Patient Access Rep III
2 weeks ago
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. 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
2 weeks ago
Newport News, VA, United States Sentara Healthcare Full timeCity/State Newport News, VA Overview Work Shift Second (Evenings) (United States of America) Sentara Port Warwick is hiring a Patient Access Representative - Flexi status, approximately eight hours per week in the evenings Required: HS Diploma or equivalent Required: Customer Service or Data Entry experience - 2 years As a Patient Access Rep with...
-
Patient Access Rep Iii
1 month ago
Bryan, United States St Joseph Health 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
1 month 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
2 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
2 weeks 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 Svcs Rep
4 weeks ago
Bryan, United States Parkview Health Full timeSummary Under the direction of the Patient Access Manager/Supervisor/Lead, the role functions as a Patient Access Services Representative in processing registrations for inpatients, outpatients, and emergency room patients. Conducts professional patient interviews obtaining demographic, financial and biographical information. Responsible for cashier duties...
-
Patient Access Rep Ii
3 weeks ago
Bryan, United States St Joseph Health 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 II
3 weeks ago
Bryan, Texas, United States Catholic Health Initiatives 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, United States Catholic Health Initiatives 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....
-
Patient Access Rep II
2 weeks ago
Bryan, United States CommonSpirit Health Full timeCHI St. Joseph Health – College Station/Bryan TX Since 1936 CHI St. Joseph Health has been caring for the communities in Bryan College Station Brenham Hearne Navasota Caldwell Madisonville and Bellville. With the area’s only Level II Trauma Center the first Joint Commission certified Primary Stroke Center and the first accredited Chest Pain Center in the...
-
Patient Business Services Representative
5 days ago
Kailua-Kona, HI, United States Navient Full timeXtend Healthcare is a revenue cycle management company focused exclusively on the healthcare industry. The company's services range from full revenue cycle outsourcing, A/R legacy cleanup and extended business office to coding and consulting engagements. As part of Navient (Nasdaq: NAVI), Xtend taps the strength and scale of a large-scale business...
-
Patient Access Lead Representative
7 days ago
Bryan, United States Conifer Health Solutions Full timeJob DescriptionJOB SUMMARY Demonstrates knowledge of departmental financial clearance and displays Patient Access leadership skills to lead a wide range of duties in support of departmental efficiencies which may include but not limited to arranging support Hospital services requested by patients through referrals, performs thorough analysis of admission...
-
Travel Level III
5 days ago
Columbia, SC, United States Access Healthcare Full timeAccess Healthcare is seeking a travel Echo Technologist Level III for a travel job in Columbia, South Carolina.Job Description & RequirementsSpecialty: Echo TechnologistDiscipline: Allied Health ProfessionalStart Date: 06/24/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelAccess Healthcare Job ID #60104661. Pay package is...
-
Travel Level III
4 days ago
Columbia, SC, United States Access Healthcare Full timeAccess Healthcare is seeking a travel Echo Technologist Level III for a travel job in Columbia, South Carolina.Job Description & RequirementsSpecialty: Echo TechnologistDiscipline: Allied Health ProfessionalStart Date: 06/24/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelAccess Healthcare Job ID #60270171. Pay package is...
-
ER RN III
1 week ago
Bryan, TX, United States CHI Saint Joseph Health Full timeER RN III Overview CHI St. Joseph Health - College Station/Bryan TX Since 1936 CHI St. Joseph Health has been caring for the communities in Bryan College Station Brenham Hearne Navasota Caldwell Madisonville and Bellville. With the area's only Level II Trauma Center the first Joint Commission certified Primary Stroke Center and the first accredited...
-
ER RN III
1 week ago
Bryan, TX, United States CHI Saint Joseph Health Full timeER RN IIIOverview CHI St. Joseph Health - College Station/Bryan TX Since 1936 CHI St. Joseph Health has been caring for the communities in Bryan College Station Brenham Hearne Navasota Caldwell Madisonville and Bellville. With the area's only Level II Trauma Center the first Joint Commission certified Primary Stroke Center and the first accredited Chest...
-
Patient Care Manager RN
2 weeks ago
Trumbull, CT, United States Patient Care Full timeWe are hiring for a Patient Care Manager with Home Health experience. At Patient Care, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You can find a...
-
Travel Level III
5 days ago
Albany, NY, United States Access Healthcare Full timeAccess Healthcare is seeking a travel Certified Surgical Technologist Level III for a travel job in Albany, New York.Job Description & RequirementsSpecialty: Certified Surgical TechnologistDiscipline: Allied Health ProfessionalStart Date: 07/01/2024Duration: 13 weeks36 hours per weekShift: 12 hours, daysEmployment Type: TravelAccess Healthcare Job ID...
-
ER RN III
13 hours ago
Bryan, TX, United States CHI Saint Joseph Health Full timeER RN IIIOverview CHI St. Joseph Health - College Station/Bryan TX Since 1936 CHI St. Joseph Health has been caring for the communities in Bryan College Station Brenham Hearne Navasota Caldwell Madisonville and Bellville. With the area's only Level II Trauma Center the first Joint Commission certified Primary Stroke Center and the first accredited Chest...
-
Patient Care Manager RN
2 days ago
Parsippany, NJ, United States Patient Care Full timeWe are hiring for a Patient Care Manager with Home Health experience to join our team at Patient Care in Parsippany, NJ. This is a full-time, in-office position! At Patient Care, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their...