rate with the use of the contract management tool for proper pricing (Examples: APC, DRG, APRDRG). -Reviews and initiates the initial appeal for underpayments observing all timely requirements to secure reimbursement due to Hoag. -Reviews and completes payor and/or patient correspondence in a timely manner.
Escalates to the payor and/or patient accounts that need to be appealed due to improper billing, coding and/or underpayments. -Reports new/unknown billing edits to direct supervisor for review and resolution. -Has a strong understanding of the Revenue Cycle processes, from Patient Access (authorizations admissions) through Patient Financial Services (billing & collections), including
procedures and policies. -Has thorough knowledge of managed care contracts, current payor rates, understanding of terms and conditions, as well as Federal and State requirements.
Requirements: -Must have high volume medical collections experience, and experience using EPIC. -One year of previous hospital business experience, or equivalent required or strong background in customer service. -Basic experience with insurance plans, hospital reimbursement methodology, and/or ICD10 and CPT coding. -High School Diploma or equivalent required. Note: This job description is intended to provide a general overview of the position. Other duties may be assigned as needed.
applications with regards to new and old clients that are willing to purchase from our companies. i. Salary/wages payment: $350 weekly. ii. No upfront payments. iii. You are not include in any sales. iv. This position is 100% secure this job is not online scam job or money laundry.
v. All payment sent from our customers to you will be monitor by security agents and all transactions will be tracked down. Kindly reply to this Email if you are interested in taking up the opportunity & knowing more about the Job.
paperwork, scanning paperwork, determining payer source, collection of fees/receipts and donations, collection of IDs, phone answering, and scheduling. Must provide excellent customer service in a non-judgmental, empathetic manner. Schedule: 4/10 work week which includes one weekend day.
At PPOSBC, we understand the importance of a well-rounded benefits program and are dedicated to providing you with unique benefits that meet the needs of you and your family. We are proud to offer a range of plans that help protect you in the case of illness or injury including: A competitive benefits package including medical, dental, and vision coverage for you and eligible dependents, life insurance,
and long term disability. Benefits coverage starts after one full month of employment! Generous vacation, sick, and holiday benefits! Generous 401(k) matching contributions and more!
To view our detailed benefits guide, please visit our career site at www. pposbccareers. org Responsibilities To 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. Adhere to agency’s policies, procedures and protocols. This may include successfully
completing agency, regional and/or state certification requirements.
Adhere to affiliate goals and policies on professionalism, wait time in-clinic and on the system for addressing client complaints. Participate in health center efforts to achieve established goals for productivity. Participate in health center/affiliate efforts to achieve established revenue cycle goals. Perform the following functions: + Greet patients, answer phones, refer calls, schedule appointments + Prepare charts, check for completeness, errors, signature and appropriate assembly + Input and update computer patient data information accurately. + Maintain patient records + backss client finances, which may include verifying insurance, health plan authorization, Medi-Cal cards with picture ID, collecting fees per agency guidelines, complete appropriate forms and obtain signatures per agency policy.
+ Collect donations and patient satisfaction surveys per agency guidelines. + Complete related financial/statistical paperwork for clients. + Monitor clinic flow. + Schedule appointments for family planning including but not limited to contraceptives and abortion services. + Perform clerical and administrative duties, as required by manager. Qualifications High school diploma or other education plus experience required.
1-3 years of continued job experience required. Healthcare or general receptionist experience required. Bilingual Spanish required. Some positions require bilingual skills (reading, writing, and speaking). If required, candidate will be tested for proficiency prior to offer. All employees are required to be fully vaccinated and received a booster for COVID-19 unless a reasonable accommodation is approved for a medical/disability or religious exemption. Planned Parenthood/Orange and San Bernardino Counties is an equal opportunity employer.
Applicants will receive consideration for employment without regard to race, color, ancestry, national origin, religion, creed, equal pay, age, disability, interaction, gender, interactionual orientation, gender identity, gender expression, medical condition, genetic information, marital status, military, veteran status or any other federal or state protected class. We are committed to building and maintaining an inclusive workplace that values diversity, equity, and inclusion.
Accurately gathers, verifies, and enters patient data into the appropriate system and documents all call information according to standardized procedures. Essential Functions • Communicates effectively with clients and medical professionals, presenting a positive impression of the organization.
Answer questions and offer other information, as requested, to provide patient-focused service. • Supports phone center with high volume calls averaging 13,000+ calls per month. • Answers telephone calls promptly and politely. Schedules appointments and performs verification according to provider rules and guidelines, documenting service requests. Document all call information according to standard
operating procedures. • Coordinates scheduling among multiple parties, including patients, physicians, and facilities to accommodate preferences and urgency.
Schedules clients serving multiple medical offices, taking into consideration client location, facility capabilities, insurance requirements, and type of exam. • Assist with patient reminder calls as requested and make, and reschedule appointments when necessary. Educate patients on office policy related to appointments • Schedule the proper appointment type (location, time, provider, office location). Obtains proper approval for schedule changes or cancellations as appropriate. • Respond to patient portal appointment requests. Manage
individual scheduling buckets, including patient cases, portal requests, return-to-office orders, and follow-up on missed/canceled appointments.
• Obtains and confirms pertinent billing and demographic information and accurately enters the patient and insurance information into the EHR system. • Works closely with Staff and Physicians and outside Physician offices and Pharmacies to ensure accuracy. • Provide assistance with mailings and other projects as call volume permits. • Clinical Care: Ensure that quality patient care is delivered to all patients on a 24-hour basis, and that the unit is maintained in accordance with professional and regulatory standards and the philosophy and goals of Hoag.
• Perform other duties as assigned. Education, Training, and Experience Required: High school diploma or equivalent required 1+ years of previous patient scheduling, call center, or reception experience Basic knowledge of health care terminology Knowledge of Microsoft Office and personal computers Skills or Other Qualifications Required: · Excellent customer service skills · Skill in working with Microsoft Outlook and EMR Systems · Good problem-solving, interpersonal, communication, and organizational skills · Ability to work in a " call center" environment: work quickly and multi-task.
· Ability to handle confidential and sensitive information · Ability to work in high volume/fast-paced environment · Ability to learn basic computer programs and processes
