Patient Access Representative jobs

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Montgomery County, PA7 Denver, CO4 Philadelphia, PA4 Columbus, OH4 Bucks County, PA4 Wexford, PA3 Pittsburgh, PA3

138 Patient Access Representative roles

Patient Access Coordinator I-Pediatric Institute-Part-time
Highmark Health
Wexford, PAPosted 13 days ago
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Patient Access Coordinator I-Pediatrics-Part-time
Highmark Health
Wexford, PAPosted 13 days ago
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Patient Service Specialist
Cleveland Clinic
The Richard Jacobs Health CenterPosted 13 days ago
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Patient Service Specialist
Cleveland Clinic
Amherst Family Health CenterPosted 13 days ago
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Patient Service Specialist
Cleveland Clinic
Rocky River Urgent CarePosted 13 days ago
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Patient Service Representative - Clinic
Advocate Health
2 LocationsPosted 13 days ago
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Patient Access Representative II
Sutter Health
Sacramento, CAPosted 13 days ago
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Patient Service Representative - OB GYN Clinics
Advocate Health
2 LocationsPosted 13 days ago
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Patient Service Representative
Intermountain Health
Kaysville Creekside ClinicPosted 13 days ago
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Acute Patient Access Services Representative
Banner Health
BUMC Tucson (1625 N Campbell Ave)Posted 13 days ago
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Patient Access Coordinator II Registration - AHN Cancer Institute Radiation Oncology - Wexford - Full Time
Highmark Health
Wexford, PAPosted 13 days ago
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Patient Access Coordinator II Registration - AHN Cancer Institute - Jefferson Hospital - Full Time
Highmark Health
Jefferson Hills, PAPosted 13 days ago
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Lead Patient Services Associate - Cardiology
Jefferson Health
Philadelphia, PAPosted 13 days ago
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Patient Access Representative - RELIEF, Day - Einstein Philly ED
Jefferson Health
Philadelphia, PAPosted 13 days ago
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Patient Services Associate I - Lawndale Internal Medicine - Full-Time
Jefferson Health
Montgomery County, PAPosted 13 days ago
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Patient Services Associate II - Asplundh Cancer Pavilion
Jefferson Health
Montgomery County, PAPosted 13 days ago
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Patient Services Associate II - Orthopaedics - Bucks County - Full-Time Days
Jefferson Health
Bucks County, PAPosted 13 days ago
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Patient Services Associate II - Pulmonary Critical Care - Abington - Full-Time Days
Jefferson Health
Montgomery County, PAPosted 13 days ago
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Patient Services Associate II - Surgery - Trauma Services - Full-Time Days
Jefferson Health
Philadelphia, PAPosted 13 days ago
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Patient Access Representative 1
Cleveland Clinic
Union HospitalPosted 13 days ago
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Patient Service Representative - Multispecialty
Advocate Health
Batavia, ILPosted 13 days ago
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Patient Access Representative II
Sutter Health
San Francisco, CAPosted 13 days ago
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Patient Services Representative II, Pulmonary
Sutter Health
Santa Barbara, CAPosted 13 days ago
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Acute Patient Access Services Representative Per Diem
Banner Health
Wyoming Medical Center Central (1233 E Second St)Posted 13 days ago
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Patient Service Representative PRN
Intermountain Health
Intermountain Health Park City HospitalPosted 13 days ago
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Patient Access Representative

Patient Access Coordinator I-Pediatric Institute-Part-time

Company: Highmark Health
Location: Wexford, PA
Posted: Posted 13 days ago

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The job

Company

Allegheny Health Network

Job Description

This role will support our pediatric expansion. This role will rotate schedules between Monday-Saturday, 7am-8pm.

GENERAL OVERVIEW

Completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within Patient Access and creates the first impression of AHN's services to patients and families and other external customers. Articulates information in a manner that patients, guarantors and family members understand so they know what to expect and understand their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient.

ESSENTIAL RESPONSIBILITIES

Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order. Obtains limited clinical data based on service required. Corrects and updates all necessary data to assure timely, accurate bill submission. (30%)
Verifies insurance information through payor contacts via telephone, online resources, or electronic verification system. Identifies payor authorization/referral requirements. Provides appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization/referral deficiencies. (20%)
Identifies all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation. Identifies self-pay and complex liability calculations and escalates account to Financial Counselors as appropriate. (20%)
Delivers positive patient experience. Cooperates with and maintains excellent working relationships with patients, AHN leadership and staff, physician offices and designated external agencies or vendors. Performs any written or verbal communication necessary to exchange information with designated contacts and promote working relationships. (10%)
Maintains focus on attaining productivity standards, recommending innovative approaches for enhancing performance and productivity when appropriate. (10%)
Adheres to AHN organizational policies and procedures for relevant location and job scope. Completes and/or attends mandatory training and education sessions within approved organizational guidelines and timeframes. (10%)
Performs other duties as assigned or required.

QUALIFICATIONS

Minimum

High school diploma or GED; or one – three months related experience and/or training; or equivalent combination of education and experience.
One previous year of related experience, preferably within a medical setting, financial services

setting, and/or a demanding customer service environment

Experience operating a PC and using software applications

Preferred

Medical terminology and obtaining insurance verifications
Call/Service Center experience

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Open on Highmark Health

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By city

Patient Access Coordinator I-Pediatric Institute-Part-time

Patient Access Coordinator I-Pediatrics-Part-time

Patient Service Specialist

Patient Service Specialist

Applying to a few of these?

Patient Service Specialist

Patient Service Representative - Clinic

Patient Access Representative II

Patient Service Representative - OB GYN Clinics

Patient Service Representative

Acute Patient Access Services Representative

Patient Access Coordinator II Registration - AHN Cancer Institute Radiation Oncology - Wexford - Full Time

Patient Access Coordinator II Registration - AHN Cancer Institute - Jefferson Hospital - Full Time

Lead Patient Services Associate - Cardiology

Patient Access Representative - RELIEF, Day - Einstein Philly ED

Patient Services Associate I - Lawndale Internal Medicine - Full-Time

Patient Services Associate II - Asplundh Cancer Pavilion

Patient Services Associate II - Orthopaedics - Bucks County - Full-Time Days

Patient Services Associate II - Pulmonary Critical Care - Abington - Full-Time Days

Patient Services Associate II - Surgery - Trauma Services - Full-Time Days

Patient Access Representative 1

Patient Service Representative - Multispecialty

Patient Access Representative II

Patient Services Representative II, Pulmonary

Acute Patient Access Services Representative Per Diem

Patient Service Representative PRN

Applying is the easy part. Keeping track is not.