PATIENT ACCESS REP III
1 month ago
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Responsibilities
Assist in providing access to services provided at the hospital. Knowledge of all tasks performed in the various Verification/Pre-certification area is necessary to provide optimum internal and external customer satisfaction and provide the opportunity for accurate reimbursement. The position basic function is for the verification of eligibility/benefits information for the patient's visit, obtaining Pre-cer/Authorization/Notifying Third Party payers within compliance of contractual agreements with a high degree of accuracy. Participates in upfront collections by informing the patient of the estimated patient portion during insurance verification. Responsible for establishing the hospital's financial expectation for the patient and/or guarantor and ensuring accurate information is exchanged which determines whether the account will be processed in an efficient and expedient manner for the hospital and the patient.
1. Obtains detailed patient insurance benefit information
2. Discusses benefits and other financial issues with patients and/or family members during initial evaluation.
3. Advises patients on insurance and billing issues and options. Serves as a resource for patients and their family members on financial matters.
4. Coordinates all necessary payer authorizations
5. Consistently monitors and updates information regarding insurance data, physicians, authorizations and managed care contracting.
6. Assists patients and their families with questions concerning insurance and other financial issues.
7. Identifies and effectively communicates financial information team members, patients and their families with emphasis on identifying any potential patient out-of-pocket liability.
8. Works with patients, their families and team members when possible to help address insurance coverage gaps via alternative funding options.
9. Facilitates resolution of patient billing issues
10. Ensures payers are listed Accurately, pertaining to primary, secondary, and/or tertiary coverage and billing when a patient has multiple third party/governmental payers listed on an account
11. Process patient accounts and deploy established policies to resolve insurance issues with patient accounts
12. Initiate pre-cert for in-house patients when required, obtaining pre-certification reference number, approved length of stay, and utilization review company contact person and telephone number
13. Notify hospital Case Managers on all in-house patients regarding insurance plan changes/COB order, out of network plans, and Medicare supplemental plans that require pre-certification
14. Contact physician's on scheduled patients, to notify them of authorization requirements and any possible financial holds
15. Analyze reports to ensure admission dates for patient type changes are accurate in order for the account to appear on insurance verification reports
16. Maintain and update reference notebooks on insurance companies, employers, pre-certification requirements, etc to stay current on changes within the insurance industry
17.May function as team lead to ensure smooth operation of daily activities. This may include assisting with coverage, scheduling, providing feedback, and quality assurance
Qualifications
Education and Licensure
Required: *High School Diploma/GED
Minimum Experience
* Two (2) years of related experience
Minimum Knowledge, Skills, and Abilities
* Extended knowledge of HMO's , PPO's, Commercial/Governmental payers and System/Entity specific hospital contracts with Third Party payers
* Extended knowledge of HIPPA and EMTALA
-
PATIENT ACCESS REP II
1 week ago
Bryan, TX 77801, USA, United States Common Spirit Full timeOverviewCommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...
-
PATIENT ACCESS REP II
3 weeks ago
Bryan, TX 77801, USA, United States Common Spirit Full timeOverviewCommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...
-
PATIENT ACCESS REP
1 week ago
Marietta, GA 30060, USA, United States Resurgens Orthopaedics Full timeApplyJob TypeFull-timeDescriptionpatient access repRequirementspatient access rep
-
PATIENT ACCESS REP III
1 month ago
Bryan, TX 77802, USA, United States CommonSpirit Health Full timeCommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...
-
Patient Access Rep III
4 weeks ago
Bryan, United States CommonSpirit Health Full timeOverview CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...
-
Patient Access Rep III
4 days ago
Bryan, United States CommonSpirit Health Full timeOverview: CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...
-
Patient Access Rep III
4 days ago
Bryan, United States Chi Full timeOverview CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...
-
Patient Access Rep III
4 days ago
Bryan, TX, United States Catholic Health Initiatives Full time**Overview** CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before....
-
Patient Access Rep III
4 days ago
Bryan, TX, United States Catholic Health Initiatives Full time**Overview** CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before....
-
Patient Access Rep III
4 days ago
Bryan, TX, United States Common Spirit Full timeOverview CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...
-
Patient Access Rep III
4 days ago
Bryan, TX, United States Common Spirit Full timeOverview CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...
-
PATIENT ACCESS REP
1 week ago
Marietta, GA 30006, USA, United States United Musculoskeletal Partners Full timepatient access rep**Company:** United Musculoskeletal Partners**Job Type:** Full-time**Address:** 300 Tower Rd, Marietta, GA, 30060
-
PATIENT ACCESS REP PRN
1 month ago
Carthage, TN 37030, USA, United States LifePoint Health Full timeThe Patient Access Rep is responsible for the accurate registration of all patients seeking access to hospital services. Will also be responsible for answering and transferring calls to the appropriate departments. Assists in up front collections of time of service.PRN, variable shifts as needed. High School Diploma or GED preferred. Previous clerical,...
-
Patient Access Rep III
4 weeks ago
Bryan, Texas, United States CommonSpirit Health Full timeOverview: CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...
-
PATIENT ACCESS REP PRN
1 month ago
Hartsville, TN 37074, USA, United States LifePoint Hospitals Full timeThe Patient Access Rep is responsible for the accurate registration of all patients seeking access to hospital services. Will also be responsible for answering and transferring calls to the appropriate departments. Assists in up front collections at time of service.PRN, work as needed. High School Diploma or GED preferred. Previous clerical, collections and...
-
PATIENT ACCESS REP PRN
1 month ago
Carthage, TN 37030, USA, United States LifePoint Hospitals Full timeThe Patient Access Rep is responsible for the accurate registration of all patients seeking access to hospital services. Will also be responsible for answering and transferring calls to the appropriate departments. Assists in up front collections of time of service.PRN, variable shifts as needed. High School Diploma or GED preferred. Previous clerical,...
-
PATIENT ACCESS REP
1 week ago
Meadowbrook, PA 19006, USA, United States Holy Redeemer Health System Full timePart-Time1648 Huntingdon PikeClerical/Administrative SupportEveningPATIENT ACCESS REPSUMMARY OF JOB:Registers all patients entering the Emergency Department. Ensures all information is entered timely and accurately. Able to complete the quick registration and full registration process. Verifies patient insurance information. Ensures patients are provisioned...
-
PATIENT ACCESS REP
3 weeks ago
Meadowbrook, PA 19006, USA, United States Holy Redeemer Health System Full timePer Diem1648 Huntingdon PikeClerical/Administrative SupportDay/Evening/NightPATIENT ACCESS REPSUMMARY OF JOB:Admits patients as indicated by the Emergency Department. Ensures all information is entered timely and accurately. Performs direct admission process as requested. Verifies patient insurance information and obtains authorizations for service....
-
PATIENT ACCESS REP
3 weeks ago
Meadowbrook, PA 19006, USA, United States Holy Redeemer Health System Full timePer Diem1648 Huntingdon PikeClerical/Administrative SupportDay/EveningPatient Access RepSUMMARY OF JOB:Answer phones in the Central Scheduling Department in a professional, courteous manner. Pre-registers patients for services ensuring all demographic and insurance information is correct. Schedules patient appointments for service requested. Completes online...
-
PATIENT ACCESS REP
1 week ago
Meadowbrook, PA 19006, USA, United States Holy Redeemer Health System Full timeFull-Time1648 Huntingdon PikeClerical/Administrative SupportDayPATIENT ACCESS REPSUMMARY OF JOB:Answers phones in the Central Scheduling Department in a professional, courteous manner. Pre-register patients for services, ensuring all demographic and insurance information is correct. Schedules patient appointments for service requested. Completes online...
