Top 483 Patient access representative Jobs in Hazel Crest Il

Utilization Management Coordinator
Riveredge Hospital —Forest Park, IL
- $30 - $46 an hour
- Full-time
- Writing skills
- Medical office experience
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
2d
Dental Front Desk Coordinator
My Care Dental —Tinley Park, IL
- $24 - $30 an hour
- Part-time
- Dental office
- Customer service
- Microsoft Office
- Free parking
- Dental insurance
Quick Apply
Care Coordination Specialist - Home Health Care (Chicago)
Premier Home Health Care Services, Inc. —Chicago, IL
- $20 an hour
- Full-time
- Bilingual
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
9d
Front Office Clerk/Receptionist
MIDTOWN DENTAL —Chicago Heights, IL
- $19 - $21 an hour
- Full-time
- Spanish
- Customer service
- Office
- Dental insurance
Quick Apply
Patient Access Rep I Sc
Advocate Aurora Health —Hazel Crest, IL
- $20.80 - $31.20 an hour
- Full-time
- CPR Certification
- Computer literacy
- BLS Certification
3d
Patient Service Representative I Hospital
Advocate Aurora Health —Oak Lawn, IL
- $20.80 - $31.20 an hour
- Part-time
- CPR Certification
- Hospital
- Computer literacy
8d
Patient Service Representative I
Associated Urological Specialists —Homewood, IL
- $19 - $23 an hour
- Full-time
- OSHA
- HIPAA
- High school diploma or GED
- Profit sharing
- Health savings account
10d
Patient Service Rep I Hospital
Advocate Aurora Health —Chicago, IL
- $20.80 - $31.20 an hour
- Part-time
- CPR Certification
- Hospital
- Computer literacy
2d
Patient Access Rep I - 3p-1130p
Advocate Aurora Health —Chicago, IL
- $20.80 - $31.20 an hour
- Full-time
- CPR Certification
- Computer literacy
- BLS Certification
2d
Admission Representative Clerk
SCA Health —Tinley Park, IL
- $16.88 - $25.00 an hour
- Full-time
- Computer literacy
- HIPAA
- High school diploma or GED
- Disability insurance
- Health insurance
12d
Patient Service Representative
Duly Health and Care —Tinley Park, IL
- $15.10 - $22.70 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Ability to walk for extended periods
- Disability insurance
- Health insurance
Quick Apply
Scheduler & Pre-Access Rep - Sleep Center Clinic
Advocate Aurora Health —Palos Heights, IL
- $20.80 - $31.20 an hour
- Weekends as needed
- Computer literacy
- Writing skills
- Basic math
3d
Patient Svcs Rep (PSR) - Primary Care Clinic (Orland Park)
Advocate Aurora Health —Orland Park, IL
- $19.80 - $29.70 an hour
- Full-time
- Internal Medicine
- Primary Care
- High school diploma or GED
10d
Patient Access Specialist
Northwestern Memorial Healthcare —Palos Heights, IL
- $18.40 - $27.59 an hour
- Full-time
- Background check
- Hospital
- Computer literacy
- Tuition reimbursement
- 401(k) matching
Quick Apply
Front Desk Coordinator
FACE2FACE MAXILLOFACIAL SURGERY CENTRE —Homewood, IL
- $24 - $26 an hour
- Dental office
- Mid-level
- Administrative experience
Patient Service Rep
Duly Health and Care —Orland Park, IL
- $15.10 - $22.70 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Ability to walk for extended periods
- Disability insurance
- Health insurance
Quick Apply
11d
Patient Service Representative
ALLERGY PARTNERS —Orland Park, IL
- $20 - $24 an hour
- Email
- Bilingual
- Word processing
- HIPAA
- Health savings account
- Paid holidays
Quick Apply
Unit Secretary - Med Surg, Full-Time, Evening
UChicago Medicine —Harvey, IL
- Full-time
- Microsoft Word
- Microsoft Excel
- Computer literacy
9d
Patient Care Coordinator
Great Lakes Dental Partners —Matteson, IL
- $20 - $25 an hour
- Full-time
- Dental office
- Organizational skills
- 1 year
- Paid parental leave
- Paid holidays
Quick Apply
Patient Service Representative - Call Center
Chicago Family Health Center —Chicago, IL
- From $17.30 an hour
- Full-time
- Computer literacy
- HIPAA
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
3d

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Utilization Management Coordinator

Riveredge Hospital -
Forest Park, IL

Quick Apply

Job Details

Full-time
$30 - $46 an hour
2 days ago

Benefits

Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance

Qualifications

Appeals
Writing skills
Medical office experience
CMS
Regulatory compliance
HIPAA
CMS regulatory compliance
Supervising experience
Bachelor's degree
Team management
Utilization management
Resource utilization in healthcare
Organizational skills
Medicaid regulations
Health information management
Healthcare reimbursement methods
JCAHO
Medical terminology

Full Job Description

Company Overview

Riveredge Hospital is a dedicated behavioral healthcare facility serving children, adolescents, young adults, and adults in the Chicago area. Our interdisciplinary team of professionals is committed to providing compassionate, high-quality mental health services in a supportive environment.

Overview

We are seeking a detail-oriented and proactive Utilization Management Coordinator to join our team. This vital role involves coordinating the review and approval of patient care services, ensuring compliance with healthcare policies, and facilitating effective communication between clinical staff, insurance providers, and patients. The ideal candidate will possess strong medical office experience, knowledge of health insurance policies, and familiarity with medical coding and electronic health records management.

Duties

Review and evaluate medical records and clinical documentation to determine medical necessity for services using established criteria such as CPT (Current Procedural Terminology), ICD-9, and ICD-10 codes.
Coordinate with healthcare providers to obtain additional information or clarification needed for utilization review processes.
Ensure all documentation complies with HIPAA (Health Insurance Portability and Accountability Act) regulations to maintain patient confidentiality and privacy.
Verify insurance coverage, benefits, and authorization requirements for various health plans, including managed care organizations.
Maintain accurate electronic health records (EHR) by documenting review outcomes, correspondence, and authorization statuses efficiently within the system.
Collaborate with clinical teams to facilitate timely approvals for patient care plans while adhering to clinical confidentiality policies.
Stay current on evolving health insurance policies, coding updates, and regulatory requirements affecting utilization management procedures.

Skills

Proven experience working in a medical office environment or healthcare setting with a focus on utilization review or case coordination.
Strong understanding of HIPAA regulations and the importance of maintaining strict confidentiality of medical records.
Proficiency in CPT coding, ICD-9/ICD-10 coding systems, and ICD coding standards for accurate documentation.
Knowledge of managed care processes, health insurance policies, and insurance verification procedures.
Experience with electronic health record (EHR) or electronic medical record (EMR) systems for documentation management.
Familiarity with medical terminology and clinical confidentiality policies essential for effective communication within healthcare teams.
Ability to multitask efficiently in a fast-paced environment while maintaining attention to detail.

Requirements:

Must have a Bachelor’s degree, Master’s degree preferred.
Must have an appropriate background in the mental health field to organize and achieve quality performance with a focus on securing reimbursement for the organization.
Possess an in depth knowledge of funding sources and government reimbursement protocols.
A minimum of 2-3 years supervisory experience.
Thoroughly understands the management of UM data obtained from admission, concurrent reviews and appeals utilizing the Severity of Illness/Intensity of Service Criteria.
Has knowledge of JC, CMS, Illinois Mental Health Code Act, and all other relevant state and federal regulatory standards.
Possesses strong verbal and written communication skills.

Join our dedicated team as a Utilization Management Coordinator and contribute to delivering efficient, compliant, and patient-centered behavioral healthcare services!

Pay: $30.00 - $46.00 per hour

Benefits:

Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Paid time off
Tuition reimbursement
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

patient access representative jobs in hazel crest il

Utilization Management Coordinator

Dental Front Desk Coordinator

Care Coordination Specialist - Home Health Care (Chicago)

Front Office Clerk/Receptionist

Patient Access Rep I Sc

Patient Service Representative I Hospital

Patient Service Representative I

Patient Service Rep I Hospital

Patient Access Rep I - 3p-1130p

Admission Representative Clerk

Patient Service Representative

Scheduler & Pre-Access Rep - Sleep Center Clinic

Patient Svcs Rep (PSR) - Primary Care Clinic (Orland Park)

Patient Access Specialist

Front Desk Coordinator

Patient Service Rep

Patient Service Representative

Unit Secretary - Med Surg, Full-Time, Evening

Patient Care Coordinator

Patient Service Representative - Call Center

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