Patient Access Representative jobs at Rochester Regional Health - 5086 jobs

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South. Responsible for precertification of eligible prescriptions. Ensures complete documentation is obtained that meets insurer guidelines for medical necessity and payment for services. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. A Brief Overview Responsible for precertification of eligible prescriptions. Ensures complete documentation is obtained that meets insurer guidelines for medical necessity and payment for services. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. What you will do Responsible for precertification of eligible prescription medications for inpatient and outpatient services based on medical plan documents and medical necessity. Ensures medical documentation is sufficient to meet insurer guidelines for medical necessity documentation and procedure payment. Reviews clinical information submitted by medical providers to evaluate the necessity, appropriateness and efficiency of the use of prescription medications. Assists with patient assistance and grant coordination for Patients for outpatient pharmacies from designated areas. Proactively analyzes information submitted by providers to make timely medical necessity review determinations based on appropriate criteria and standards guidelines. Verifies physician orders are accurate. Determines CPT, HCPCS and ICD-10 codes for proper Prior Authorization. Contacts insurance companies and third party administrators to gather information and organize work-flow based on the requested procedure. Collects, reads and interprets medical documentation to determine if the appropriate clinical information has been provided for insurance reimbursement and proper charge capture. Serves as primary contact with physicians/physician offices to collect clinical documentation consistent with insurer reimbursement guidelines. Establishes and maintains rapport with providers as well as ongoing education of providers concerning protocols for pre-certification. Communicates information and acts as a resource to Patient Access, Case Management, and others in regard to contract guidelines and pre-certification requirements. Performs research regarding denials or problematic accounts as necessary. Works to identify trends and root cause of issues and recommend resolutions for future processes. Education/Formal Training Requirements High School Diploma or Equivalent Work Experience Requirements 3-5 years Pharmacy (clinical, hospital, outpatient, or specialty) Licenses and Certifications Requirements See Additional Job Description. Knowledge, Skills and Abilities Basic understanding of prescription processing flow. Expertise in utiliizing EMRs to document clinical critieria required for third party approval. Knowledgeable of medical terminology, drug nomenclature, symbols and abbreviations associated with pharmacy practice. Strong attention to detail and critical thinking skills. Ability to speak and communicate effectively with patients, associates, and other health professionals. Ability to diagnose a situation and make recommendations on how to resolve problems. Experience with a computerized healthcare information system required. Familiarity with fundamental Microsoft Word software. Excellent verbal and written communication skills. Supervision Provided by this Position There are no lead or supervisory responsibilities assigned to this position. Physical Demands The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative. Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South. Responsible for precertification of eligible prescriptions. Ensures complete documentation is obtained that meets insurer guidelines for medical necessity and payment for services. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. A Brief Overview Responsible for precertification of eligible prescriptions. Ensures complete documentation is obtained that meets insurer guidelines for medical necessity and payment for services. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. What you will do Responsible for precertification of eligible prescription medications for inpatient and outpatient services based on medical plan documents and medical necessity. Ensures medical documentation is sufficient to meet insurer guidelines for medical necessity documentation and procedure payment. Reviews clinical information submitted by medical providers to evaluate the necessity, appropriateness and efficiency of the use of prescription medications. Assists with patient assistance and grant coordination for Patients for outpatient pharmacies from designated areas. Proactively analyzes information submitted by providers to make timely medical necessity review determinations based on appropriate criteria and standards guidelines. Verifies physician orders are accurate. Determines CPT, HCPCS and ICD-10 codes for proper Prior Authorization. Contacts insurance companies and third party administrators to gather information and organize work-flow based on the requested procedure. Collects, reads and interprets medical documentation to determine if the appropriate clinical information has been provided for insurance reimbursement and proper charge capture. Serves as primary contact with physicians/physician offices to collect clinical documentation consistent with insurer reimbursement guidelines. Establishes and maintains rapport with providers as well as ongoing education of providers concerning protocols for pre-certification. Communicates information and acts as a resource to Patient Access, Case Management, and others in regard to contract guidelines and pre-certification requirements. Performs research regarding denials or problematic accounts as necessary. Works to identify trends and root cause of issues and recommend resolutions for future processes. Education/Formal Training Requirements Required - High School Diploma or Equivalent Work Experience Requirements Required - Pharmacy (clinical, hospital, outpatient, or specialty) 3-5 years Licenses and Certifications Requirements Required - Pharmacy Technician - Tennessee - Tennessee Board of Pharmacy Required - Certified Pharmacy Technician - Pharmacy Technician Certification Board Preferred - Certified Pharmacy Technician- ExCPT - National Healthcareer Association Preferred - Pharmacy Technician - Mississippi - Mississippi Board of Pharmacy Knowledge, Skills and Abilities Basic understanding of prescription processing flow. Expertise in utiliizing EMRs to document clinical critieria required for third party approval. Knowledgeable of medical terminology, drug nomenclature, symbols and abbreviations associated with pharmacy practice. Strong attention to detail and critical thinking skills. Ability to speak and communicate effectively with patients, associates, and other health professionals. Ability to diagnose a situation and make recommendations on how to resolve problems. Experience with a computerized healthcare information system required. Familiarity with fundamental Microsoft Word software. Excellent verbal and written communication skills. Supervision Provided by this Position There are no lead or supervisory responsibilities assigned to this position. Physical Demands The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative. Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.

Discover. Achieve. Succeed. #BeHere This job is ON - SITE. FTE: 0.200000 Standard Hours: 8.00 Shift: Shift 1 Shift Details: One week is Saturday 745-415 and the other week is Sunday 745-415 Job Summary: The Patient Access Service Representative (PASR) delivers an exceptional patient experience for "front of house"/patient facing needs. Proactively greets patients and visitors and creates a helpful, positive, welcoming and friendly patient experience. Provides outstanding customer service both in person and on the phone. EXPERIENCE DESCRIPTION: A minimum of one year of experience as a receptionist/assistant or work in a customer service field is required. Previous experience in a healthcare setting preferred but not necessary. EDUCATION DESCRIPTION: High School diploma or equivalent is preferred. SPECIAL SKILLS DESCRIPTION: Effective communication skills, oral and written required. Ability to multi-task. Strong proactive organizational skills a must. Must have excellent customer service skills. Must be proficient in Microsoft Outlook, Excel and Word.Knowledge of medical terminology and EpicCare is preferred. Perks & Benefits at Froedtert Health Froedtert Health Offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following: Paid time off Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities Academic Partnership with the Medical College of Wisconsin Referral bonuses Retirement plan - 403b Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation. We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at ************. We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at ************. We will attempt to fulfill all reasonable accommodation requests.

The Patient Coordinator I greets and establishes first contact with patients, or performs in a call center capacity. Confirms and updates patient demographics and verifies insurance as necessary to ensure that patients have appropriate insurance for physician they are seeing. Responsibilities Greet patients either in person or via telephone, and update their insurance/demographics in the practice management system. Assure that physician accepts insurance that patients present with. If not already done prior to visit, verify insurance prior to patients arrival or at minimum at time of arrival before visit. Communicate with appropriate staff regarding patients arrival, and ensure that patients medical record is available for physician. Process/update HIPAA-related paperwork and other institutional forms as necessary. Collect or retrieve referrals or insurance authorizations as required. Review status of waiting room on a routine basis and ensure that patients are kept advised of wait times. Ensures that patient has paid co-pay or collects co-pay under direction of billing staff, providing patient with receipt following established cash-control processes. May schedule patient for follow-up appointment as needed. Provide patient with guidelines for requesting medical records, if necessary. May perform simple charge entry tasks or enter payments collected from patients and prepare Cashiers deposit. Note: duties are mutually exclusive and may not be performed by the same employee. Performs in a call center capacity (Faculty Practice Associates) Answer phones for practice and schedule appointments Follow all HIPAA and any other governmental or state agency requirements regarding the appropriate handling of PHI documents. May initiate reminder phones calls for next day appointments. Performs other related duties Qualifications High School graduate/GED. 1 year physician practice experience Must have a minimum of one week training on-site which will be provided by practice. Prefer experience in a medical office setting, utilizing a computer system for physician scheduling. IDX or other practice management system experience preferred Non-Bargaining Unit, 862 - Surgery - ISM, Icahn School of Medicine About Us Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

Communicates with patients, participants and staff to accurately schedule patients for prescribed procedures. Performs clerical and reception duties associated with patient registration. Education, License & Cert: High School Diploma or equivalent is required. Experience: - Customer/patient relations experience required (preferably in a healthcare setting). - At least 1‐year experience in a position requiring frequent and direct in‐person customer contact. - Candidate should have experience in a role that requires: • Strong organizational skills • Excellent verbal communication skills • Frequent keyboarding • Exceptional attention to detail Essential Functions: 1. Creates patient encounters in the EHR for ED, radiology, and outpatient patients. Performs all functions related to the integrity of the EHR (i.e., obtaining general consent for treatment, creating unknown encounters, merging records, scanning, prepared trauma packets) 2. Participates in daily auditing of registration processes. 3. Manages incoming and outgoing telephone calls, Vocera calls, Nurse call system. 4. Collects co‐pays and provides financial guidance related to paying outstanding balances, providing estimate letters for services rendered. 5. Performs the function of Health Information Management department after hours. 6. Participates in ED staff meetings and ED Shared Governance. Other Duties: Other duties as assigned. The pay range for this position is $17.00 - $22.37/hour

The Patient Experience Representative influences the systems, processes and behaviors that cultivate positive experiences across the continuum of care. They have an unwavering commitment to the field of patient experience and to transforming human experience in healthcare. Experience: Minimum 3 Years' Experience In a Healthcare Setting Required. Education, License & Certification: Associate degree preferred or 5 years direct experience in a role of advocate in healthcare setting. Registered Nurse or other Healthcare related licensure preferred. Certified Patient Experience Professional (CPXP) required, or within 3.5 years of hire. Essential Functions: Advocates for the needs of our patients and their representatives in a proactive, inclusive, empathetic, and positive manner. Supports organizational learning and a holistic approach to our patient's needs. Provides guidance for new or inexperienced caregivers related to patient-service recovery. Collaborates with all caregivers to improve processes that directly impact patient and community perception. Oversees the internal system for managing patient/representative concerns and maintains applicable regulatory body compliance. Provides data analysis to identify trends specific to patient experience and develops corrective action plans based on those trends. Actively participates on or leads workgroups or committees related to patient advocacy. Supports the design and innovation of the Patient Family Advisory Council. Works collaboratively with the Patient Safety and Legal Departments. Other Duties: Travel for this position is sometimes required. It is understood that this description is not intended to be all‐inclusive and that other duties may be assigned as necessary in the performance of this position. update 1-13-25 About Us Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. In all areas and at all levels of Guthrie, you'll find staff members who have committed themselves to serving the community. The Guthrie Clinic is an Equal Opportunity Employer. The Guthrie Clinic is a non-profit, integrated, practicing physician-led organization in the Twin Tiers of New York and Pennsylvania. Our multi-specialty group practice of more than 500 physicians and 302 advanced practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for the Geisinger Commonwealth School of Medicine.

Join Our Team as a Patient Service Specialist! - Schedule: Full-time (40 hours) - Shifts: 8-5 - Days: Monday through Friday - Pay- $17.34-$23.96 The Patient Service Specialist provides direct, daily operational front office support. The Patient Service Specialist will continually demonstrate Patient Centeredness, Teamwork, and Excellence in the daily performance of their duties. This position requires the ability to be self‐motivated, flexible, punctual, detail oriented, have good time management skills and have excellent communication skills. Education, License & Cert: High School diploma/GED required. Graduation from a Medical Office Assistant school preferred. Experience: Demonstrated customer service commitment in a fast‐paced environment with a minimum of 1 year experience in a customer service related field preferred. Medical office experience and knowledge of medical terminology preferred. Must be comfortable with computers and learning new applications. Essential Functions: 1. Responsible for greeting every patient in a courteous, professional, and timely manner Every Time. 2. Responsible for answering telephones in a friendly and efficient manner in conjunction with Guthrie's Telephone Standards. Screens telephone calls, takes messages and provides information. 3. Responsible for scheduling and maintaining all patient appointments electronically. Verifies patient information at time of scheduling and assigns B# / MRN to new patients. Responsible for editing appointment schedule at the direction of practice management. 4. Registers patient. Reviews, verifies and corrects patient demographic and insurance information along with scanning current insurance cards into the patient's confidential medical record. 5. Verify eligibility for major insurance carriers including but not limited to New York and Pennsylvania Medical Assistance to ensure accurate billing. Complete various types of insurance forms, pre‐certifications and referrals if applicable. 6. Possess the ability to inform, quote, and collect copayments, insurance deductibles, deposits, or unpaid balances at the time of registration as per Guthrie Medical Group, P.C. ‘s policies and guidelines if applicable. 7. Responsible for daily cash‐out and balancing in accordance with the Patient Cash Control Policy if applicable. 8. Performs liaison duties between patients, physicians, hospital staff, organizational departments, etc., keeping the departments fully aware of all necessary information. Keeps patients informed of any delays. 9. Adheres to departmental and organizational policies and attends meetings/huddles as required. 10. Requires the ability to prioritize daily tasks simultaneously in a fast‐paced, ever changing work environment within a strong team structure. 11. Maintains strict confidentiality related to patient health information in accordance with HIPAA compliance. 12. Assists with and completes other projects or duties as assigned including participating in all quality initiatives established by the organization. 1. Other duties as assigned.

Join Our Team as a Patient Service Specialist! - Schedule: Full-time (40 hours) - Shifts: The hours are Monday through Thursday 8am-6pm. Friday 8am-5pm, Sat-Sun 8am-12pm. With that said, there is a rotation on weekdays and weekends with the late people. They can work during the week 730-430, 745-445, 8-5 or 9-6. The weekend is always 730-12 - Days: Monday through Friday and weekends - Pay- $17.34-$23.96 Position Summary: The Patient Service Specialist provides direct, daily operational front office support in a manner consistent with Guthrie Medical Group's Service Excellence Standards. The Patient Service Specialist will continually demonstrate Patient Centeredness, Teamwork, and Excellence in the daily performance of their duties. This position requires the ability to be self‐motivated, flexible, punctual, detail oriented, have good time management skills and have excellent communication skills. Education, License & Cert: High School diploma/GED required. Graduation from a Medical Office Assistant school preferred. Experience: Demonstrated customer service commitment in a fast‐paced environment with a minimum of 1 year experience in a customer service related field preferred. Medical office experience and knowledge of medical terminology preferred. Must be comfortable with computers and learning new applications. Essential Functions: 1. Responsible for greeting every patient in a courteous, professional, and timely manner every Time. 2. Responsible for answering telephones in a friendly and efficient manner in conjunction with Guthrie's Telephone Standards. Screens telephone calls, takes messages and provides information. 3. Responsible for scheduling and maintaining all patient appointments electronically. Verifies patient information at time of scheduling and assigns B# / MRN to new patients. Responsible for editing appointment schedule at the direction of practice management. 4. Registers patient. Reviews, verifies and corrects patient demographic and insurance information along with scanning current insurance cards into the patient's confidential medical record. 5. Verify eligibility for major insurance carriers including but not limited to New York and Pennsylvania Medical Assistance to ensure accurate billing. Complete various types of insurance forms, pre‐certifications and referrals. 6. Possess the ability to inform, quote, and collect copayments, insurance deductibles, deposits, or unpaid balances at the time of registration as per Guthrie Medical Group, P.C. ‘s policies and guidelines. 7. Responsible for daily cash‐out and balancing in accordance with the Patient Cash Control Policy. 8. Performs liaison duties between patients, physicians, hospital staff, organizational departments, etc., keeping the departments fully aware of all necessary information. Keeps patients informed of any delays. 9. Adheres to departmental and organizational policies and attends meetings/huddles as required. 10. Requires the ability to prioritize daily tasks simultaneously in a fast‐paced, ever changing work environment within a strong team structure. 11. Maintains strict confidentiality related to patient health information in accordance with HIPAA compliance. 12. Assists with and completes other projects or duties as assigned including participating in all quality initiatives established by the organization. Pay ranges from $17.34-23.96. Other Duties: 1. Other duties as assigned.

Join Our Team as a Patient Service Specialist! - Schedule: Full-time (40 hours) - Shifts: Hours: Mon-Fri, 10 Am-7 Pm with an hour lunch and one four-hour Saturday rotation every three months. - Days: Monday through Friday and Saturday's - Pay- $17.34-$23.96 Position Summary: The Patient Service Specialist provides direct, daily operational front office support in a manner consistent with Guthrie Medical Group's Service Excellence Standards. The Patient Service Specialist will continually demonstrate Patient Centeredness, Teamwork, and Excellence in the daily performance of their duties. This position requires the ability to be self‐motivated, flexible, punctual, detail oriented, have good time management skills and have excellent communication skills. Education, License & Cert: High School diploma/GED required. Graduation from a Medical Office Assistant school preferred. Experience: Demonstrated customer service commitment in a fast‐paced environment with a minimum of 1 year experience in a customer service related field preferred. Medical office experience and knowledge of medical terminology preferred. Must be comfortable with computers and learning new applications. Essential Functions: 1. Responsible for greeting every patient in a courteous, professional, and timely manner every Time. 2. Responsible for answering telephones in a friendly and efficient manner in conjunction with Guthrie's Telephone Standards. Screens telephone calls, takes messages and provides information. 3. Responsible for scheduling and maintaining all patient appointments electronically. Verifies patient information at time of scheduling and assigns B# / MRN to new patients. Responsible for editing appointment schedule at the direction of practice management. 4. Registers patient. Reviews, verifies and corrects patient demographic and insurance information along with scanning current insurance cards into the patient's confidential medical record. 5. Verify eligibility for major insurance carriers including but not limited to New York and Pennsylvania Medical Assistance to ensure accurate billing. Complete various types of insurance forms, pre‐certifications and referrals. 6. Possess the ability to inform, quote, and collect copayments, insurance deductibles, deposits, or unpaid balances at the time of registration as per Guthrie Medical Group, P.C. ‘s policies and guidelines. 7. Responsible for daily cash‐out and balancing in accordance with the Patient Cash Control Policy. 8. Performs liaison duties between patients, physicians, hospital staff, organizational departments, etc., keeping the departments fully aware of all necessary information. Keeps patients informed of any delays. 9. Adheres to departmental and organizational policies and attends meetings/huddles as required. 10. Requires the ability to prioritize daily tasks simultaneously in a fast‐paced, ever changing work environment within a strong team structure. 11. Maintains strict confidentiality related to patient health information in accordance with HIPAA compliance. 12. Assists with and completes other projects or duties as assigned including participating in all quality initiatives established by the organization. Other Duties: 1. Other duties as assigned.

The Biller is responsible to bill all insurance companies, workers compensation carriers, as well as HMO/PPO carriers. Audits patient accounts to ensure procedures and charges are coded accurate and corrects billing errors. Able to identify stop loss claims, implants and missing codes. Maintains proficiency in Medical Terminology. The Biller is responsible for the follow-up performed on insurance balances as needed to ensure payment without delay is received from the insurance companies. Communicates clearly and efficiently by phone and in person with our clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with insurance billing requirements. Operates computer to input follow up notes and retrieve collection and patient information. Is able to write effective appeals to insurance companies. Education and Work Experience 1. Knowledge of multiple insurance billing requirements and 1-2 years of billing experience 2. Knowledge of CPT, HCPCS, and Revenue Code structures 3. Effective written and verbal communication skills 4. Ability to multi-task, prioritize needs to meet required timelines 5. Analytical and problem-solving skills 6. High School Graduate or GED Equivalent Required

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

RAYUS now offers DailyPay! Work today, get paid today! is $18.28-$24.78 based on direct and relevant experience. 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 rresponsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments. 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

RAYUS now offers DailyPay! Work today, get paid today! is $18.00-$22.31 based on direct and relevant experience. 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 Monday-Friday 8:45am-5:15pm, with rotating shifts every 9th weekend and 1 holiday every 2 years. 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

RAYUS now offers DailyPay! Work today, get paid today! RAYUS Radiology is looking for a Scheduling Specialist to join our team. 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 Monday-Friday from 1:30pm-10:00pm; includes up to 4 weekends per year (day shifts). 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) (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

RAYUS now offers DailyPay! Work today, get paid today! RAYUS Radiology is looking for a Scheduling Specialist to join our team. 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 position is full-time working Monday, Wednesday, Thursday and Friday from 8:00am-4:30pm and Tuesday from 11:30am-8:00pm; includes weekend rotation up to four per year. 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

Job Description What You Can Expect: Our Medical Staff Scheduling Specialists love Grand Itasca for the stability, meaningful work and great team. If you are looking for professional growth and development with hands on experience caring for a diverse patient population, Grand Itasca is where you belong! We're glad you are thinking about joining us Grand Itasca is a great place to work! We're a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 700 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities. Let's talk about benefits Competitive pay Tuition reimbursement and scholarship/grant opportunities Health, dental, vision, & life insurance kick in on the first of the month after 30 days of employment Generous paid time off package to maintain a healthy home-work balance STDB (short term disability bank) 401K with employer contributions Employee Referral Program About the Position Medical Staff Scheduling Specialist Part-time .8-1.0 FTE (64-80 hours per pay period) Days, no weekends! Hybrid: Remote and onsite at Grand Itasca Clinic and Hospital *Your home office must meet Safety, Privacy, and Internet Speed requirements set forth by Grand Itasca Clinic & Hospital to be eligible for this position. Job Summary: The Medical Staff Scheduling Specialist works to ensure accurate, efficient, and well-coordinated provider scheduling and staffing operations across the organization. This role is responsible for building, maintaining, and adjusting provider schedules for all clinical areas-including Clinic, Hospital, Rehab, Emergency Department, and call coverage-while ensuring schedule compatibility with patient access needs and operational workflows. The position also manages provider and rehab payroll tasks, coordinating locum coverage when requested, processes time-off requests, and supports the optimization of provider templates. Here's what you'll do when you join us: Manage and complete monthly provider schedules for all assigned departments, including primary and specialty clinic care, rehabilitation services, Emergency Department coverage, call schedules, and in-clinic rotational schedules, ensuring alignment with patient access needs and operational requirements. Proactively communicate with full-time, part-time, and casual providers to fill open shifts in a timely manner, demonstrating a high level of customer service and professionalism while maintaining coverage standards. Identify, assess, and appropriately escalate staffing issues when coverage gaps, scheduling conflicts, or operational risks are identified. Monitor, maintain, and enforce minimum provider coverage requirements across all assigned clinical areas to support safe and efficient patient care. Receive, review, and process provider time-off requests, including vacation, education, training, CME, and meeting requests, in accordance with organizational policies. Track and monitor provider vacation and education time utilization, ensuring accurate records and compliance with established guidelines. Block provider schedules for approved time off and ensure timely communication of schedule changes to impacted departments. Respond to provider shift call-ins by initiating appropriate follow-up actions, including coordination with leadership and affected departments to maintain coverage and continuity of care. Create, maintain, and update physician and rehabilitation provider scheduling templates within Epic, including recurring schedules, modifiers, and other configuration updates to support accurate scheduling. Process bi-weekly provider payroll, including collection, review, and submission of timesheets in accordance with payroll deadlines and requirements. Develop and maintain provider call schedules and ensure on-call assignments are accurately updated and communicated via the intranet and other designated platforms. Build, manage, and optimize provider scheduling templates in the Epic EHR, supporting workflow efficiency, accurate documentation, and access optimization. Collaborate with nursing, surgery, patient access, recruitment, clinic leadership, and other stakeholders to ensure provider schedules are accurate, timely, and aligned with operational and staffing needs. Perform other duties as assigned, consistent with the scope and responsibilities of the position. If you have these qualifications, we'd love to chat: At least one-year credentialing or provider scheduling experience preferred. 3 years of professional administrative assistant experience preferred. Knowledge and experience with personal computers and software, including mastery of MS Windows and Excel. Ability to work with physician group(s). Ability to work independently, prioritize tasks, coordinate multiple tasks and work with interruption. About Grand Itasca: Grand Itasca brings the benefits of a large and respected health system to our local community. We are a non-profit, state-of-the-art, integrated clinic and hospital that is proud to offer a range of high-quality providers, specialties and services to our community. Enjoy our patient-centered, comprehensive approach, close to home without venturing from the beauty of northern Minnesota. *An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. EEO/AA Employer/Vet/Disabled All qualified applicants will receive consideration without regard to any lawfully protected status. Job Posted by ApplicantPro

What You Can Expect: Our Medical Staff Scheduling Specialists love Grand Itasca for the stability, meaningful work and great team. If you are looking for professional growth and development with hands on experience caring for a diverse patient population, Grand Itasca is where you belong! We're glad you are thinking about joining us Grand Itasca is a great place to work! We're a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 700 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities. Let's talk about benefits * Competitive pay * Tuition reimbursement and scholarship/grant opportunities * Health, dental, vision, & life insurance kick in on the first of the month after 30 days of employment * Generous paid time off package to maintain a healthy home-work balance * STDB (short term disability bank) * 401K with employer contributions * Employee Referral Program About the Position * Medical Staff Scheduling Specialist * Part-time .8-1.0 FTE (64-80 hours per pay period) * Days, no weekends! * Hybrid: Remote and onsite at Grand Itasca Clinic and Hospital * Your home office must meet Safety, Privacy, and Internet Speed requirements set forth by Grand Itasca Clinic & Hospital to be eligible for this position. Job Summary: The Medical Staff Scheduling Specialist works to ensure accurate, efficient, and well-coordinated provider scheduling and staffing operations across the organization. This role is responsible for building, maintaining, and adjusting provider schedules for all clinical areas-including Clinic, Hospital, Rehab, Emergency Department, and call coverage-while ensuring schedule compatibility with patient access needs and operational workflows. The position also manages provider and rehab payroll tasks, coordinating locum coverage when requested, processes time-off requests, and supports the optimization of provider templates. Here's what you'll do when you join us: * Manage and complete monthly provider schedules for all assigned departments, including primary and specialty clinic care, rehabilitation services, Emergency Department coverage, call schedules, and in-clinic rotational schedules, ensuring alignment with patient access needs and operational requirements. * Proactively communicate with full-time, part-time, and casual providers to fill open shifts in a timely manner, demonstrating a high level of customer service and professionalism while maintaining coverage standards. * Identify, assess, and appropriately escalate staffing issues when coverage gaps, scheduling conflicts, or operational risks are identified. * Monitor, maintain, and enforce minimum provider coverage requirements across all assigned clinical areas to support safe and efficient patient care. * Receive, review, and process provider time-off requests, including vacation, education, training, CME, and meeting requests, in accordance with organizational policies. * Track and monitor provider vacation and education time utilization, ensuring accurate records and compliance with established guidelines. * Block provider schedules for approved time off and ensure timely communication of schedule changes to impacted departments. * Respond to provider shift call-ins by initiating appropriate follow-up actions, including coordination with leadership and affected departments to maintain coverage and continuity of care. * Create, maintain, and update physician and rehabilitation provider scheduling templates within Epic, including recurring schedules, modifiers, and other configuration updates to support accurate scheduling. * Process bi-weekly provider payroll, including collection, review, and submission of timesheets in accordance with payroll deadlines and requirements. * Develop and maintain provider call schedules and ensure on-call assignments are accurately updated and communicated via the intranet and other designated platforms. * Build, manage, and optimize provider scheduling templates in the Epic EHR, supporting workflow efficiency, accurate documentation, and access optimization. * Collaborate with nursing, surgery, patient access, recruitment, clinic leadership, and other stakeholders to ensure provider schedules are accurate, timely, and aligned with operational and staffing needs. * Perform other duties as assigned, consistent with the scope and responsibilities of the position. If you have these qualifications, we'd love to chat: * At least one-year credentialing or provider scheduling experience preferred. * 3 years of professional administrative assistant experience preferred. * Knowledge and experience with personal computers and software, including mastery of MS Windows and Excel. * Ability to work with physician group(s). * Ability to work independently, prioritize tasks, coordinate multiple tasks and work with interruption. About Grand Itasca: Grand Itasca brings the benefits of a large and respected health system to our local community. We are a non-profit, state-of-the-art, integrated clinic and hospital that is proud to offer a range of high-quality providers, specialties and services to our community. Enjoy our patient-centered, comprehensive approach, close to home without venturing from the beauty of northern Minnesota. * An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. EEO/AA Employer/Vet/Disabled All qualified applicants will receive consideration without regard to any lawfully protected status.

Job Description Join Right at Home as a Full-Time In-Home Care Scheduling Specialist in Frederick, MD, where your strategic skills and customer service background will shine. This onsite position offers a vibrant, energetic workplace that emphasizes problem-solving and empathy, allowing you to make a real impact in the lives of seniors. You'll work in a dynamic environment where every day presents new challenges and opportunities for growth. With a competitive salary of $55,000, you'll be rewarded for your dedication to ensuring excellent care and customer satisfaction. Your contributions will directly enhance the experience of our clients and caregivers alike. You can get great benefits such as Medical, Dental, Vision, 401(k), Life Insurance, and Paid Time Off. Seize the chance to be part of a high-performance team that prioritizes fun and customer-centric service, making every day fulfilling and meaningful. What it's like to be a In Home Care Scheduling Specialist at In Home Care Scheduling Specialist As a Full-Time In-Home Care Scheduling Specialist at Right at Home, you'll thrive in a fast-paced environment where you'll handle high-volume phone calls while managing essential administrative tasks to ensure seamless operations. Your role will be pivotal in fostering teamwork, as you'll collaborate closely with colleagues to deliver exceptional service, always maintaining a customer-centric focus. Your ability to thrive under pressure will be crucial, allowing you to navigate challenges with a problem-solving mindset. With a strong commitment to empathy, you'll create meaningful connections that significantly enhance the lives of the seniors we serve, making every interaction impactful and rewarding. Join us and be a part of a dedicated team that truly values the importance of care and connection. What you need to be successful To excel as a Full-Time In-Home Care Scheduling Specialist at Right at Home, you must possess a blend of essential skills that are crucial for success in this dynamic role. Strong customer service abilities will enable you to engage effectively with clients and caregivers alike, while strategic thinking will help you navigate complex scheduling scenarios. Being solution-driven is vital, as you'll face challenges that require quick resolutions. As a team player, your adaptability will ensure smooth collaboration with colleagues, fostering a positive work environment. An organized and detail-oriented approach is necessary to manage high-volume phone calls and maintain accurate records in our fast-paced setting. Additionally, being a compassionate communicator will empower you to build meaningful relationships with the seniors we serve, enhancing their overall experience. Your leadership qualities and empathetic nature will set you apart in this rewarding position. Knowledge and skills required for the position are: Fluency in English 2 years high volume scheduling experience Taking / Making 50+ calls and emails per day, great at multi-tasking customer service strategic thinking solution driven team player adaptable organized detail oriented fast paced environment leader empathetic communication Will you join our team? If you feel that this job is what you're looking for, applying is a piece of cake - just follow the instructions on this page. Good luck! IND123

Job Title: Patient Representative Department: PPM Lawrence Ave Specialties Hours Per Week: 40 Hrs. Schedule: Monday - Friday, 8a - 4:30p Utilize electronic medical record (EMR) modules and other office equipment to perform all clerical tasks in an efficient and timely manner. Works in collaboration with physicians (MD, DO), Physician Assistants (PA), Certified Nurse Midwife (CNM), and Nurse Practitioner (NP). RESPONSIBILITIES: Patient Care Support & Communication: Assist providers by supporting patient encounters, ensuring accurate documentation in EMRs, and maintaining open communication with the care team, patients, and caregivers. Administrative & Scheduling Duties: Manage clerical tasks such as scheduling, referrals, phone communication, record preparation, and collection of payments. Help maintain efficient patient schedules and support billing and insurance inquiries. Compliance & Quality Assurance: Ensure adherence to organizational policies, healthcare regulations, and DNV accreditation standards. Collaborate with management to resolve clerical issues and enhance patient service quality. Team Collaboration & Continuous Improvement: Work closely with St. Lawrence Health System and PPM teams on daily operations, educational programs, and process improvements. Participate in special projects and promote the organization's mission and core values. PREFERRED QUALIFICATIONS: Advanced technical training and/or certification Formal education beyond High School Minimum of 1-year recent outpatient medical office experience Knowledge in electronic health record (EHR / EMR) usage and medical terminology UNION: 1199-200B Clerical Workers (CPH) Note: Not all per diem roles are union eligible EDUCATION: LICENSES / CERTIFICATIONS: PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements. Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations. PAY RANGE: $19.46 - $28.55 The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts. Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.