Patient Access Representative (Per Diem)
Medical receptionist job at St. Luke's Health System
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
R132879 Patient Access Representative - Per Diem, Whitehall
JOB SUMMARY
The Patient Access Representative is responsible for the entire scope of the registration process for patients seen at St. Luke's University Health Network, in outpatient and/or Emergency Department locations. This includes, but is not limited to, correctly identifying patients, transcribing orders, completing registration screens, entering diagnosis and provider information, verifying insurances, point of service cash collections, work queues, etc. A Patient Access Representative I is required to have excellent customer service skills and exhibit PCRAFT values at all times with internal and external customers. Patient Access Representative I communicates/coordinates with SLPG practices, clinical/diagnostic departments, and various revenue cycle departments to ensure excellent patient experience, clean claim submission, and payment for services. May require occasional travel between campuses or regional locations. Required to be cross-trained in all departments at campus or within region.
JOB DUTIES AND RESPONSIBILITIES:
* Responsible to correctly identify/validate the choosing of patients in hospital information system to maintain the integrity and accuracy of electronic medical records. Identify and report any instances of possible identify theft situations to clinical department and leadership for appropriate escalation.
* Maintain knowledge and education of network policy on Patient Identification including Mark for Merge, Chart Corrections, and Patient Look-Up.
* Responsible for the patient registration (pre-reg and post-reg needs) including all of the following: demographics, emergency contact, transcribing diagnostic orders, primary care and referring provider, diagnosis, insurance and guarantor verification, real time insurance eligibility, point of service cash collections. This also includes patient, account, and claim edit level work queue errors related to registration. Can require contacting provider office, reviewing patient medical chart for diagnosis and medical necessity information.
* Required to cross train in all areas of location or region. Campus locations must be cross trained in outpatient and Emergency Department areas. Outpatient (off-campus) locations must be cross trained for all locations if any different nuances.
* Greets/directs patients and visitors for the entire facility. Always provides friendly and courteous service to community and co-workers. Responsible for monitoring and enforcing visitor policy for the entity (if applicable).
* Answers internal and external calls on main department/facility line and dispenses appropriate information and answers questions regarding the facility and its services.
* Promotes and helps increase usage of MyChart patient portal and patient self-service capabilities to ensure patients are personally engaging in their health care.
* Responsible for overseeing and assisting patients with Welcome Kiosk and On My Way technology at network locations. Consists of self-scheduled patients online and monitoring the arrival process and patient's journey throughout their visit.
* Responsible for contacting the SLPG practice or Network Prior Authorization Department to obtain required insurance referrals and pre-certs when not previously documented in chart prior to service to decrease denials for no authorization.
* Must obtain Medical license Number, NPI and UPIN via appropriate website for all new provider entries for outpatient services to ensure results are routed accurately and claim submission/payment.
PHYSICAL AND SENSORY REQUIREMENTS:
Sitting/standing up to 8 hours per day, 4 or more hours at a time. Frequent use of hands/fingers for data entry. Frequently walking and ability to push up to 250 pounds in a wheelchair. Ability to occasionally carry or lift up to 15 pounds. Hearing as it relates to normal conversation. Seeing as it relates to general vision.
MINIMUM QUALIFICATIONS EDUCATION:
High school graduate or equivalent required. Certificate/Degree in health care related field preferred.
TRAINING AND EXPERIENCE:
Excellent customer service and interpersonal skills required. General computer experience and ability to type fluently, accurately, and quickly required. Insurance background preferred. Knowledge of medical terminology preferred. Previous medical administrative experience and/or health care related education courses preferred. Knowledge of health information system (epic) preferred.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer.
Auto-ApplyCentralized Scheduling Coordinator - Remote (OR & WA)
Vancouver, WA jobs
PeaceHealth is seeking a Centralized Scheduling Coordinator - Remote (OR & WA) for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $24.99 - $33.73. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.
This position is on the phone Monday - Friday; 9:00am - 5:30pm.
Job Summary:
Supports the Centralized/Integrated Scheduling department by coordinating surgeries, procedures, exams, therapies and evaluations for multiple hospital and outpatient departments, modalities and facilities. Facilitates equipment, third party schedules, prior authorization, physicians' schedules and staffing assignments. Coordinates efficient operation of the department by completing support activities as assigned.
Details of the Position:
* Serves as central point of communication for community referring physicians and offices, system patient services, and caregivers to secure resources necessary for patient care. Interfaces and/or works directly with nursing units, technologists, physicians, community offices and other medical facilities to coordinate cases and appointments.
* Receives incoming phone calls related to all aspects of scheduling and coordination of patients and resources. Supports patients, caregivers, families and authorized organizations in understanding the course of pre-procedure and exam testing.
* Assures all changes to the block and schedule are in accordance with policies and alerts appropriate leadership when out of compliance. Promotes adherence to leadership and board agreements in scheduling practices.
* Collects and evaluates patient demographic, insurance, clinical and non-clinical information.
* Analyzes clinical information and/or patient medical history to determine conflicts regarding scheduling surgeries, procedures and exams that would require consultation and resolution.
* Analyses algorithm assigned to each department, modality and facility to identify how to best coordinate services. Assists in the update of guidelines and policies.
* Coordinates and schedules third party resources, equipment, caregivers and providers while maximizing efficiencies and contributing to positive patient and caregiver experiences.
* Maintains template, block and schedule for multiple hospitals and outpatient departments and resources.
* Identifies inaccuracies and missing data that would affect departments' financial results; monitors cancellation and rescheduling of cases and appointments to manage schedules, equipment and blocks; identifies potential resource conflicts and works with leadership to resolve.
* Ensures cases and appointments have prior authorization; may coordinate with PFS to inform patient of financial responsibility and prior authorization.
* Creates and runs reports by department and modality to audit performance. Audits and arranges cases and appointments to ensure maximum efficiency of physicians and caregivers.
* Obtains required paper work and/or electronic form for chart completion; ensures orders, history and physical, and consents are compliant.
* Performs other duties as assigned.
What You Bring:
Education
* Associate Degree Required: Or equivalent knowledge and skills obtained through a combination of education, training and experience
* Preferred: Completion of basic anatomy/physiology class related to exams, especially surgical pre and post-operative diagnosis and interventional procedures
Experience
* Minimum of 2 years Required: Scheduling and health records experience in a hospital or healthcare setting
* Preferred: Experience with scheduling
* Required: Experience with Electronic Medical Records system
* Preferred: Experience in scheduling multiple healthcare departments and/or facilities
* Preferred: Experience with compliance and legal documentation of orders, history and physical and consents
* Preferred: Clinical experience
Skills
* Must have the ability to work efficiently and responsibility in an environment with multiple demands, interruptions and time frames, with minimal supervision. (Required)
* Excellent customer service and clear and concise telephone skills. (Required)
* Advanced problem solving and critical thinking skills that demonstrate positive outcomes. (Required)
* Knowledge of Outlook and other Microsoft Office (Word, Excel, Publisher, etc.) applications. (Required)
* Proficient keyboarding and computer skills. (Required)
* Knowledgeable of surgeries, procedures and exams performed in a hospital or an outpatient setting. (Preferred)
* Medical terminology knowledge (Preferred)
Working Conditions:
Lifting
* Consistently operates computer and other office equipment.
* Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
* Sedentary work.
Environmental Conditions
* Predominantly operates in an office environment.
Mental/Visual
* Ability to communicate and exchange accurate information.
* The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.
See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.
For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.
Centralized Scheduling Coordinator - Remote (OR & WA)
Vancouver, WA jobs
PeaceHealth is seeking a Centralized Scheduling Coordinator - Remote (OR & WA) for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $24.99 - $33.73. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.
This position is on the phone Monday - Friday; 9:00am - 5:30pm.
Job Summary
Supports the Centralized/Integrated Scheduling department by coordinating surgeries, procedures, exams, therapies and evaluations for multiple hospital and outpatient departments, modalities and facilities. Facilitates equipment, third party schedules, prior authorization, physicians' schedules and staffing assignments. Coordinates efficient operation of the department by completing support activities as assigned.
Essential Functions
* Serves as central point of communication for community referring physicians and offices, system patient services, and caregivers to secure resources necessary for patient care. Interfaces and/or works directly with nursing units, technologists, physicians, community offices and other medical facilities to coordinate cases and appointments.
* Receives incoming phone calls related to all aspects of scheduling and coordination of patients and resources. Supports patients, caregivers, families and authorized organizations in understanding the course of pre-procedure and exam testing.
* Assures all changes to the block and schedule are in accordance with policies and alerts appropriate leadership when out of compliance. Promotes adherence to leadership and board agreements in scheduling practices.
* Collects and evaluates patient demographic, insurance, clinical and non-clinical information.
* Analyzes clinical information and/or patient medical history to determine conflicts regarding scheduling surgeries, procedures and exams that would require consultation and resolution.
* Analyses algorithm assigned to each department, modality and facility to identify how to best coordinate services. Assists in the update of guidelines and policies.
* Coordinates and schedules third party resources, equipment, caregivers and providers while maximizing efficiencies and contributing to positive patient and caregiver experiences.
* Maintains template, block and schedule for multiple hospitals and outpatient departments and resources.
* Identifies inaccuracies and missing data that would affect departments' financial results; monitors cancellation and rescheduling of cases and appointments to manage schedules, equipment and blocks; identifies potential resource conflicts and works with leadership to resolve.
* Ensures cases and appointments have prior authorization; may coordinate with PFS to inform patient of financial responsibility and prior authorization.
* Creates and runs reports by department and modality to audit performance. Audits and arranges cases and appointments to ensure maximum efficiency of physicians and caregivers.
* Obtains required paper work and/or electronic form for chart completion; ensures orders, history and physical, and consents are compliant.
* Performs other duties as assigned.
Qualifications
Education
* Associate Degree Required: Or equivalent knowledge and skills obtained through a combination of education, training and experience
* Preferred: Completion of basic anatomy/physiology class related to exams, especially surgical pre and post-operative diagnosis and interventional procedures
Experience
* Minimum of 2 years Required: Scheduling and health records experience in a hospital or healthcare setting
* Preferred: Experience with scheduling
* Required: Experience with Electronic Medical Records system
* Preferred: Experience in scheduling multiple healthcare departments and/or facilities
* Preferred: Experience with compliance and legal documentation of orders, history and physical and consents
* Preferred: Clinical experience
Credentials
Skills
* Must have the ability to work efficiently and responsibility in an environment with multiple demands, interruptions and time frames, with minimal supervision. (Required)
* Excellent customer service and clear and concise telephone skills. (Required)
* Advanced problem solving and critical thinking skills that demonstrate positive outcomes. (Required)
* Knowledge of Outlook and other Microsoft Office (Word, Excel, Publisher, etc.) applications. (Required)
* Proficient keyboarding and computer skills. (Required)
* Knowledgeable of surgeries, procedures and exams performed in a hospital or an outpatient setting. (Preferred)
* Medical terminology knowledge (Preferred)
Working Conditions
Lifting
* Consistently operates computer and other office equipment.
* Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
* Sedentary work.
Environmental Conditions
* Predominantly operates in an office environment.
Mental/Visual
* Ability to communicate and exchange accurate information.
* The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.
See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.
For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.
Scheduler 2
Columbus, OH jobs
Employment Type:Full time Shift:Description:
Uses specialized knowledge to support key areas of the organization related to an area of expertise. Uses data, research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving organization's strategic objectives. Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge.
Location: Remote
Specialty: Diagnostic Imaging
Hours of office: Monday - Friday 9:00a - 5:30pm
What You Will Do:
Responsible for pre-registration, scheduling, electronically verifying insurance eligibility & accurately identifying & collecting patient financial responsibility.
Handles complex scheduled events, including high dollar testing, associated studies & those with study specific instructions & communicates effectively to service delivery areas to maximize patient flow & customer service.
Begins the overall patient experience & initiate the billing process for any services provided by the hospital.
Must possess a comprehensive knowledge of multiple scheduling systems & have demonstrated proficiency in complex diagnostic testing appointment scheduling processes with a minimum of five plus (5) years of scheduling experience in an acute care setting.
Schedules complex facility based ancillary testing across multiple facilities/states Ability to schedule for multiple facility with significant variants in protocols.
Minimum Qualifications:
High School Diploma or equivalent. Two (2) to Five (5) years experience in area of expertise such as scheduling, financial clearance, or patient access.
National certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
Must be proficient in the use of Patient Registration/Patient Accounting systems & related software systems.
Additional Qualifications (nice to have)
Medical terminology required & knowledge of diagnostic & procedural coding
Insurance verification with the ability to explain benefits, secure necessary authorizations
Position Highlights and Benefits:
Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
Retirement savings account with employer match starting on day one.
Generous paid time off programs.
Employee recognition programs.
Tuition/professional development reimbursement.
Relocation assistance (geographic and position restrictions apply).
Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing.
Employee Referral Rewards program.
Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day!
Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.
Ministry/Facility Information:
Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Auto-ApplyAuthorization Specialist (Remote in Wisconsin/Michigan)
Marshfield, WI jobs
Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!Job Title:Authorization Specialist (Remote in Wisconsin/Michigan) Cost Center:101651135 Insurance VerificationScheduled Weekly Hours:40Employee Type:RegularWork Shift:Mon-Fri; day shifts (United States of America) Job Description:
**Wisconsin and Michigan residents only eligible to apply**
JOB SUMMARY
The Authorization Specialist is a healthcare professional responsible for reviewing patient medical records to determine if a prescribed treatment, procedure, or medication requires prior authorization from the insurance company, ensuring that the requested care is deemed medically necessary and covered under the patient's benefits before it can be administered; this involves verifying patient eligibility, contacting insurance companies to obtain authorization, and managing the process to minimize delays in patient care. An Authorization Specialist works in a fast-paced environment with high call volumes, requiring strong organizational skills and the ability to manage multiple tasks simultaneously.
JOB QUALIFICATIONS
EDUCATION
For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.
Minimum Required: None
Preferred/Optional: Successful completion of post-secondary courses in Medical Terminology and Diagnosis and CPT Coding, and Anatomy & Physiology. Graduate of a Medical Assistant, Health Unit Coordinator or Health Care Business Service program.
EXPERIENCE
Minimum Required: Two years' experience in a medical business office or healthcare setting involving customer service or patient-facing responsibilities, or equivalent experience. In addition to the following:
Medical knowledge: Understanding of basic medical terminology, disease processes, and treatment options to accurately assess medical necessity.
Insurance knowledge: Familiarity with different insurance plans, benefit structures, and prior authorization guidelines.
Excellent communication skills: Ability to effectively communicate with healthcare providers, insurance companies, and patients to clarify information and address concerns.
Attention to detail: High level of accuracy in data entry and review of medical records to ensure correct prior authorization requests.
Problem-solving skills: Ability to identify potential issues with prior authorization requests, navigate complex situations, and find solutions to ensure timely patient care.
Preferred/Optional: None
CERTIFICATIONS/LICENSES
The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.
Minimum Required: None
Preferred/Optional: None
**Wisconsin and Michigan residents only eligible to apply**
Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.
Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
Auto-ApplyPatient Access Center Representative Central Scheduling - Imaging (Telecommute)
Katy, TX jobs
Overview At Houston Methodist, the Patient Access Center Representative position is responsible for assuring that patients in need of scheduling appointments are scheduled to receive services in their assigned location and are financially cleared prior to their scheduled appointment through accurate and timely scheduling, registration, and verification of eligibility and benefits. This position assists management with ongoing observations and notifications of opportunities while providing innovative suggestions for process improvement. The Patient Access Center Representative position also assists management with auditing/quality review to ensure accurate and appropriate scheduling and registration. Additional responsibilities for this position include providing excellent customer service when communicating with patients who receive services at our facilities and providing notification to patients, physicians, hospital/clinical staff and management of issues that may result in potential service delays or reimbursement denials. Houston Methodist Standard PATIENT AGE GROUP(S) AND POPULATION(S) SERVED
Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.
HOUSTON METHODIST EXPERIENCE EXPECTATIONS
Provide personalized care and service by consistently demonstrating our I CARE values:
INTEGRITY: We are honest and ethical in all we say and do.
COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
ACCOUNTABILITY: We hold ourselves accountable for all our actions.
RESPECT: We treat every individual as a person of worth, dignity, and value.
EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.
Practices the Caring and Serving Model
Delivers personalized service using HM Service Standards
Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)
Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience
Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job
Actively supports the organization's vision, fulfills the mission and abides by the I CARE values
Responsibilities PEOPLE ESSENTIAL FUNCTIONS
Demonstrates ability to use critical thinking skills and healthcare knowledge to manage through primary care, specialty care, and ancillary scheduling processes. Utilizes independent judgment to accommodate special requests from internal and external customers as indicated.
Serves as the front door of Houston Methodist interacting with new and established patients providing them with information needed to schedule and register multiple services for Houston Methodist. Utilizes computerized scheduling/registration systems, verification systems, and online applications while balancing departmental resources. Obtains required data in order to support departmental and hospital clinical/financial needs.
Triages calls for the System Patient Access Center as appropriate to other areas as received on a daily basis while working under the guidelines and scripts as set forth by management. Provides patients with information needed to prepare for appointment per Center/Service protocol. Encourages patients to enroll on the Patient Portal and provides PIN numbers, complying with HIPAA regulations.
Follows established protocols directly as indicated by management and physicians on applicable platforms on an as needed basis and consistently utilizes multiple software applications to schedule appointments.
Keeps open channels of communication with all parties involved, including physician, patient, and service areas, regarding action taken and resolution. Promotes a friendly and professional customer service environment.
SERVICE ESSENTIAL FUNCTIONS
Utilizes courteous and professional telephone techniques and interpersonal skills to establish and maintain rapport with patients, physicians/office personnel and various hospital personnel, while maintaining patient confidentiality. Appropriately utilizes telephone system. Uses department scripting and appointment scheduling policy when scheduling appointments and ensures ICARE values are met while working within the scripting provided. Assists with new referral from E-fax and emails along with specific doctors' offices calling directly to schedule emergency patients' same day or within 24 hours as needed.
Coordinates the workflow to assist patients with appointment scheduling and/or requests for services:
- Collects and compiles data/information from patients such as insurance documentation and patient identification information to help facilitate an appointment.
- Screens and assesses patient calls received and assures that the patients are scheduled for services as requested by referring physician or upon patient's request.
- Schedules patient appointments.
- Efficiently completes registration.
- Answers incoming calls from patients.
- Acts as liaison between the patient and the physician or clinical staff.
- Handles calls from physician offices or hospital departments, always making sure to maintain a good relationship and obtain all necessary documents needed to support the scheduling process.
Helps facilitate, coordinate, and resolve issues with patients by exhibiting and exercising exceptional telephone, verbal, written, exemplary critical thinking and interpersonal communication skills.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Adheres to scheduling processes and workflows as defined in the electronic medical record platform while maintaining privacy and complying with HIPPA guidelines.
Maintains standard of productivity set by department policy and procedures and meets scheduling goals set by the department (e.g., abandonment rate, productivity per hour, etc.).
Utilizes resources to perform verification of patient insurance. Obtains required data in order to support departmental and hospital clinical/financial needs.
Ensures verification and eligibility procedures are followed prior to patient visit. Provides patients with information needed to prepare for appointment per Center/Service protocol.
FINANCE ESSENTIAL FUNCTIONS
Works in partnership with the revenue cycle team and other departments to ensure the correct information and registration is complete and accurate prior to the patient visiting Houston Methodist for services.
Obtains and enters accurate scheduling and registration data, including but not limited to patient demographics, insurance, guarantor, and clinical information on the information system in order to initiate financial clearance activities (benefit eligibility and verification, pre-certification notification and payment review). Documents patient's accounts with information related to any potential issue(s) that could result in service delays or cancellations due to the lack of financial clearance.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Works directly with physicians, clinic staff, hospital departments and patients to ensure best practices within department. Works with manager to improve areas requiring concern as indicated, embraces change, and strives for excellence in the workplace. Applies new learning and shares knowledge with others.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. Qualifications EDUCATION
High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)
WORK EXPERIENCE
Three years of experience in healthcare setting/call center or customer service operations or successful completion of one-year Houston Methodist Call Center Apprenticeship in lieu of years of experience
Healthcare setting knowledge and experience with a strong understanding of medical terminology preferred
License/Certification LICENSES AND CERTIFICATIONS - REQUIRED
N/A
KSA/ Supplemental Data KNOWLEDGE, SKILLS, AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Excellent communication and interpersonal skills via telephone and in person
Demonstrated proficiency in medical terminology to include diagnoses, operative procedures, and CPT codes
Knowledge of medical terminology and applicability
Excellent spelling/grammar skills
Working knowledge of PC environment utilizing Windows and word processing and basic Excel knowledge; must be able to enter data via keyboard throughout the work schedule
Capable of working and navigating several applications and websites related to registration simultaneously
Managed care knowledge with the ability to differentiate between insurance plans such as PPO, POS, HMO, etc.
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
Uniform No
Scrubs No
Business professional Yes
Other (department approved) No
ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.
On Call* No
TRAVEL**
**Travel specifications may vary by department**
May require travel within the Houston Metropolitan area Yes
May require travel outside Houston Metropolitan area No
Company Profile
Houston Methodist (HM) is one of the nation's leading health systems and academic medical centers. HM consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston metropolitan area. HM also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, HM employs over 25,000 employees. Houston Methodist is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide the best patient care and service in a spiritual environment.
In 2019 Houston Methodist and its physicians treat more than 6,333 international patients from more than 76 countries. Houston Methodist Global Health Care Services' consulting and education divisions also provide advisory services and training and development to health care organizations around the world.
Auto-ApplyPatient Access Center Representative - Referral Management (Telecommute)
Katy, TX jobs
Overview At Houston Methodist, the Patient Access Center Representative position is responsible for assuring that patients referred between employed and aligned physicians are scheduled to receive services in their assigned location and are financially cleared prior to their scheduled appointment through accurate and timely scheduling, registration, and verification of eligibility and benefits. This position assists management with ongoing observations and notifications of opportunities while providing innovative suggestions for process improvement. The Patient Access Center Representative position also assists management with auditing/quality review to ensure accurate and appropriate scheduling and registration. Additional responsibilities for this position include providing excellent customer service when communicating with patients who visit our clinics and providing notification to patients, physicians and management of issues that may result in potential service delays or reimbursement denials. Houston Methodist Standard PATIENT AGE GROUP(S) AND POPULATION(S) SERVED
Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.
HOUSTON METHODIST EXPERIENCE EXPECTATIONS
Provide personalized care and service by consistently demonstrating our I CARE values:
INTEGRITY: We are honest and ethical in all we say and do.
COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
ACCOUNTABILITY: We hold ourselves accountable for all our actions.
RESPECT: We treat every individual as a person of worth, dignity, and value.
EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.
Practices the Caring and Serving Model
Delivers personalized service using HM Service Standards
Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)
Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience
Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job
Actively supports the organization's vision, fulfills the mission and abides by the I CARE values
Responsibilities PEOPLE ESSENTIAL FUNCTIONS
Demonstrates ability to use critical thinking skills and healthcare knowledge to manage through primary care and specialty care scheduling processes. Utilizes independent judgement to accommodate special requests from internal and external customers as indicated.
Serves as the front door of the Physician Organization interacting with new and established patients providing them with information needed to schedule and register multiple services for the Physician Organization. Utilizes computerized scheduling/registration systems, verification systems, and online applications while balancing departmental resources. Obtains required data in order to support departmental and hospital clinical/financial needs.
Triages calls for the Patient Access Center as appropriate to other areas as received on a daily basis while working under the guidelines and scripts as set forth by management. Provides patients with information needed to prepare for appointment per Center/Service protocol. Enrolls patients on the Patient Portal and provides PIN numbers, complying with HIPAA regulations.
Follows clinical protocols directly as indicated by Kyruss Provider Match, management, and physicians on an as needed basis and consistently manages multiple software applications to schedule appointments.
Keeps open channels of communication with all parties involved, including physician, patient, and service areas, regarding action taken and resolution. Promotes a friendly and professional customer service environment.
SERVICE ESSENTIAL FUNCTIONS
Utilizes courteous and professional telephone techniques and interpersonal skills to establish and maintain rapport with patients, physicians/office personnel and various hospital personnel, while maintaining patient confidentiality. Appropriately utilizes ACD/CISCO telephone system. Uses department scripting and appointment scheduling policy when scheduling appointments and ensures ICARE values are met while working within the scripting provided. Assists with new referral from E-fax and emails along with specific doctors' offices calling directly to schedule emergency patients' same day or within 24 hours.
Coordinates the flow of patient referrals:
- Collects and compiles data/information from patients such as insurance documentation and patient identification information to help facilitate an appointment with a SPG/PCG provider.
- Screens and assesses patient calls received and assures that the patients are scheduled for services as requested by referring physician.
- Schedules patient appointments.
- Verifies patient benefits for eligibility.
- Efficiently completes registration.
- Pre-certifies with insurance companies if necessary.
- Answers incoming calls from patients regarding the status of their referrals progress.
- Acts as liaison between the patient and the physician.
- Handles calls from physicians' offices, always making sure to maintain a good relationship and obtain all necessary documents needed to support the referral process and close out referral process.
Helps facilitate, coordinate, and resolve referral issues with patients by exhibiting and exercising exceptional telephone, verbal, written, exemplary critical thinking and interpersonal communication skills. Provides empathetic patient care by focusing on maintaining friendly, and incredibly dynamic environment.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Maintains HIPPA Guidelines and provides empathetic patient care by focusing on maintaining ICARE values throughout the interaction.
Maintains standard of productivity set by department policy and procedures and meets scheduling goals set by the department (e.g. abandonment rate, productivity per hour, etc.).
Utilizes resources to perform verification of patient insurance. Obtains required data in order to support departmental and hospital clinical/financial needs.
Ensures verification and eligibility procedures are followed prior to patient visit. Provides patients with information needed to prepare for appointment per Center/Service protocol. Enrolls patients on the Patient Portal and provides PIN numbers, complying with HIPAA regulations.
FINANCE ESSENTIAL FUNCTIONS
Works directly with the revenue cycle team and other departments to ensure the correct information and registration is complete and accurate prior to the patient visiting the clinic. Identifies areas of concern and improvement to better the team and the overall practice in collecting revenue from front end operations being faulty.
Obtains and enters accurate scheduling and registration data, including but not limited to patient demographics, insurance, guarantor, and clinical information on the information system in order to initiate financial clearance activities (benefit eligibility and verification, pre-certification notification and payment review). Documents patient's accounts with information related to any potential issue(s) that could result in service delays or cancellations due to the lack of financial clearance.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Answers calls in a timely manner. Works directly with physicians, office staff and patients to ensure best practices within department. Works with manager to improve areas requiring concern as indicated and strives for excellence in the workplace.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. Qualifications EDUCATION
High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)
WORK EXPERIENCE
Three years of experience in healthcare setting/call center or customer service operations or successful completion of one-year Houston Methodist Call Center Apprenticeship in lieu of years of experience
Healthcare setting knowledge and experience with a strong understanding of medical terminology preferred
License/Certification LICENSES AND CERTIFICATIONS - REQUIRED
N/A
LICENSES AND CERTIFICATIONS - PREFERRED
CMA - Certified Medical Assistant -- Satisfactory program completion and clinical licensure OR
LVN - Licensed Vocational Nurse - State Licensure -- Satisfactory program completion and clinical licensure
KSA/ Supplemental Data KNOWLEDGE, SKILLS, AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Excellent communication and interpersonal skills via telephone and in person
Demonstrated proficiency in medical terminology to include diagnoses, operative procedures, and CPT codes
Knowledge of medical terminology and applicability
Excellent spelling/grammar skills
Working knowledge of PC environment utilizing Windows and word processing and basic Excel knowledge . Must be able to enter data via keyboard throughout the work schedule
Capable of working and navigating several applications and websites related to registration simultaneously
Managed care knowledge with the ability to differentiate between insurance plans such as PPO, POS, HMO, etc.
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
Uniform No
Scrubs No
Business professional Yes
Other (department approved) No
ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.
On Call* Yes
TRAVEL**
**Travel specifications may vary by department**
May require travel within the Houston Metropolitan area Yes
May require travel outside Houston Metropolitan area No
Company Profile
Houston Methodist (HM) is one of the nation's leading health systems and academic medical centers. HM consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston metropolitan area. HM also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, HM employs over 25,000 employees. Houston Methodist is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide the best patient care and service in a spiritual environment.
In 2019 Houston Methodist and its physicians treat more than 6,333 international patients from more than 76 countries. Houston Methodist Global Health Care Services' consulting and education divisions also provide advisory services and training and development to health care organizations around the world.
Auto-ApplyPatient Access Center Representative - Referral Management (PRN - Telecommute)
Katy, TX jobs
**NOTE: The PRN posiiton is a non-benefitted position. This position will cover high call volume, leaves and vacations Mon-Fri as needed. Must be available Mon-Fri for full-time training onsite in Katy, TX. Once initial training is completed, you will be allowed to telecommute.**
At Houston Methodist, the Patient Access Center Representative position is responsible for assuring that patients referred between employed and aligned physicians are scheduled to receive services in their assigned location and are financially cleared prior to their scheduled appointment through accurate and timely scheduling, registration, and verification of eligibility and benefits. This position assists management with ongoing observations and notifications of opportunities while providing innovative suggestions for process improvement. The Patient Access Center Representative position also assists management with auditing/quality review to ensure accurate and appropriate scheduling and registration. Additional responsibilities for this position include providing excellent customer service when communicating with patients who visit our clinics and providing notification to patients, physicians and management of issues that may result in potential service delays or reimbursement denials.
**PEOPLE ESSENTIAL FUNCTIONS**
+ Demonstrates ability to use critical thinking skills and healthcare knowledge to manage through primary care and specialty care scheduling processes. Utilizes independent judgement to accommodate special requests from internal and external customers as indicated.
+ Serves as the front door of the Physician Organization interacting with new and established patients providing them with information needed to schedule and register multiple services for the Physician Organization. Utilizes computerized scheduling/registration systems, verification systems, and online applications while balancing departmental resources. Obtains required data in order to support departmental and hospital clinical/financial needs.
+ Triages calls for the Patient Access Center as appropriate to other areas as received on a daily basis while working under the guidelines and scripts as set forth by management. Provides patients with information needed to prepare for appointment per Center/Service protocol. Enrolls patients on the Patient Portal and provides PIN numbers, complying with HIPAA regulations.
+ Follows clinical protocols directly as indicated by Kyruss Provider Match, management, and physicians on an as needed basis and consistently manages multiple software applications to schedule appointments.
+ Keeps open channels of communication with all parties involved, including physician, patient, and service areas, regarding action taken and resolution. Promotes a friendly and professional customer service environment.
**SERVICE ESSENTIAL FUNCTIONS**
+ Utilizes courteous and professional telephone techniques and interpersonal skills to establish and maintain rapport with patients, physicians/office personnel and various hospital personnel, while maintaining patient confidentiality. Appropriately utilizes ACD/CISCO telephone system. Uses department scripting and appointment scheduling policy when scheduling appointments and ensures ICARE values are met while working within the scripting provided. Assists with new referral from E-fax and emails along with specific doctors' offices calling directly to schedule emergency patients' same day or within 24 hours.
+ Coordinates the flow of patient referrals: - Collects and compiles data/information from patients such as insurance documentation and patient identification information to help facilitate an appointment with a SPG/PCG provider. - Screens and assesses patient calls received and assures that the patients are scheduled for services as requested by referring physician. - Schedules patient appointments. - Verifies patient benefits for eligibility. - Efficiently completes registration. - Pre-certifies with insurance companies if necessary. - Answers incoming calls from patients regarding the status of their referrals progress. - Acts as liaison between the patient and the physician. - Handles calls from physicians' offices, always making sure to maintain a good relationship and obtain all necessary documents needed to support the referral process and close out referral process.
+ Helps facilitate, coordinate, and resolve referral issues with patients by exhibiting and exercising exceptional telephone, verbal, written, exemplary critical thinking and interpersonal communication skills. Provides empathetic patient care by focusing on maintaining friendly, and incredibly dynamic environment.
**QUALITY/SAFETY ESSENTIAL FUNCTIONS**
+ Maintains HIPPA Guidelines and provides empathetic patient care by focusing on maintaining ICARE values throughout the interaction.
+ Maintains standard of productivity set by department policy and procedures and meets scheduling goals set by the department (e.g. abandonment rate, productivity per hour, etc.).
+ Utilizes resources to perform verification of patient insurance. Obtains required data in order to support departmental and hospital clinical/financial needs.
+ Ensures verification and eligibility procedures are followed prior to patient visit. Provides patients with information needed to prepare for appointment per Center/Service protocol. Enrolls patients on the Patient Portal and provides PIN numbers, complying with HIPAA regulations.
**FINANCE ESSENTIAL FUNCTIONS**
+ Works directly with the revenue cycle team and other departments to ensure the correct information and registration is complete and accurate prior to the patient visiting the clinic. Identifies areas of concern and improvement to better the team and the overall practice in collecting revenue from front end operations being faulty.
+ Obtains and enters accurate scheduling and registration data, including but not limited to patient demographics, insurance, guarantor, and clinical information on the information system in order to initiate financial clearance activities (benefit eligibility and verification, pre-certification notification and payment review). Documents patient's accounts with information related to any potential issue(s) that could result in service delays or cancellations due to the lack of financial clearance.
**GROWTH/INNOVATION ESSENTIAL FUNCTIONS**
+ Answers calls in a timely manner. Works directly with physicians, office staff and patients to ensure best practices within department. Works with manager to improve areas requiring concern as indicated and strives for excellence in the workplace.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
**EDUCATION**
+ High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)
**WORK EXPERIENCE**
+ Three years of experience in healthcare setting/call center or customer service operations or successful completion of one-year Houston Methodist Call Center Apprenticeship in lieu of years of experience
+ Healthcare setting knowledge and experience with a strong understanding of medical terminology preferred
**LICENSES AND CERTIFICATIONS - REQUIRED**
+ N/A
**LICENSES AND CERTIFICATIONS - PREFERRED**
+ CMA - Certified Medical Assistant -- Satisfactory program completion and clinical licensure **OR**
+ LVN - Licensed Vocational Nurse - State Licensure -- Satisfactory program completion and clinical licensure
**KNOWLEDGE, SKILLS, AND ABILITIES**
+ Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
+ Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
+ Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
+ Excellent communication and interpersonal skills via telephone and in person
+ Demonstrated proficiency in medical terminology to include diagnoses, operative procedures, and CPT codes
+ Knowledge of medical terminology and applicability
+ Excellent spelling/grammar skills
+ Working knowledge of PC environment utilizing Windows and word processing and basic Excel knowledge . Must be able to enter data via keyboard throughout the work schedule
+ Capable of working and navigating several applications and websites related to registration simultaneously
+ Managed care knowledge with the ability to differentiate between insurance plans such as PPO, POS, HMO, etc.
**SUPPLEMENTAL REQUIREMENTS**
**WORK ATTIRE**
+ Uniform No
+ Scrubs No
+ Business professional Yes
+ Other (department approved) No
**ON-CALL***
_*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below._
+ On Call* Yes
**TRAVEL****
_**Travel specifications may vary by department**_
+ May require travel within the Houston Metropolitan area Yes
+ May require travel outside Houston Metropolitan area No
**Company Profile:**
Houston Methodist is one of the nation's leading health systems and academic medical centers. Houston Methodist consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston area. Houston Methodist also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, Houston Methodist employs more than 27,000 employees and is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care.
Houston Methodist is an Equal Opportunity Employer.
Phlebotomy Registration Specialist
Columbus, OH jobs
**Phlebotomy Registration Specialist, Outpatient Lab, Day Shift** The Phlebotomy Registration Specialist ensures accurate registration and ordering of patients presenting to the collections site. All information required for the completion of both test ordering and patient registration is collected. Places patient orders; collects and labels specimens utilizing positive patient identification. Processes and prepares specimens for transport as needed. Produces
reports for faxing or delivery as needed and communicates appropriate information to the healthcare team. Registers patients in the appropriate systems.
**Responsibilities**
+ Demonstrate friendliness, courtesy and effective communication to create a professional environment and provide first class service
+ Create a caring and healing environment that keeps the patient and family at the center of care
+ Collects specimens utilizing professional and accepted practices; labels specimens accurately
+ Responsible for ensuring all patient demographics and insurance information is complete in the hospital billing system to assure optimal data integrity throughout the registration process
**Minimum Qualifications**
+ High school diploma or equivalent
+ Phlebotomy and basic computer skills required; Registration experience helpful
+ Effective Communication Skills
+ Ability to effectively function in stressful situations and perform multiple tasks
+ Ability to work a flexible schedule, as needed; must have reliable transportation to travel to various locations, including to but not limited to other offices and sites.
**This position will work 8-hour days shifts between the hours of 6:00 am - 6:00 pm; Monday - Friday.
Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, sexual orientation, or physical ability.
**Our Commitment**
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran
Phlebotomy Registration Specialist
Columbus, OH jobs
Phlebotomy Registration Specialist, Outpatient Lab, Day Shift The Phlebotomy Registration Specialist ensures accurate registration and ordering of patients presenting to the collections site. All information required for the completion of both test ordering and patient registration is collected. Places patient orders; collects and labels specimens utilizing positive patient identification. Processes and prepares specimens for transport as needed. Produces
reports for faxing or delivery as needed and communicates appropriate information to the healthcare team. Registers patients in the appropriate systems.
Responsibilities
* Demonstrate friendliness, courtesy and effective communication to create a professional environment and provide first class service
* Create a caring and healing environment that keeps the patient and family at the center of care
* Collects specimens utilizing professional and accepted practices; labels specimens accurately
* Responsible for ensuring all patient demographics and insurance information is complete in the hospital billing system to assure optimal data integrity throughout the registration process
Minimum Qualifications
* High school diploma or equivalent
* Phlebotomy and basic computer skills required; Registration experience helpful
* Effective Communication Skills
* Ability to effectively function in stressful situations and perform multiple tasks
* Ability to work a flexible schedule, as needed; must have reliable transportation to travel to various locations, including to but not limited to other offices and sites.
This position will work 8-hour days shifts between the hours of 6:00 am - 6:00 pm; Monday - Friday.
Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, sexual orientation, or physical ability.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Full-Time (40 Hours) Authorization Specialist
Livonia, MI jobs
**Monday-Friday 8:30 a.m.-5pm No Weekends w/Holiday Rotations** The Authorization Specialist is responsible and accountable for the processing of all THAH authorization documentation meeting HCFA/MCC/JCAHO regulations and guidelines. Primary responsibilities include processing all frontend documentation needed to meet third party payer authorization deadlines assuring accurate billing. In addition, monitors all accounts for ongoing authorization needs to ensure optimal reimbursement and compliance per agency policy. This position works closely with the THAH insurance team and THAH Collection analysts in the tracking of authorizations and resolution of problematic billing issues. Monitors pending authorizations report and collaborates with both the clinical and revenue cycle team to review and resolve pending claims to ensure timely payment. Duties may be accomplished in a remote work environment.
**What You Will Do:**
+ Prepares and enters data into the appropriate software assuring the accuracy of the regulated client account following all regulations placed on the homecare agency. Ensures that input of information is accurate, and authorization is received timely for the submission of claims. Responds to all system issues by preparing documentation for the resolution center. Timely follow up on pending authorizations to ensure payment of claims.
+ Generates all authorization documentation needed to bill in a timely manner assuring industry standards are met. Monitors and processes the Subsequent Authorizations workflow and reports daily to assure timely and clean billing.
+ Utilizing the CQI Process Improvement technique, responsible for implementing and monitoring changes to processes to ensure continued integrity of client accounts. Collaborates with the Intake Department to identify processes for improvement ensuring the accuracy of the authorization process.
+ Provides statistical feedback regarding the status of unbilled claims due to authorizations to THAH Revenue team on a weekly basis or as defined by policy.
+ Interfaces with THAH to resolve problems related to the processing of bills/claims. Investigates client accounts and provides any additional documentation required.
+ Seeks assistance of Clinical Team Leaders and/or Revenue Cycle Leaders with clinical data entry and/or billing problems.
+ Coordinates the flow of billing related paperwork between the branch and THAH Service Center. Works with the branch and THAH colleagues to identify areas of improvement related to authorization workflow. Actively participates in all billing conference calls between the agency and THAH.
+ Acts independently and responsibly to perform duties on a consistent basis and in a timely manner.
+ Coordinates tracking system to monitor unbilled claims due to authorizations and utilizes appropriate monitoring reports available.
+ Acts as liaison between physician offices, THAH Service Center and the agency to assure timely billing with appropriate documentation.
+ Ensures that services provided support continuous quality improvement, customer-oriented focus, and quality client care outcomes.
+ The duties and responsibilities described are not a comprehensive list and additional tasks may be assigned from time to time, as the scope of the job may change as necessitated by business demands.
**Benefits:**
+ Day 1 Benefits - Health, dental and vision insurance
+ Work Today Get Paid Tomorrow
+ Employee Referral Reward Program
+ Short and long-term disability
+ Tuition Reimbursement
+ Paid CEUs
+ 403b
+ Generous paid time off
+ Comprehensive orientation
**Minimum Qualifications:**
+ The incumbent can articulate and demonstrate a commitment to the mission, vision, and values of Trinity Health and to inspire active support of these in others.
+ The preferred candidate will have a high school diploma or GED.
+ College business courses or an associate degree is preferred, or four to six years of experience in a medical billing office setting with a concentration on authorizations.
+ A strong knowledge of general business office functions, strong analytical and organizational skills and microcomputer usage is required.
+ Incumbent must possess the following: ability to meet strict deadlines with high level of accuracy, ability to prioritize multiple tasks in highly automated setting and possess strong interpersonal skills.
+ Ability to consistently demonstrate commitment to the mission and Organizational Code of Ethics and adhere to the Compliance.
**Apply Today!!!!**
**Our Commitment**
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran
Full-Time (40 Hours) Authorization Specialist
Livonia, MI jobs
Monday-Friday 8:30 a.m.-5pm No Weekends w/Holiday Rotations The Authorization Specialist is responsible and accountable for the processing of all THAH authorization documentation meeting HCFA/MCC/JCAHO regulations and guidelines. Primary responsibilities include processing all frontend documentation needed to meet third party payer authorization deadlines assuring accurate billing. In addition, monitors all accounts for ongoing authorization needs to ensure optimal reimbursement and compliance per agency policy. This position works closely with the THAH insurance team and THAH Collection analysts in the tracking of authorizations and resolution of problematic billing issues. Monitors pending authorizations report and collaborates with both the clinical and revenue cycle team to review and resolve pending claims to ensure timely payment. Duties may be accomplished in a remote work environment.
What You Will Do:
* Prepares and enters data into the appropriate software assuring the accuracy of the regulated client account following all regulations placed on the homecare agency. Ensures that input of information is accurate, and authorization is received timely for the submission of claims. Responds to all system issues by preparing documentation for the resolution center. Timely follow up on pending authorizations to ensure payment of claims.
* Generates all authorization documentation needed to bill in a timely manner assuring industry standards are met. Monitors and processes the Subsequent Authorizations workflow and reports daily to assure timely and clean billing.
* Utilizing the CQI Process Improvement technique, responsible for implementing and monitoring changes to processes to ensure continued integrity of client accounts. Collaborates with the Intake Department to identify processes for improvement ensuring the accuracy of the authorization process.
* Provides statistical feedback regarding the status of unbilled claims due to authorizations to THAH Revenue team on a weekly basis or as defined by policy.
* Interfaces with THAH to resolve problems related to the processing of bills/claims. Investigates client accounts and provides any additional documentation required.
* Seeks assistance of Clinical Team Leaders and/or Revenue Cycle Leaders with clinical data entry and/or billing problems.
* Coordinates the flow of billing related paperwork between the branch and THAH Service Center. Works with the branch and THAH colleagues to identify areas of improvement related to authorization workflow. Actively participates in all billing conference calls between the agency and THAH.
* Acts independently and responsibly to perform duties on a consistent basis and in a timely manner.
* Coordinates tracking system to monitor unbilled claims due to authorizations and utilizes appropriate monitoring reports available.
* Acts as liaison between physician offices, THAH Service Center and the agency to assure timely billing with appropriate documentation.
* Ensures that services provided support continuous quality improvement, customer-oriented focus, and quality client care outcomes.
* The duties and responsibilities described are not a comprehensive list and additional tasks may be assigned from time to time, as the scope of the job may change as necessitated by business demands.
Benefits:
* Day 1 Benefits - Health, dental and vision insurance
* Work Today Get Paid Tomorrow
* Employee Referral Reward Program
* Short and long-term disability
* Tuition Reimbursement
* Paid CEUs
* 403b
* Generous paid time off
* Comprehensive orientation
Minimum Qualifications:
* The incumbent can articulate and demonstrate a commitment to the mission, vision, and values of Trinity Health and to inspire active support of these in others.
* The preferred candidate will have a high school diploma or GED.
* College business courses or an associate degree is preferred, or four to six years of experience in a medical billing office setting with a concentration on authorizations.
* A strong knowledge of general business office functions, strong analytical and organizational skills and microcomputer usage is required.
* Incumbent must possess the following: ability to meet strict deadlines with high level of accuracy, ability to prioritize multiple tasks in highly automated setting and possess strong interpersonal skills.
* Ability to consistently demonstrate commitment to the mission and Organizational Code of Ethics and adhere to the Compliance.
Apply Today!!!!
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Patient Access Representative
Dublin, OH jobs
Employment Type:Full time Shift:Description:5a-1:30p Mon-Fri
Provides patient focused customer service. Performs outpatient & / or inpatient registration & insurance verification functions; collects patient financial liability payments & ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. Provides general information to hospital users, patients, families & physician offices.
Location: 500 S Cleveland Ave, Westerville, OH 43081
Specialty: Emergency Room
Hours of office: Monday - Friday 5:00am - 1:30pm
What You Will Do:
Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution.
Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
Responsible for distribution of analytical reports.
Process Focus: Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized.
Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.
Data Management & Analysis: Research & compiles information to support ad-hoc operational projects & initiatives.
Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts.
Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
Minimum Qualifications:
High school diploma or equivalent.
HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
Entry level position. Minimum one (1) year customer service experience. Patient Access experience preferred.
Additional Qualifications (nice to have)
Medical terminology required & knowledge of diagnostic & procedural coding
Insurance verification with the ability to explain benefits, secure necessary authorizations
Position Highlights and Benefits:
Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
Retirement savings account with employer match starting on day one.
Generous paid time off programs.
Employee recognition programs.
Tuition/professional development reimbursement.
Relocation assistance (geographic and position restrictions apply).
Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing.
Employee Referral Rewards program.
Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day!
Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.
Ministry/Facility Information:
Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Auto-ApplyPatient Access Representative
Dublin, OH jobs
5a-1:30p Mon-Fri + Provides patient focused customer service. Performs outpatient & / or inpatient registration & insurance verification functions; collects patient financial liability payments & ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. Provides general information to hospital users, patients, families & physician offices.
+ Location: 500 S Cleveland Ave, Westerville, OH 43081
+ Specialty: Emergency Room
+ Hours of office: Monday - Friday 5:00am - 1:30pm
**What You Will Do:**
+ Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution.
+ Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
+ Responsible for distribution of analytical reports.
+ **Process Focus:** Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized.
+ Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.
+ **Data Management & Analysis** : Research & compiles information to support ad-hoc operational projects & initiatives.
+ Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
+ Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts.
+ **Maintains a Working Knowledge** of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
**Minimum Qualifications:**
+ High school diploma or equivalent.
+ HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
+ Entry level position. Minimum one (1) year customer service experience. Patient Access experience preferred.
**Additional Qualifications (nice to have)**
+ Medical terminology required & knowledge of diagnostic & procedural coding
+ Insurance verification with the ability to explain benefits, secure necessary authorizations
**Position Highlights and Benefits:**
+ Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
+ Retirement savings account with employer match starting on day one.
+ Generous paid time off programs.
+ Employee recognition programs.
+ Tuition/professional development reimbursement.
+ Relocation assistance (geographic and position restrictions apply).
+ Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing.
+ Employee Referral Rewards program.
+ Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day!
+ Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.
**Ministry/Facility Information:**
Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!
**Our Commitment**
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran
Patient Access Representative
Dublin, OH jobs
5a-1:30p Mon-Fri * Provides patient focused customer service. Performs outpatient & / or inpatient registration & insurance verification functions; collects patient financial liability payments & ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. Provides general information to hospital users, patients, families & physician offices.
* Location: 500 S Cleveland Ave, Westerville, OH 43081
* Specialty: Emergency Room
* Hours of office: Monday - Friday 5:00am - 1:30pm
What You Will Do:
* Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution.
* Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
* Responsible for distribution of analytical reports.
* Process Focus: Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized.
* Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.
* Data Management & Analysis: Research & compiles information to support ad-hoc operational projects & initiatives.
* Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
* Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts.
* Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
Minimum Qualifications:
* High school diploma or equivalent.
* HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
* Entry level position. Minimum one (1) year customer service experience. Patient Access experience preferred.
Additional Qualifications (nice to have)
* Medical terminology required & knowledge of diagnostic & procedural coding
* Insurance verification with the ability to explain benefits, secure necessary authorizations
Position Highlights and Benefits:
* Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
* Retirement savings account with employer match starting on day one.
* Generous paid time off programs.
* Employee recognition programs.
* Tuition/professional development reimbursement.
* Relocation assistance (geographic and position restrictions apply).
* Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing.
* Employee Referral Rewards program.
* Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day!
* Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.
Ministry/Facility Information:
Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Patient Access Representative 1
Grove City, OH jobs
+ Patient Financial Specialist I; Ensures the collection of accurate and complete registration/admission information and completion of required forms for all patients. Ensures collections of patient deductibles, co-pays, coinsurance and deposits. Gathers and evaluates confidential patient financial data for purposes of determining patient qualification for financial assistance and/or patient financial responsibility. Collects payments and facilitates resolution of billing questions. Acts as an information resource to other departments and physician offices. Understands relation between diagnosis and procedure using CPT and ICD-9 coding to ensure compliance with third party regulations. Understands Medicare, Medicaid and other third party information requirements and adheres to all third party regulations. Abides by all pertinent legislation regarding use/disclosure of medical and financial information, debt collection and credit reporting. Establishes payment arrangements for patients and evaluates past account history. Abides by the department Service vision.
+ Specialty: Emergency Room
+ Location: 5300 N Meadows Dr, Grove City, OH 43123
+ Hours of office: Tuesday, Wednesday, Thursday and every other weekend 8:00am - 6:30pm
**What You Will Do:**
+ Register patients
+ Verify insurance
+ Patient communication
+ Soft collection when registering patients
+ Using EPIC
+ Demonstrates understanding of Medicare, Medicaid and other third party information requirements and adheres to all third party regulations.
+ Demonstrates working knowledge of third-party payor benefits and requirements, and regulations impacting registration procedures.
+ Demonstrates working knowledge of CPT and ICD 9 coding and payor reimbursement methodologies.
**Minimum Qualifications:**
+ Education: Prefer an Associate's Degree in HealthCare Administration, Business Administration or related field. High School Diploma or GED is required. Demonstrated experience may be used in lieu of degree.
+ Experience: Prefer minimum of three years experience in a physician's office, clinic, hospital business office, financial service setting, or related area dealing with the public in collection of data and funds
**Position Highlights and Benefits:**
+ Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
+ Retirement savings account with employer match starting on day one.
+ Generous paid time off programs.
+ Employee recognition programs.
+ Tuition/professional development reimbursement.
+ Relocation assistance (geographic and position restrictions apply).
+ Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing.
+ Employee Referral Rewards program.
+ Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day!
+ Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.
**Ministry/Facility Information:**
Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!
**Must be available full time during the first 2 weeks for training: 8:00 am - 4:30 pm.**
**Our Commitment**
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran
Patient Access Representative
Grove City, OH jobs
* Patient Financial Specialist I; Ensures the collection of accurate and complete registration/admission information and completion of required forms for all patients. Ensures collections of patient deductibles, co-pays, coinsurance and deposits. Gathers and evaluates confidential patient financial data for purposes of determining patient qualification for financial assistance and/or patient financial responsibility. Collects payments and facilitates resolution of billing questions. Acts as an information resource to other departments and physician offices. Understands relation between diagnosis and procedure using CPT and ICD-9 coding to ensure compliance with third party regulations. Understands Medicare, Medicaid and other third party information requirements and adheres to all third party regulations. Abides by all pertinent legislation regarding use/disclosure of medical and financial information, debt collection and credit reporting. Establishes payment arrangements for patients and evaluates past account history. Abides by the department Service vision.
* Specialty: Emergency Room
* Location: 5300 N Meadows Dr, Grove City, OH 43123
* Hours of office: Monday, Wednesday, Thursday, every other weekend 9:00am - 6:30pm
What You Will Do:
* Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution.
* Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
* Responsible for distribution of analytical reports.
* Process Focus: Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized.
* Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.
* Data Management & Analysis: Research & compiles information to support ad-hoc operational projects & initiatives.
* Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
* Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts.
* Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
Minimum Qualifications:
* High school diploma or equivalent.
* HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
* Entry level position. Minimum one (1) year customer service experience. Patient Access experience preferred.
Additional Qualifications (nice to have)
* Medical terminology required & knowledge of diagnostic & procedural coding
* Insurance verification with the ability to explain benefits, secure necessary authorizations
Position Highlights and Benefits:
* Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
* Retirement savings account with employer match starting on day one.
* Generous paid time off programs.
* Employee recognition programs.
* Tuition/professional development reimbursement.
* Relocation assistance (geographic and position restrictions apply).
* Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing.
* Employee Referral Rewards program.
* Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day!
* Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.
Ministry/Facility Information:
Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!
Must be available full time during the first 2 weeks for training: 8:00 am - 4:30 pm.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Patient Access Representative
Grove City, OH jobs
+ Patient Financial Specialist I; Ensures the collection of accurate and complete registration/admission information and completion of required forms for all patients. Ensures collections of patient deductibles, co-pays, coinsurance and deposits. Gathers and evaluates confidential patient financial data for purposes of determining patient qualification for financial assistance and/or patient financial responsibility. Collects payments and facilitates resolution of billing questions. Acts as an information resource to other departments and physician offices. Understands relation between diagnosis and procedure using CPT and ICD-9 coding to ensure compliance with third party regulations. Understands Medicare, Medicaid and other third party information requirements and adheres to all third party regulations. Abides by all pertinent legislation regarding use/disclosure of medical and financial information, debt collection and credit reporting. Establishes payment arrangements for patients and evaluates past account history. Abides by the department Service vision.
+ Specialty: Emergency Room
+ Location: 5300 N Meadows Dr, Grove City, OH 43123
+ Hours of office: Monday, Wednesday, Thursday, every other weekend 9:00am - 6:30pm
**What You Will Do:**
+ Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution.
+ Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
+ Responsible for distribution of analytical reports.
+ **Process Focus:** Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized.
+ Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.
+ **Data Management & Analysis** : Research & compiles information to support ad-hoc operational projects & initiatives.
+ Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
+ Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts.
+ **Maintains a Working Knowledge** of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
**Minimum Qualifications:**
+ High school diploma or equivalent.
+ HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
+ Entry level position. Minimum one (1) year customer service experience. Patient Access experience preferred.
**Additional Qualifications (nice to have)**
+ Medical terminology required & knowledge of diagnostic & procedural coding
+ Insurance verification with the ability to explain benefits, secure necessary authorizations
**Position Highlights and Benefits:**
+ Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
+ Retirement savings account with employer match starting on day one.
+ Generous paid time off programs.
+ Employee recognition programs.
+ Tuition/professional development reimbursement.
+ Relocation assistance (geographic and position restrictions apply).
+ Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing.
+ Employee Referral Rewards program.
+ Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day!
+ Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.
**Ministry/Facility Information:**
Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!
**Must be available full time during the first 2 weeks for training: 8:00 am - 4:30 pm.**
**Our Commitment**
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran
Patient Access Representative
Westerville, OH jobs
* Provides patient focused customer service. Performs outpatient & / or inpatient registration & insurance verification functions; collects patient financial liability payments & ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. Provides general information to hospital users, patients, families & physician offices.
* Location: 500 S Cleveland Ave, Westerville, OH 43081
* Specialty: Emergency Room
* Hours of office: Monday 9:00pm-2:00am, Friday 8:00pm-6:00am
Saturday 8:00pm-6:00am
What You Will Do:
* Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution.
* Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
* Responsible for distribution of analytical reports.
* Process Focus: Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized.
* Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.
* Data Management & Analysis: Research & compiles information to support ad-hoc operational projects & initiatives.
* Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
* Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts.
* Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
Minimum Qualifications:
* High school diploma or equivalent.
* HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
* Entry level position. Minimum one (1) year customer service experience. Patient Access experience preferred.
Additional Qualifications (nice to have)
* Medical terminology required & knowledge of diagnostic & procedural coding
* Insurance verification with the ability to explain benefits, secure necessary authorizations
Position Highlights and Benefits:
* Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
* Retirement savings account with employer match starting on day one.
* Generous paid time off programs.
* Employee recognition programs.
* Tuition/professional development reimbursement.
* Relocation assistance (geographic and position restrictions apply).
* Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing.
* Employee Referral Rewards program.
* Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day!
* Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.
Ministry/Facility Information:
Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Patient Access Representative
Westerville, OH jobs
+ Provides patient focused customer service. Performs outpatient & / or inpatient registration & insurance verification functions; collects patient financial liability payments & ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. Provides general information to hospital users, patients, families & physician offices.
+ Location: 500 S Cleveland Ave, Westerville, OH 43081
+ Specialty: Emergency Room
+ Hours of office: Monday 9:00pm-2:00am, Friday 8:00pm-6:00amSaturday 8:00pm-6:00am
**What You Will Do:**
+ Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution.
+ Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
+ Responsible for distribution of analytical reports.
+ **Process Focus:** Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized.
+ Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.
+ **Data Management & Analysis** : Research & compiles information to support ad-hoc operational projects & initiatives.
+ Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
+ Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts.
+ **Maintains a Working Knowledge** of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
**Minimum Qualifications:**
+ High school diploma or equivalent.
+ HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
+ Entry level position. Minimum one (1) year customer service experience. Patient Access experience preferred.
**Additional Qualifications (nice to have)**
+ Medical terminology required & knowledge of diagnostic & procedural coding
+ Insurance verification with the ability to explain benefits, secure necessary authorizations
**Position Highlights and Benefits:**
+ Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
+ Retirement savings account with employer match starting on day one.
+ Generous paid time off programs.
+ Employee recognition programs.
+ Tuition/professional development reimbursement.
+ Relocation assistance (geographic and position restrictions apply).
+ Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing.
+ Employee Referral Rewards program.
+ Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day!
+ Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.
**Ministry/Facility Information:**
Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!
**Our Commitment**
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran