Patient Access Rep III
4 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 III
3 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 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 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 III
1 month 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 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 Ii
1 week 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
7 days 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
7 days 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
7 days ago
Bryan, United States Common Spirit Full timeOverview 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 Pain Center...
-
Patient Access Rep II
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 II
1 week ago
Bryan, Texas, United States CommonSpirit Health Full timeOverview: 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 Pain...
-
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 II
3 weeks 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 II
3 weeks 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...
-
Glaucoma Specialist
23 hours ago
Bryan, United States Baylor Scott & White Health Full timeGlaucoma Specialist - Job Opportunity College Station, Texas Baylor Scott & White Health is recruiting a BC/BE Fellowship trained Glaucoma Specialist/ Ophthalmologist to join an established Ophthalmology practice in College Station, Texas. Position Highlights Individual will be joining an established practice with one Ophthalmologist and two...
-
Home Infusion Nurse
4 weeks ago
Bryan, United States Texas Nursing Services Full timeJob DescriptionJob DescriptionJOB SUMMARY:The Home Infusion Nurse will work to provide a positive, safe, and professional patient care experience.Is responsible for the quality and accuracy of services provided and will perform all tasks with the utmost care for the patient’s wellbeing.Will thoroughly review patient orders, medications, and health records...
