customer care specialist

medical coder

patient access representative 2 Jobs in Miami

patient access representative 2

patient care representative Jobs in Miami

patient care representative

patient support medical biller claims processing representative home based

IQVIA

<div><div><div>Miami, United States of America | Full time | Home-based | R1481792</div><div><div>
Job available in additional locations</div></div></div><div><div> 
Patient Support Medical Claims Processing Representative 
</div><div>Contract Remote Role &ndash; Location (Open to Remote US)</div><div>
As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product&rsquo;s value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies.</div><div>
IQVIA has the world&rsquo;s largest Commercial Sales &amp; Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs.</div><div>
We are excited to announce that currently we are looking for a 100% remote (work from home&mdash;WFH) contact Patient Support Medical Claims Processing Representative to join our team. In this position, you will provide payment assistance solutions such as co-pay cards or vouchers. The Patient Support Call Center Representative is primarily responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should be paid or rejected. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.</div><div>
Job Responsibilities:</div><ul><li>
Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate supporting documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against program specific business rules and ultimately determining if the claim should be paid or rejected</li><li>
Exceptional organizational skills are required</li><li>
May provide support as needed for customer requests via telephone, email, fax, or other available means of contact to the Support Center</li><li>
Requires the ability to recognize operational challenges and suggest recommendations to management, as necessary</li><li>
Ability to work 40 hours per week (shifts available: 9:00 am &ndash; 6:00 pm EST or, 10:00 am - 7:00 pm ET or, 11:00 am EST &ndash; 8:00pm EST) under moderate supervision</li></ul><div>
Minimum Education &amp; Experience:</div><ul><li>
High School Diploma or equivalent</li><li>
Experience in claim processing required</li><li>
Medical Billing Certification required</li><li>
Coding Certification required</li><li>
Ability to interpret Explanation of Benefits (EOB)</li><li>
HIPPA certified</li><li>
Customer Service Experience preferred</li><li>
Pharmacy Technician experience preferred</li><li>
Bi-lingual (English/Spanish) preferred</li></ul><div>
The pay range for this role is $23.00 per hour. To be eligible for this position, you must reside in the same country where the job is located.</div><div>
IQVIA is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate, celebrating and rewarding teamwork and inclusiveness. By embracing our differences, we create innovative solutions that are good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.</div><div>
#LI-CES</div><div>
#LI-DNP</div><div>
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com</div><div>
IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe</div><div>
IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.</div>
The potential base pay range for this role is $23.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.</div></div><div></div>

Patient Support Medical/Biller Claims Processing Representative (Home-Based)

Alliance Ground International

Job Description: Alliance Ground International is seeking an experienced Claims Analyst to help us with all things Claims related (Workers Comp and Cargo Claims) The Claims Analyst will direct and oversee the company&rsquo;s post-lost policies and procedures and ensure the compliance and continuous improvement of the program. Duties and responsibilities Provides leadership, development and mentoring of the Station Management, staff, and administrators by creating a training and awareness programs that are driven by strategic objectives, service excellence and the company's goals. Responsible for directing the planning, design, development, implementation and evaluation of policies and procedures that assure accurate, timely claims processing and provider inquiries (written or verbal). Direct liaisons and assists in managing vendors pertaining to Claims processes. Generates data in order to track and report on results compared to operational and service level goals and other trends as required. Analyzes, tracks and trends claims data in order to provide analysis of data / results along with action steps to ensure operational efficiencies are maintained. Generates standard reports for the functional area and tracks all employee performance for high volume transaction area. Oversees day to day claims metrics and Claims to Work performance. Conducts auditing on claim adjudication activities. Evaluates adjusted claims against original claim processing activities to identify processing errors undetected during initial processing. Provides input into claims materials and their revisions to ensure quality outcomes during adjudication. Conducts adjudicator audits of processed claims against guidelines, policies and procedures. Qualifications Minimum of five (5) years of relevant professional experience, and the following: Strong knowledge of regulatory reporting requirements. Extensive knowledge of claims policies and procedure. Experience in developing and tracking performance metrics. Experience with managing US &amp; International Claims. Experience in training company management in claims reporting, incident investigation, and claims reduction strategy. Experience in managing claims within aviation logistic or equivalent high-risk industry. Experience with implementing loss reduction strategies and writing loss reduction programs. Alliance Ground International is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. AGI is committed to equal opportunity employment regardless of race, color, ancestry, religion, sex, national, origin, sexual orientation, age, citizenship, marital status, disability or veteran status. Job Type: Full-time Pay: $47,000.00 - $52,000.00 per year Work Location: In person

Claims Analyst

ProMD Medical Billing

<div>
 
 Benefits:
 
 
 
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 401(k)
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 Paid time off
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 401(k) matching
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 Competitive salary
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 Dental insurance
 </li>
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 Flexible schedule
 </li>
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 Vision insurance
 
 
 
 </li>
 </ul>
 
 Benefits/Perks
 
 
 
 <ul>
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 Flexible Scheduling
 </li>
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 Competitive Compensation
 </li>
 <li>
 Careers Advancement
 
 
 
 </li>
 </ul>
 
 Job Summary
 
 
 
 We are seeking a
 
 Medical Coder
 
 to join our team. In this role, you will transcribe patient records and process claims for reimbursements. You will be responsible for selecting the correct codes and functions to be assigned to each instance. The ideal candidate is detail-oriented with strong people skills and computer skills.
 
 
 
 Responsibilities
 
 
 
 <ul>
 <li>
 Account for coding and abstracting of patient medical appointments
 </li>
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 Research and analyze data needs for reimbursement
 </li>
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 Ensure codes are properly sequenced
 </li>
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 Analyze, file, and process medical records
 </li>
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 Keep detailed documentation of any deficiencies or issues with medical records
 </li>
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 Provide education and training to other coding staff
 </li>
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 Review and verify documentation
 
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
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 High school diploma/GED or equivalent
 </li>
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 Previous experience as a Medical Coder or in a similar position
 </li>
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 Familiar with coding software and other computer programs
 </li>
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 Strong written and verbal communication skills
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 Highly organized and able to problem-solve
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 Ability to adhere to strict confidentiality guidelines
 </li>
 </ul>
</div>

Medical Coder

Jackson Health System

<div>Miami, FL On Call/Pool JW-Sitters
Summary 
Patient Care Associate provides patient focused, age-specific, information and clinical based support to patients through the utilization of appropriate health information equipment/systems. This is the level 3 job in the nursing support career ladder. 
 
Responsibilities 
Uses a systematic process to provide/modify care and patient/family education. Assists health care team with simple procedures; prepares supplies &amp; equipment; provides patient/family support, assists in positioning patients, sets up/or remove equipment etc. Under direction, performs a variety of tasks associated with generalized patient care (vital signs, feeding, mobility, drainage, and personal hygiene: bath, dressing, bed making/linen changes etc.). Utilizes specialized equipment as needed when providing patient care. Prepares and cleans exam rooms, patient treatment areas and stretchers between patient uses. Transports patients to and from treatment areas when needed. Cleans assigned area after patient's treatment, as needed according to departmental procedures. Takes and picks up food orders for patient's kitchen evaluation. Assists in the fabrication of adaptive and assistive equipment, i.e. washing mitts, wheelchair gloves, safety belts, straps, etc. Keeps the storage closet in order and stocked. Assists with office duties as needed. Assists and provides support to the health care team including set-up, equipment prep, clean up and restocking and specimen labeling. Attentive to patient care needs that meets clinical goal for routine visits. Responsive in meeting patient flow processes that reduce patient waiting time for procedures. Adjusts work pace, as directed to meet volume demands of clinical unit. Demonstrates flexibility and willingness to support delivery model of care as defined by ANM/NM. Schedules appointments for referrals/consults as assigned, minimizes distractions. Consistently adheres to time outs prior to start of surgical and invasive procedures per policy. Follows policies on identification of patients, hand hygiene/infection control and all other related unit specific policies and procedures, as detailed on the unit specific competency checklist. Performs phlebotomy function as assigned. Employees assigned to units performing phlebotomy function must have completed an accredited phlebotomy program. Utilizes job and unit specific equipment as required. Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Performs all other related job duties as assigned. 
 
Experience
Generally requires 0 to 3 years of related experience. 
Education
Completion of an approved Medical Assistant or Nursing Assistant training program is required. 
Skill 
Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with critical thinking and professional composure. Ability to understand and follow instructions. Knowledge and skill in use of job appropriate technology and software applications. Must meet and maintain current all unit specific and organizational skills/competencies, certifications/licensures, as required by the nursing area. 
Credentials 
Medical Assistant Certification OR Certified Nursing Assistant license, including Phlebotomy is required. Employees hired into PCA classification before 08/09/2020 are grandfathered in for the certification / license requirement. Incumbents performing phlebotomy function must have a proof of completion of an accredited phlebotomy program. American Heart Association Basic Life Support (BLS) and any additional applicable life support certification for Healthcare Providers is required upon hire with at least 6 months validity and maintenance at JHS for the duration of employment.
Unit Specific Credential
Basic Life Support (BLS) 
Working Conditions
Physical Requirements - Job function requires extended standing or walking. Must be able to carry objects weighing 21 to 50 pounds. Able to lift or move objects weighing 51 to 100 pounds with the use of appropriate devices. Jobs in this group require frequent visual acuity to perform activities related to extended use of computers. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC). 
 
Environmental Conditions - Jobs in this group are required to function in a fast paced environment with occasional high pressure or emergent and stressful situations. Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public. Function is subject to inside environmental conditions, with occasional outdoor exposures. Exposure to various environments such as: communicable diseases, toxic substances, medicinal preparations and other conditions common to a hospital and medical office environment. May also be exposed to needle sticks, airborne infections, medical gases, X-Ray, chemical exposures and other potential hazards. Must wear Personal Protective Equipment (PPE) when exposed to infectious/clinical hospital environment. Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).</div>

Patient Care Associate- Perdiem, Flexible shift- Jackson West M.C

<div><div>Jackson North Medical Center</div><div>
</div><div>
Department: Medical Surgical/Post op</div><div>
Address: 160 NW 170th Street, North Miami Beach, Florida, 33169</div><div></div><div>
Shift details: Full-time, Days</div>
Summary 
Patient Care Associate provides patient focused, age-specific, information and clinical based support to patients through the utilization of appropriate health information equipment/systems. This is the level 3 job in the nursing support career ladder. 
 
Responsibilities 
Uses a systematic process to provide/modify care and patient/family education. Assists health care team with simple procedures; prepares supplies &amp; equipment; provides patient/family support, assists in positioning patients, sets up/or remove equipment etc. Under direction, performs a variety of tasks associated with generalized patient care (vital signs, feeding, mobility, drainage, and personal hygiene: bath, dressing, bed making/linen changes etc.). Utilizes specialized equipment as needed when providing patient care. Prepares and cleans exam rooms, patient treatment areas and stretchers between patient uses. Transports patients to and from treatment areas when needed. Cleans assigned area after patient's treatment, as needed according to departmental procedures. Takes and picks up food orders for patient's kitchen evaluation. Assists in the fabrication of adaptive and assistive equipment, i.e. washing mitts, wheelchair gloves, safety belts, straps, etc. Keeps the storage closet in order and stocked. Assists with office duties as needed. Assists and provides support to the health care team including set-up, equipment prep, clean up and restocking and specimen labeling. Attentive to patient care needs that meets clinical goal for routine visits. Responsive in meeting patient flow processes that reduce patient waiting time for procedures. Adjusts work pace, as directed to meet volume demands of clinical unit. Demonstrates flexibility and willingness to support delivery model of care as defined by ANM/NM. Schedules appointments for referrals/consults as assigned, minimizes distractions. Consistently adheres to time outs prior to start of surgical and invasive procedures per policy. Follows policies on identification of patients, hand hygiene/infection control and all other related unit specific policies and procedures, as detailed on the unit specific competency checklist. Performs phlebotomy function as assigned. Employees assigned to units performing phlebotomy function must have completed an accredited phlebotomy program. Utilizes job and unit specific equipment as required. Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Performs all other related job duties as assigned. 
 
Experience
Generally requires 0 to 3 years of related experience. 
Education
Completion of an approved Medical Assistant or Nursing Assistant training program is required. 
Skill 
Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with critical thinking and professional composure. Ability to understand and follow instructions. Knowledge and skill in use of job appropriate technology and software applications. Must meet and maintain current all unit specific and organizational skills/competencies, certifications/licensures, as required by the nursing area. 
Credentials 
Medical Assistant Certification OR Certified Nursing Assistant license, including Phlebotomy is required. Employees hired into PCA classification before 08/09/2020 are grandfathered in for the certification / license requirement. Incumbents performing phlebotomy function must have a proof of completion of an accredited phlebotomy program. American Heart Association Basic Life Support (BLS) and any additional applicable life support certification for Healthcare Providers is required upon hire with at least 6 months validity and maintenance at JHS for the duration of employment.
Unit Specific Credential
Basic Life Support (BLS) 
Working Conditions
Physical Requirements - Job function requires extended standing or walking. Must be able to carry objects weighing 21 to 50 pounds. Able to lift or move objects weighing 51 to 100 pounds with the use of appropriate devices. Jobs in this group require frequent visual acuity to perform activities related to extended use of computers. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC). 
 
Environmental Conditions - Jobs in this group are required to function in a fast paced environment with occasional high pressure or emergent and stressful situations. Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public. Function is subject to inside environmental conditions, with occasional outdoor exposures. Exposure to various environments such as: communicable diseases, toxic substances, medicinal preparations and other conditions common to a hospital and medical office environment. May also be exposed to needle sticks, airborne infections, medical gases, X-Ray, chemical exposures and other potential hazards. Must wear Personal Protective Equipment (PPE) when exposed to infectious/clinical hospital environment. Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).</div>

Patient Care Associate 1, Medical Surgical/Post op, Full-Time, Days

HCA Florida Kendall Hospital

<div><h5 class="jobSectionHeader">Introduction</h5>
Emergency Department experience is preferred but not required
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) Clinical Pharmacist today with HCA Florida Kendall Hospital.<h5 class="jobSectionHeader">
Benefits</h5>
HCA Florida Kendall 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 medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing 
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock 
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance. 
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more 
</li><li>
Consumer discounts through Abenity and Consumer Discounts 
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships 
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships) 
</li><li>
Colleague recognition program 
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul> 
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
Come join our team as a Clinical Pharmacist. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5> 
As a Clinical Pharmacist, you are responsible for the safe, effective, evidence-based, and cost-effective selection and utilization of medications for the patients you serve. You will utilize your advanced pharmacist knowledge, skills, and professional judgment in all aspects of your work. You will serve as a patient advocate when planning and implementing pharmaceutical care within a multidisciplinary rounding team, collaborating with other healthcare professionals in a knowledgeable and professional manner. 
<ul><li>
Prepares and dispenses medication orders per physician request according to established policies, procedures, and protocols</li><li>
Verifies Computerized Physician Order Entry (CPOE) orders for accuracy and appropriateness. Intervenes when orders are unclear or potentially unsafe or inappropriate</li><li>
Interprets medication orders (verbal and written) and transcribes to computerized patient medication profiles accurately and follows facility practices and procedures for documentation in the patient&rsquo;s medical record</li><li>
Trouble shoots/clarifies Centralized Order Entry (COE) orders</li><li>
Prepares and dispenses medications, including sterile, chemotherapy, and parenteral nutrition preparations safely and accurately using appropriate techniques, USP 797 &amp; 800 guidelines</li><li>
Evaluates Total Parenteral Nutrition (TPN) for appropriateness based on facility policies and guidelines or ASPEN guidelines or recommendations as appropriate</li><li>
Issues controlled substances to patient care areas and maintains records as required by law. In addition follows corporate policies and procedures related to the dispensing and monitoring of controlled substances</li><li>
Ensures safe, appropriate, evidence-based, and cost-effective medication therapies for patients according to established policies, procedures, and protocols</li><li>
Monitors medication therapy regimens for contraindications, drug-drug interactions, drug-food interactions, drug-laboratory test interactions, allergies, appropriateness of drug and dose, indications and therapeutic duplications</li></ul> 
Required Job Qualifications include: 
<ul><li>
B.S. or Pharm D. degree in Pharmacy - Required</li><li>
Current Pharmacist license in good standing with the appropriate State Board of Pharmacy - Required</li><li>
Graduate of an accredited residency is preferred.</li><li>
2 years hospital pharmacist experience is preferred.</li></ul> 
HealthTrust Supply Chain is a critical part of HCA Healthcare&rsquo;s strategy. Our focus is to improve performance and reduce costs. We do this by joining non-clinical and administrative functions. HealthTrust Supply Chain best practice methodologies. We develop, apply and monitor cost-efficient initiatives and programs for HCA Healthcare. By improving facility efficiency, medical professionals can focus on our mission - patient care.
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;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 Clinical Pharmacist 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.
#ht-afhp</div>

Clinical Pharmacist

University of Miami

CORE JOB SUMMARY The Patient Access Representative 2 (On-Site) registers patients for clinical services by obtaining pertinent information, verifying insurance benefits, explaining pertinent documents, and collecting payments.CORE JOB FUNCTIONS 1. Obtains, confirms, and enters demographic, financial, and clinical information necessary for financial clearance of scheduled patient accounts.2. Contacts patients&rsquo; families or physicians&rsquo; offices to obtain missing insurance information.3. Verifies insurance and confirms insurance eligibility of patient coverage benefits, notifying patient and referring physician in the event of failed eligibility.4. Collaborates with scheduling departments to identify add-on patients.5. Obtains necessary authorizations, pre-certifications, and referrals.6. Notifies patients of liabilities and collects funds.7. Maintains appropriate records, files, and accurate documentation in the system of record.8. Adheres to University and unit-level policies and procedures and safeguards University assets.This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.CORE QUALIFICATIONS Education:High school diploma or equivalentCertification and Licensing:Not ApplicableExperience:Minimum 2 years of relevant experienceKnowledge, Skills and Attitudes:&middot; Knowledge of generally accepted accounting procedures and principles.&middot; Skill in completing assignments accurately and with attention to detail.&middot; Ability to process and handle confidential information with discretion.&middot; Ability to work independently and/or in a collaborative environment.&middot; Ability to communicate effectively in both oral and written form.DEPARTMENT ADDENDUMDepartment Specific Functions1. Projects a welcoming professional demeanor.2. Interacts and works effectively with patients of all ages, and the healthcare team to ensure a favorable first impression and positive patient experience.3. Coordinates wide range of functions from prearrival to discharge utilizing multiple systems including but not limited to: EPIC MyChart, Grand Central ADT, Cadence, Prelude, Radiant, OP Time, Care Everywhere, Resolute, Nice inContact Communication, and Aria Oncology simultaneously and independently to service patients promptly in a fast paced, constantly changing environment.4. Performs pre-service validation prior to patient&rsquo;s appointment for in person or virtual visits.5. Assists patients in navigating self-serve technology options including but not limited to MyChart and Self check-in kiosks, in person or remotely.6. Coordinates patient flow to ensure timely check-in and arrival to service area.7. Obtains, confirms, and accurately enters and updates demographic, financial, and clinical HIPAA protected information.8. Reviews real time eligibility insurance responses and/or master contract tool and updates coverages as needed.9. Conducts critical communication with patients or legal guardian facilitating the understanding of and obtaining signature on legal, ethical, and compliance related documents that must be presented and thoroughly explained to the patient prior to services being rendered including but not limited to: to Consent for Treatment and Conditions of Admissions, Advance Directives, HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer Questionnaire.10. Serves as gatekeeper, performs insurance verification, and obtains referrals and/or authorizations as needed.11. Provides financial counseling services at check-in, explains benefits, creates estimates, and notifies patients of self-pay liabilities including co-pays, deductibles, co-insurances, global self-pay packages, and previous balances for both hospital technical and professional components and collects thereby reducing AR, Bad Debt, and collection costs by collecting patient&rsquo;s financial responsibility upfront.12. Promotes the use of effective methods of communication and collaborates with providers and clinical team schedulers in coordinating and scheduling complex follow up care onsite or remotely.13. Handles high volume of incoming and outgoing calls promptly. Answers and triages incoming calls, listens to patient/customers&rsquo; needs, responds to questions, provides helpful solutions, directs calls, and documents messages using appropriate software in accordance with established protocol.14. Collects and processes large amounts of currency and performs end of day cash-drawer reconciliation and timely bank deposits.15. Assists department in meeting all established key performance indicator goals: Co-pay, Previous Balances, Estimate Collections, Patient Satisfaction, Accuracy Rates, and Processing Time.16. Maintains a close working relationship and open communication with all members of the healthcare team to ensure a seamless check in, check out, clinic flow and positive experience for patients and caregivers.17. Recognize, analyze, solve, and de-escalate issues that may arise during workday by applying sound judgement and critical thinking.18. Ensures proper physical distancing is always maintained following established guidelines.19. Works with healthcare team to resolve unique situations and troubleshoot issues.20. Cross trained to carry out all Front-End Revenue Cycle and Clinical Support functions and able to float across all areas and assist as needed.21. Knowledge of health care regulatory guidelines and compliance requirements including but not limited to: OSHA, HIPAA, JC, AHCA, EMTALA, and CMS.AREA SPECIFICER &middot; Must possess a good understanding of the unique characteristics and operations of the Emergency Room to proficiently support.&middot; Proficient knowledge of ASAP module.&middot; Must be flexible and adjust to rotating schedules evenings, weekends, and holidays.&middot; Able to perform ADT functions (as described under Admitting section) afterhours, weekends, and holidays.&middot; Must adhere to PPE requirements as dictated by the specific situation.ADMITTING&middot; Must possess a good understanding of the unique characteristics and operations of Admitting to proficiently support the area.&middot; Proficient knowledge of ADT module.&middot; On-call and rotating schedule for evenings, weekends, and holidays.&middot; Explains and obtains patient acknowledgment for all required regulatory documents including but not limited to the HIPAA Facility Directory Form, and CMS MOON, HOON, and IMM notices. &middot; Obtains information from patient to complete Patient Self Determination Checklist and collects and scans pertinent documents. &middot; Responsible for obtaining, confirming, and documenting eligibility and benefits, and providing health plan admission notification.&middot; Responsible for pre-admissions log to include benefits, specialty, and financial clearance. &middot; Coordinates with bed control on bed availability.&middot; Collaborates with Transfer Center on all incoming transfers to finalize transfer requests.&middot; Responsible for processing admissions orders received via in-basket messaging.&middot; Extensive collaboration with providers, nursing unit, and utilization review department in coordinating admissions.CTU&middot; Must possess a good understanding of the unique characteristics and operations of CTU to proficiently support the area.HOSPITAL BASED CLINIC&middot; Must possess a good understanding of the unique characteristics and operations of the hospital-based department/clinic/division to proficiently support the area.PRACTICE BASED CLINIC&middot; Must possess a good understanding of the unique characteristics and operations of the practice-based department/clinic/division to proficiently support the area.REMOTE BASED&middot; Must possess a good understanding of the unique characteristics and operations of remote based call center operations to proficiently support all Front-End Revenue Cycle and Clinical Support remote functions.Department Specific Qualifications Education:High School diploma or equivalentCertification and Licensing:Not ApplicableExperience:Minimum 2 year of relevant experience.Any appropriate combination of relevant education, experience or certification may be considered.A highly motivated individual with the ability to obtain HFMA Patient Access Essentials certification and satisfactorily demonstrate outstanding interpersonal skills with a commitment to service excellence and meeting departmental and individual goals may be considered.Knowledge, Skills and Attitudes:&middot; TIER 1 essential worker that provides critical functions that cannot be paused in traditional and non-traditional healthcare settings.&middot; Subject to potential contact/exposure to pandemics and patients with contagious diseases.&middot; Able to be available 30 minutes prior to opening and after clinic ends, which fluctuates depending on clinic and provider, in addition to weekends, evenings, holidays, and during disastrous events (e.g., hurricanes, pandemics, etc.)&middot; Able to float and provide coverage without advance notice based on daily organizational needs, including working in offsite locations, tents or having to come onsite if working remotely.&middot; Onsite presence may be required to fulfill role regarded as vital in the delivery of healthcare services regardless of environmental conditions.&middot; Knowledge of health care regulatory guidelines and compliance requirements including but not limited to: OSHA, HIPAA, JC, AHCA, EMTALA, and CMS.&middot; Outstanding interpersonal and customer service skills with a commitment to service excellence.&middot; Excellent critical thinking, analytical, troubleshooting, and problem-solving skills.&middot; Computer literate with the ability to acquire proficiency utilizing multiple systems and technology.&middot; Able to handle multiple tasks, software systems, and technologies simultaneously in a fast paced, constantly changing environment.&middot; Ability to work as an integral team member under minimal supervision, in a fast-paced, complex, and highly stressful environment.&middot; Knowledge of generally accepted accounting principles with excellent mathematical and cash management skills.&middot; Ability to establish and maintain effective working relationships with physicians, co-workers, other departments, and patients of all ages, and from across a broad range of cultural and social economic backgrounds.&middot; Skill in completing assignments accurately with attention to detail.&middot; Ability to work independently and/or in a collaborative environment.&middot; Adherence to punctuality and attendance standards, remaining flexible to meet departmental needs and ensure appropriate clinic flow.PHYSICAL REQUIREMENTS/ WORKING ENVIRONMENTThe following sections capture the physical demands and working environment that are required for this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Working ConditionsEnvironmental DimensionNeverOccasionallyFrequentlyConstantlyConditions of extreme heat or extreme coldXWet/Humid conditionsXFumes/Dust/Dirt/SmokeXConfined areasXHigh placesXEquipment in motionXHigh noise levelsXEnvironmental hazardsXExposure to TBXExposure to Blood-borne PathogensXExposure to Radiant EnergyXOutdoor/Exposed areasXEquipment UsedEquipment UsedNeverOccasionallyFrequentlyConstantlyVehicle TypeOperate vehicles (Select Vehicle)XUse hand toolsXUse power toolsXPhysical RequirementsPhysical DimensionNeverOccasionallyFrequentlyConstantlyWeightSittingXStandingXWalkingXStooping/ClimbingXCarryingX20 lbsKneelingXCrouchingXBendingXCrawlingXReachingXHandlingXSensory RequirementsSensory DimensionNeverOccasionallyFrequentlyConstantlyVision TypeVisionXNearDepth PerceptionXColor VisionXPeripheralXConcentrationXUse of keyboard or touchscreenXTalkingXFeelingXSmellingXThe above statements are intended to describe the general nature and primary responsibilities of this job classification. Specific duties and tasks may vary based upon departmental needs. Other duties may be assigned to the above consistent with the knowledge, skills, and abilities required for the job. This a job profile description and not all duties may be assigned to a specific position in each individual department.End of Job DescriptionJob Type: Full-timePay: $18.81 - $24.00 per hourBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Patient Access Representative 2

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