pounds. PAY RANGE: $21-23 per hour
    $21-23 hourly 60d+ ago
  • Dental Patient Representative I (Temp)

    Family Healthcare Network 4.2company rating

    Visalia, CA jobs

    Primary Accountability The Dental Patient Representative I is responsible for providing information regarding FHCN dental services to patients and their families and administering daily activities of the office. Description of Primary Responsibilities Responsible for running daily provider schedules and conducting all necessary follow-up. Verifies insurance information is current prior to patient's visit (running eligibility). Confirms patients for following day during appointment confirmation phone call and informs patient of co-pay amount due at time of visit. Responsible for following up on “no show” patients, and maintaining recall system. Educating and signing patients into the FHCN portal. Responsible for maintaining supplies and stocking items. Maintains supplies of new storage and temporary charts along with necessary forms and identification cards. Maintains adequate inventory of all required supplies. Responsible for collecting and attaching billing information from patients. Balances cash payments on a daily basis. Assures accurate CPT and DX codes before submitting superbills. Provides financial counseling and referrals for program eligibility, sends patient's information to billing department for any needed pre-authorizations. Responsible for providing customer service to patients. Receives incoming calls and directs them to the appropriate party. Establishes, maintains and updates patient records and files. Generates paperwork to register patients for network services. Schedules, reschedules and screens appointments. Verifies insurance eligibility and patient financial status. Registers, inputs and updates patient information. Inputs provider schedules. Collects and attaches bills and billing information on a daily basis. Works with billing department to resolve patient's concerns. Performs other duties as assigned. Description of Primary Attributes Professional & Technical Knowledge: Must possess a high school diploma or General Educational Development (GED) certificate. Job duties require specific knowledge of office or administrative processes and practices, typically learned on the job or through a series of training sessions that would comprise a few weeks if done consecutively. Technical Skills: Ability to prepare basic correspondence and simple reports in Microsoft Word. Ability to use Microsoft Excel to create tables and simple displays of information. Ability to create basic presentations in Microsoft PowerPoint. Licenses & Certifications: Valid CA driver's license is required. Communications Skills: Job duties require the employee to effectively communicate routine or non-technical information to co-workers and others. Effectively communicates written information (including electronic correspondence) and verbal presentations. Physical Demands: The physical demands described here in this job description are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this position, the employee is regularly required to sit and use repetitive hand movement to type and grasp. The employee is frequently required to stand or walk; and must occasionally bend waist, twist waist, squat, climb, kneel, reach above and below shoulder height, and/or move items up to 20 pounds. Pay Scale: Min Hourly Rate: $21.00 Max Hourly Rate: $28.60
    $21-28.6 hourly Auto-Apply 60d+ ago
  • Dental Patient Representative I (Temp)

    Family Healthcare Network 4.2company rating

    Fresno, CA jobs

    Primary Accountability The Dental Patient Representative I is responsible for providing information regarding FHCN dental services to patients and their families and administering daily activities of the office. Description of Primary Responsibilities Responsible for running daily provider schedules and conducting all necessary follow-up. Verifies insurance information is current prior to patient's visit (running eligibility). Confirms patients for following day during appointment confirmation phone call and informs patient of co-pay amount due at time of visit. Responsible for following up on “no show” patients, and maintaining recall system. Educating and signing patients into the FHCN portal. Responsible for maintaining supplies and stocking items. Maintains supplies of new storage and temporary charts along with necessary forms and identification cards. Maintains adequate inventory of all required supplies. Responsible for collecting and attaching billing information from patients. Balances cash payments on a daily basis. Assures accurate CPT and DX codes before submitting superbills. Provides financial counseling and referrals for program eligibility, sends patient's information to billing department for any needed pre-authorizations. Responsible for providing customer service to patients. Receives incoming calls and directs them to the appropriate party. Establishes, maintains and updates patient records and files. Generates paperwork to register patients for network services. Schedules, reschedules and screens appointments. Verifies insurance eligibility and patient financial status. Registers, inputs and updates patient information. Inputs provider schedules. Collects and attaches bills and billing information on a daily basis. Works with billing department to resolve patient's concerns. Performs other duties as assigned. Description of Primary Attributes Professional & Technical Knowledge: Must possess a high school diploma or General Educational Development (GED) certificate. Job duties require specific knowledge of office or administrative processes and practices, typically learned on the job or through a series of training sessions that would comprise a few weeks if done consecutively. Technical Skills: Ability to prepare basic correspondence and simple reports in Microsoft Word. Ability to use Microsoft Excel to create tables and simple displays of information. Ability to create basic presentations in Microsoft PowerPoint. Licenses & Certifications: Valid CA driver's license is required. Communications Skills: Job duties require the employee to effectively communicate routine or non-technical information to co-workers and others. Effectively communicates written information (including electronic correspondence) and verbal presentations. Physical Demands: The physical demands described here in this job description are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this position, the employee is regularly required to sit and use repetitive hand movement to type and grasp. The employee is frequently required to stand or walk; and must occasionally bend waist, twist waist, squat, climb, kneel, reach above and below shoulder height, and/or move items up to 20 pounds. Pay Scale: Min Hourly Rate: $21.00 Max Hourly Rate: $28.60
    $21-28.6 hourly Auto-Apply 60d+ ago
  • Patient Rep Collector Full Time Days

    Hollywood Presbyterian 4.1company rating

    Los Angeles, CA jobs

    CHA Hollywood Presbyterian (CHA HPMC) is a nationally recognized acute care facility that has been caring for the Hollywood community and Los Angeles Areas since 1924. Join our Global Network and be a CHA Global Ambassador CHA HPMC is also a part of the world-renown CHA Health System (CHS). CHS has CHA University which consists of 14 education institutions including medical school, nursing school and pharmacy. CHA global network operates 81 hospitals and specialty clinics, 30 research and 31 bio/pharmaceutical/healthcare companies with 14,000 employees in seven countries. Our New Facility is seeking for Top Talents The best women's hospital in Los Angeles is looking for current RN candidates to staff Operating Room, Emergency Department, Labor & Delivery and Mother-Baby care units to be housed in our expanding new patient tower facility scheduled to open next year. Come be a part of this dedicated and caring team right in the heart of Hollywood. Position Summary: To call insurance companies, payers, and/or patients for payment on unpaid claims. To ensure the maximum collection effects by organizing, and prioritizing daily workloads, providing required documentation and minimizing external delay. Minimum Education: High School Diploma. Preferred Education: N/A Minimum Work Experience and Qualifications: Three (3) years of collection experience in a hospital setting or five (5) years of relevant hospital experience. Medical terminology, knowledge of payer requirements and programs which the patient may be eligible. Excellent communication skills. Ability to communicate effectively verbally and in writing. Must be able to work in a union environment. Preferred Work Experience and Qualifications: N/A Required Licensure, Certification, Registration or Designation: Current Los Angeles County Fire Card required (within 30 days of employment). Shift: Days Hours: 8 Shift Hours: 8:00am - 4:30pm Weekly Hours: 40 Type: Full-Time FTE: 1.0
    $33k-38k yearly est. Auto-Apply 41d ago
  • Patient Registration Specialist

    Roots Community Health Center 3.5company rating

    Oakland, CA jobs

    Under the supervision of the Patient Registration Manager, the Patient Registration Specialist assists in managing the AMD schedules for Behavioral Health Clinicians including but not limited to - scheduling initial and follow-up appointments canceling and rescheduling appointments, checking in / checking out members before and after appointments. Assist with registration of new members in Roots EHR system, assist members complete clinic intake and provides a welcoming, professional first impression to all who enter the behavioral health suite and guides them to where they need to be. Duties and Responsibilities: Utilize de-escalation techniques with clients and guests when necessary. Ensures that the reception area stays clean and orderly. Ensures that the reception area is free of safety hazards. Enforces all site safety rules and guidelines including, but not limited to, COVID safety precautions. Answers all phone calls and emails sent to the Behavioral health suite and deliver messages, as needed. Process clinic specialist referrals from start to finish by submitting, scheduling and providing access to resources. Identify ways to improve the delivery and experience of care for Roots patients. Train others on the referral workflow. Complete projects, as needed. Maintain strict confidentiality and follow all HIPAA regulations. Attend organizational and other training and meetings related to job roles. Competencies: Bachelor's degree with 3 years' experience in program and /or project management. OR Associate degree in related fields with 4 years' experience working in program and /or project management. Experience working in a non-profit organization, or a community clinic preferred. Cultural competency and the ability to work effectively across diverse populations. Solid organizational skills including attention to detail and multi-tasking. Strong working knowledge of Microsoft Office and G-Suite. Ability to work with people from diverse backgrounds. Strong communication skills, both written and oral with excellent interpersonal and customer service skills. Possess a growth mindset: the willingness to be coached and to develop the Patient Services team as demand increases. Ability to work on-site full-time. Roots Community Health Center is proud to be an Equal Employment Opportunity/Affirmative Action Employer and values diversity of culture, thought and lived experiences. We seek talented, qualified individuals regardless of race, color, religion, sex, pregnancy, marital status, age, national origin or ancestry, citizenship, conviction history, uniform service membership/veteran status, physical or mental disability, protected medical conditions, genetic characteristics, sexual orientation, gender identity, gender expression regardless of physical gender, or any other consideration made unlawful by federal, state, or local laws. Roots uses E-Verify to validate the eligibility of our new employees to work legally in the United States.
    $33k-39k yearly est. Auto-Apply 60d+ ago
  • Scheduling Specialist - Ophthalmology - Torrey Pines

    Scripps Health 4.3company rating

    San Diego, CA jobs

    Caring for San Diegans since 1924, Scripps Clinic is San Diego's first choice for exceptional primary care and highly specialized and coordinated specialty care. Scripps Clinic offers a comprehensive range of medical and surgical services that are nationally recognized for quality, excellence and innovation. From primary to specialty care, our team-based model is designed to provide the best possible care and outcomes for you and your family. More than 900 providers and physicians provide 1.5 million patient visits a year coordinated through an integrated electronic health record. This is a non-benefitted Casual/Per-Diem position with a varied day shift, located at our Scripps Clinic in Torrey Pines. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Join a caring team supporting Scripps Clinic - Torrey Pines as a Scheduling Specialist in the Ophthalmology department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following: * Interacting with patients, payers, and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, scheduling, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. * Responding to customer billing and payment inquires as needed. * Mentoring and training staff on departmental procedures. * Accurately scheduling and re-scheduling complex patient procedures and appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in the scheduling procedures, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, initiating authorizations and referrals, performing Key User duties with minimal errors. * Accurately documenting patient to provider communication, assessing urgency and escalating as appropriate. May manage the patient check-in and check-out process from start to finish, which includes identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed. * Regularly displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to accurately identify the need to involve leadership to resolve concerns. Required Qualifications: * Must possess excellent mathematical skills and ability to handle monies. * Excellent communication and customer service skills. * Strong organizational and analytical skills; innovative with ability to identify and solve problems. Able to adapt, prioritize and meet deadlines. * Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers are required. Preferred Qualifications: * 2 or more years of experience in a customer service or healthcare/medical office environment. * Previous scheduling experience. * Experience with Epic. At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work. You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential. Position Pay Range: $27.24-$35.88/hour
    $27.2-35.9 hourly 4d ago
  • Scheduling Specialist - OB/GYN - Oceanside

    Scripps Health 4.3company rating

    Oceanside, CA jobs

    Scripps Coastal Medical Center makes it easy and convenient for our community to receive exceptional health care in San Diego. Our primary care physicians and their teams provide annual exams, preventive health screenings, wellness information and diagnostic services for you and your family. With offices throughout San Diego County, our doctors specialize in family medicine, internal medicine, pediatrics, and obstetrics and gynecology. Some locations also provide rheumatology and orthopedics care. When further specialty care is needed, you have access to an extensive network of medical experts throughout the region. Scripps also provides health education resources, including weight management programs, nutrition and fitness classes, and programs for chronic conditions, such as diabetes. This is a Full Time position (80 hours per pay period) with a Monday - Friday, 8AM - 5PM schedule, located at our Scripps 78/Jefferson clinic in Oceanside. Once training is complete, this position has a hybrid work schedule, with some days at home and some in-office. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Join a caring team supporting Scripps 78/Jefferson Clinic as a Scheduling Specialist in the OB/GYN department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following: * Interacting with patients, payers, and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, scheduling, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. * Responding to customer billing and payment inquires as needed. * Mentoring and training staff on departmental procedures. * Accurately scheduling and re-scheduling complex patient procedures and appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in the scheduling procedures, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, initiating authorizations and referrals, performing Key User duties with minimal errors. * Accurately documenting patient to provider communication, assessing urgency and escalating as appropriate. May manage the patient check-in and check-out process from start to finish, which includes identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed. * Regularly displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to accurately identify the need to involve leadership to resolve concerns. Required Qualifications: * Must possess excellent mathematical skills and ability to handle monies. * Excellent communication and customer service skills. * Strong organizational and analytical skills; innovative with ability to identify and solve problems. Able to adapt, prioritize and meet deadlines. * Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers are required. Preferred Qualifications: * 2 or more years of experience in a customer service or healthcare/medical office environment. * Previous scheduling experience. * Experience with Epic. At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work. You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential. Position Pay Range: $27.24-$35.88/hour
    $27.2-35.9 hourly 6d ago
  • Bilingual Scheduling Specialist

    American Vision Partners 4.1company rating

    Salinas, CA jobs

    Company Intro At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation's largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas - including 25 ambulatory surgical centers. At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees! Overview As a Bilingual Scheduling Specialist, you'll be the first touch with our patients and create memorable experiences for all of our patients, providers, and team members. A “patient first approach” is key to success and our Scheduling Specialists play a key role in effectively and compassionately guiding patients and scheduling appointments. Responsibilities In a call center environment, display the ability to service patient needs while actively accepting inbound calls with a focus on customer service Use professional communication etiquette, while servicing patient needs based on appointment availability and nearest location. Minimum goal achievement based on monthly review of various metrics and expected requirements. Works with internal partners and clinics on a timely basis to help support and coordinate the needs of our patients. Focused and open to learning new skills to take on various roles based on business need Qualifications High School diploma or equivalent Ability to navigate custom computer software and internal systems - NextGen experience a plus! Experience in Medical Office including Insurance Knowledge highly desirable Detail oriented, reliable and able to multi-task in a fast-paced, high-volume work environment Excellent verbal and written communication skills; with the ability to show empathy and active listening skills Ability to maintain a high level of confidentiality (HIPAA guidelines and regulations) and professionalism Bilingual in Spanish is required Benefits & Perks Your health, happiness and your future matters! At Vantage Eye Center, we offer everything from medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays, PTO, Sick Time, opportunity for growth, and much more!
    $43k-68k yearly est. Auto-Apply 60d+ ago
  • Patient Access Representative I- Full Time, Variable (Hollywood)

    Prospect Medical Holdings 4.5company rating

    Patient access representative job at Prospect Medical Holdings

    The Patient Access Rep I arranges for the efficient and orderly admission of all inpatients and outpatients. Ensures that accurate patient information is collected and that patients are aware of hospital policy and procedures. $2,000 Sign-on bonus * Registers all patients according to department procedures. Completes all necessary admission (including consent) forms accurately and thoroughly. Prior to entering patient information into Optimum verifies the medical record status using Master Patient Index function. Ensures that the patient's name, chief complaint and other information are entered accurately. Prepares the patients financial folder and distributes copies to appropriate departments. * Ensures that each account is billable, and if necessary, pre-certification requirements are met. Contacts physician's offices to obtain required pre-admission information as needed. Ensures that patients have required authorization for scheduled procedures. Explains hospital polices regarding payment of service, collects payments and issues receipts. Requests identification cards, and insurance cards during the admission process, obtains copies of all cards (front and back). Verifies insurance coverage and eligibility. Ensures that each patient receives an identification bracelet upon admission. * Operates PBX and answers all incoming calls and transfers to the appropriate department or patient room in a professional. Performs paging via overhead and other hospital systems when required, including announcing and reporting hospital emergency codes.|• Ensures physicians are authorized to admit patients. Appropriately refers all physicians on delinquency list to hospital administrator or designee. * Provides a safe environment for patients, visitors and others. Maintains confidentiality of patients, families, employees, and visitors. Southern Cali Hospital Hollywood Required Qualifications: * High School Diploma or GED * One year of previous experience in a customer service role * Basic Understanding of Medical Terminology * Excellent written and verbal communication skills in English * Strong time management skills * Ability to multitask and maintain a work pace appropriate to workload * Excellent customer service skills * Computer literacy and proficiency * Must demonstrate customer service skills appropriate to the job * Hospital Fire and Life Safety Card within 30 days of hire date (Hollywood and Van Nuys only) Preferred Qualifications: * Previous Healthcare Experience * One year of admitting office and/or PBX operator experience * Bilingual skills to communicate effectively with patients and families Pay Rate: Min - $20.00 l Max - $27.50 $2,000 Sign-on Bonus
    $30k-37k yearly est. Auto-Apply 10d ago

Learn more about Prospect Medical Holdings jobs