Surgery Scheduler jobs at UPMC

The Guthrie Clinic works with the communities we serve to help each person attain optimal, life‐long health and well‐being. The Centralized Scheduler will provide the highest quality patient care consistent with Guthrie's Vision of Improving Health through Clinical Excellence and Compassion; Every Patient. Every time. As a first point of contact for most patients, the Centralized Scheduler provides direct, daily operational support in a manner consistent with The Guthrie Clinic's Service Excellence Standards. The Centralized Scheduler will continually demonstrate Patient Centeredness, Teamwork, and Excellence in the daily performance of their duties. This position requires the ability to be self‐motivated, flexible, punctual, detail oriented, have good time management skills and have excellent communication skills. Performing all centralized scheduling services and procedures (as assigned), including scheduling, pre‐registration, cancellation and insurance and benefits verification. Maintaining and applying detailed knowledge of Patient Access workflows and the centralized scheduling and registration system in order to address patient inquiries about scheduling, pre‐registration, cancellation, insurance and benefits verification/billing/payments, and any self‐pay/personal financial liabilities. Education, License & Cert: High school graduate or GED required. Experience: Prior healthcare customer service, scheduling, insurance billing and payment knowledge. Two years previous healthcare experience. Previous experience using or implementing Epic. Ability to use Windows programs such as MS Word and other software packages with knowledge of medical terminology. Excellent written, verbal communication and interpersonal skills. Strong typing skills and proper phone etiquette. Ability to make independent judgment decisions about the data being gathered Essential Functions: 1. Perform scheduling, pre‐registration, cancellation, and insurance and benefits verification and patient payment collection and all other centralized scheduling duties in compliance with customer service standards. 2. Strong customer service skills to ensure quality phone calls with the patients. 3. Execute front‐end centralized collection of all patient insurance benefits information to ensure accurate payment of services as well as educate patients on copays and previous balances. Schedule patients with financial counselors for assistance when appropriate or get patient to a customer representative to learn more about their balance. 4. Develop strong working relationships with physician offices, non‐centralized scheduling and registration areas, ancillary coding, and other areas as needed to ensure appropriate and effective communication and coordination of service delivery. 5. Assist patients with enrollment of my chart or any issues related to my chart and educate on the capabilities. 6. Adhere to all relevant policies and procedure as outlined by direct report. 7. Meet productivity, quality requirements and service goals as outlined in the performance expectations. 8. Function as a team member to assist other centralized schedulers with tasks as needed including assisting in training of all employees as assigned. 9. Communicate to direct report all centralized scheduling obstacles, concerns and system deficiencies impacting the team and provide support in dealing with complex issues. 10. Complete special projects, make outbound calls to schedule from referrals/orders, enter in orders and referrals, assist with conversational messaging with patient or work queues as assigned. 11. Operate and utilize the Epic System while staying current and learning new skills as needed to perform all aspects of the position. Other Duties: 1. Assist and participate in departmental meetings when needed. 2. Support the Guthrie Clinic's system‐wide vision and goals of central scheduling. 3. It is understood that this description is not intended to be all‐inclusive and that other duties may be assigned as necessary in the performance of this position The pay ranges from #17.06-26.61 Rev. 2-2-2024

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

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

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

**Penn State Health** - **Lancaster Medical Center** **Work Type:** Part Time **FTE:** 0.50 **Shift:** Varied **Evening Shift Differential:** $ 2.00/hour **Night Shift Differential:** $ 2.50/hour **Hours:** Monday - Friday, late afternoon to evening **Recruiter Contact:** Amanda A. Frankhouser at ************************************* (MAILTO://*************************************) **SUMMARY OF POSITION:** Responsible for the scheduling of patient visits (including new, follow-up, cancellations, and rescheduling requests), pre-operative and/or diagnostic tests, and procedures (including operative and invasive procedures for assigned area of responsibility. **MINIMUM QUALIFICATIONS** : + High School Diploma or equivalent. + Minimum one (1) year experience required. **PREFERED QUALIFICATIONS** : + Knowledge of scheduling and/or billing systems preferred. + Knowledge of insurance carriers preferred. **WHY PENN STATE HEALTH?** Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community. **Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below:** + **_Be Well_** with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton). + **_Be Balanced_** with Generous Paid Time Off, Personal Time, and Paid Parental Leave. + **_Be Secured_** with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection. + **_Be Rewarded_** with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program. + **_Be Supported_** by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling. **WHY PENN STATE HEALTH LANCASTER MEDICAL CENTER?** Penn State Health Lancaster Medical Center is a 341,000-square-foot 129-bed acute care hospital that will give residents of Lancaster and York counties enhanced access to Penn State Health's expertise and specialty services! Through our core values of Respect, Integrity, Teamwork, and Excellence, our team is committed to compassionate care for our diverse patient population, our community, and each other. **YOU TAKE CARE OF THEM. WE'LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence - that's Penn State Health. But what makes our healthcare award-winning? That's all you.** _This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract._ _All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities._ _Penn State Health is an Equal Opportunity Employer and does not discriminate on the basis of any protected class including disability or veteran status. Penn State Health's policies and objectives are in direct compliance with all federal and state constitutional provisions, laws, regulations, guidelines, and executive orders that prohibit or outlaw discrimination._ **Position** Surgical Scheduler - Surgical Services **Location** US:PA:Lancaster | Clerical and Administrative | Part Time **Req ID** 82584

**Penn State Health** - **Penn State Health Corporation** **Work Type:** Full Time **FTE:** 1.00 **Shift:** Day **Hours:** Monday - Friday 8:00a - 4:30p **Recruiter Contact:** Nicole Cox at ******************************** (MAILTO://********************************) **SUMMARY OF POSITION:** Serves each patient with the highest quality scheduling experience in every interaction every day. Responsible for the scheduling of patient visits, pre-operative and/or diagnostic tests, and procedures for assigned area of responsibility. **MINIMUM QUALIFICATION(S):** + High School Diploma or equivalent + One (1) year relevant experience **WHY PENN STATE HEALTH?** Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community. **Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below:** + **_Be Well_** with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton). + **_Be Balanced_** with Generous Paid Time Off, Personal Time, and Paid Parental Leave. + **_Be Secured_** with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection. + **_Be Rewarded_** with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program. + **_Be Supported_** by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling. **WHY PENN STATE HEALTH CORPORATION?** There are many ways to make an impact with one of the leading research, teaching, and clinical healthcare systems in the country. Through a combination of operational, corporate, clinical, and nonclinical roles, we are advancing excellence and innovation in health care together as one team. As Penn State Health continues to evolve for the future, we are committed to hiring dedicated employees who are passionate about delivering the best possible support across our entire integrated health system. Within Penn State Health's Shared Services Entity, we encourage our employees at every turn to continue their education and advancement. Numerous opportunities are available for professional development and career growth. **YOU TAKE CARE OF THEM. WE'LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence - that's Penn State Health. But what makes our healthcare award-winning? That's all you.** _This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract._ _All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities._ _Penn State Health is an Equal Opportunity Employer and does not discriminate on the basis of any protected class including disability or veteran status. Penn State Health's policies and objectives are in direct compliance with all federal and state constitutional provisions, laws, regulations, guidelines, and executive orders that prohibit or outlaw discrimination._ **Union:** Non Bargained **Position** Scheduler II - Corporate Call Center **Location** US:PA:Camp Hill | Clerical and Administrative | Full Time **Req ID** 87736

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

**Penn State Health** - **Penn State Health Corporation** **Work Type:** Full Time **FTE:** 1.00 **Shift:** Day **Hours:** 8:00a - 4:30p **Recruiter Contact:** Nicole Cox at ******************************** (MAILTO://********************************) **SUMMARY OF POSITION:** Provides high quality scheduling experience for the patients of Penn State Health. Deploys excellent customer service engagement skills by phone. Schedules accurately for all specialty area supported in Phone Access Group against scheduling guidelines. **MINIMUM QUALIFICATION(S):** + High School Diploma or equivalent required. **PREFERRED QUALIFICATION(S):** + Associate's Degree in Healthcare Administration or a related field preferred. + Prior Call Center, Healthcare IT, or Healthcare operational experience preferred. + Prior Ambulatory practice site experience preferred. + Strong customer service background preferred. **WHY PENN STATE HEALTH?** Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community. **Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below:** + **_Be Well_** with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton). + **_Be Balanced_** with Generous Paid Time Off, Personal Time, and Paid Parental Leave. + **_Be Secured_** with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection. + **_Be Rewarded_** with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program. + **_Be Supported_** by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling. **WHY PENN STATE HEALTH CORPORATION?** There are many ways to make an impact with one of the leading research, teaching, and clinical healthcare systems in the country. Through a combination of operational, corporate, clinical, and nonclinical roles, we are advancing excellence and innovation in health care together as one team. As Penn State Health continues to evolve for the future, we are committed to hiring dedicated employees who are passionate about delivering the best possible support across our entire integrated health system. Within Penn State Health's Shared Services Entity, we encourage our employees at every turn to continue their education and advancement. Numerous opportunities are available for professional development and career growth. **YOU TAKE CARE OF THEM. WE'LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence - that's Penn State Health. But what makes our healthcare award-winning? That's all you.** _This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract._ _All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities._ _Penn State Health is an Equal Opportunity Employer and does not discriminate on the basis of any protected class including disability or veteran status. Penn State Health's policies and objectives are in direct compliance with all federal and state constitutional provisions, laws, regulations, guidelines, and executive orders that prohibit or outlaw discrimination._ **Union:** Non Bargained **Position** Scheduler - Corporate Call Center **Location** US:PA: Hershey | Clerical and Administrative | Full Time **Req ID** 86373

Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 40 Work Shift: Days/Afternoons (United States of America) Mercy Health About Us As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Scheduling Specialist- Fairfield Healthplex Job Summary: Coordinates and schedules patient testing or procedures, including interacting with physician offices, other health care providers and staff in departments that provide services to ensure patients are scheduled as soon as possible. Obtains scheduling orders, instructs patients, and enters data into the hospital computer system. Gathers, updates, and maintains daily records of scheduled patients. Demonstrates knowledge of provider and non-provider payers and communicates to patient, physician, precertification, and other appropriate departments. Maintains statistical data for department supervisor as requested to determine scheduling volume, patient types, and number procedures. Essential Functions: Gathers and interprets relatively complex patient data from physician offices and/or patient daily to enable scheduling of testing, surgical procedures, and pre-certification when required. May be responsible for pre-registration of self-scheduled patients. Provides physician office staff and/or patient with hospital approved instructions regarding test preparation. Answers questions pertaining to testing, scheduling, and testing preparation. Refers patient to specialty area staff instructions, which are outside of the ordinary. Enters patient scheduling information into computer, updates patient demographic and insurance information and provides pre-registration forms which include testing information for registering the patient prior to testing. Used as a resource in resolving testing/ procedures discrepancies and is used as a resource in finding solutions to problems with patient testing and scheduling. Obtains approval from department designed contract and/or supervisor for non-routine appointment scheduling. Checks for medical necessity for patients at time of scheduling. Works with departments to schedule stat patients. Coordinates scheduling with multiple facilities or departments to ensure outpatients are scheduled as soon as possible. Compiles and prepares statistical data as requested. Responsible for performing all other duties, such as filing, photocopying, and relaying data as assigned. Promotes strong customer focus and handles all calls with professionalism. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Education: High school diploma or equivalent (required) Associate degree in business, Healthcare, or related field (preferred) Combination of post-secondary education and experience in lieu of degree will be considered. Licensure/Certification: None Experience: Experience with data entry (preferred) Typing (45-50) WPM (preferred) Mercy Health is an equal opportunity employer. As a Mercy Health associate, you're part of a Misson that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: OP Physical Therapy - Fairfield - Satellite It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, a ll applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health- Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email *********************. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************.

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Mercy Health About Us As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Scheduling Specialist- Fairfield Healthplex Job Summary: Coordinates and schedules patient testing or procedures, including interacting with physician offices, other health care providers and staff in departments that provide services to ensure patients are scheduled as soon as possible. Obtains scheduling orders, instructs patients, and enters data into the hospital computer system. Gathers, updates, and maintains daily records of scheduled patients. Demonstrates knowledge of provider and non-provider payers and communicates to patient, physician, precertification, and other appropriate departments. Maintains statistical data for department supervisor as requested to determine scheduling volume, patient types, and number procedures. Essential Functions: * Gathers and interprets relatively complex patient data from physician offices and/or patient daily to enable scheduling of testing, surgical procedures, and pre-certification when required. May be responsible for pre-registration of self-scheduled patients. * Provides physician office staff and/or patient with hospital approved instructions regarding test preparation. Answers questions pertaining to testing, scheduling, and testing preparation. Refers patient to specialty area staff instructions, which are outside of the ordinary. * Enters patient scheduling information into computer, updates patient demographic and insurance information and provides pre-registration forms which include testing information for registering the patient prior to testing. * Used as a resource in resolving testing/ procedures discrepancies and is used as a resource in finding solutions to problems with patient testing and scheduling. Obtains approval from department designed contract and/or supervisor for non-routine appointment scheduling. * Checks for medical necessity for patients at time of scheduling. * Works with departments to schedule stat patients. Coordinates scheduling with multiple facilities or departments to ensure outpatients are scheduled as soon as possible. * Compiles and prepares statistical data as requested. * Responsible for performing all other duties, such as filing, photocopying, and relaying data as assigned. * Promotes strong customer focus and handles all calls with professionalism. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Education: High school diploma or equivalent (required) Associate degree in business, Healthcare, or related field (preferred) Combination of post-secondary education and experience in lieu of degree will be considered. Licensure/Certification: None Experience: Experience with data entry (preferred) Typing (45-50) WPM (preferred) As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer * Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) * Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts * Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders * Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email *********************. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************

Could you be our next Registration Scheduling Specialist at Newtown Square? Why work as a Registration Scheduling Specialist with Main Line Health? * Be an Integral Member of our Organization! As one of the first points of contact for new patients, you make the first impression! As you collect and capture accurate patient data, you have the opportunity to provide excellent, empathetic customer service. As an ambassador for patients, you help them understand their financial responsibility, services available to them, and more. * Develop and Grow your Career! Invest in furthering your education through seeking certifications or advanced degrees by taking advantage of our Tuition Reimbursement! This position is eligible for up to $6,000 per year based upon your Full or Part Time status. * Get Involved! Use your engaging communication skills to interact with nursing staff, other departments, physician offices, medical offices and the general public as needed to provide outstanding service. * Join the Team! Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers, bring distinctive talents to Main Line Health. Regardless of our unique design, we all share a purpose: providing superior service and care. * Position-Specific Benefits include: We offer a number of employee discounts to various activities, services, and vendors... And employee parking is always free! Position: Registration Scheduling Specialist Shift: 2PM-7PM Monday & Thursday (No Weekends) Experience: Required: 2+ years of customer service experience. Excellent customer service and computer skills. Preferred: Minimum of 2 years of registration experience in a medical setting. Knowledge of medical terminology. Knowledge of insurance and third party reimbursement. Education: High school diploma preferred. Licensures/Certifications: N/A Additional Information * Requisition ID: 79118 * Employee Status: Regular * Schedule: Part-time * Shift: Day Job * Pay Range: $18.37 - $28.47 * Job Grade: 205

Could you be our next Registration Scheduling Specialist at Paoli Hospital? Why work as a Registration Scheduling Specialist with Main Line Health? * Be an Integral Member of our Organization! As one of the first points of contact for new patients, you make the first impression! As you collect and capture accurate patient data, you have the opportunity to provide excellent, empathetic customer service. As an ambassador for patients, you help them understand their financial responsibility, services available to them, and more. * Develop and Grow your Career! Invest in furthering your education through seeking certifications or advanced degrees by taking advantage of our Tuition Reimbursement! This position is eligible for up to $6,000 per year based upon your Full or Part Time status. * Get Involved! Use your engaging communication skills to interact with nursing staff, other departments, physician offices, medical offices and the general public as needed to provide outstanding service. * Join the Team! Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers, bring distinctive talents to Main Line Health. Regardless of our unique design, we all share a purpose: providing superior service and care. * Position-Specific Benefits include: You are eligible for up to 120 hours of paid time off per year based on your Full or Part Time status. We also offer a number of employee discounts to various activities, services, and vendors... And employee parking is always free! Position: Registration Scheduling Specialist Shift: Monday-Friday (w/ every other weekend required) [2:30PM-11:00PM] Experience: Required: 2+ years of customer service experience. Excellent customer service and computer skills. Preferred: Minimum of 2 years of registration experience in a medical setting. Knowledge of medical terminology. Knowledge of insurance and third party reimbursement. Education: High school diploma preferred. Licensures/Certifications: N/A Additional Information * Requisition ID: 77890 * Employee Status: Regular * Schedule: Full-time * Shift: Evening Job * Pay Range: $18.37 - $28.47 * Job Grade: 205

Could you be our next Registration Scheduling Specialist with Main Line Health? By applying for this position, you can explore ALL Registration Scheduling Specialist opportunities across our Main Line Health locations - including but not limited to: Lankenau Medical Center, Bryn Mawr Hospital, Riddle Hospital, Paoli Hospital, Main Line HealthCare (MLHC) - Concordville, Mirmont Treatment Center, Ellis Preserve, and more. When you apply to this position, you will be considered for openings across multiple sites based on your experience, interests, and operational need. Available Opportunities Across Our Main Line Health Locations: Available shifts: Full-time and Part-time Available schedules: Days, Evenings, Nights Please note: Some locations include weekend shifts based on operational needs Why work as a Registration Scheduling Specialist with Main Line Health? Develop and Grow Your Career! Be one of the many Main Line Health employees who advance their career through our Tuition Reimbursement Program, eligible for up to $6,000 annually based on FTE status/position. Many of our Registration Scheduling Specialists grow into leadership, billing, or clinical roles within the health system. Make an Impact! As one of the first points of contact for new and returning patients, you make the first impression that sets the tone for their entire experience. You'll play an integral role in providing excellent, empathetic customer service by accurately capturing patient data, ensuring a smooth registration or scheduling process, and helping patients understand their services and financial responsibilities. Join the Team! There's a litany of reasons why our registration/scheduling team loves it here, but don't take my word for it. I invite you to check out some of our news, updates, and awards, our multi-year running Great Place to Work certification, and our commitment to diversity, respect, equity, and inclusion (Main Line Health is the top-ranked PA health system in Forbes Magazine's America's Best Employers for Diversity for 2024). Position-Specific Benefits Include: You are eligible for up to 120 hours of paid time off annually (based on FTE status). We also offer several employee discounts to various activities, services, and vendors, as well as free employee parking at all Main Line Health locations. Experience: Required: * 2+ years of customer service experience. * Excellent customer service and computer skills. Preferred: * Minimum of 2 years of registration experience in a medical setting. * Knowledge of medical terminology. * Knowledge of insurance and third-party reimbursement. Education: * High school diploma or GED required. Apply today! Your application will be reviewed, and if selected, you'll be contacted for a one-way video interview or a direct phone screen with a recruiter. Thank you for your time and interest in Main Line Health! Additional Information * Requisition ID: 250000HE * Employee Status: Regular * Benefit Eligibility: Full-Time Benefits * Schedule: Full-time * Pay Range: $18.01 - $27.91 * Job Grade: 205

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Mercy Health** **_About Us_** As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. **Bon Secours** **_About Us_** As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. **Scheduling Specialist - Kenwood Vascular Surgery - Anderson** **Job Summary:** Coordinates and schedules patient testing or procedures, including interacting with physician offices, other health care providers and staff in departments that provide services to ensure patients are scheduled as soon as possible. Obtains scheduling orders, instructs patients, and enters data into the hospital computer system. Gathers, updates, and maintains daily records of scheduled patients. Demonstrates knowledge of provider and non-provider payers and communicates to patient, physician, precertification, and other appropriate departments. Maintains statistical data for department supervisor as requested to determine scheduling volume, patient types, and number procedures. **Essential Functions:** + Gathers and interprets relatively complex patient data from physician offices and/or patient daily to enable scheduling of testing, surgical procedures, and pre-certification when required. May be responsible for pre-registration of self-scheduled patients. + Provides physician office staff and/or patient with hospital approved instructions regarding test preparation. Answers questions pertaining to testing, scheduling, and testing preparation. Refers patient to specialty area staff instructions, which are outside of the ordinary. + Enters patient scheduling information into computer, updates patient demographic and insurance information and provides pre-registration forms which include testing information for registering the patient prior to testing. + Used as a resource in resolving testing/ procedures discrepancies and is used as a resource in finding solutions to problems with patient testing and scheduling. Obtains approval from department designed contract and/or supervisor for non-routine appointment scheduling. + Checks for medical necessity for patients at time of scheduling. + Works with departments to schedule stat patients. Coordinates scheduling with multiple facilities or departments to ensure outpatients are scheduled as soon as possible. + Compiles and prepares statistical data as requested. + Responsible for performing all other duties, such as filing, photocopying, and relaying data as assigned. + Promotes strong customer focus and handles all calls with professionalism. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. **Education:** High school diploma or equivalent (required) Associate degree in business, Healthcare, or related field (preferred) Combination of post-secondary education and experience in lieu of degree will be considered. **Licensure/Certification:** None **Experience:** Experience with data entry (preferred) Typing (45-50) WPM (preferred) As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. **What we offer** + Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) + Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts + Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders + Tuition assistance, professional development and continuing education support _Benefits may vary based on the market and employment status._ All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email ********************* . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************

Could you be our next Registration Scheduling Specialist at MLHC - Concordville? Why work as a Registration Scheduling Specialist with Main Line Health? * Be an Integral Member of our Organization! As one of the first points of contact for new patients, you make the first impression! As you collect and capture accurate patient data, you have the opportunity to provide excellent, empathetic customer service. As an ambassador for patients, you help them understand their financial responsibility, services available to them, and more. * Develop and Grow your Career! Invest in furthering your education through seeking certifications or advanced degrees by taking advantage of our Tuition Reimbursement! This position is eligible for up to $6,000 per year based upon your Full or Part Time status. * Get Involved! Use your engaging communication skills to interact with nursing staff, other departments, physician offices, medical offices and the general public as needed to provide outstanding service. * Join the Team! Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers, bring distinctive talents to Main Line Health. Regardless of our unique design, we all share a purpose: providing superior service and care. * Position-Specific Benefits include: You are eligible for up to 120 hours of paid time off per year based on your Full or Part Time status. We also offer a number of employee discounts to various activities, services, and vendors... And employee parking is always free! Position: Registration Scheduling Specialist Shift: 8AM-12PM, Tuesday-Saturday Experience: Required: 2+ years of customer service experience. Excellent customer service and computer skills. Preferred: Minimum of 2 years of registration experience in a medical setting. Knowledge of medical terminology. Knowledge of insurance and third party reimbursement. Education: High school diploma preferred. Licensures/Certifications: N/A Additional Information * Requisition ID: 79133 * Employee Status: Regular * Schedule: Part-time * Shift: Day Job * Pay Range: $18.37 - $28.47 * Job Grade: 205

Human Touch Home Care is looking for a qualified Intake Specialist to join our team at our DC office. MUST HAVE HOME HEALTHCARE INTAKE AND SCHEDULING EXPERIENCE Responsibilities Perform authorization, intake duties, insurance verification and eligibility. Answer client inquires, take referrals, and help schedule home care services. Assist in managing medical records. Facilitate the communication functions of the business office. Provide clerical support, and excellent customer service. Adhere to all policies and procedures of the company. Enter new patients in scheduling system and updates to patient information as they occur. Communicate with clinicians regarding admissions, hospitalizations, discharges expiration and occurrences. Assists in managing clients including staffing, scheduling, operations and administration. Performs other duties as assigned to meet the goals and objectives of our home care operations. Track and maintain records for Authorization department Sort and process incoming reports before putting data into processing software Verify accuracy of data before transcribing Scan documents and saved in database to keep records of essential organizational information Respond to employee questions and requests for information in a timely and knowledgeable fashion Proved successful working within tight deadlines and fast-paced atmosphere Carried out day-to-day duties accurately and efficiently Obtain and log accurate patient insurance and demographic information Triage unscheduled and emergency with authorization department Prepare emails to distribute denial letters to medical personnel notating to perform END, POC/Perform DFA Enter scheduled appointments for clinicians to provide ongoing homecare healthcare services Manage payroll data entry and processing for approximately 23 clinicians as well as comply with predetermined company guidelines. Maintain accuracy, completeness and security for medical records and health information. Prepare a variety of different written communications, reports and documents. Communicate effectively with staff and clients demonstrating respect, friendliness and willingness to help wherever needed Other duties as assigned Identify and verify insurance coverage of home health care services Obtains and documents prior authorization for home care services from insurance providers Maintains liaison with hospital and insurance personnel, providing information and education on organization services, coverage issues and related areas Collect and maintain statistical data on all referral and submits them regularly as required Attends meetings and participates on committees as required. Performs other duties as assigned Qualifications High School degree/GED required. AA or BA/BS in related field is desirable. Must have a minimum of minimum of 2 years of experience, preferably with at least 1 in home health or home care nursing. Must have Authorization, intake, medical records, and excellent computer skills, with Knowledge of Microsoft Windows OS, MS Office, Word, Excel and knowledge of medical terminology. Must have a strong understanding of HMO, Medicaid, and Medicare Payors. Must have the ability to Multi-task in fast-paced environment. Must have excellent interpersonal and organizational skills. Able to work in group and independent environment Job Type: Full-time Pay: $21.00 - $25.00 per hour Benefits: Dental insurance Flexible schedule Health insurance Paid time off Sick time Vision insurance Schedule: 8 hour shift Monday to Friday No weekends Experience: Intake and Scheduling Specialist: 1 year (Preferred) Home Health Care: 1 year (Preferred)

Join Our Team at Avita Health System - Avita Health System Avita Health System is proud to serve the communities of Crawford and Richland counties through three hospitals and numerous clinic locations. Over the past few years, we've tripled in size, now employing over 2,200 team members and more than 160 physicians and advanced practitioners. Our mission is to deliver high-quality, compassionate care to the people who depend on us. We're currently seeking a dedicated Authorization Specialist to join our Centralized Scheduling Department at our Crestline location. Position Overview Contacts payers to request service authorization. Collects financial and/or demographic information from patients and clinical information from patient charts, orders, or providers. Qualifications Required: Previous Authorization experience At least two years of experience in a healthcare setting performing related tasks Familiarity with healthcare insurance processes Preferred: Associate degree in healthcare or business administration and/or related coursework Successful completion of courses in medical terminology and human anatomy Experience with EPIC information systems Why Join the Avita Health System Team? At Avita, we're committed to creating a supportive, inclusive, and empowering environment where every team member plays a vital role in delivering exceptional care to our communities. Whether you're on the front lines or behind the scenes, your work matters here. What You Can Expect at Avita: A collaborative and engaged workplace culture Competitive wages and comprehensive benefits Generous paid time off (PTO) to support work-life balance Health, dental, and vision insurance options 403(b) retirement plans with up to 4% employer match Paid parental leave Pharmacy discounts for employees Free on-site parking Opportunities for professional growth and internal advancement Recognition programs, including the DAISY Nursing Award for excellence Join a team that values your contributions and supports your career journey every step of the way. Location: Avita Health System - Crestline - Centralized Scheduling Department Avita Health System is an Equal Opportunity Employer. Monday through Friday 8:00am to 4:30pm

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

Are you passionate about ensuring patients receive the care they need? Do you excel in a fast-paced environment where attention to detail is crucial? If so, we invite you to join our team as an Authorization Specialist at UPMC Hillman Cancer Center! At UPMC, we are dedicated to providing exceptional oncology care to our community. As an Authorization Specialist, you will play a vital role in ensuring patients have access to the care they deserve. We are looking for someone who shares our commitment to excellence and making a difference. _Key Responsibilities:_ + Manage denials and oversee all revenue functions. + Demonstrate a high standard of excellence in all work. + Utilize expertise in authorization-related activities, including pre-authorizations, notifications, edits, and denials. _Why Join Our Team?_ + Teamwork: At our medical oncology office in Steubenville, collaboration with colleagues and providers is essential for success. + Work-Life Balance: This full-time position offers regular hours-Monday through Friday. No evenings, holidays, or weekends! + Impact: Your work directly impacts patients' lives. You will be part of a compassionate team dedicated to making a difference. Ready for the challenge? Apply online today and be part of our mission to provide exceptional care at Hillman Cancer Center! Responsibilities: + Prior authorization responsibilities: + 1. Reviews and interprets medical record documentation for patient history, diagnosis, and previous treatment plans to pre-authorize insurance plan determined procedures to avoid financial penalties to patient, provider and facility. + 2. Utilizes payor-specific approved criteria or state laws and regulations to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and drugs in terms of type, frequency, extent, site and duration, and considered effective for the patient's illness, injury, or disease. + 3. Ensures accurate coding of the diagnosis, procedure, and services being rendered using ICD-9-CM, CPT, and HCPCS Level II. + 4. Provides referral/pre-notification/authorization services timely to avoid unnecessary delays in treatment and reduce excessive nonclinical administrative time required of providers. 5. Submits pertinent demographic and supporting clinical data to payor to request approval for services being rendered. + General responsibilities: + 1. Maintains compliance with departmental quality standards and productivity measures. + 2. Works collaboratively with internal and external contacts specifically, Physician Services and Hospital Division, across UPMC as well as payors to enhance customer satisfaction and process compliance, ensuring the seamless coordination of work and to avoid a negative financial impact. + 3. Utilizes 18+ UPMC system and insurance payor or contracted provider web sites to perform prior authorization, edit, and denial services. + 4. Utilize authorization resources along with any other applicable reference material to obtain accurate prior authorization. + Retrospective authorization responsibilities + 1. Resolves basic authorization edits to ensure timely claim filing and elimination of payor rejections and or denials. + High School diploma or equivalent with 2 years working experience in a medical environment (such as a hospital, doctor's office, or ambulatory clinic) + OR an Associate's degree and 1 year of experience in a medical environment required. (Bachelor's degree (B.A) preferred) + Completion of a medical terminology course (or equivalent) required + Skills Required: + Knowledge and interpretation of medical terminology, ICD-9, and CPT codes + Must be proficient in Microsoft Office applications Excellent communication and interpersonal skills + Ability to analyze data and use independent judgment + Skills Preferred: + Understanding of authorization processes, insurance guidelines, third party payors, and reimbursement practices. + Experience utilizing a web-based computerized system.Licensure, Certifications, and Clearances: + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran