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Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors. Educates patients about patient financial liabilities, employs proper, compliant patient liability collection techniques before, during & after date of service, performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.

<h3>Job Summary</h3>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 patient liability collection techniques before, during & after date of service.ESSENTIAL DUTIES AND RESPONSIBILITIESInclude the following. Others may be assigned.<ul><li>Greeting patients following Conifer Standards of Care, provides world-class customer service, completes full patient registration at date of service, adheres to financial & cash control policies & procedures, thoroughly explains and secures Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.). Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services. May also assist with scheduling diagnostic procedures (enters data in scheduling system, provide customer with appointment instructions, other tasks as needed). </li><li>Educates patients about patient financial liabilities, employs proper, compliant patient liability collection techniques before, during & after date of service, performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.</li><li>Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors. May also assist with scheduling and coordinating post discharge care for patients.</li></ul>KNOWLEDGE, SKILLS, ABILITIESTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Minimum typing skills of 35 wpm</li><li>Demonstrated working knowledge of PC/CRT/printer</li><li>Knowledge of function and relationships within a hospital environment preferred</li><li>Customer service skills and experience </li><li>Ability to work in a fast-paced environment </li><li>Ability to receive and express detailed information through oral and written communications</li><li>Understanding of Third-Party Payor requirements preferred</li><li>Understanding of Compliance standards preferred</li><li>Must be able to perform essential job duties in at least two Patient Access service areas including Emergency Department.</li><li>Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors.</li><li>Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy. </li><li>Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care.</li></ul>Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.EDUCATION / EXPERIENCEInclude minimum education, technical training, and/or experience preferred to perform the job.<ul><li>High School Diploma or GED required.</li><li>0 – 1 year in a Customer Service role. </li><li>0 – 1 year administrative experience in medical facility, health insurance, or related area preferred</li><li>Some college coursework is preferred </li></ul>PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Must be able to sit at computer terminal for extended periods of time.</li><li>Occasionally lift/carry items weighing up to 25 lbs.</li><li>Frequent prolonged standing, sitting, and walking.</li><li>Occasionally push a wheelchair to assist patients with mobility problems.</li></ul>WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Hospital administration</li><li>Can work in patient care locations which include potential exposure to life-threatening patient conditions. </li></ul>OTHER<ul><li> Must be available to work hours and days as needed based on departmental/system demands.</li><li>Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients.</li></ul>As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.
Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. 
Tenet participates in the E-Verify program. Follow the link below for additional information. 
E-Verify: <a href="http://www.uscis.gov/e-verify" rel="nofollow noopener noreferrer" target="_blank">http://www.uscis.gov/e-verify</a> 
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

2603007599 Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Conifer Revenue Cycle Solutions

Patient Access Representative II - Mount Ascutney

Administrative Skills

CRT (Cathode Ray Tube) Displays

Centers for Medicare and Medicaid Services (CMS)

Communication Skills

Computer Terminals

Customer Support/Service

Data Entry

Demographics

Emergency Care

Emergency Services

Health Insurance

Healthcare

High School Diploma

Hospital

Hospital Administration

Information/Data Security (InfoSec)

Insurance

Leadership

Legal

Lift/Move 25 Pounds

Medical Office

Medical Records

Medical Terminology

Medical Treatment

Medicare

Negotiation Skills

Patient Care

Patient Education

Patient Registration

Physical Demands

Presentation/Verbal Skills

Printers

Quality Management

Reconciliation

Regulations

Regulatory Compliance

Standards of Care

Team Player

Tenet Healthcare Monster

COLLECTIONS: Reviews posted remittance advices from assigned insurance carrier(s) within the timeframe established by department policies and procedures, appropriately following up on and resolving any rejections or other non-payments to ensure accurate posting of balances for reimbursement, deductible, co-pay, co-ins, contractual adjustment, non-covered charges, rejected claims, and any balance-billing to the patient or guarantor as appropriate. INSURANCE BILLING: Keeps self informed of billing policies and requirements of assigned insurance carrier(s) by regularly monitoring list-servs, carrier websites, maintaining open lines of communication with provider representatives, researching problem claims, and other means of staying informed that the assigned carrier(s) makes available.

HOUR

<h2>Overview</h2>Copley Hospital, located in Morrisville/Stowe VT, is in search of a Patient Account Representative - Biller to join our team! The Patient Account Representative functions in a team environment to appropriately resolve patient accounts. The responsibilities encompass all financial aspects of the patient encounter from initial billing through final resolution of the account, while maintaining excellent customer service. The Representative specializing in insurance billing & collections is responsible for accurate and timely billing and collections of insurance claims, conducting all activities in compliance with all applicable State and Federal laws, regulations, and policies governing the provision of health care. This is a Full-Time position (PT available).  Copley Hospital has a variety of shifts available across Full-Time, Part-Time, and Per Diem needs. Please consider applying to discuss how your availability may align. Compensation: $18.50-21/hour. The posted salary range reflects compensation for candidates with limited experience. An offer may vary based on factors such as experience, education, skills, internal equity, and market data.  An offer of employment may be outside of the posted range based on those factors.<h2>Responsibilities</h2><ul><li>ACCOUNT MANAGEMENT: Extends payment arrangement offers to guarantors in accordance with department policies and procedures.</li><li>INSURANCE BILLING: Submits coded, complete, timely, and clean claims to assigned carrier(s), either electronically or on paper, on a daily basis, with accuracy and in accordance with the policies and procedures of the PFS department and the specific policies and billing guidelines of the insurance carrier. This includes appropriately working claim edits and timely resolution of claim quality issues and follow-up on missing information.</li><li>INSURANCE BILLING: Reviews late charges on a daily basis and takes appropriate action to submit corrected claims, in accordance with department policies and procedures.</li><li>INSURANCE BILLING: Reconciles claim submission index in CPSI (EBOS) to ensure that electronic claims submitted are cleared through the clearinghouse and accepted by the carrier. Follows-up timely on outstanding claim files.</li><li>INSURANCE BILLING: Takes appropriate and timely action on all correspondence related to assigned carrier(s) in accordance with the policies and procedures of the PFS department and the specific policies and billing guidelines of the insurance carrier.</li><li>COLLECTIONS: Reviews posted remittance advices from assigned insurance carrier(s) within the timeframe established by department policies and procedures, appropriately following up on and resolving any rejections or other non-payments to ensure accurate posting of balances for reimbursement, deductible, co-pay, co-ins, contractual adjustment, non-covered charges, rejected claims, and any balance-billing to the patient or guarantor as appropriate. Communicates appropriately with others within the organization to keep them informed of any non-payment or denial applicable to their area of service or responsibility.</li><li>COLLECTIONS: Follows up on outstanding insurance claims on a daily basis using the Billed but Unpaid report, as well as any priority listing of unpaid claims as assigned by the Billing & Collections Manager and or Director of Revenue Cycle.</li><li>CUSTOMER SERVICE: Responds to internal and external account inquiries in a timely manner and with the utmost professionalism and courtesy. This includes actively participating in the main line phone queue throughout the day.</li><li>OTHER RESPONSIBILITIES: Timely management of documentation in the office in accordance with department policies and procedures (ie. filing, scanning, etc.), and in compliance with privacy requirements of HIPAA, to promote an efficient work flow, ready access to necessary documents by all of the appropriate parties, and the protection of private health information.</li><li>COLLECTIONS: Reviews credit balance accounts at least weekly to identify potential overpayments and submit timely requests for recoupment or refund, in accordance with the requirements of the assigned carrier(s) and department policies and procedures. Prepares credit balance reporting timely, as required by the assigned carrier if applicable.</li><li>COLLECTIONS: Works collaboratively with others in the organization to appeal non-payments or denials of claims for services, as appropriate, and in accordance with the requirements of the assigned carrier(s). Communicates outcomes of appeals to the involved parties.</li><li>ACCOUNT MANAGEMENT: Manages insurance claim lines, collect codes, patient profile information, and electronic files in patient accounts in accordance with the policies and procedures of the PFS department and the Patient Access department.</li><li>ACCOUNT MANAGEMENT: Enters appropriate, succinct, and professional notes in patient accounts in a timely manner for ALL communications with, or regarding, patients, guarantors, or insurance carriers.</li><li>OTHER RESPONSIBILITIES: Perform all job duties with the utmost integrity and in compliance with the requirements of the assigned insurance carrier(s)’s policies and all applicable State and Federal laws, regulations, and policies governing the provision of health care. This includes maintaining a current knowledge of applicable laws, regulations, and policies, as well as communicating any known or suspected compliance concerns to the Billing & Collections Manager, Director of Revenue Cycle, and or the Compliance Officer.</li><li>OTHER RESPONSIBILITIES: Keeps the Billing & Collections Manager and or Director of Revenue Cycle informed of issues encountered in common billing edits, rejections or other non-payments, patient complaints, and any other major issues impacting customer service, cash flow, productivity, revenue integrity, or compliance.</li><li>OTHER RESPONSIBILITIES: Other duties as necessary upon the direction of the Billing & Collections Manager and or Director of Revenue Cycle.</li><li>INSURANCE BILLING: Keeps self informed of billing policies and requirements of assigned insurance carrier(s) by regularly monitoring list-servs, carrier websites, maintaining open lines of communication with provider representatives, researching problem claims, and other means of staying informed that the assigned carrier(s) makes available.</li></ul><h2>Qualifications</h2><ul><li>High School Diploma or equivalent.</li><li>Medical Terminology Course desired.</li><li>Desired health care insurance billing experience, or experience in a hospital admitting, registration, business office, or coding function.</li></ul>

Copley Hospital

Patient Account Representative - Billing

Billing

Cash Flow

Claims Management

Co-Payments

Credit Analysis

Credit and Collections

Equity Securities

Federal Laws and Regulations

Insurance Claims

Medical Billing

Medical Coding

Past Due Accounts

Policy Development

Procedure Development

Reimbursement

Sales Management

State Laws and Regulations

Time Management

Copley Health Systems Jobs

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YEAR

The Cardiac Management Solutions division of ZOLL Medical Corporation develops products to protect and manage cardiac patients, including the LifeVest® wearable cardioverter defibrillator (WCD) and associated technologies. The Cardiac Management Solutions division of ZOLL, manufacturer of the LifeVest®, is seeking a Patient Service Representative (PSR) in an independent contractor role to train patients on the use and care of LifeVest ®.

Position Title: Patient Service Representative (PSR)Remote independent contract worker positionCompetitive fee for serviceFlexibility – work around your scheduleLifesaving medical technologyThe Cardiac Management Solutions division of ZOLL Medical Corporation develops products to protect and manage cardiac patients, including the LifeVest® wearable cardioverter defibrillator (WCD) and associated technologies.Heart disease is the leading cause of death for both men and women in the U.S. At ZOLL, your services will help to ensure cardiac patients get the life-saving therapy they need. To date, the LifeVest® has been worn by hundreds of thousands of patients and saved thousands of lives.Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA, Phlebotomy, RCIS, CVT, EKG Technician, etc. All candidates reviewed on an individual basis.Summary Description:The Cardiac Management Solutions division of ZOLL, manufacturer of the LifeVest®, is seeking a Patient Service Representative (PSR) in an independent contractor role to train patients on the use and care of LifeVest ®. LifeVest®  is worn by patients at risk for sudden cardiac arrest (SCA), providing protection during their changing condition.  It is lightweight and easy to wear, allowing patients to return to their common activities of daily living, while having the peace of mind that they are protected from SCA.  This is the perfect opportunity for the health professional with patient care and teaching experience to supplement his or her income. A typical LifeVest® patient is in the hospital awaiting discharge, and the Patient Service Representative sets up the equipment and trains the patient and caregivers on the  use and care of the device. They also follow up with patients as needed to assure patient understanding and satisfaction. PSRs retain the flexibility to accept or decline assignments as their schedules dictate. Most assignments can be scheduled during free time – before/after work, and on days off.Responsibilities:<ul><li style="margin-bottom:2px;margin-left:10px">Contact caregivers and family to schedule services </li><li style="margin-bottom:2px;margin-left:10px">Willingness to accept assignments which could include daytime, evenings, and/or weekends.  </li><li style="margin-bottom:2px;margin-left:10px">Travel to patient’s homes and health care facilities <del cite="mailto:Elizabeth%20Scarborough"> </del>to provide services </li><li style="margin-right:70px;margin-bottom:2px;margin-left:10px">Train the patient and other caregivers of patient (if applicable) in the use of LifeVest® </li><li style="margin-right:70px;margin-bottom:2px;margin-left:10px">Program LifeVest® according to the prescribing physician’s orders </li><li style="margin-right:70px;margin-bottom:2px;margin-left:10px">Measure the patient and determine correct garment size </li><li style="margin-right:70px;margin-bottom:2px;margin-left:10px">Review with patient, and have patient sign, all necessary paperwork applicable to the service. </li><li style="margin-right:70px;margin-bottom:2px;margin-left:10px">Transmit signed copy of the Patient Agreement and WEAR Checklist to ZOLL within 24 hours of the assignment </li><li style="margin-right:70px;margin-bottom:2px;margin-left:10px">Manage device and garment inventory </li><li style="margin-right:70px;margin-bottom:2px;margin-left:10px">Disclose  family relationship with any potential referral source </li></ul>Qualifications:<ul><li style="margin-bottom:2px;margin-left:8px">Have 1 year patient care experience <ul style="list-style-type:circle"><li style="margin-bottom:2px;margin-left:8px">Patient experience must be in a paid professional environment (not family caregiver) </li></ul></li><li style="margin-bottom:2px;margin-left:8px">Patient experience must be documented on resume </li><li style="margin-bottom:2px;margin-left:8px">Completion of background check  <ul style="list-style-type:circle"><li style="margin-bottom:2px;margin-left:8px">Florida and Ohio candidates must complete a level 2 screening, fee not paid by ZOLL </li></ul></li><li style="margin-bottom:2px;margin-left:8px">Disclosure of personal NPI number (if applicable) </li><li style="margin-bottom:2px;margin-left:8px">Valid driver’s license and car insurance and/or valid state ID</li><li style="margin-bottom:2px;margin-left:8px">Willingness to pay a $30 annual DME fee which is deducted from a completed Work Order</li><li style="margin-bottom:2px;margin-left:8px">Willingness to pay for additional vendor credentialing (i.e. RepTrax) if needed geographically</li></ul> Powered by JazzHR

Patient Representative Jobs in Riverton, VT

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Patient Representative Jobs in Riverton, VT

Patient Access Representative II - Mount Ascutney Conifer Revenue Cycle Solutions

Patient Account Representative - Billing Copley Hospital

Patient Service Representative ZOLL LifeVest

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