Patient Access Specialists- Call Center

2 weeks ago


Palm Beach Gardens, United States Jupiter Medical Center Full time

Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast.Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs. Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).Education: High School Graduate or Equivalent, Billing and Coding Certification preferredExperience/Qualifications: Experience required in using EMR systems, insurance verification, eligibility, and electronic billing. Requires general and specific knowledge of health insurance plans and interpretation of health insurance benefits. Extensive knowledge of current billing and coding rules and regulations and use of CPT & ICD 10 codes including appropriate modifiers for Radiation Oncology, Infusion and Oncology Surgery. Ability to read, understand, and adhere to CMS & NCCN guidelines and compliance. Ability to maintain confidentiality. Experience in a customer support role. Medical terminology knowledge. Proficient skills in computer applications such as Microsoft Office. Ability to set priorities and manage time effectively. Flexible, service oriented, and dedicated. Exceptional communication skills both verbally and in writing. Superior organizational skills, attention to detail, and able to multi-task. Strong interpersonal skills, listening and ability to carefully follow directions.Position SummaryThe Patient Access Specialist will be responsible for delivering a dynamic customer experience to all customers and demonstrate a strong commitment to service excellence. The Patient Access Specialist is responsible for obtaining demographic, insurance, and medical information to ensure an accurate and complete registration. Performing insurance verification, data collection and documentation. Determine medical necessity for services based on established medical criteria. Identifying patient financial responsibilities and collecting applicable monies. Acting as liaison to all internal and external customers to facilitate access to hospital services. Secures all necessary documentation to register the patient's visit. Reviews all documentation to ensure coding by provider is supported and accurate. Applies all coding rules and use of CPT and ICD 10 codes and appropriate use of modifiers. Assist manager in educating physicians and staff in requirements of documentation for proper reimbursement. Assists in conducting internal audits of patient charges and corresponding documentation, reports, and tracks on a monthly basis. Submit claims and works rejections for claims submission, daily. Checks for data errors and uses them as examples for educating team members. Determines problems that resulted in a rejected claim, resolve, advises on procedural changes to implement, and prevent further such rejects. Resubmits/refiles, print records as needed to appeal rejected claims, as is necessary. Check coding and post charges. Adhere to contractual requirements of Medicare, Medicaid, and managed care plans. Scrubs and reviews charges before claims are submitted. Reviews surgical claims and post-op visits to ensure we capture a full reimbursement. Run daily update and insurance exception reports. Review and correct, re-scrub rejected claims. Performs other duties as assigned.



  • Palm Beach Gardens, United States Randstad North America, Inc. Full time

    As a Call Center Legal Intake Representative, you will be responsible for efficiently and effectively handling inbound calls from individuals seeking legal representation. Your primary objective will be to gather essential information from callers, a Legal, Intake, Call Center, Specialist, Healthcare, Staffing


  • Daytona Beach, United States Halifax Health Full time

    Overview Halifax Health is seeking a Patient Access Specialist I (Medical Records) for the Center for Oncology Department. Summary The Patient Access Specialist In Oncology is responsible for performing duties associated with Oncology Scheduling, Infusion Center Scheduling, Phone Screening, Patient Access, Order Transcription, Medical...


  • West Palm Beach, United States Hospital for Special Surgery Full time

    Overview How you move is why we’re here. ®Now more than ever. Get back to what you need and love to do. The possibilities are endless... Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize  the abundant opportunities for...


  • Palm Springs, California, United States MidLantic Urology Full time

    : Call Center SupervisorMidLantic Urology was founded on the desire to advance urology health care for our patients. Our merger of the top urology groups in Philadelphia not only gives us the most recognizable and skilled urologists but also empowers us with the resources to continue to innovate with the most advanced treatments backed by clinical...


  • Virginia Beach, United States Urology Of Va Full time

    Company Overview Urology of Virginia (UVA) has a long history of providing comprehensive and quality care to the entire Hampton Roads region, including northeastern North Carolina. Our clinical care team consists of board-certified urologists, most of whom are fellowship-trained, nationally recognized, awarded, and published. Working in a team-based...


  • Virginia Beach, United States Sentara Healthcare Full time

    The Director, Call Center Operations is responsible for establishing call center objectives, providing representatives with opportunities to expand their knowledge, troubleshooting techniques, analyzing call center data, and focusing on improving performance and processes in an effort to better support patients and customers. This position provides...


  • West Palm Beach, United States Florida Cancer Specialists, P.L. Full time

    Date Posted: 2024-01-24 Country: United States of America Location: Flagler Office WHY JOIN FCS At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities,...


  • West Palm Beach, United States Florida Cancer Specialists, P.L. Full time

    Date Posted: 2024-02-06 Country: United States of America Location: Flagler Office WHY JOIN FCS At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities,...


  • Palm Coast, United States Florida Cancer Specialists, P.L. Full time

    Date Posted: 2023-09-26 Country: United States of America Location: Palm Coast MMS WHY JOIN FCS At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities,...


  • Palm Beach Gardens, United States Conifer Revenue Cycle Solutions Full time

    **JOB SUMMARY** Responsible for duties in support of departmental efficiencies which may include: but not limited to performing scheduling, registration, patient pre-admission and admission, reception and discharge functions. Must obtain complete and accurate patient demographic information. Patient Access representatives also must employ proper, compliant...


  • Delray Beach, United States Opal Collection & Affiliates Call Center and Revenue Office Full time

    Call Center Reservation Agent Job Summary: Under the guidance of the Call Center Manager, the Call Center Reservation Agent is responsible for answering all telephone inquiries with regards to room reservations and hotel information. The call center reservation agent is to answer all inquiries in a professional, courteous, and efficient manner and attempt to...


  • Delray Beach, United States Opal Collection & Affiliates Call Center and Revenue Office Full time

    Job DescriptionJob DescriptionCall Center Reservation Agent Job Summary: Under the guidance of the Call Center Manager, the Call Center Reservation Agent is responsible for answering all telephone inquiries with regards to room reservations and hotel information. The call center reservation agent is to answer all inquiries in a professional, courteous, and...


  • West Palm Beach, United States Storage Rentals of America Full time

    Job DescriptionJob DescriptionBecome the newest member of our exciting team at Storage Rentals of America!Storage Rentals of America (SROA) was founded in 2013 and through an aggressive growth strategy, we have grown to over 450 locations across 30 states. It is our mission to provide affordable, clean, and secure self-storage facilities in the communities...


  • West Palm Beach, United States Storage Rentals of America Full time

    Job DescriptionJob DescriptionBecome the newest member of our exciting team at Storage Rentals of America!Storage Rentals of America (SROA) was founded in 2013 and through an aggressive growth strategy, we have grown to over 450 locations across 30 states. It is our mission to provide affordable, clean, and secure self-storage facilities in the communities...


  • West Palm Beach, United States Mercedes-Benz of Palm Beach Full time

    New Country Motor Car Group is hiring for important positions in our West Palm Beach Customer Service Call Center. This position will include on-the-job training. Prior call center experience making outbound calls as well as fielding inbound calls is preferred, but not required. BDC Call Center Agent - Benefits $16 base per hour, plus bonus! Family Owned...


  • West Palm Beach, United States Mercedes-Benz of Palm Beach Full time

    Job DescriptionJob DescriptionNew Country Motor Car Group is hiring for important positions in our West Palm Beach Customer Service Call Center. This position will include on-the-job training. Prior call center experience making outbound calls as well as fielding inbound calls is preferred, but not required. BDC Call Center Agent - Benefits $16 base per...


  • Palm Beach Gardens, United States Widex Sivantos Audiology Group Full time

    Retail Palm Beach Gardens - HearUSA HQ **Customer Care Center Specialist** We usually respond within **a week** In a world of jobs, we offer careers! Come join the team at HEARUSA, the retail division of WS Audiology, a worldwide global family of some of the top hearing aid technologies in the world. Our Support Center Headquarters, located in beautiful...


  • Deerfield Beach, United States University of Miami Full time

    **Current Employees**: The Patient Access department has an exciting opportunity for a full-time Patient Access Specialist (On-Site) to work on-site in **Deerfield Beach **. The Patient Access Specialist (On-Site) is responsible for coordinating a wide range of complex duties that support front end revenue cycle and clinic functions for hospital and clinic...


  • Deerfield Beach, United States The University of Miami Full time

    Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.The Patient Access department has an exciting opportunity for a...


  • Palm Beach Gardens, United States Florida Cancer Specialists, P.L. Full time

    Date Posted: 2024-03-08 Country: United States of America Location: Palm Beach Gardens Office WHY JOIN FCS At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional...