Patient Access Specialist

3 weeks ago

Rockford, United States Mercyhealth Full time

Overview:

- Patient Access Specialist, Days, 80 Hrs / 2 wks
- Location: Rockton Ave Campus; Rockford, IL. Hybrid schedule opportunities available after probationary period.
- Responsible for correctly prioritizing and completing all steps of the scheduling, referral management, authorization, verification and registration process prior to patients receiving services. Identifies scheduling needs, reviews schedules, follows scheduling protocols and enters visit information for appropriate scheduling. Identifies, verifies, and captures appropriate patient demographic information and health insurance benefit eligibility information. Performs payer coverage investigation, as necessary, utilizing both internal and external tools and resources, to obtain reimbursement verification. Utilizes knowledge including, but not limited to, managed care, commercial, government, and work comp insurance billing requirements, as well as current coding guidelines and standards, to ensure resolution of pre-service edits, appropriate management of claims, initiation and direction of accounts for pre-authorization as required, prevention of timely filing claim denials, and procurement of appropriate reimbursement. This position requires understanding of healthcare Revenue Cycle and the importance of evaluating and securing all appropriate financial resources to maximize reimbursement to the health system. This position assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient.**Responsibilities**:

- Ensures all scheduled visits are pre-registered and accounts are appropriately certified / authorized in advance of the service date.
- Initiates, obtains, and documents referrals/authorizations/pre-certifications in appropriate systems.
- Answers incoming external/internal telephone calls, determines purpose of calls and schedules appropriately or routes to physician practices or other departments as appropriate.
- Initiates outbound calls to external providers, patients, and/or payers based on referrals entered into the system and schedules appropriately. Communicates with provider's office as needed.
- Ensures compliance with Access and Revenue Cycle related policies and procedures.
- Manages waitlists, rescheduling/cancellation of appointments as necessary.
- Completes accounts in assigned WQ's.
- Maintains a high level of professionalism and provides a quality patient experience.
- Schedules appointments appropriately according to provider and clinic based protocols.
- Performs ancillary tasks by providing outreach to patients. Must have excellent customer service skills.
- Answers questions about organization and provides callers with address, directions and other information about the site that they are scheduled for.
- Able to articulate information in a manner that patients, guarantors, and family members understand.
- Ensures compliance with reporting related to demographics and federal and state requirements.
- Maintains current knowledge of payor payment provisions and regulations to ensure correct data is gathered and documented.
- Provides financial information to patients, which includes patient financial obligations, estimated costs of services, billing practices and establishing payment arrangements as necessary.
- Collects co-pays, deductible and other out of pocket expenses via phone and/or in person and ensures patients understand their financial obligation and arrange for payment at the time of visit.
- Must have a thorough understanding of patient payment options to be able to direct patients to appropriate resource for financial assistance programs. These programs may include Medicaid, Mercy Community Care and other community assistance as appropriate.
- Advises department leadership of possible postponement or deferral of any elective/non-emergent service which have not been approved prior to service date.
- Documents activity within appropriate EMR or patient accounting systems.
- Complies with Mercyhealth Cash Handling and Collection Policies.
- Demonstrates an understanding and follows patient confidentiality policies and all HIPAA Regulations.
- Performs other clerical duties as needed such as faxing, filing and photocopying.
- Subject matter expert with regards to assigned responsibilities.
- Provides training to new partners, as well as on an as-needed basis.
- Manages other duties as assigned.
- Completes pre-registration and ensures appropriate referrals are in place and authorized.
- Ensures compliance with Access and Revenue Cycle related policies and procedures.
- Reviews external orders/referrals to ensure authorization and compliance requirements are met.
- Assist with schedule utilization reports/documentation
- Participates in workgroups related to access/scheduling improvements.
- Notifies leadership of scheduling or access issues (time to next appt, provider cancellations, etc)
- OPAM schedules for all specialties and modalitie

  • Patient Access Specialist

    1 month ago

    Rockford, United States Mercy Health Full time

    Overview: Patient Access Specialist, Days, Rockford, 80 Hrs / 2 wks Location: Rockton Ave Campus; Rockford, IL Hybrid and flexible work schedule opportunities available after probationary period. Responsible for correctly prioritizing and completing all steps of the scheduling, referral management, authorization, verification and registration process prior...

  • Patient Access Representative

    2 days ago

    Rockford, United States Trinity Health Full time

    Employment Type:Part timeShift:Evening ShiftDescription:Patient Access Representative Great opportunity for a Patient Access Representative professional to work in an organization that focuses on treating the whole person, physically, emotionally and spiritually. Be Remarkable!Highlights:Depending on the location, 24-hours a day variable.Comprehensive...

  • Patient Access Representative

    4 weeks ago

    Rockford, United States OrthoIllinois Full time

    Job Purpose: The Patient Access Representative is responsible for answering calls, directing and transferring calls, taking messages, scheduling appointments for patient clinical appointments, documenting needed information and following physician scheduling protocols. Primary Duties and Responsibilities: •Answers incoming calls in a timely and courteous...

  • Logistics Specialist

    3 weeks ago

    Rockford, United States SIEMENS AG Full time

    Who we are: We are a team of more than 71,000 highly dedicated Healthineers in more than 70 countries. As a leader in medical technology, we constantly push the boundaries to create better outcomes and experiences for patients, no matter where they l Logistics Specialist, Specialist, Logistics, Health, Manufacturing, Transportation

  • Access Specialist- Remote Schedule Available

    2 days ago

    Rockford, United States Rosecrance Health Network Full time

    Let’s change lives together. Join a purpose-driven community of champions. Position Purpose: Participate as a team member in the delivery of addictions treatment services to patients and their families and facilitate the issues of recovery into their daily living situations. Provide continuity of Access program services in an ethical, legal and...

  • Pharmacy Business Operations Specialist

    3 weeks ago

    Rockford, United States SwedishAmerican Full time

    POSITION SUMMARY: The Pharmacy Business Operations Specialist is responsible for maintaining a high performing, highly compliant, pharmacy technician training and operations program. The incumbent#s main focus will be conducting audits and assuring the ongoing success of all pharmacy technician training and operational programs. The incumbent may be asked to...

  • Access Specialist- Remote Schedule Available

    6 hours ago

    Rockford, United States Rosecrance Inc. Full time

    Job DescriptionJob DescriptionOur job is hope.Join a purpose-driven community of champions.Position Purpose: Participate as a team member in the delivery of addictions treatment services to patients and their families and facilitate the issues of recovery into their daily living situations. Provide continuity of Access program services in an ethical, legal...

  • Hearing Instrument Specialist

    1 week ago

    Rockford, United States Lucid Hearing Full time

    Job DescriptionJob DescriptionJob DescriptionHearing Instrument Specialist / Audiologist Sam’s Club Rockford, IL, USAFull-timePosition: Specialist (HIS or AuD) Job DescriptionOur Mission: "Helping People Hear Better"About this Hearing Specialist / Audiologist opportunity in Rockford, IL: Lucid Hearing is looking for a hearing instrument specialist near...

  • Clean Energy Training and Support Specialist

    5 days ago

    Rockford, United States Goodwill Mission ServicesAdministration Full time

    **Join our Virtual Information session on May 30 at 2pm to learn more about this opening!** The Clean Energy Training and Support Specialist will work with program participants as they enroll into workforce development programs in clean energy technology. The Specialist will not only work with participants but will also mentor and coach partner agencies in...

  • Patient Service Representative

    6 hours ago

    Rockford, United States Orthodontic Experts Ltd Full time

    Job Type Full-timeDescriptionAbout us:Orthodontic Experts is dedicated to quality care and orthodontic excellence; we are a community committed to making a difference in our patients' lives. We are looking for the best of the best to join our team as a Patient Service Representative. We currently have twenty-four offices in the greater Chicagoland area,...

  • Patient Relations Manager

    1 month ago

    Rockford, United States Oak Street Health Full time

    Company: Oak Street HealthTitle: Patient Relations ManagerRole DescriptionThe purpose of the Patient Relations Manager at Oak Street Health is to educate patients about Medicare programs, resources, and affordable insurance coverage options available to them in order to increase patient access to care and retention.Patient Relations Managers (PRMs) are an...

  • Surgery Supp Specialist I

    2 weeks ago

    Rockford, United States OSF Healthcare Full time

    Overview Starting pay for this position is $16.83/hour. POSITION SUMMARY: The Surgery Support Specialist provides care for surgical patients and family, interacting and communicating effectively. They are responsible for the transportation of patients, along with the supply management and environmental care functions in the department. This includes...

  • Pharmacy Business Operations Specialist

    3 weeks ago

    Rockford, United States UW Health in Northern Illinois Full time

    POSITION SUMMARY: The Pharmacy Business Operations Specialist is responsible for maintaining a high performing, highly compliant, pharmacy technician training and operations program. The incumbent's main focus will be conducting audits and assuring the ongoing success of all pharmacy technician training and operational programs. The incumbent may be asked to...

  • Patient Care Technician

    2 days ago

    Rockford, United States RTI Renal Treatment Centers - Illinois, Inc. Full time

    3339 N Rockton Ave, Rockford, Illinois, 61103, United States of America DaVita is seeking a Patient Care Technician who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in the lives of our patients and their families dealing with end-stage renal failure or chronic kidney disease. Do you desire to deliver...

  • Production Planner Specialist

    2 weeks ago

    Rockford, United States VeeRteq Solutions Inc. Full time

    Job DescriptionJob DescriptionJOB DETAILSProduction Planner SpecialistThis position is for an onsite Production Planner Specialist role to join a growing aerospace team with our client. As an important part of the team at our client, you will actively be providing critical value to our customers by helping to follow through on action items and drive...

  • Referral Scheduling Specialist

    3 weeks ago

    Rockford, United States SwedishAmerican Full time

    POSITION SUMMARY: The Referring Scheduling Specialist supports UW Health Northern Illinois with the following processes: Patient demographics verification Scheduling and coordinating provider appointments, outpatient diagnostic testing, and procedures Referral Reconciliation Meet or exceed Key Performance Indicator expectations This individual will work with...

  • Referral Scheduling Specialist

    3 weeks ago

    Rockford, United States UW Health in Northern Illinois Full time

    POSITION SUMMARY: The Referring Scheduling Specialist supports UW Health Northern Illinois with the following processes:Patient demographics verification Scheduling and coordinating provider appointments, outpatient diagnostic testing, and proceduresReferral ReconciliationMeet or exceed Key Performance Indicator expectationsThis individual will work with...

  • Optometrist

    2 days ago

    Rockford, United States Visionworks Full time

    Visionworks Optometrist - Employed Our employed optometrists help make quality eye care accessible and affordable, changing the lives of millions of patients each year. Pay Rate: $46.50/hr to $63.94/hr PLUS New Hire Incentives of up to $105,000Opportunity:If you are an outstanding Optometrist, whose primary goal is to provide excellent patient care, we are...

  • Parts - Service Logistics Specialist

    2 days ago

    Rockford, United States Ingersoll Machine Tools Inc Full time

    Job DescriptionJob DescriptionPosition:Parts & Service Logistics SpecialistReporting:Sr. Manager of OperationsDepartment:Service Summary:To support the Customer Service and Spare Parts department by providing professional and timely responses to our internal and external customers.Responsibilities:Support day-to-day service operations: rental car, flight,...

  • HR Credentialing and Records Compliance Specialist

    2 days ago

    Rockford, United States Rosecrance Full time

    Our job is hope. Join a purpose-driven community of champions. Reasons to work at Rosecrance:New competitive pay rates—because your talents deserve more! On-demand pay available through our Earned Wage Access benefit. Position Purpose: The HR Credentialing and Record Compliance Specialist will act as the organization's central point of contact for...