Acts as guidance for PAS Specialists, PAS Trainees and other staff in the areas of health care contract terms, complex patient referrals, and other managed care issues.
Responsible for managed care authorizations for all consultations, procedures, office visits and care arrangements.
Provides and assists with implementation and communication to support staff of new processes within the department, as needed.
Responsible for managed care, insurance verification and patient price estimate processes.
Supports ambulatory practices, professional services and hospital departments.
Works closely with internal and external customers to ensure patients receive optimal financial services related to their care.
Oregon Health & Science University values a diverse and culturally competent workforce. They are proud of their commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status.
Deliver high level of customer service to all internal and external customers.
Assist with scheduling over the phone, providing general clinic information regarding appointments, referrals, cancellations and symptom reporting.
Document patient calls in the EMR with excellent written and typing skills.
Oregon Health & Science University values a diverse and culturally competent workforce. They are proud of their commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status.
Triages calls, documents requests, complaints, and urgent health concerns, delivering information to providers.
Oregon Health & Science University values a diverse and culturally competent workforce. They are an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status.
Obtains authorizations from Insurance companies for scheduled tests/procedures.
Interprets patient medical records and reviews cases with the insurance nurse reviewer.
Accurately enters information into multiple computer programs and insurance websites.
CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. With six hospitals, 5 ERs, and over 80 clinics, CoxHealth has earned honors for workplace excellence and employs over 14,000 employees.
Secures prior authorizations for outpatient imaging and in-office scheduled services.
Acts as a liaison between the payer and clinic schedulers/medical support staff.
University of Utah Health enhances the health and well-being of people through patient care, research, and education. They seek staff committed to compassion, collaboration, innovation, responsibility, integrity, quality, and trust, with five hospitals and eleven clinics.
Accountable for making decisions supported by policy based on confidential financial information both from the facility and from patients to determine qualification for CICP, Charity programs, or payment arrangements.
Verify coverage and authorization for all scheduled procedures through scheduling and registration information.
Act as a liaison between the patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies.
CommonSpirit is accessible to nearly one out of every four U.S. residents. 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.