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REVENUE Cycle Access Specialist
3 weeks ago
Chardon, United States University Hospitals Full timeA Brief Overview As an essential member of the Revenue Cycle team, Access Specialists perform accurate registration, patient estimates, point of service collections and provide exemplary customer service while serving the needs of patients and customers. The successful completion of tasks performed by this position, directly impacts denials, customer...
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Revenue Cycle Access Specialist. Ashland
1 month ago
Chardon, United States University Hospitals Full timeA Brief Overview As an essential member of the Revenue Cycle team, Access Specialists perform accurate registration, patient estimates, point of service collections and provide exemplary customer service while serving the needs of patients and customers. The successful completion of tasks performed by this position, directly impacts denials, customer...
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Revenue Cycle Access Specialist I Weekends
3 weeks ago
Chardon, United States University Hospitals Full timeWeekends Only! 8hrs per week A Brief Overview As an essential member of the Revenue Cycle team, Access Specialists perform accurate registration, patient estimates, point of service collections and provide exemplary customer service while serving the needs of patients and customers. The successful completion of tasks performed by this position, directly...
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Revenue Cycle Access Specialist I Weekends
1 month ago
Chardon, United States University Hospitals Full timeWeekends Only! 8hrs per week A Brief Overview As an essential member of the Revenue Cycle team, Access Specialists perform accurate registration, patient estimates, point of service collections and provide exemplary customer service while serving the needs of patients and customers. The successful completion of tasks performed by this position, directly...
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Revenue Cycle Access Specialist. Ashland
1 month ago
Chardon, United States University Hospitals Full timeA Brief Overview As an essential member of the Revenue Cycle team, Access Specialists perform accurate registration, patient estimates, point of service collections and provide exemplary customer service while serving the needs of patients and customers. The successful completion of tasks performed by this position, directly impacts denials, customer...
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Revenue Cycle Access Coordinator
4 days ago
Chardon, Ohio, United States University Hospitals Full timePosition OverviewAs a vital contributor to the Revenue Cycle team, the Access Coordinator is responsible for precise patient registration, estimating costs, collecting payments at the point of service, and delivering outstanding customer service to meet the needs of patients and clients. The effectiveness of this role directly influences claim denials,...
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Comprehensive Ophthalmology Physician
4 days ago
Chardon, Ohio, United States University Hospitals Full timePosition Location: Cleveland, Ohio Position Type: Physician Specialty: Comprehensive Ophthalmology For over 150 years, University Hospitals has been dedicated to fulfilling the healthcare needs of our patients. Our skilled team plays a vital role in our longstanding history of success and is essential to our future in a rapidly evolving healthcare...
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Physician in Comprehensive Ophthalmology
4 days ago
Chardon, Ohio, United States University Hospitals Full timePosition Location: Cleveland, Ohio Position Type : Physician Specialty: Comprehensive Ophthalmology For over 150 years, the dedicated physicians at University Hospitals have upheld a commitment to addressing the health care needs of our patients. Our skilled team plays a vital role in our long-standing history of success and is essential to our...
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Senior Paid Media Specialist
2 weeks ago
Chardon, United States Company 119 Full timeJob DescriptionJob DescriptionSalary: Are you an analytical thinker who loves making data-driven decisions? Do you have experience managing ad campaigns on Google Ads and Programmatic platforms? If yes, you could be our next Senior Paid Media Specialist!The Senior Paid Media Specialist is crucial in managing and executing paid media strategies for our...
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Senior Paid Media Specialist
3 months ago
Chardon, United States Company 119 Full timeJob DescriptionJob DescriptionSalary: Are you an analytical thinker who loves making data-driven decisions? Do you have experience managing ad campaigns on Google Ads and Programmatic platforms? If yes, you could be our next Senior Paid Media Specialist!The Senior Paid Media Specialist is crucial in managing and executing paid media strategies for our...
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Practice Revenue Analyst II Plastic Surgery
4 days ago
Chardon, United States University Hospitals Full timeA Brief Overview This position supports operations through the set-up, configuration, analysis, monitoring, and maintenance of the system and operational training support. What You Will Do Reporting & Analytics • Performs audits and analyses of accounts receivable/transactions to ensure the accuracy of claims/receivables, identifies issues, and...
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Patient Access Specialist II
1 month ago
Chardon, United States University Hospitals Full timeUH Geauga Medical Center - Seidman Cancer Center Monday through Friday 8:30am-5:00 - position could require to start as early as 7:30am Position Summary As an essential member of the Revenue Cycle team, Access Specialists perform accurate registration, patient estimates, point of service collections and provide exemplary customer service while serving the...
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Patient Access Coordinator II
3 days ago
Chardon, Ohio, United States University Hospitals Full timeJob OverviewAccess Specialist Role at University HospitalsPosition Summary:As a key member of the Revenue Cycle team at UH Geauga Medical Center - Seidman Cancer Center, you will be instrumental in delivering outstanding customer service while managing patient registrations, cost estimates, and collections. In the role of Access Specialist, you will...
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Patient Access Specialist I
1 month ago
Chardon, United States University Hospitals Full timeUH Geauga Medical Center Monday through Friday start times between 5:30am and 8:30am, rotating weekends second shift 3:30pm - 12:00am Holidays required A Brief Overview As an essential member of the Revenue Cycle team, Access Specialists perform accurate registration, patient estimates, point of service collections and provide exemplary customer service...
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Patient Access Coordinator II
4 days ago
Chardon, Ohio, United States University Hospitals Full timeJob OverviewAccess Specialist Role at University HospitalsPosition Summary:As a key member of the Revenue Cycle team at UH Geauga Medical Center - Seidman Cancer Center, you will play an essential role in delivering outstanding customer service while managing patient registrations, cost estimates, and collections. In the role of Access Specialist, you will...
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Patient Access Specialist II
1 month ago
Chardon, United States University Hospitals Full timeUH Geauga Medical Center - Seidman Cancer Center Monday through Friday 8:30am-5:00 - position could require to start as early as 7:30am Position Summary As an essential member of the Revenue Cycle team, Access Specialists perform accurate registration, patient estimates, point of service collections and provide exemplary customer service while serving the...
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Patient Access Specialist I
1 week ago
Chardon, United States University Hospitals Full timeUH Twinsburg Health Center - Radiology Registration Travel required to UH Hudson Health Center and UH Minoff Health Center (Orange, OH) Monday through Friday - hours between 7:00am to 8:00pm A Brief Overview As an essential member of the Revenue Cycle team, Access Specialists perform accurate registration, patient estimates, point of service collections...
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Billing Customer Service Specialist
4 days ago
Chardon, Ohio, United States University Hospitals Full timePosition OverviewThis role primarily involves a blend of customer service and billing support, focusing on assisting patients and their families with inquiries related to billing. As a representative of the Revenue Cycle Management department, you will provide essential support to incoming calls, ensuring a patient-centered approach. The ideal candidate will...
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Patient Access Specialist I
3 weeks ago
Chardon, United States University Hospitals Full timeUH Parma Medical Center - Emergency Department Registration Full-time 36 hours per week (8-9 hour shifts) Hours are between 1:00pm and 11:30pm, Monday through Friday, rotating weekends and holidays A Brief Overview As an essential member of the Revenue Cycle team, Access Specialists perform accurate registration, patient estimates, point of service...
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Patient Access Specialist I
3 weeks ago
Chardon, United States University Hospitals Full timeUH Cleveland Medical Center - Emergency Department Registration Part-time Saturday and Sunday only Position Summary As an essential member of the Revenue Cycle team, Access Specialists perform accurate registration, patient estimates, point of service collections and provide exemplary customer service while serving the needs of patients and customers....
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Senior Revenue Cycle Precert Specialist Ophthalmology
3 months ago
As an essential member of the Revenue Cycle team, Senior Pre-cert Specialists ensure authorizations for outpatient testing, ambulatory and inpatient services are obtained before services are rendered. The successful completion of tasks performed by this position, directly impacts denials and reimbursement from third party payers. Senior Pre-cert Specialists are skilled in patient/physician relations, registration, scheduling, and precertification
Essential Functions
- Verifies and pre-certifies inpatient and outpatient services to ensure appropriate reimbursement from third party payers, government payers and state agencies
- Mastery of skills relating to insurance coverage, benefits, rules & regulations and allocation of plans accurate information and fulfillment of requirements resulting in expected payment for services
- Verifies and allocates insurance plans utilizing electronic eligibility tools, phone calls payer, accesses web portals and initiates appropriate action for services including non-covered and out-of-network insurance services
- Submits timely electronic and verbal notifications and clinical documentation in accordance with contractual requirements and payer guidelines; coordinates with operations and clinical counterparts to obtain and submit necessary information and documentation
- Communicates potential issues and follows GM-98, Service with Authorization guidelines to notify providers of pending authorizations/denials and peer to peer requests; escalates encounters per policy
- Effectively communicates utilizing telephone, emails, or correspondence for internal and external customers; understand when and how to escalate cases that require operations and leadership attention to initiate appropriate action
- Maintains up-to-date knowledge of computer applications, insurance/government regulations, managed care guidelines and Revenue Cycle policies/procedures used within the department.
- Preceptor for new hires and provides necessary training at the direction of department leadership
- Participates in enterprise special projects as needed
- Leads work flow and process improvement project initiatives
- Provides feedback, suggestions and process improvement recommendations to management
- Scans and retrieves appropriate related documents in scanning applications
- Attends and participates in corporate and local team meetings and maintains patient / physician confidentiality.
- Ensures compliance with department productivity and quality standards
- Leads departments meetings as needed
- Performs other duties as assigned.
- Complies with all policies and standards.
- For specific duties and responsibilities, refer to documentation provided by the department during orientation.
- Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
Qualifications:
Qualifications Education
- High School Equivalent / GED Required
- 3+ years experience in hospital Revenue Cycle/healthcare, working with insurance companies/third-party payers or related experience Required and
- Experience with clinical applications Preferred
- Knowledge of managed care insurance requirements is essential. Required
- Notable client service, communication and relationship building skills. Required
- Ability to function independently and as a team player in a fast-paced environment. Required
- Must have strong written and verbal communication skills. Required
- Professional demeanor Required
- Detail-oriented and organized, with good analytical and problem solving ability Required
- Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, multi-line phone, FAX machine, etc.) Required
- Standing Occasionally
- Walking Occasionally
- Sitting Constantly
- Lifting Rarely 20 lbs
- Carrying Rarely 20 lbs
- Pushing Rarely 20 lbs
- Pulling Rarely 20 lbs
- Climbing Rarely 20 lbs
- Balancing Rarely
- Stooping Rarely
- Kneeling Rarely
- Crouching Rarely
- Crawling Rarely
- Reaching Rarely
- Handling Occasionally
- Grasping Occasionally
- Feeling Rarely
- Talking Constantly
- Hearing Constantly
- Repetitive Motions Frequently
- Eye/Hand/Foot Coordination Frequently
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