Top 27 Prior authorization Jobs in Bluffton Sc

Patient Access Representative II - Radiology M-F Days
Conifer Revenue Cycle Solutions —Hilton Head Island, SC
- Full-time
- Medical office experience
- Mid-level
- Administrative experience
12d
Patient Access Liaison - KRYSTEXXA - Macon, GA - Rare Disease
Amgen —Savannah, GA
- $158,394 - $222,256 a year
- Weekends as needed
- Nursing
- Doctoral degree
- Up to 50% travel
- Disability insurance
- Health insurance
4d
Pre-Arrival CSS Specialist
Beaufort Memorial Hospital —Beaufort, SC
- Full-time
- Hospital
- Mid-level
RN-Sign on Bonus
SouthCoast Health —Savannah, GA
- From $36 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Health savings account
- Disability insurance
Quick Apply
Triage Nurse- LPN or RN
Savannah Neurology Specialists —Savannah, GA
- From $25.92 an hour
- Full-time
- Background check
- Nursing
- RN License
- Health savings account
- Health insurance
Quick Apply
CSS Specialist
Beaufort Memorial Hospital —Beaufort, SC
- Full-time
- Hospital
- Mid-level
2d
Office Coordinator
St. Joseph's/Candler —Savannah, GA
- Full-time
- Entry level
Patient Access Representative II - Wed-Sat Nights
Conifer Revenue Cycle Solutions —Hilton Head Island, SC
- Full-time
- Medical office experience
- Mid-level
- Administrative experience
4d
Medicaid Eligibility Advocate
Memorial University Medical Center —Savannah, GA
- Full-time
- Reliable transportation
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Clerical Coordinator
St. Joseph's/Candler —Savannah, GA
- Multiple hires
- HIPAA
- Associate's degree
- Medical terminology
Medical Referral Coordinator
Sullivan Group HR —Savannah, GA
- Full-time
- Anatomy knowledge
- Microsoft Excel
- Microsoft Outlook
- Profit sharing
- Disability insurance
Quick Apply
13d
Client Services Supervisor
BriteLife Recovery —Hilton Head Island, SC
- Full-time
- Computer literacy
- Mid-level
- 3 years
- Paid holidays
- Disability insurance
Quick Apply
Medical Assistant - Top Plastic Surgery Clinic
Pinnacle Plastic Surgery —Bluffton, SC
- $18 - $22 an hour
- Full-time
- Surgery
- OSHA
- Ability to walk for extended periods
- Health insurance
- Paid time off
Quick Apply
Practice Representative
Georgia Eye Institute of the Southeast LLC —Savannah, GA
- HIPAA
- High school diploma or GED
- Clinic
Quick Apply
Medical Office Specialist
Sullivan Group HR —Savannah, GA
- Full-time
- Anatomy knowledge
- Oracle
- Microsoft Outlook
- Disability insurance
- Health insurance
Quick Apply
13d
Psych Residential Treatment Facility- INTAKE COORDINATOR
Coastal Harbor Treatment Center —Savannah, GA
- Full-time
- Word processing
- Inpatient
- Mid-level
- Health insurance
- Dental insurance
OR Surgical Coordinator
Sullivan Group HR —Savannah, GA
- Full-time
- Surgery
- Medical office experience
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
13d
Customer Service Representative
QUIPT HOME MEDICAL INC —Savannah, GA
- Microsoft Excel
- High school diploma or GED
- Typing
- Paid holidays
- Disability insurance
Quick Apply
3d
Clinic Triage LPN/MA
Savannah Vascular Institute —Savannah, GA
- Full-time
- Surgery
- BLS Certification
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Medical Assistant
St. Joseph's/Candler —Savannah, GA
- Full-time
- BLS Certification
- Clinic
- Associate's degree

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Patient Access Representative II - Radiology M-F Days

Conifer Revenue Cycle Solutions -
Hilton Head Island, SC

Apply Now

Job Details

Full-time
12 days ago

Qualifications

Computer operation
Customer communication
Debt collection
Client rapport building
High school diploma or GED
Individual consumer customer service
Typing
Medical terminology
Medical debt collection accounts
Cross-functional communication

Full Job Description

Job Summary

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 RESPONSIBILITIES

Include the following. Others may be assigned.

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).

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.

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.

KNOWLEDGE, SKILLS, ABILITIES

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.

Minimum typing skills of 35 wpm
Demonstrated working knowledge of PC/CRT/printer
Knowledge of function and relationships within a hospital environment preferred
Customer service skills and experience
Ability to work in a fast paced environment
Ability to receive and express detailed information through oral and written communications
Understanding of Third Party Payor requirements preferred
Understanding of Compliance standards preferred
Must be able to perform essential job duties in at least two Patient Access service areas including Emergency Department.
Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors.
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.
Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care.

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 / EXPERIENCE

Include minimum education, technical training, and/or experience preferred to perform the job.

High School Diploma or GED required.
0 – 1 year in a Customer Service role.
0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
Some college coursework is preferred

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.

Must be able to sit at computer terminal for extended periods of time.
Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients.
Occasionally lift/carry items weighing up to 25 lbs.
Frequent prolonged standing, sitting, and walking.
Occasionally push a wheelchair to assist patients with mobility problems.

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.

Hospital administration
Can work in patient care locations which include potential exposure to life-threatening patient conditions.

OTHER

Must be available to work hours and days as needed based on departmental/system demands.

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: http://www.uscis.gov/e-verify
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

2603015501

Apply Now

Refine Your Search

prior authorization jobs in bluffton sc

Patient Access Representative II - Radiology M-F Days

Patient Access Liaison - KRYSTEXXA - Macon, GA - Rare Disease

Pre-Arrival CSS Specialist

RN-Sign on Bonus

Triage Nurse- LPN or RN

CSS Specialist

Office Coordinator

Patient Access Representative II - Wed-Sat Nights

Medicaid Eligibility Advocate

Clerical Coordinator

Medical Referral Coordinator

Client Services Supervisor

Medical Assistant - Top Plastic Surgery Clinic

Practice Representative

Medical Office Specialist

Psych Residential Treatment Facility- INTAKE COORDINATOR

OR Surgical Coordinator

Customer Service Representative

Clinic Triage LPN/MA

Medical Assistant

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