referral coordinator

The University of Texas Rio Grande Valley

<p></p><div><div><div><div><div><div><div><div><b>Number of Vacancies</b></div> <div>2</div>
</div><br>
<div><div><b>Location</b></div> <div>McAllen, Texas</div>
</div><br>
<div><div><b>Department</b></div> <div>School of Medicine/ Revenue Cycle</div>
</div><br>
<div><div><b>FTE</b></div> <div>1.0</div>
</div><br>
<div><div><b>FLSA</b></div> <div>Non-Exempt</div>
</div><br>
<div><div><b>Scope of Job</b></div>
<div>Responsible for managing and coordinating incoming and outgoing patient referrals within UT Health RGV and to external community healthcare facilities and providers. To facilitate the seamless transfer of UT Health RGV patients to specialists within and outside of our healthcare providers, ensuring timely access to necessary medical services.</div>
</div><br>
<div><div><b>Description of Duties</b></div>
<ul><li>Responsible for managing and coordinating incoming and outgoing patient referrals within UT Health RGV and within external community healthcare facilities and providers.</li>
<li>Collaborates with healthcare providers to assess patients&rsquo; healthcare needs and determines proper referrals to providers ensuring timely access to necessary medical services.</li>
<li>Consults with physicians and patients to make informed referral decisions.</li>
<li>Schedules specialist appointments, diagnostic tests, and procedures for patients.</li>
<li>Maintains accurate and detailed records of patient referrals, including referral forms and documentation of communication.</li>
<li>Coordinates appointment times, locations, and any necessary pre-visit requirements.</li>
<li>Addresses patient questions and concerns related to referrals.</li>
<li>Monitors and tracks the status of patient referrals, ensuring that appointments are kept and results are received.</li>
<li>Analyzes and generates reports on referral activity, including tracking referral outcomes and referral volume.</li>
<li>Verifies patient insurance coverage and confirms any required authorizations have been obtained for specialist visits and diagnostic tests.</li>
<li>May coordinate with corresponding providers to process prescription refill requests as needed.</li>
<li>Performs other duties as assigned.</li>
</ul>
</div><br>
<div><div><b>Supervision Received</b></div>
<div>General supervision from assigned supervisor.</div>
</div><br>
<div><div><b>Supervision Given</b></div>
<div>Direct supervision of assigned staff.</div>
</div><br>
<div><div><b>Required Education</b></div>
<div>High school diploma or GED.</div>
</div><br>
<div><div><b>Preferred Education</b></div>
<div>None.</div>
</div><br>
<div><div><b>Licenses/Certifications</b></div>
<div>Preferred: Medical Assistant certification</div>
</div><br>
<div><div><b>Required Experience</b></div>
<div>Two (2) years of related experience performing duties stated above or medical assistant experience in a medical office or healthcare setting.</div>
</div><br>
<div><div><b>Preferred Experience</b></div>
<div>Certified medical assistant experience with electronic health record (EHR) systems, and medical software. Knowledge of navigating payer portals.</div>
</div><br>
<div><div><b>Equipment</b></div>
<div>Use of standard office equipment and payer portal such as Epic.</div>
</div><br>
<div><div><b>Working Conditions</b></div>
<div>Needs to be able to successfully perform all required duties. Work is performed primarily in a general office environment. Some travel and weekend work is required. UTRGV is a distributed institution, which may require presence at multiple locations throughout the Rio Grande Valley.</div>
</div><br>
<div><div><b>Other</b></div>
<div>Exceptional planning and organizational skills. Requires a strong understanding of payer requirements, referral workflows, and payer system functionality, along with working knowledge of medical terminology, specialty services, and patient coordination. Attention to detail, critical thinking, and the ability to manage high-volume workflows while ensuring timely, accurate processing of referrals.</div>
</div><br>
<div><div><b>Physical Capabilities</b></div>
<div>N/A</div>
</div><br>
<div><div><b>Employment Category</b></div> <div>Full-Time</div>
</div><br>
<div><div><b>Minimum Salary</b></div> <div>Commensurate with Experience</div>
</div><br>
<div><div><b>Posted Salary</b></div> <div>Commensurate with Experience</div>
</div><br>
<div><div><b>Position Available Date</b></div> <div>07/06/2026</div>
</div><br>
<div><div><b>Grant Funded Position</b></div> <div>No</div>
</div><br>
<div><div><b>If Yes, Provide Grant Expiration Date</b></div>
</div><br>
</div></div></div><div></div><div><div>Posting Detail Information
</div><p></p><div><div><div><div><b>EEO Statement</b></div>
<div>It is the policy of The University of Texas Rio Grande Valley to promote and ensure equal employment opportunities for all individuals without regard to race, color, national origin, sex, age, religion, disability, sexual orientation, gender identity or expression, genetic information or protected veteran status. In accordance with the requirements of Title VII of the Civil Rights Act of 1964, the Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990, as amended, our University is committed to comply with all government requirements and ensures non-discrimination in its education programs and activities, including employment. We encourage women, minorities and differently abled persons to apply for employment positions of interest.</div>
</div><br>
<div><div><b>Special Instructions to Applicants</b></div>
<div>Dear Applicant,<br>
<br>
Human Resources will not be held responsible for redacting any confidential information from the documents you attach with your application. The confidential information includes the following:<br>
<br>
<b>Date of Birth</b><br>
Social Security Number<br>
<b>Gender</b><br>
Ethnicity/Race<br>
<br>
Please make sure that you omit this information prior to submission. We are advising that Human Resources will be forwarding your application to the department as per your submission.<br>
<br>
If you have any questions, please do not hesitate to contact us at (956)665-8880 and/or careers@utrgv.edu.<br>
</div>
</div><br>
<div><div><b>Additional Information</b></div>
<div>UTRGV is a distributed location institution and working location is subject to change based on need.<br>
<br>
All UTRGV employees are required to have a criminal background check (CBC). Incomplete applications will not be considered.<br>
<br>
Substitutions to the above requirements must have prior approval from the VP of HR &amp; Regulatory Affairs.</div></div></div></div></div></div></div></div><p></p>

MEDICAL REFERRAL COORDINATOR

Streets2Schools, Inc.

<div><p><b>About Streets2Schools</b></p><h2 class="jobSectionHeader"><b><i>
Empowering People to Make Positive Transformation</i></b></h2><p>
This isn&rsquo;t just a statement; it&rsquo;s the heartbeat of our organization. Every interaction, every program, every effort we put in is aimed at empowering individuals to change their lives for the better. We are the driving force behind the transformation, guiding people from tough situations to brighter futures. We expect each staff member to embrace this mission and carry it forward in their work. Together, we are making a real difference!<br>
<br>
Your work should reflect your passion and purpose. At Streets2Schools, we are dedicated to creating opportunities for at-risk individuals, empowering them to build brighter futures. By joining our team, you can be part of a mission-driven organization that values education, advocacy, and meaningful impact. We are looking for committed and compassionate individuals to help us transform lives and strengthen communities.</p><p></p><p><br>
Streets2Schools is a fully virtual behavioral health program provider founded in 2015. We deliver court-approved, evidence-based programs in English and Spanish to approximately 2,300 clients weekly across 44 California counties, with additional presence in Oklahoma and South Carolina. Our partners include probation departments, child protective services agencies, and county social services organizations. We exist to create pathways from crisis to stability, and we do it at scale.</p><p></p><p><b><br>
About the role</b></p><p>
This is not a traditional marketing role focused on social media, graphic design, or advertising campaigns. Instead, this position supports agency relationships, referral coordination, professional communication, and outreach operations.</p><p>
You are a key member of Streets2Schools&rsquo; outreach team, helping ensure agency partners receive responsive communication, referrals are processed efficiently, and outreach systems remain organized and effective.</p><p>
You ensure every county we engage gets followed up, every officer receives their portal access, every referral reaches intake, and every inquiry is handled with professionalism. You also own the cleanliness and organization of our marketing materials library. Your work directly enables the Marketing Coordinator to focus on what drives revenue: building and deepening the partner relationships that refer clients to Streets.</p><p>
Success in this role means building trust through responsive communication, maintaining organized systems, and ensuring agency partners receive timely, professional support.</p><p><b>
What you'll do</b></p><p><b>
1. Virtual Lobby &amp; Phone Coverage (12&ndash;4 PM)</b></p><ul><li> Serve as first point of contact for all inbound calls: agencies, probation officers, social workers, community partners</li><li> Triage, log, and route calls to the correct team member with accurate notes and context</li><li> Handle routine phone inquiries professionally and independently</li></ul><p></p><p><b><br>
2. Main Inbox Management</b></p><ul><li> Monitor and triage Streets2Schools&rsquo; primary company inbox throughout your entire shift</li><li> Route inbound referrals to the intake team promptly with complete and accurate documentation</li><li> Identify and flag high-value partnership opportunities to Marketing Coordinator immediately, same day and same hour</li><li> Handle routine inquiries with professional, on-brand copywriting, independently, without needing direction on every response</li><li> Maintain inbox organization so nothing falls through the cracks during shift hours</li></ul><p></p><p><b><br>
3. CCM Portal Administration</b></p><ul><li> Create and configure new officer accounts in the Streets2Schools CCM real-time reporting portal</li><li> Email account credentials and clear onboarding instructions to probation officers, social workers, and agency contacts</li><li> Maintain accurate, up-to-date records of portal users organized by agency and county</li><li> Troubleshoot basic access issues; escalate technical problems with full context</li></ul><p></p><p><b><br>
4. Referral Pipeline Support</b></p><ul><li> Send referral intake forms to agency contacts on behalf of the Marketing Coordinator</li><li> Nurture warm referral contacts through timely, professional follow-up and keeping momentum without being pushy</li><li> Coordinate with the intake team to confirm referral receipt and track status</li><li> Document referral activity and proactively flag stalled pipelines to the Marketing Coordinator</li></ul><p></p><p><b><br>
5. Marketing Materials: Clean, Update and Organize</b></p><ul><li> Own and maintain Streets2Schools&rsquo; library of outreach materials, one-pagers, and program collateral</li><li> Keep all materials accurate, current, and presentation-ready at all times.</li><li> Flag outdated or missing materials and draft updates for Coordinator review</li></ul><p></p><p><b><br>
6. Partnership Outreach Back-Office Support</b></p><ul><li> Conduct pre-meeting research on county agencies, key contacts, and organizational context before Marketing Coordinator's calls</li><li> Draft professional follow-up emails after partner meetings for Marketing Coordinator's review and light editing</li><li> Assist with preparation of outreach summaries and supporting documentation as needed</li></ul><p></p><p><b><br>
7. Elite Graduate Group Operations</b></p><ul><li> Support administration of the elite Graduate Group program, including participant communications, invitations, scheduling, attendance tracking, recognition activities, and related operational tasks.</li></ul><p></p><p><b><br>
Qualifications</b></p><p><b>
You Are a Great Fit If You...</b></p><ul><li> Write a professional, warm, on-brand email without being told exactly what to say</li><li> Treat an inbox like a system: organized, prioritized, nothing slips</li><li> Are comfortable on the phone with professionals in social services, law enforcement, or healthcare-adjacent fields</li><li> Work independently and take full ownership of your shift without needing check-ins</li><li> Have an eye for keeping materials organized and presentation-ready</li><li> Care about the mission and want to understand how your work connects to client outcomes</li></ul><p></p><p><b><br>
Preferred Qualifications</b></p><ul><li> 1&ndash;3 years of experience in an administrative, operations, marketing, or customer-facing role</li><li> Strong written communication skills and ability to draft professional correspondence independently</li><li> Comfortable learning new web-based platforms and software tools quickly</li><li> Experience in healthcare, social services, nonprofit, or government-adjacent organizations is a plus</li></ul><b><br>
The pay range for this role is:</b><br>
22 - 26 USD per hour(Remote)</div>

Sales and Marketing Specialist

DAP Health

<div><div><div>At DAP Health, we are committed to transforming lives and advancing health equity for all. As a leading nonprofit health care provider, we deliver compassionate, high-quality care to the diverse communities of the Coachella Valley and San Diego County. Our comprehensive services range from primary care to mental health, wellness programs, and beyond, with a focus on those who are most vulnerable. Joining our team means becoming part of a passionate, innovative organization dedicated to making a meaningful impact in the lives of those we serve. If you're looking for a dynamic and purpose-driven environment, we invite you to explore the opportunity to contribute to our mission.</div></div><div><div><b>
Job Summary</b><br>
The Prescription Refill Coordinator will process all patient medication refill requests and prior authorizations.<br>
<b>Supervisory Responsibilities: </b>None<br>
<b>Essential Duties/Responsibilities</b></div></div><ul><li><div>
Answer calls regarding medication refills from patients and pharmacies</div></li><li><div>
Investigate the status of medication refills</div></li><li><div>
Educate patients regarding DAP Health medication refill policies and procedures</div></li><li><div>
Provide outstanding customer service to patients and pharmacy staff to ensure a positive image for DAP Health</div></li><li><div>
Ensure accuracy in documenting medication refills within patients&rsquo; medical record</div></li><li><div>
Check fax machines for patient medication refill requests faxed from pharmacies</div></li><li><div>
Retrieve phone messages from dedicated phones for medication refill requests</div></li><li><div>
Present refill requests to the provider in a timely manner</div></li><li><div>
Fax back signed medication refill requests to the identified pharmacies</div></li><li><div>
Scan faxed signed document into patient&rsquo;s chart</div></li><li><div>
Document refill in patient&rsquo;s chart</div></li><li><div>
Notify patient of denied refill requests</div></li><li><div>
Prepare prior authorizations for intake medications per doctor&rsquo;s orders</div></li><li><div>
Prepare prior authorizations for newborns special formula per doctor&rsquo;s orders</div></li><li><div>
As a Medical Assistants responsible for knowing their scope of practice</div></li><li><div>
Maintain compliance with DAP Health&rsquo;s policies and procedure and promotes a team environment</div></li><li><div>
Participate in conferences, seminars, and training sessions as needed</div></li><li><div>
Perform other duties as assigned</div></li></ul><div><div><b>
Required Skills/Abilities</b></div></div><ul><li><div>
Effective communication with patients and coworkers; ability to work as a team member</div></li><li><div>
Effective interpersonal skills</div></li><li><div>
Bilingual in Spanish/English or other language preferred</div></li><li><div>
Proficient in electronic health records - EPIC preferred</div></li><li><div>
Exceptional organizational and problem-solving skills</div></li></ul><div><div><b>
Education and Experience</b></div></div><ul><li><div>
Medical assistant certificate or signed training on venipuncture, infectious control, patient privacy, basic anatomy and physiology by Registered Nurse or Physician</div></li><li><div>
Two-year medical assistant work experience</div></li><li><div>
Current BLS certification obtained through the American Heart Association or American Red Cross</div></li></ul><div><div><b>
Working Conditions/Physical Requirements</b></div></div><ul><li><div>
This position is on-site at a DAP Health Clinic</div></li><li><div>
Able to lift/move up to 40 pounds, move from place to place, and stand for long periods of time</div></li><li><div>
Requires current and valid driver&rsquo;s license and current personal auto insurance as well as reliable transportation</div></li><li><div>
Able to travel to DAP Health locations throughout San Diego and the Coachella Valley toprovide staffing support and off-site training/meetings</div></li><li><div>
Available for all shifts and, when required, able to work evenings and weekends</div></li></ul></div>

Temporary Prescription Refill Coordinator

Alpha Home Health and Hospice

<div><p>As a <b>Hospice Community Liaison</b>, you&rsquo;ll be the <i>vital link between referral sources, patients, and our clinical team</i>&mdash;ensuring seamless transitions and exceptional experiences. If you&rsquo;re passionate about connecting people to life-changing care, this is your opportunity.</p><p></p><p><b>
Alpha Home Health &amp; Hospice, a 5-star Medicare-rated agency, </b>is seeking to add a <b>Hospice Community Liaison</b> for <b>Snohomish</b><b> County</b>.</p><p><b>
Pay That Rewards Your Effort</b></p><ul><li><b>
Base salary is $85,000 to $95,000 annually, DOE plus bonuses</b></li><li><b>
Additional incentive bonuses based on productivity and individual performance</b></li><li><b>
Medical, Dental, and Vision coverage</b> with HSA and FSA</li><li><b>
Free telehealth programs</b> for convenient access to care</li><li><b>
Paid holidays, sick leave, and PTO</b> to promote work-life balance</li><li><b>
401(k) with company match</b> and <b>paid Life and AD&amp;D insurance</b></li><li><b>
Mileage and tuition reimbursement</b></li><li><b>
Employee Assistance Program, emergency fund access, and referral bonuses</b></li><li><b>
Flexible scheduling</b> and a <b>fun, collaborative, and supportive team environment</b></li><li><b>
Career progression:</b> Opportunities to advance into leadership, strategic development, or regional roles</li><li><b>
Professional development:</b> Comprehensive training, tuition reimbursement, and mentorship to help you achieve your goal</li></ul><p></p><p><b>
Flexibility That Enhances Your Life
</b></p><p>We understand that professionals have different needs at different stages of life. That&rsquo;s why we offer flexibility that empowers you:</p><ul><li><b>
Manage</b> your own schedule to align with your life and your market</li><li><b>
Autonomy</b> to plan your day around building relationships and driving results</li><li><b>
Support</b> from a team that values your independence and empowers your success</li></ul><p></p><p><b>
Your Impact as a Hospice Liaison
</b></p><ul><li><b><i>This is a strong sales position with 80-90% of time spent in the field. We are looking for motivated, hungry, and goal-oriented sales staff.</i></b></li><li><b>
Respond </b>to patient and referral source requests and concerns</li><li><b>
Forge</b> strong partnerships with hospitals, physicians, and community organizations to expand access to care by meeting face-to-face with potential key referral sources</li><li><b>
Educate </b>referral sources on Alpha&rsquo;s services, ensuring patients receive the right care at the right time while maintaining positive relationships with current referral sources</li><li><b>
Coordinate</b> smooth, timely admissions for patients transitioning to hospice</li><li><b>
Travel </b>to and represent the agency in transitional care activities and strategic relationships with health systems, hospitals, inpatient facilities, associations, and physician groups</li><li><b>
Identifies,</b> contacts, and manages potential clients, patients, and referral sources</li><li><b>
Sources </b>potential, appropriate patients in the community through meeting with referral sources and patients</li><li><b>
Meet</b> and/or exceed hospice referral and admission goals</li></ul><p></p><p><b>
What You Bring to the Table
</b></p><ul><li>An associate or bachelor&rsquo;s degree in Marketing, Business, or health-related science is preferred, but not required</li><li><b>
**Must have experience in healthcare sales/community marketing with a verifiable network of accounts, preferably with a hospice and/or home health agency.</b></li><li>
Exceptional communication, negotiation, and relationship-building skills</li><li>
Knowledge of Medicare guidelines for home health is a big plus, but not required</li><li>
Possesses tenacity, empathy, emotional intelligence, and a solutions-oriented mindset</li><li>
Clinicians (therapists/nurses/social workers) are strongly encouraged to apply</li><li><b>
Licensed and insured driver with reliable transportation (daily travel is required)</b></li></ul><p></p><p>
We pride ourselves on our quality of care and ethical business practices as well as our foundational Core Values of <b>CAPLICO</b>:</p><ul><li><b>
C</b>ustomer Second (Employee First!)</li><li><b>
A</b>ccountability</li><li><b>
P</b>assion for Learning</li><li><b>
L</b>ove One Another</li><li><b>
I</b>ntelligent Risk Taking</li><li><b>
C</b>elebration</li><li><b>
O</b>wnership</li></ul><p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p>
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.</p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>

Hospice Community Liaison

Allegheny Health Network

<div><h2 class="jobSectionHeader"><b>Company :
</b></h2>Allegheny Health Network
<h2 class="jobSectionHeader"><b>Job Description :
</b></h2><p>GENERAL OVERVIEW:
</p><p>Completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within Patient Access and creates the first impression of AHN's services to patients and families and other external customers. Articulates information in a manner that patients, guarantors and family members understand so they know what to expect and understand their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient.
</p><p></p><p>ESSENTIAL RESPONSIBILITIES:
</p><ul><li>Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order. Obtains limited clinical data based on service required. Corrects and updates all necessary data to assure timely, accurate bill submission.
</li><li>Verifies insurance information through payor contacts via telephone, online resources, or electronic verification system. Identifies payor authorization/referral requirements. Provides appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization/referral deficiencies.
</li><li>Identifies all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation. Identifies self-pay and complex liability calculations and escalates account to Financial Counselors as appropriate.
</li><li>Delivers positive patient experience. Cooperates with and maintains excellent working relationships with patients, AHN leadership and staff, physician offices and designated external agencies or vendors. Performs any written or verbal communication necessary to exchange information with designated contacts and promote working relationships.
</li><li>Maintains focus on attaining productivity standards, recommending innovative approaches for enhancing performance and productivity when appropriate.
</li><li>Adheres to AHN organizational policies and procedures for relevant location and job scope. Completes and/or attends mandatory training and education sessions within approved organizational guidelines and timeframes.
</li><li>Performs other duties as assigned or required.
</li></ul><p></p><p>QUALIFICATIONS:
</p><p>Minimum
</p><ul><li>High school diploma or GED; or one &ndash; three months related experience and/or training; or equivalent combination of education and experience.
</li><li>One previous year of related experience, preferably within a medical setting, financial services
<br>
setting, and/or a demanding customer service environment
</li><li>Experience operating a PC and using software applications
</li></ul><p></p><p>Preferred
</p><ul><li>Medical terminology and obtaining insurance verifications
</li><li>Call/Service Center experience
</li></ul><p></p><p><b><i>Disclaimer: </i></b><i>The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
</i><br>
<br>
<b><i>Compliance Requirement </i></b><i>: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
</i><br>
<br>
<i>As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company&rsquo;s Handbook of Privacy Policies and Practices and Information Security Policy.
</i><br>
<br>
<i>Furthermore, it is every employee&rsquo;s responsibility to comply with the company&rsquo;s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
</i></p><p></p><p>Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
</p><p></p><p>We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
</p><p></p><p>For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
</p><p></p><p>California Consumer Privacy Act Employees, Contractors, and Applicants Notice</p></div>

Patient Access Coordinator I - Neurology - AGH - FT

CareHarmony

<div><p>CareHarmony works comprehensively with providers to deliver value-based care management initiatives for their patients. Our team is driven by their passion for the level of care delivered; experts in assisting patients and caregivers to navigate a sometimes-fractured healthcare system and consistently prioritize a high-quality standard so patients may better manage chronic illnesses and achieve success.</p><p>
Under the direction of the department manager, the Medical Assistant will be assisting the team in referral management for High-Risk patients and helping to assist with patient needs.</p><p></p><p><b>
What's in it for you?</b></p><ul>
<li>Fully remote position - Work from the comfort of your own home in cozy clothes without a commute. Score!</li>
<li>Consistent schedule - Full-Time Monday &ndash; Friday, no weekends, rotational on-call-once per year on average.</li>
<li>Career growth - Many of our team members move up in the company at a faster-than-average rate. We love to see our people succeed!</li><br>
</ul><br>
<br>
<b>Requirements</b><p><b><br>
Responsibilities/Day in the Life:</b></p><ul>
<li>Receive new patient referrals from clients</li>
<li>Create charts for all new patients</li>
<li>Input medical information in new chart</li>
<li>Help Care Coordinators with patient needs as applicable</li>
<li>Foster relationships with their team to ensure the CareHarmony culture is positive and supportive.</li>
<li>Other duties as applies</li>
</ul><p></p><p><b>Required Skills/Abilities:</b></p><p></p><ul>
<li>Great attention to detail</li>
<li>Excellent organizational skills</li>
<li>Excellent verbal and communication skills</li>
<li>Excellent professional presence when dealing with colleagues</li>
<li>Excellent time management skills with a proven ability to meet critical deadlines.</li>
<li>Fundamental Skills with Microsoft Office Suite
</li></ul><p></p><p><b>Required Education and Experience:</b></p><ul><li>
Medical Assistant certificate must be active and in good standing</li></ul><p></p><p><b>
Physical Requirements</b></p><ul>
<li>This position is sedentary and will require sitting for long periods of time</li>
<li>This position will require the ability to speak clearly and listen attentively, often by telephone, for an extended period of time</li>
<li>The position will require the ability to understand, process, and take thorough notes in real-time on telephone conversations</li>
</ul><p></p><p><b>Benefits:</b></p><ul>
<li>Health Benefits (core medical, dental, vision)</li>
<li>Paid Holidays</li>
<li>Paid Time Off (PTO)</li>
<li>Sick Time Off (STO)</li>
<li>Work from Home</li></ul></div>

Medical Assistant - Remote - Day Shift

<div><h2 class="jobSectionHeader"><b>Company :
</b></h2>Allegheny Health Network
<h2 class="jobSectionHeader"><b>Job Description :
</b></h2><p>GENERAL OVERVIEW:
</p><p>Completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within Patient Access and creates the first impression of AHN's services to patients and families and other external customers. Articulates information in a manner that patients, guarantors and family members understand so they know what to expect and understand their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient.
</p><p></p><p>ESSENTIAL RESPONSIBILITIES:
</p><ul><li>Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order. Obtains limited clinical data based on service required. Corrects and updates all necessary data to assure timely, accurate bill submission. (30%)
</li><li>Verifies insurance information through payor contacts via telephone, online resources, or electronic verification system. Identifies payor authorization/referral requirements. Provides appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization/referral deficiencies. (20%)
</li><li>Identifies all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation. Identifies self-pay and complex liability calculations and escalates account to Financial Counselors as appropriate. (20%)
</li><li>Delivers positive patient experience. Cooperates with and maintains excellent working relationships with patients, AHN leadership and staff, physician offices and designated external agencies or vendors. Performs any written or verbal communication necessary to exchange information with designated contacts and promote working relationships. (10%)
</li><li>Maintains focus on attaining productivity standards, recommending innovative approaches for enhancing performance and productivity when appropriate. (10%)
</li><li>Adheres to AHN organizational policies and procedures for relevant location and job scope. Completes and/or attends mandatory training and education sessions within approved organizational guidelines and timeframes. (10%)
</li><li>Performs other duties as assigned or required.
</li></ul><p></p><p>QUALIFICATIONS:
</p><p>Minimum
</p><ul><li>High school diploma or GED; or one &ndash; three months related experience and/or training; or equivalent combination of education and experience.
</li><li>One previous year of related experience, preferably within a medical setting, financial services
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setting, and/or a demanding customer service environment
</li><li>Experience operating a PC and using software applications
</li></ul><p></p><p>Preferred
</p><ul><li>Medical terminology and obtaining insurance verifications
</li><li>Call/Service Center experience
</li></ul><p></p><p><b><i>Disclaimer: </i></b><i>The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
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<b><i>Compliance Requirement </i></b><i>: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
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<i>As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company&rsquo;s Handbook of Privacy Policies and Practices and Information Security Policy.
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<i>Furthermore, it is every employee&rsquo;s responsibility to comply with the company&rsquo;s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
</i></p><p></p><p>Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
</p><p></p><p>We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
</p><p></p><p>For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
</p><p></p><p>California Consumer Privacy Act Employees, Contractors, and Applicants Notice</p></div>

Patient Access Coordinator I / Registration - AHN Forbes Hospital - Full Time

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