Revenue Cycle Access Specialist Evenings
3 weeks ago
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 impacts denials, customer satisfaction and decreases bad debt. Access Specialists are skilled in patient/physician relations, registration, scheduling and use of multiple, complex systems
What You Will Do
- Interviews patients (face-to-face/phone/via document) and utilizes multiple complex applications to create (or validate existing) patient medical record and insurance/bill claim using demographic and insurance information.
- 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
- Executes patient estimate, educates guarantor regarding charges and out-of-pocket liability and establishes payment plan when applicable for professional and technical services.
- Successfully calculates, collects and posts co-pays, deductible, co-insurance and prior balance due from patient in accordance with policy; meets or exceeds collection targets and productivity standards. Takes appropriate steps to balance and secure cash in accordance with UH policy.
- Takes steps to prevent medical record duplications or incorrect patient selection imperative to patient safety; safeguards Protected Health Information (PHI).
- Contacts physician or other clinical provider to validate / clarify information on orders, schedules, or other requirements such as patient instructions.
- Utilizes electronic reports, worklists, and queues to identify claims requiring updating; makes corrections as needed to ensure accurate and timely billing.
- Schedules professional and technical patient appointments using multiple software applications.
- Verifies insurance benefits/coverage using electronic eligibility tool / phone call; initiates appropriate action to complete a Notice of Admission (NOA).
- Completes daily reconciliation of the Important Medicare Message (IMM) and Medicare Secondary Payer Questionnaire (MSPQ) in accordance to Government regulations.
- Completes daily status changes and revisions in conjunction with the Utilization Management Team.
- Scans and retrieves appropriate related documents in scanning applications
- Projects positive image to all UH patients, physicians, and customers (internal and external) as the first impression of University Hospitals.
- Communicates using prescribed customer service focused greeting and scripting to achieve branded UH patient experience.
- Follows department policy and procedures, attends and participates in corporate and local team meetings and maintains patient / physician confidentiality.
- Maintains emergency disaster preparedness knowledge/skills.
- Effectively communicates utilizing telephone, emails, or correspondence for internal and external customers.
- Maintains emergency preparedness knowledge/skills needed to participate in drills / disaster exercises and real time safety events.
- Participates in wayfinding; provides directions or transport as needed to ensure positive patient / customer experience.
- Performs other related duties as assigned and participates in enterprise special projects 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:
Education
- High School Equivalent / GED (Required)
- 1+ years of healthcare or customer service experience (Required)
- College associate or bachelor's degree is equivalent to 1 year of work experience. ()
- Experience utilizing multiple complex software solutions (Required proficiency)
- Dependable to work in this 24/7/365 department with willingness to travel to other sites and locations throughout the enterprise including possible overtime. (Required proficiency)
- Notable client service, communication and relationship building skills. (Required proficiency)
- Must have ability to perform in a fast-pace and stressful environment (such as the Emergency Department). (Required proficiency)
- Demonstrates ability to function independently and as a team player in a fast-paced environment. (Required proficiency)
- Must have strong written and verbal communication skills. (Required proficiency)
- Professional demeanor (Required proficiency)
- Detail-oriented and organized, with good analytical and problem solving ability (Required proficiency)
- Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, multi-line phone, FAX machine, etc.) (Required proficiency)
- 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
- 10%
recblid p3j050kam2eevmi74ks91q84defuiq
-
Revenue Cycle Access Specialist I Beachwood
16 hours 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...
-
Chardon, United States University Hospitals Full timePosition Summary 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...
-
Patient Access Specialist II
2 months ago
Chardon, United States PSG Full timePRN - On an as needed basis. As an essential member of the Revenue Cycle team, Patient Access Specialists perform accurate registration, patient estimates, point of service collections and provide exemplary customer service while serving the needs of Patient, Specialist, Customer Service, Insurance, Healthcare, Staffing
-
Patient Access Specialist I
15 hours ago
Chardon, United States University Hospitals Health System Full timeDescription UH Geauga Medical Center Evening shift - Monday through Friday, rotating weekends and holidays 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...
-
Patient Access Specialist I
12 hours ago
Chardon, United States University Hospitals Health System Full timeDescription UH Geauga Medical Center - Emergency Department Registration Part-time Evening Shift 3:30pm - 12:00am Monday through Friday, rotating weekends and holidays 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...
-
Patient Access Specialist II
13 hours ago
Chardon, United States University Hospitals Health System Full timeDescription UH 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...
-
Patient Access Specialist I
2 weeks ago
Chardon, United States University Hospitals Full timeUH Geauga Medical Center - Emergency Department Registration Part-time Evening Shift 3:30pm - 12:00am 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 collections and provide exemplary customer service...
-
Patient Access Specialist I Weekends
3 weeks ago
Chardon, United States University Hospitals Full timeWeekends Only! 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 impacts denials,...
-
Patient Access Specialist II
1 month ago
Chardon, United States University Hospitals Full timeJOB DESCRIPTION & QUALIFICATIONS Description UH 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...
-
Revenue Cycle Specialist Senior Medicare
17 hours ago
Chardon, United States University Hospitals Full timeA Brief Overview Position responsible for submitting and resolving moderate to high complexity medical claims. Must remain current with governmental and third party billing, follow-up and appeal requirements for compliant billing and follow-up of both inpatient and outpatient claims for all wholly owned facilities and physician entities including internal...
-
Chardon, United States University Hospitals Full timeA Brief Overview Position responsible for submitting and resolving moderate to high complexity medical claims. Must remain current with governmental and third party billing, follow-up and appeal requirements for compliant billing and follow-up of both inpatient and outpatient claims for all wholly owned facilities and physician entities including internal...
-
Patient Service Specialist
4 weeks ago
Chardon, United States Select Employment Services, Inc. Full timePatient Service Specialist Job ID 288780 Location US-OH-Chardon Experience (Years) 0 Category Administrative - Administrative Services Street Address 373 Center Street Company NovaCare Rehabilitation Position Type Full Time Overview Patient Servic Specialist Front Desk Rockstar When patients enter our center in Chardon, we want them to have an exceptional...
-
Cost Accountant and Reimbursement Specialist
3 hours ago
Chardon, United States University Hospitals Full timeEssential Functions Maintain up-to-date knowledge of Medicare / Medicaid rules and regulations Working alongside staff in general accounting, assist with new reporting and modeling tools, budget preparation and reimbursement analysis for new product lines coordinates the reimbursement section's input into the annual financial audit performed by the health...
-
Research Finance Specialist II
2 weeks ago
Chardon, United States University Hospitals Full timeWhat You Will Do Ensure compliant research billing practice for assigned department(s) at University Hospitals Cleveland Medical Center and UHHS, including comprehensive knowledge & application of CMS regulations, maintaining UH billing standards, and record maintenance including accurate grant reporting. (45%) Demonstrate efficient task performance, high...
-
Customer Service Billing Representative Hybrid
3 weeks ago
Chardon, United States University Hospitals Full timeA Brief Overview This position is primary responsibility is a hybrid of customer/patient service telephone, project work and on line interaction for billing inquiries and acts as an ambassador for the Revenue Cycle Management department providing patient centric access and service to incoming patient/family calls. The CSRs possess strong understanding of...
-
Provider Enrollment Coordinator
3 weeks ago
Chardon, United States University Hospitals Full timeA Brief Overview The Provider Enrollment Specialist is responsible for enrolling UHMP/UHMG/UHRP/UHUC/LHPG billing providers and hospital-employed APPs with all contracted payers facilitating review of a new provider application from receipt to inclusion for managed care directories. This position maintains accurate and timely updates to the data, including,...
-
Provider Enrollment Coordinator
2 weeks ago
Chardon, United States University Hospitals Full timeA Brief Overview The Provider Enrollment Specialist is responsible for enrolling UHMP/UHMG/UHRP/UHUC/LHPG billing providers and hospital-employed APPs with all contracted payers facilitating review of a new provider application from receipt to inclusion for managed care directories. This position maintains accurate and timely updates to the data, including,...
-
Wine Market Specialist
1 month ago
Chardon, United States Cavalier Distributing Full timeJob Type Full-time Description Cavalier Distributing is looking for a highly motivated and self-driven Wine Market Specialist to join our sales team in the wine division for the Chardon, Mentor, Mayfield Heights and surrounding areas. This is an exciting opportunity to develop innovative strategies to achieve sales goals, as well as make meaningful...
-
Research Integration
1 month ago
Chardon, United States University Hospitals Full timeWhat You Will Do Supports new physician and staff research orientation and assists with consultations throughout the UH System. Helps develop and implement responsible conduct of research educational materials to supports the research community and develops and provides tools to aid in the appropriate conduct of research that is compliant with federal...
-
Senior IT Business Analyst
2 weeks ago
Chardon, United States University Hospitals Full timePosition Summary The position is visible to the hospital's business service lines and serves as a liaison between IT and those groups. This position also functions as a team member responsible for providing application(s) configuration support to enhance department's operational efficiencies/ workflow needs. Duties include: Essential Functions Supports...
