ambulatory services representative

University of Rochester

<div>As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
Job Location (Full Address):
601 Elmwood Ave, Rochester, New York, United States of America, 14642
Opening:
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
500056 SMH Medical Oncology - Pluta
Work Shift:
UR - Day (United States of America)
Range:
UR URCA 204 H
Compensation Range:
$18.50 - $24.98
<div><div><div><div><div><div><div>The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
</div></div></div></div></div></div></div>Responsibilities:
Performs functions associated with patient information processing for ambulatory care visits. Completes the tasks of reception, registration, charge reconciliation process, appointment scheduling, eRecord task management, In Basket management and Telephone encounter management using the electronic medical record and patient access and revenue cycle systems. Ensures patient satisfaction with information processing and reception service. Requires accuracy in order to generate a billable service for the provider. Responsible for functions being completed in an accurate, efficient, and customer friendly manner. May act as a resource to new staff.
ESSENTIAL FUNCTIONS
<ul><li>Greets patients to initiate positive ambulatory experience, requests patient identification, ensures use of two identifiers to verify the correct patient, identifies healthcare provider to be seen, identifies referring provider and primary care physician, directs patients to next destination, obtains signatures as needed, identifies and assesses patients&rsquo; special needs, and monitors reception area to ensure patient needs are met. Provides interaction of warm hand-off to registration and insurance management (RIM). Updates patients regarding waiting time for the provider every 15 minutes. Protects Personal Health Information (PHI) for patients as indicated by HIPAA regulations. Ensures cleanliness and order in the waiting room/lobby.
</li><li>Collects patient demographic and financial information in an efficient, customer-oriented manner. Asks specific questions of patient to verify information accuracy to establish a billable account. Enters information into electronic medical record (EMR) and patient access and revenue cycle system. Requests patient e-mail address for confirmation purposes. Ensures completion of all appropriate forms by patients, such as Medicare Secondary Payer assurance, provision of HIPAA information for new patients, requesting patient identification to verify identity, provision of Financial Assistance Program, etc.
</li><li>Schedules new and return visits to ambulatory care using the electronic medical record and patient access and revenue cycle system, monitors schedules and reports problems to Supervisor, pre-registers patients for next visit, coordinates appointments for ancillary testing or referrals to other clinic sites, follows-up missed appointments and cancellations, completes any correspondence or forms involved with appointment scheduling, schedules interpreters, schedules outside services to meet patient&rsquo;s needs, and ensures patient satisfaction with visit prior to discharge from the area. Prints After Visit Summary (AVS) at check-out when appropriate, uses two patient identifiers to ensure provision of the summary to the correct patient. May assist with provider template changes. Collects patient co-pays, prepares end of day deposits and reconciles any discrepancies.
</li><li>Answers phone in a timely and courteous manner. Manages incoming clinic calls and sorts calls to various providers. Opens telephone encounter in EMR when speaking with patients. Ensures routing of encounter in EMR to the appropriate staff/provider. Coordinates outgoing calls related to major functions above. Provides information to patients to minimize the need to distribute the telephone call, forwards calls, pages providers, and takes messages.
</li><li>Edits and corrects registration errors and completes missing registration data. Assists in charge reconciliation process. Ensures accuracy of patient schedules. Identifies ways to reduce follow-up, repetitive, or corrective work. Manages multiple processes in EMR, including messaging in In Basket and referral work queue processing, which is part of the patient legal medical record, therefore, ensures accurate and concise information is entered.
</li><li>Assesses the urgency of a situation and determines appropriate routing for the patient, serves as a resource for handling complaints, utilizes service recovery concepts, serves as front-line problem solver.
</li><li>May escort patient into the treatment corridor, collects height and weight information, records list of current medication, records basic visit documentation, obtains vital signs, etc. Competencies must be verified by clinical staff before performance of any of these duties.
</li>Other duties as assigned. 
<li>
</li></ul> 
MINIMUM EDUCATION &amp; EXPERIENCE
<ul><li>High School diploma and 1 year related experience in an administrative office or customer service field required or
</li><li>Completion of Vision Care 1,2,3 courses required
</li>Or equivalent combination of education and experience 
<li>
</li></ul> 
KNOWLEDGE, SKILLS AND ABILITIES
<ul><li>Medical terminology experience preferred
</li><li>Demonstrated ability to word process documents and enter data into a database preferred
</li><li>Demonstrates the ICARE values to patient, families and staff preferred
</li><li>Demonstrated skills related to achievement of customer satisfaction preferred
</li><li>Ability to act as a resource to less experienced staff preferred
</li></ul>The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University&rsquo;s Mission to Learn, Discover, Heal, Create &ndash; and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.</div>

Outpatient Access Representative

Banner Health

<div>Primary City/State:
Casper, Wyoming
Department Name:
ER Registration-Hosp
Work Shift:
Day
Job Category:
Revenue Cycle
Why You&rsquo;ll Love This Role: 
At Banner Health, you&rsquo;re not just taking a job&mdash;you&rsquo;re joining our mission of &ldquo;Healthcare made easier, so life can be better.&rdquo; As a Patient Access Services Representative, you will be the vital first point of contact for patients entering our care. Whether it&rsquo;s a warm greeting at the front desk or expertly navigating insurance details, your impact will be felt from the very first moment. 
What You&rsquo;ll Do: 
Greet patients, ensure patient safety using positive identification protocols, verify insurance, and process registration quickly and compassionately. 
Collect patient financial liability and assist with financial counseling where needed. 
Ensure all documentation is accurate, secure, and compliant. 
Collaborate with clinical teams to optimize patient flow and satisfaction. 
Use multi-system technology to streamline patient offerings, intake and record-keeping.
You&rsquo;re a Great Fit If You: 
Thrive in fast-paced environments (like ERs, clinics, or specialty care). 
Have stellar communication skills and a high emotional IQ. 
Are detail-oriented, tech-savvy, and a natural problem-solver. 
Have experience in patient access, scheduling, or front-office healthcare preferred (but we will train the right person!).
Total Rewards:
We are proud to offer a comprehensive benefit package for all benefit-eligible positions. Benefits include health, dental, vision, 401(k) with company match, 403(b), and tuition aid. Additional coverage options are available to support everything that makes you, uniquely you. These include Pet Insurance, Medical and Financial wellness plans, ID theft protection, Life insurance and Legal coverage for extra security. Please visit our Benefits Guide for more information.
Hours and Schedule:
**All Acute Patient Access Services New Hires are required to attend New Hire Orientation &amp; PAS New Hire Training.
Acute Patient Access Training (first 4 weeks): Monday - Friday standard business hours.
Enjoy a flat rate $1/hour weekend and 15%-night shift differential when applicable.<ul><li>On-call PM rotation and mandatory holiday rotation.</li></ul>
Schedule: Friday, Saturday, and Sunday 11:00am to 11:30pm; Sunday on-call shifts. Inpatient and Outpatient Registration.
Apply Today!
Banner Wyoming Medical Center is located in the heart of Casper Wyoming. As the state's largest inpatient facility, Wyoming Medical Center is known and highly regarded for its cardiac and stroke services. With 249 beds and a level 2 trauma center, Wyoming Medical Center is proud to serve the entire state of Wyoming.
POSITION SUMMARY
This position is the first point of contact at healthcare facilities and assists patients with the administrative aspect of gaining access to medical treatment. This position is in a hospital-based setting which includes Emergency Dept, Inpatient, Obstetrics, Outpatient, etc. Responsible for in person patient intake and registration, providing superior customer service, accurately identifying, and obtaining authorizations patients&rsquo; insurance, verifying eligibility and benefits, generating patient estimates for services rendered, financial counseling, and collecting patient liability. Demonstrates the ability to resolve customer issues and provides excellent customer service.
CORE FUNCTIONS
1. Verifies patient&rsquo;s demographics and accurately inputs this information into EHR, including documenting the account thoroughly to maximize reimbursement and minimize denials/penalties from the payor(s).
2. Proficiency with multiple services including, but not limited to inpatient, observation, emergency, obstetrics, surgery, imaging. This position may cover services 24/7.
3. Demonstrates a thorough understanding of insurance guidelines for all services. Proficiently verifies, reads, and understands insurance benefits.
4. Demonstrates proficient understanding that this position creates the first impression for our patient's experience with Banner Health. Demonstrates a positive patient experience through interactions and effective communication.
5. Proficient understanding of payer authorization guidelines. Accurately submits timely notification according to insurance guidelines using various systems to reduce/eliminate denials. Consistently meets all registration related key performance indicators as determined by management.
6. Obtains federal/state compliance information, consents and documentation required by the patient&rsquo;s insurance plan(s). This includes a thorough understanding of accurately completing hospital-based compliance forms required by CMS. Uses multiple computer applications proficiently.
7. Consistently discusses financial liability with the patient(s) and/or families that includes: collection in full of patient liability, assisting patient in applying for Banner Line of Credit, setting up payment plans and/or assisting patient with Banner Financial Assistance policy/application.
8. Provides a variety of patient services and financial services tasks. May be assigned functions such as transporting patients, training new hire employees, recapping daily deposits, posting daily deposits, or conducting other work assignments of the Patient Access Services team.
9. Works independently under regular supervision and follows structured work routines. Works in a high-volume, fast paced, clinical environment which requires to ability to be adaptable, critical thinking, and independent decision making and to prioritize work and ensure appropriateness and timeliness of each patient&rsquo;s care. Primary external customers include patients and their families, physician office staff and third-party payors.
MINIMUM QUALIFICATIONS
High school diploma/GED is required.
Must have customer service skills or knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience.
Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work both independently and collaboratively in a team environment. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences. Strong knowledge in the use of common office software, word processing, spreadsheet, database software, and typing ability are required.
Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire.
PREFERRED QUALIFICATIONS
Associate&rsquo;s degree preferred.
CRCR (Certified Revenue Cycle Representative) certification, a credential offered by the Healthcare Financial Management Association (HFMA)
CHAA (Certified Healthcare Access Associate) certification, a credential offered by the National Association of Healthcare Access Management (NAHAM)
Knowledge of medical terminology or healthcare systems.
Additional related education and/or experience preferred.
EEO Statement:
EEO/Disabled/Veterans
Our organization supports a drug-free work environment.
Privacy Policy:
Privacy Policy</div>

Acute Patient Access Services Representative

St. Charles Health System

Full Time, DaysPay range: $22.30 - $30.11One Call - Bend, OR
 
ST. CHARLES HEALTH SYSTEM
 JOB DESCRIPTION
 TITLE: Centralized Service Representative
 REPORTS TO POSITION: Ambulatory Access Director or Delegate
 DEPARTMENT: Patient Access Services
 DATE LAST REVIEWED: March 2026
 
OUR VISION: Creating America’s healthiest community, together.
 
OUR MISSION: In the spirit of love and compassion, better health, better care, better value
 
OUR VALUES: Accountability, Caring and Teamwork
 
DEPARTMENTAL SUMMARY: Patient Access Services is a support services division of St Charles Health System. Patient Access serves as a liaison to inpatient and hospital-based outpatient departments. Ambulatory Access serves as a liaison to ambulatory outpatient departments by providing scheduling, registration, prior authorization, medical records, population health outreach, and project management support. We encourage collaboration between clinical and non-clinical staff to ensure we provide our community with comprehensive and compassionate health care.
 
POSITION OVERVIEW: TheCentralized Service Representative (CSR) provides telephone and digital support for patients, their representatives, and provider offices. This requires broad and comprehensive knowledge of diverse and wide-ranging scheduling protocols and procedures, including complex scheduling scenarios and patient care pathways. CSRs schedule appointments and procedures using electronic scheduling systems in adherence with varying and unique practice protocols for numerous specialty clinics. Centralized Service Representatives’ home department may be a specific location that is supported by Patient Access Services, the St Charles One Call Centralized Call Center, may float between multiple locations, or may work remotely from home under current St Charles Health System work from home requirements.
 
This position does not directly manage any other caregivers.
 
ESSENTIAL FUNCTIONS AND DUTIES: 
Responsible for accurately creating or locating patient accounts in the electronic health record system.
 
Collects and records patient demographics, insurance and billing information. Performs real-time eligibility for insurance benefits. Updates database and patient profiles to reflect the most current contact information.
 
Responsible for processing and routing large volumes of diversified patient telephone calls accurately in accordance with department and St Charles Health System established protocols.
 
Accurately schedules patient appointments and procedures across multiple service lines and specialties, following established protocols that promote positive patient experience, efficiency and standardization.
 
Reviews and processes referral information to ensure accuracy in scheduling; report potential issues, clarify and/or collect any missing information and coordinate the schedules of providers, nurses, examination rooms and equipment.
 
Communicates patient and provider requests and responds accurately using the appropriate procedures for contacting clinics and/or clinic staff.
 
Utilizes advanced active listening skills to handle special and priority calls such as urgent and emergent conditions in accordance with St Charles Health System established protocols.
 
Responds to all customer and emergency calls in a confident, rapid, accurate, pleasant, and professional manner with the ability to remain calm in emergency situations.
 
Attention to detail in recording patient messages and reasons for call or appointment and accurately transcribing that information into the electronic health record following department protocols and standards.
 
Addresses, deescalates or appropriately routes patient complaints or concerns.
 
Accesses and maintains all department specific files, programs and recall systems.
 
Actively participates in achieving organizational and department goals.
 
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate.
 
Ability to work as part of a Care Team with providers and clinical staff.
 
Supports the vision, mission, and values of the organization in all respects.
 
Supports lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
 
Provides and maintains a safe environment for caregivers, patients, and guests.
 
Conducts all activities with the highest standards of professionalism and confidentiality.
 
Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
 
May perform additional duties of similar complexity within the organization, as required or assigned.
 
EDUCATION: 
Required: High school diploma or GED.
 Preferred: N/A
 
LICENSURE/CERTIFICATION/REGISTRATION: 
Required: N/A
 Preferred: N/A
 
EXPERIENCE: 
Required: Minimum one (1) year of paid customer service work experience.
 Preferred: One (1) year of clerical support in a healthcare setting or one (1) year call centerexperience.
 
PERSONAL PROTECTIVE EQUIPMENT: 
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
 
ADDITIONAL POSITION INFORMATION: 
Must have excellent communication and organizational skills with ability to interact with a diverse population and professionally represent St. Charles Health System with internal and externalcustomers.
 Must adapt quickly to frequent process changes and improvements.
 Is reliable, engaged, and provides feedback to inform process improvement.
 Attends all department, team, and company meetings as required.
 Requires exceptional critical thinking and analytical skills with the ability to work under minimal supervision.
 Requires strong communication, customer service, interpersonal skills and telephone etiquette.
 Ability to prioritize workflow according to pre-set instructions.
 Strong teamwork and collaborative skills.
 Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.
 Ability to multi-task and work independently.
 Attention to detail.
 Performs basic math (add, subtract, multiply and divide) calculations.
 Performs intermediate to advanced math (analysis, statistics, significant data, or number manipulation).
 Intermediate ability and experience in computer applications, specifically electronic medical records system, MS Office, MS Teams, and Excel.
 
PHYSICAL REQUIREMENTS: 
Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
 Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.
 Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing.
 Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle.
 Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.
 Exposure to Elemental Factors
 Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.
 Blood-Borne Pathogen (BBP) Exposure Category
 No Risk for Exposure to BBP
 
Schedule Weekly Hours: 
40
 
Caregiver Type: 
Regular
 
Shift: 
First Shift (United States of America)
 
Is Exempt Position?
 No
 
Job Family: 
REPRESENTATIVE
 
Scheduled Days of the Week: 
Monday-Friday
 
Shift Start End Time: 
8am-5pm

Centralized Service Representative

Premier Ambulatory Surgery Center

<div>Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Collections Specialist with Premier Ambulatory Surgery Center you can be a part of an organization that is devoted to giving back!
<h5 class="jobSectionHeader">Job Summary and Qualifications</h5>
<h5 class="jobSectionHeader">As the Collections Representative, you will contribute to the company&rsquo;s mission, vision, and values by completing follow-up and collections for patient services. Under the supervision of the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts.
What you will do in this role:
<ul><li>You will perform follow up activities on accounts to ensure prompt payment
</li><li>You will identify coding or billing errors from EOBs and work to correct them
</li><li>You will monitor insurance claims and contact insurance companies to resolve claims
</li><li>You will update the patient account record to identify actions taken
</li><li>You will assign bad debt to the collection agency
</li><li>You will act as a liaison accounts and administer contracts in collection of third party accounts (Medicare and Medicaid)
</li><li>You will complete account reconciliation of accounts turned over to outside agencies
</li><li>You will negotiate payment plans on self-pay accounts
</li><li>You are responsible for maintaining accounts receivable and creating a reduction in bad debt
</li></ul>Qualifications you will need:
<ul><li>Minimum (1) year of experience in a medical office setting highly preferred. (i.e. ambulatory surgery center, hospital, doctors office) preferred
</li><li>Knowledge of managed care payers and medical terminology is preferred</li></ul>
Benefits</h5>
Premier Ambulatory Surgery Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Premier Orthopedic Surgery Center is located inNashville, Tennessee. We serve the residents of Middle Tennessee. We are an ambulatorysurgery center that is AAAHC accredited. The center performs a wide range of orthopedic proceduresincluding total joints. We see an average of 150 cases a month. We are accessible to I-24and I-65. As a member of Surgery Ventures powered by HCA Healthcare, we follow ourmission. Above all else, we are committed to the care and improvement of humanlife.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for thedelivery of charitable care, uninsured discounts, and other uncompensated expenses. 
&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
Be a part of an organization that invests in you! We are reviewing applications for our Collections Specialist opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Collections Specialist

HCA Florida Sarasota Doctors Hospital

<div>Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Consulting Provider Solutions Specialist today with HCA Florida Sarasota Doctors Hospital.
<h5 class="jobSectionHeader">Job Summary and Qualifications</h5>
The Consulting Provider Solutions Specialist serves as a Division resource and subject matter expert for implementation and support of the ambulatory electronic health record (EHR). Using a balanced combination of advanced customer service, project management, sales, leadership, training, and technology skills, the Consulting Provider Solutions Specialist role works with an integrated support team to provide workflow analysis, testing, training, implementation, support, and optimization to clinical users of ambulatory EHR technology. The role requires working closely with providers and practice personnel, but also involves working with an ecosystem of healthcare professionals. Responsibilities include assisting providers throughout the healthcare continuum from the introduction to adoption and advancing utilization of HCA ambulatory EHR technologies. Duties also include ensuring providers and practice personnel have training and instruction on how to access and effectively utilize healthcare technologies and responding to, triaging, and delivering seamless coordination for provider support needs. The Consulting Provider Solutions Specialist will maintain collaborative relationships and engage across business units to enhance the provider experience with ambulatory EHR technologies and communicate key provider technology enablers. This role is responsible for understanding the dynamic landscape of Health IT, various digital access points, and common clinical workflows.
1. Implementation/Change Management:
a) Leads and independently conducts ambulatory EHR implementations for providers and practices (new start-ups and acquisitions).
b) Provides Training and Second level support for dictation and voice recognition technologies.
c) Plans, organizes, and independently conducts ambulatory EHR optimization efforts and actively supports and promotes system standardization, utilization, and best practices.
d) Contributes as a subject-matter expert for installation and support of ambulatory EHR solutions per HCA and Division IT&amp;S standards and guidelines.
e) Promotes process changes that improve the implementation, maintenance, and support of ambulatory EHR technologies.
f) Supports and assists with testing of ambulatory EHR functionality; assists in interpretation of test plans, troubleshooting, and clinical integration points.
g) Works with integrated support teams to address software functionality, content, and defect resolution updates.
h) Participates with peers in enterprise communities to develop and deploy best practices for physician support in the ambulatory care setting.
2. Support Requests:
a) Rounds in physician practices to ensure ambulatory EHR support needs and issues are proactivelyidentified and addressed.
b) Provides direct support of ambulatory EHR solutions to physician practices.
c) Documents interactions with physician practices to confirm needs are met, reporting issues to other teams as needed.
d) Coordinates provider and practice service requests and incident resolutions through the Division Service Desk. Reviews problem tracking databases and has the ability to track and analyze metrics.
e) Conducts problem analysis, timely and accurate resolution, and root cause analysis for complex ambulatory EHR issues and requests.
f) Escalates and works with enterprise subject matter experts and integrated support team resources to identify trends and manage resolution of ambulatory EHR application issues and requests.
g) Analyzes and provides hands-on support for moderate to complex inquiries. Identifies and facilitates discussions with appropriate technical group or vendor to resolve the problem and coordinates as needed.
h) Monitors and communicates trends and issues that may affect administration/provider relationships, regulatory compliance, and quality initiatives.
i) Provides timely response and resolution to provider issues identified and reported in GrowthLink, as applicable.
j) Serves as a subject-matter expert for ambulatory EHR solutions and support to the Service Desk Community.
3. Access:
a) Possesses a mature understanding of system access and information protection standards and processes to offer guidance and instruction to practice personnel regarding EHR technology, related systems, and reporting access.
b) Collects and routes non-standard access requests to governing teams for consideration; Provides timely feedback and outcome to physician practices.
c) Promotes system security, information protection, and patient confidentiality and helps ensure compliance.
d) Enhances provider utilization of HCA technologies, by offering at the elbow support, one-on-one training, and support.
4. Partnerships:
a) In collaboration with integrated support teams, works with physician practices to promote and advocate tools, resources and workflows to support clinical quality initiatives, certification and regulatory requirements, and patient experience strategies.
b) Works with Ambulatory Clinical Informatics team to create, introduce, and modify clinical content for the ambulatory EHR system.
c) Contributes to Corporate, Division, and Market strategic planning with regard to physician product linesand ambulatory EHR technologies.
d) Participates in data collection and reporting efforts, ensuring the accuracy of physician and practice data in HCA systems
1. Responsible for leading, planning, coordinating, developing, tracking and delivery of training for providers and practice personnel on ambulatory EHR technologies and supporting systems.
2. Collaborates with Central EHR Implementation and Ambulatory Clinical Informatics teams to design, develop, and implement education and training materials for the ambulatory EHR system in support of providers&rsquo; and practice staff initial and ongoing training.
3. Develops, maintains and customizes ambulatory EHR system training materials to reflect market or practice or specialty-specific needs.
4. Prepares and delivers presentations, demonstrations, train-the-trainer, and special training courses with frequency.
5. Trains in a multitude of settings and leverage existing technology to meet the needs of the audience or customer base.
6. Coordinate and executes group testing procedure training plans, conduct pilot trainings, and provide feedback to project lead to better serve our HCA business partners.
1. Partners with practice, market, division and Corporate colleagues to enable a successful physician experience and foster improved customer service interactions.
2. Effectively communicates with customers, maintaining positive body language with confidence and patience.
3. Follows up, post issue resolution, to complete customer service cycle.
4. Seeks feedback though customer interaction to identify areas of improvement. 

<h6 class="jobSectionHeader">What qualifications you will need:</h6>
No Travel Required
5 years experience Required Years of Experience
Preferred: Proficiency in clinical applications, ambulatory EHR preferred
Education: College graduate or advanced course studies or related experience with 5 years previous experience in healthcare related field preferred.
Certification/Licensure: N/A
<h5 class="jobSectionHeader">Benefits</h5>
HCA Florida Sarasota Doctors Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
 
&quot;The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Consulting Provider Solutions Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Consulting Provider Solutions Specialist

HCA Healthcare

<div>**After 90 days, Hybrid/Remote work may be available &ndash; Interested candidates must live in the local Kansas City metro area.** Hours: 7:30AM-4:00PM**
Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Insurance Specialist with HCA Healthcare you can be a part of an organization that is devoted to giving back!
<h5 class="jobSectionHeader">Job Summary and Qualifications</h5>
As the Collections Representative, you will contribute to the company&rsquo;s mission, vision, and values by completing follow-up and collections for patient services. Under the supervision of the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts.
What you will do in this role:<ul><li>
You will perform follow up activities on accounts to ensure prompt payment</li><li>
You will identify coding or billing errors from EOBs and work to correct them</li><li>
You will monitor insurance claims and contact insurance companies to resolve claims</li><li>
You will update the patient account record to identify actions taken</li><li>
You will assign bad debt to the collection agency</li><li>
You will act as a liaison accounts and administer contracts in collection of third partyaccounts (Medicare and Medicaid)</li><li>
You will complete account reconciliation of accounts turned over to outside agencies</li><li>
You will negotiate payment plans on self-pay accounts</li><li>
You are responsible for maintaining accounts receivable and creating a reduction in bad debt</li></ul>
Qualifications you will need:<ul><li>
Minimum (1) year of experience in a medical office setting highly preferred. (i.e. ambulatory surgery center, hospital, doctors office) preferred</li><li>
Knowledge of managed care payers and medical terminology is preferred</li></ul>
<h5 class="jobSectionHeader">Benefits</h5>
HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
At the Surgery Ventures Central Business Office in MidAmerica, we support financial and patient care operations of 10 ambulatory surgery centers across the Kansas City Metro. Staff are assigned to work with one or more surgery centers via remote, in office and hybrid working environments.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. 
&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
Be a part of an organization that invests in you! We are reviewing applications for our Insurance Specialist opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Insurance Specialist

Boston Children's Hospital

84859BR Patient Services-Pharmacy Job Posting Description General Summary The Medication Access Manager oversees the pharmacy prior authorization and medication access program, ensuring timely and efficient access to medications for patients. This role manages daily operations of the prior authorization team while developing standardized workflows, performance metrics, and process improvements to optimize medication access. Key Responsibilities: Collaborates with pharmacists, prescribers, clinical teams, and payers to streamline authorization processes, reduce barriers to therapy, and support ambulatory and specialty pharmacy services. Analyzes program performance and implements solutions to improve operational efficiency and patient access. Provides leadership and operational oversight of the pharmacy prior authorization and medication access program, ensuring timely, accurate, and efficient processing of medication prior authorizations. Develops, implements, and continuously improves standardized workflows, policies, and procedures to optimize medication access and operational efficiency. Collects, analyzes, and reports program metrics including prior authorization turnaround times, approval and denial trends, and workflow productivity to evaluate program execution and inform operational improvements. Identifies opportunities to improve medication access processes, reduce payer-related barriers, and support prescription capture for ambulatory and specialty pharmacy services. Supervises, mentors, and develops medication access staff, including hiring, training, performance management, and professional development. Collaborates with pharmacists, prescribers, clinic staff, and revenue cycle teams to streamline medication access and coordinate patient care. Acts as a liaison with payers, pharmacies, and other stakeholders to resolve authorization issues and support patient access to therapy. Supports implementation and optimization of ePA platforms and medication access tools. Develops reports and analyses for pharmacy leadership to support program planning, operational improvements, and strategic initiatives. Maintains knowledge of payer policies, regulatory requirements, and professional best practices related to medication access and prior authorization. Minimum Requirements Education / License MA Pharmacy Technician License National CPhT certification or equivalent High School Diploma or General Education Degree Associate or bachelor&rsquo;s Degree Preferred Experience 5 years of relevant work experience in a hospital or ambulatory setting. Other relevant experiences include but are not limited to healthcare/business administration, health insurance, medical policy review and/or pharmacy. Status Full-Time Regular, Temporary, Per Diem Regular Standard Hours per Week 40 Pay Range $69888.00-$111831.20 Annual Office/Site Location Boston Job Posting Category Clinical Remote Eligibility Part Remote/Hybrid

Medication Access Manager

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