patient office rep

Prime Clinical Research Inc

<div>
 <strong>
  About the Role:
  <br/>
  <br/>
 </strong>
 Join PRIME CLINICAL RESEARCH INC as a Medical Call Rep and Office Assistant, where you'll play a vital role in supporting our clinical research team in Mansfield, TX. This position is perfect for individuals who thrive in a fast-paced environment and are passionate about making a difference in the healthcare industry.
 <br/>
 <br/>
 <strong>
  Responsibilities:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Handle incoming calls and inquiries from patients and healthcare professionals.
  </li>
  <li>
   Schedule appointments and manage calendars for clinical research studies.
  </li>
  <li>
   Maintain accurate patient records and documentation in compliance with regulations.
  </li>
  <li>
   Assist in the preparation of study materials and patient information packets.
  </li>
  <li>
   Provide administrative support to the research team as needed.
  </li>
  <li>
   Respond to emails and follow up on patient concerns promptly.
  </li>
  <li>
   Ensure a welcoming and professional environment for all visitors.
  </li>
  <li>
   Collaborate with team members to improve office processes and patient interactions.
   <br/>
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Requirements:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   High school diploma or equivalent; relevant experience preferred.
  </li>
  <li>
   Excellent communication skills, both verbal and written.
  </li>
  <li>
   Proficient in Microsoft Office Suite and electronic medical records.
  </li>
  <li>
   Strong organizational skills and attention to detail.
  </li>
  <li>
   Ability to multitask and prioritize effectively in a busy environment.
  </li>
  <li>
   Prior experience in a medical or clinical setting is a plus.
  </li>
  <li>
   Positive attitude and a commitment to patient care.
  </li>
  <li>
   Ability to work independently and as part of a team.
   <br/>
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  About Us:
  <br/>
  <br/>
 </strong>
 PRIME CLINICAL RESEARCH INC has been a leader in clinical research for over a decade, dedicated to improving patient outcomes through innovative studies. Our commitment to excellence and integrity has earned us the trust of both our clients and employees, making us a preferred choice in the healthcare community.
</div>


Medical Call Rep and Office Assistant

HARBIN CLINIC

<div><div><div><div><div><div><div>Back to Search Results
</div></div></div></div><div></div><div><div><div><div><div><h1 class="jobSectionHeader"><b>Patient Access &amp; Care Team Rep (Remote)</b></h1>
<p>Remote, United States<br>
Job ID: R153263-OTHLOC-Job-5FPosting-5FLocation-5FRemote
<br>
Shift: Various
<br>
Job Type: Regular
</p></div><div><div><div><div>Share: mail</div></div></div></div><div></div><div><br>
</div></div><p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>Department:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>
12700 Enterprise Corporate - Patient Access &amp; Care Team: IL/WI Operations<p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Status:</b>
</p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>Full time<p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Benefits Eligible:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>
Yes<p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Hou</b><b>rs Per Week:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>
40<p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Schedule Details/Additional Information:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><p>
This is a remote position. Acts as the first point of contact for customers reaching out to Advocate Aurora through established Patient Access &amp; Care Team (PACT) services for both internal and external partnerships. Supports base PACT initiatives and services accurately documenting each interaction using the electronic medical record. Able to provide wayfinding and/or resolve customer inquiries including but not limited to providing general information, paging providers, front ending symptomatic patients call for nurse triage, updating customer information/demographics, verifying medical records, entering medication refill requests, and scheduling patient appointments.</p><ul><li><p><b>
This position begins with four weeks of MANDATORY training (you must be available for the entirety of training). We are currently accepting applications for our April 6 and 20 training classes. If you have any scheduling conflicts which would prevent you from being available for training, please wait for a future posting to apply to one of our upcoming training classes. Training hours are Monday to Friday from 8:00am to 4:30pm Central Time (9:00am to 5:30pm Eastern Time).</b></p></li></ul><p></p><ul><li><p><b>
After training is complete, you will move into your permanent shift. Available permanent schedules will be discussed during interview process. There are a variety of permanent shifts available and many do include working a weekend day each week. You will be able to choose your permanent schedule at time of offer from what shifts are available at that time.</b></p></li></ul><p></p><p><b>
Pay Range</b></p>
$21.45 - $32.20<p></p><p>
MAJOR RESPONSIBILITIES:</p><p>
Uses protocols, facility/provider information, and established policies and procedures to seamlessly link the patient experience between the Patient Access &amp; Care Team (PACT) and the practice site.</p><p></p><p>
Uses resources and critical thinking skills to assist inbound callers. Makes outbound calls when required or when follow up is deemed necessary.</p><p></p><p>
Has the ability to recognize complex non-clinical problems and questions and escalates for resolution when needed.</p><p></p><p>
Responsibilities include scheduling patient appointments and coordinating cancellations, reschedules, and additions to schedules. Obtains demographic and insurance information, verifies insurance coverage, and may collect co-pays, deductibles, and previous balances. Ensures insurance and patient information obtained is complete and accurate, updating information if necessary, applying acquired knowledge of government and third-party payer requirements. Updates financial responsibility and other data when changes or additions occur and communicates to patients as appropriate.</p><p></p><p>
Provides referrals to physicians/providers. Completes all essential forms, obtains necessary information, such as patient demographic and insurance information. Verifies and updates the medical record with customer information.</p><p></p><p>
Identifies emergent calls based on information provided by caller and department guidelines. Follows the process for immediate transfer to Registered Nurse for triaging or appropriate more experienced staff for resolution. Responsible for competency in and adherence to guidelines for emergency situations and critical call handling.</p><p></p><p>
Determines the level of care needed by patients calling the call center which results in routing patients for triage, scheduling, rescheduling, and canceling appointments, submitting medication refill requests for evaluation, and paging providers and facilities as appropriate.</p><p></p><p>
Provides customer service per established departmental standards as measured by patients on post call survey. Asks clarifying questions, presents options or solutions, and understands the level of complexity of the call, escalating only those situations necessary for resolution.</p><p></p><p>
Assists with organizational marketing efforts by providing associated information and referral to customer, while maintaining appropriate records for documentation. Conducts regular reporting and updating of the provider and marketing databases.</p><p></p><p>
Performs additional duties based on department needs such as faxing, updating medical records, logs, and reports, managing files/databases, assisting with entering, gathering, organizing, and compiling data for reports.</p><p></p><p>
Maintains knowledge and efficient utilization of all information systems utilized by the department.</p><p></p><p><b>
Licensure, Registration and/or Certification Required:</b></p><p>
None Required.</p><p></p><p><b>
Education Required:</b></p><p>
High School Graduate.</p><p></p><p><b>
Experience Required:
</b></p><p>Experience in healthcare preferred.</p><p>
Experience in a call center preferred, or other applicable customer service-related area.</p><p></p><p><b>
Knowledge, Skills &amp; Abilities Required:</b></p><p>
Knowledge of customer service and ability to work with a variety of patients and patient situations. Ability to follow workflows while operating in a structured environment.</p><p></p><p>
Basic knowledge of medical terminology is helpful, but not required.</p><p></p><p>
Basic understanding of computers and desktop software packages.</p><p></p><p>
Ability to work in a fast paced environment, handling a variety of customer/patient needs.</p><p></p><p>
Basic multitasking and problem solving skills, as well as organization and prioritization skills.</p><p></p><p>
Ability to use/manage a multiple-line telephone system.</p><p></p><p>
Demonstrated ability for analysis, logical thinking, accuracy and concern for detail.</p><p></p><p>
Strong verbal communication skills and ability to interact with a diverse customer population.</p><p></p><p>
Ability to provide excellent customer service and follow up. Ability to converse with customers/patients while researching and documenting the call on multiple systems.</p><p></p><p>
Ability to work with a variety of customers and actively listen to successfully determine the customer's needs. Ability to resolve customer issues.</p><p></p><p>
Ability to work a variety of hours based on departmental business needs.</p><p></p><p><b>
Physical Requirements and Working Conditions:</b></p><p></p><p>
Must have functional vision, touch, speech, and hearing.<br>
<br>
Required to sit most of the workday.<br>
<br>
Operates all equipment necessary to perform the job.<br>
<br>
Exposed to normal office environment and/or remote work environments.</p><p></p><p><i>
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.</i></p><p></p><p><b>
Our </b><b>Commitment to You:</b></p><p></p><p>
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more &ndash; so you can live fully at and away from work, including:</p><p></p><p><b>
Compensation</b></p><ul><li>
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training</li><li>
Premium pay such as shift, on call, and more based on a teammate's job</li><li>
Incentive pay for select positions</li><li>
Opportunity for annual increases based on performance</li></ul><p></p><p><b>
Benefits and more</b></p><ul><li>
Paid Time Off programs</li><li>
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability</li><li>
Flexible Spending Accounts for eligible health care and dependent care expenses</li><li>
Family benefits such as adoption assistance and paid parental leave</li><li>
Defined contribution retirement plans with employer match and other financial wellness programs</li><li>
Educational Assistance Program</li></ul><p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
About Advocate Health</b></p><p></p><p>
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation&rsquo;s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.</p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><p>
</p>This is a remote position. Acts as the first point of contact for customers reaching out to Advocate Aurora through established Patient Access &amp; Care Team (PACT) services for both internal and external partnerships. Supports base PACT initiatives and services accurately documenting each interaction using the electronic medical record. Able to provide wayfinding and/or resolve customer inquiries including but not limited to providing general information, paging providers, front ending symptomatic patients call for nurse triage, updating customer information/demographics, verifying medical records, entering medication refill requests, and scheduling patient appointments.</div></div></div></div></div></div></div><div></div>

Patient Access & Care Team Rep (Remote)

Southwestern Colorado Ear, Nose & Throat Associates

<p><b>In-Office Insurance Prior Authorization Representative (Part-Time)</b><br/><b>Location: Durango, CO &ndash; IN OFFICE ONLY (Not Remote)</b></p><p>We are seeking an experienced <b>Insurance Prior Authorization Representative</b> to join our ENT practice. This is a <b>part-time, in-office position (24&ndash;28 hours/week)</b> and is <b>not eligible for remote work</b>.</p><p><b>Pay:</b> $26/hour</p><p><b>Requirements (must meet all):</b></p><ul><li><b>Current, hands-on insurance prior authorization experience (required)</b></li><li>Experience with <b>CoverMyMeds and payer authorization portals</b></li><li>Strong understanding of <b>insurance verification, medical necessity, and documentation requirements</b></li><li>Ability to manage high-volume requests with accuracy and urgency</li></ul><p><b>Responsibilities:</b></p><ul><li>Submit and track prior authorizations for procedures, imaging, and medications</li><li>Communicate with insurance carriers, providers, and staff to obtain approvals</li><li>Ensure all required clinical documentation is complete and accurate</li></ul><p>We are looking for someone who can <b>step in and contribute immediately</b>&mdash;this is not an entry-level role.</p><p><b>Responsibilities</b></p><ul><li>Obtain prior authorization from insurance companies for various medical procedures and treatments by accurately submitting required documentation.</li><li>Review patient medical records and ensure all necessary information is complete and compliant with HIPAA regulations.</li><li>Communicate effectively with healthcare providers, insurance representatives, and patients regarding authorization status and additional requirements.</li><li>Maintain detailed records of authorization requests, approvals, denials, and follow-up actions within the medical records system.</li><li>Verify patient insurance coverage and eligibility prior to scheduled appointments or procedures.</li><li>Collaborate with office staff to coordinate scheduling based on authorization approvals and patient needs.</li><li>Stay current with updates in managed care policies, CPT coding, ICD-9/10 coding, and relevant insurance guidelines to ensure accurate processing.</li></ul><p><b>Skills</b></p><ul><li>Strong understanding of managed care processes and insurance verification protocols.</li><li>Experience working in a medical or dental office environment with familiarity in office procedures.</li><li>Knowledge of HIPAA compliance standards related to patient privacy and data security.</li><li>Proficiency in CPT coding, ICD-9/10 coding, and ICD coding systems used for billing and documentation.</li><li>Excellent organizational skills with attention to detail when managing medical records and authorization documentation.</li><li>Effective communication skills for liaising between healthcare providers, insurance companies, and patients.</li><li>Prior experience in medical office administration or medical coding is highly desirable; dental office experience is a plus. Join our dedicated team as an In-Office Insurance Prior Authorization Representative (Part-Time) to help streamline administrative processes while supporting exceptional patient care through efficient insurance management.</li></ul><p>Pay: $26.00 per hour</p><p>Benefits:</p><ul><li>401(k) matching</li><li>Flexible schedule</li></ul><p>Experience:</p><ul><li>Insurance verification: 2 years (Required)</li></ul><p>Ability to Commute:</p><ul><li>Durango, CO 81301 (Required)</li></ul><p>Work Location: In person</p>

In-Office Insurance Prior Authorization Representative (Part-Time)

Mercy Health

<div><p><b>Mercy Health</b></p><p></p><p><b><i>
About Us</i></b></p><p>
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.</p><p></p><p><b>
Patient Services Representative </b><b><i>&ndash; Lorain Medical Office Building</i></b></p><p></p><p><b>
Job Summary:</b></p><p>
The Patient Services Representative is the first line of quality service to our patients and the community. This position will be responsible for processing patient registration, verifying demographics, obtaining insurance cards, and patient identification. Responsibilities include scheduling appointments, transcribing orders, explaining financial options to patients, and updating medical records accurately and efficiently. This position will provide excellent customer service and may be asked to occasionally cover other physician practice locations as needed.</p><p></p><p><b>
Essential Functions:</b></p><ul><li>
Serves as the primary point of contact between patients and physician practices</li><li>
Provides strong communication and excellent customer service skills by greeting patients and the community in a respectful manner</li><li>
Answers internal and external calls in a friendly and helpful manner, routes calls, schedules patients, and enters necessary information for patient scheduling into the computer system in a timely and accurate manner.</li><li>
Processes patients in practice as they present for their appointments.</li><li>
Possesses the ability to troubleshoot and resolve problems promptly, ensuring patient flow is maintained and informs supervisor of any department and patient issues immediately</li><li>
Processes admission paperwork, including basic insurance verification. Secures, completes and verifies all pertinent patient demographic and insurance information as part of the registration process., Corrects registration errors as needed.</li><li>
Records time indicators for lobby wait times.</li><li>
 Calculates patient liabilities and actively collects and processes patient payments.</li><li>
Reconciles cash drawer at the close of the day.</li><li>
Performs charge entry for external services (i.e. nursing homes) as necessary.</li><li>
Schedules referrals or follow-up appointments and/or assists with scheduling, rescheduling or canceling other services for patients. Assists patients with online scheduling and MyChart as necessary.</li><li>
Assists patients in obtaining necessary referrals for follow-up services and record referrals on tracking tool (referral/consults).</li><li>
Responsible for and/or assist in obtaining proper authorizations and pre-certifications if applicable for all procedures scheduled through the physician practice</li><li>
Pulls patient charts as needed per office policy, files and maintains information as appropriate in chart per policy, and routes charts to clinical staff as indicated in office per policy</li><li>
Verifies RX benefits in electronic health record, per protocol</li><li>
Refers patients to financial counselors when additional financial counseling or payment arrangements are needed. Completes accounts in revenue cycle software</li></ul><p></p><p>
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.</p><p></p><p><b>
Education:</b></p><p>
High School Diploma or GED (required)</p><p><b><br>
Licensure/Certification:</b></p><p>
None</p><p></p><p><b>
Experience:</b></p><p>
Prior experience in patient registration/healthcare (preferred)</p><p></p><p>
As a Mercy Health associate, you're part of a Mission that matters. We support your well-being&mdash;personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.</p>
<p><b>
What we offer</b></p>
<ul><li>Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)</li>
<li>Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts</li>
<li>Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders</li>
<li>Tuition assistance, professional development and continuing education support</li>
</ul><p><i>Benefits may vary based on the market and employment status.</i></p><p>
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 Mercy Health &ndash; Youngstown, Ohio or Bon Secours &ndash; Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com. 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 recruitment@mercy.com</p></div>

Patient Services Representative - Lorain Medical Office Building

University of Rochester

<p></p><div><p>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.
</p><p></p><p><b>Job Location (Full Address):
</b></p><p></p>220 Hutchison Rd, Rochester, New York, United States of America, 14620
<p></p><p><b>Opening:
</b></p><p></p><p>Worker Subtype:
</p>Regular
<p></p><p>Time Type:
</p>Full time
<p></p><p>Scheduled Weekly Hours:
</p>40
<p></p><p>Department:
</p>500056 SMH Medical Oncology - Pluta
<p></p><p>Work Shift:
</p>UR - Day (United States of America)
<p></p><p>Range:
</p>UR URCA 204 H
<p></p><p>Compensation Range:
</p>$18.50 - $24.98
<p></p><div><div><div><div><div><div><div><p><i>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.
</i></p></div></div></div></div></div></div></div><p></p><p><b>Responsibilities:
</b></p><p></p>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.
<p></p><p><b>ESSENTIAL FUNCTIONS
</b></p><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.<br>
<li>
</li></ul><p><br>
<b>MINIMUM EDUCATION &amp; EXPERIENCE
</b></p><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<br>
<li>
</li></ul><p><br>
<b>KNOWLEDGE, SKILLS AND ABILITIES
</b></p><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><p></p><p>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.</p></div><p></p>

Outpatient Access Rep II

CHRISTUS Health

<div><b>Description</b><p><br>
Summary:</p>
<p>Greets, instructs, directs and schedules patients and visitors. Serves as a liaison between patient and medical support staff. May assist with various duties within the clinic. Verifies insurance benefits and assists with referrals. Collects payments and prepares cash for deposits.</p>
<p>Responsibilities:</p>
<ul><li>Maintains flow of patient check-in, verifies demographic and insurance information and enters into computer database. Assures that information in patient account is accurate.</li><li>
Assists with answering phones, taking messages and assisting with patient and staff inquiries.</li><li>
Responds to CBO requests for patient account corrections and/or maintenance, in a timely manner.</li><li>
Schedules appointments for patients in accordance with physician guidelines.</li><li>
Collects time of service payment amounts; collects prior balance amounts and/or arranging payment plans as requested.</li></ul>
<p>The following duties may also be performed:</p><br>
<ul><li>Checks in patients, verifies and updates necessary information in the medical record. Assists patients with completing all necessary forms.</li><li>
Scheduled appoints according to clinician template and follows office scheduling policies.</li><li>
Assists front office lead/supervisor with other administrative duties such as front end duties, denials, work queues and correct any errors to ensure clean claims.</li><li>
Screens visitors and responds to routine requests for information.</li><li>
Follows the CHRISTUS Health guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).</li><li>
Maintains strict confidentiality.</li><li>
Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission.</li><li>
Maintains established CHRISTUS Health policies, procedures, objectives, quality assurance, safety, environmental and infection control.</li><li>
Performs job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Health&rsquo;s cultural diversity objectives.</li><li>
Supports and adheres to CHRISTUS Service Guarantee.</li><li>
Performs other related work as assigned by leadership.</li></ul>
<p>Requirements:</p>
<ul><li>High school diploma or equivalent.</li><li>
Knowledge of managed care preferred.</li><li>
Ability to operate 10 key calculator by touch, telephone, computer, copier, and fax machine.</li><li>
Excellent interpersonal and communication skills and good math knowledge essential.</li><li>
Some College Preferred</li><li>
Three or more years of experience in a health care organization.</li><li>
ICD9 and CPT coding (advanced skills) Preferred</li><li>
Experience with charge posting or collections Preferred</li></ul>
<p>Work Schedule:</p><br>
<p>8AM - 5PM Monday-Friday</p>
<p><b>Work Type:
</b></p><p>Full Time</p></div><p></p>

Clinic Patient Representative Senior - Administration

Advocate Aurora Health

<div><p><b>Major Responsibilities:</b></p><div><p>
Creates the initial electronic health record that serves as the foundation of the patient medical record that is utilized by all members of the healthcare team. Prevents creation of duplicate medical records that can cause treatment safety issues and billing problems. Follows and ensures compliance with the mandate of the organization&rsquo;s accrediting bodies to use identifiers to positively identify a patient prior to the delivery of patient care to ensure patient safety.</p></div><div><p><br>
</p></div><div><p>Checks in and registers patients; obtains and verifies complete demographic, guarantor, and insurance information; discusses and collects co-pays and other out-of-pocket patient responsibilities. Obtaining accurate information at the point of registration helps ensure timely payment to the organization and prevents billing issues and patient complaints. Maintains complete confidentiality regarding patient personal/financial information and medical records in accordance with the Health Insurance Portability and Accountability Act (HIPAA).</p></div><div><p><br>
</p></div><div><p>Knows insurance basics and recognizes commercial and government plans. Understands which plans AAH contracts with and when a statement of financial responsibility is needed. Understands and discusses financial information and obligations with patients. Knows how and when to refer patients to Financial Advocates.<br>
</p></div><p></p><div><p>Has knowledge of which rules, forms and questions must be enforced to make sure AAH remains compliant with government agencies and regulations. Examples are: HIPAA, Emergency Medical Treatment and Active Labor Act (EMTALA), Consent for Treatment, Patient Rights and Responsibilities, Important Message from Medicare (IMM), Medicare Outpatient Observation Notice (MOON), Notice of Privacy Practices, Medicare Secondary Payer Questionnaire (MSPQ), Advanced Beneficiary Notice (ABN). Obtains patient or guarantor signatures as required.</p></div><div><p><br>
</p></div><div><p>May schedule patient appointments, including virtual and procedural; may also coordinate cancellations, reschedules, wait list requests, and recall requests. May provide accurate, detailed information regarding test preparations, patient arrival time, medication/food/beverage consumption guidelines, check-in procedures, directions to facility, etc. May perform visit closure, including checking out patients after their visit, scheduling follow-up appointment(s), and providing patients with the after-visit summary. May educate and support patients with the patient portal/app.<br>
</p></div><p></p><div><p>Creates a welcoming and professional environment for our patients and visitors by demonstrating extraordinary customer service. Greets patients and visitors and responds to routine requests for information. Answers telephone, screens calls, and takes messages. Maintains excellent public relations with patients, families, and clinical staff as well as demonstrates a willingness and ability to work collaboratively with others for concise and timely flow of information. Proactively communicates issues involving customer service and process improvement opportunities to management.Offers various assistance to patients to include: arranging transportation needs, providing directions, locating a wheelchair, coordinating interpreter services, etc. May be responsible for e-scanning documents to Health Information Management (HIM), addressing incoming/outgoing fax, addressing inbasket messages via the electronic health record, and following direction from the clinical team for emergent needs.</p></div><div><p><br>
</p></div><div><p>Monitors and works assigned electronic health record work queues, following the department&rsquo;s approved process.</p></div><p></p><div><p>
May assist department leadership with orientation and training.
</p></div><p></p><p><b>Licensure, Registration, and/or Certification Required:</b></p><p>
None Required.</p><p></p><p><b>
Education Required:</b></p><p>
High School Diploma or GED.</p><p></p><p><b>
Experience Required:</b></p><p>
None Required.</p><p></p><p><b>
Knowledge, Skills &amp; Abilities Required:</b></p><div><div><p>
Demonstrate the Advocate Health purpose, values and behaviors.<br>
</p></div><p></p><div><p>Ability to work in a high profile and high stress area, working independently to set and meet deadlines, multitask and prioritize work. Must be able to manage high-volume workloads with many interruptions in a fast-paced environment without direct supervision. May be cross-trained across various specialties and provide staffing support as needed.<br>
</p></div><p></p><div><p>Strong attention to detail and accuracy.<br>
</p></div><p></p><div><p>Excellent customer service skills in a variety of situations. Must have excellent service recovery skills.</p></div><div><p><br>
</p></div><div><p>Demonstrated independent thinking and problem-solving skills, ability to exercise judgment to triage issues and concerns.</p></div><p></p><div><p><br>
Excellent communication (written &amp; verbal), customer service and interpersonal skills, ability to effectively communicate with a variety of patients, visitors, staff and physicians in a pleasant professional demeanor.</p></div><p></p><div><p><br>
Educate patients on the insurance coverage aspect of their care including managing the discussion for services that will not or may not be paid by their health plan.</p></div><p></p><div><p><br>
Interact with physicians and their staff to resolve issues related to the patient care.</p></div><p></p><div><p><br>
Collect and manage payments including cash payments, if applicable, and follow security related to cash handling.</p></div></div><p></p><div><div><p><br>
Strong understanding and comfort level with computer systems and proficient typing skills. Demonstrated technical proficiency including experience with electronic email, Microsoft Office, internet browser and phone technology.</p></div><p></p><div><p><br>
Ability to handle sensitive and confidential information according to internal policies.<br>
</p></div><p></p><div><p>Excellent organizational skills.<br>
</p></div><p></p><div><p>Demonstrated ability to effectively act as a resource to other teammates.</p></div></div><p></p><p><b>
Physical Requirements and Working Conditions:</b></p><div><p>
This position may require travel, therefore, will be exposed to weather and road conditions.<br>
</p></div><p></p><div><p>Operates all equipment necessary to perform the job.<br>
</p></div><p></p><div><p>Exposed to a normal office environment with significant patient and public contact. May be exposed to ill or contagious patients.<br>
</p></div><p></p><div><p>Must be able to transition from sitting to standing frequently. Must be able to stand and sit for extended periods of time and be physically mobile throughout the workday.<br>
</p></div><p></p><div><p>Frequently lifts to 10 lbs. and occasionally lifts 20 lbs. or more. This occurs when moving equipment and supplies and when transporting patients and/or charts.<br>
</p></div><p></p><div><p>Must be able to push/pull up to 50 lbs. with assistance.<br>
</p></div><p></p><div><p>Sensory requirements include vision, hearing and touch. Must also be able to speak clearly.</p></div><div><p><br>
</p></div><div><p>Must be able to use hands with fine motor skills for keyboard data entry.</p><p></p><p><i>
DISCLAIMER
</i></p></div><p><i>All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities.
</i></p><p></p><p><i>This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position.</i><i> </i><i>Employees must follow any other job-related instructions and perform any other job-related duties requested by their leaders.</i></p></div>

Patient Service Representative Clinic - Surgery Orthopedics

Search 10000+ Patient office rep jobs near you this April. New roles added regularly across leading industries. Apply today.