Top 13 Prior authorization Jobs in Lewes, De

Patient Access Specialist I
Bayhealth —Milford, DE
- $17.40 - $26.10 an hour
- Evening shift
- Hospital
- Customer service
- High school diploma or GED
- 403(b) matching
- Paid holidays
Senior Specialist, Patient Access
Ensemble RCM LLC —Lewes, DE
- $18.65 - $19.90 an hour
- Full-time
- Management
- Customer service
- Mid-level
- Tuition reimbursement
Patient Representative
Mid-Atlantic Family Practice —Lewes, DE
- $17 - $20 an hour
- Full-time
- Background check
- Customer service
- Medical office experience
- Health insurance
- Dental insurance
Quick Apply
7d
Medical Receptionist - Georgetown
Nutrihealth LLC —Georgetown, DE
- From $20 an hour
- Full-time
- Vital signs
- Computer literacy
- HIPAA
- Mileage reimbursement
- Paid holidays
Quick Apply
Medical Assistant/Receptionist - Millsboro DE/ Float
Nutrihealth LLC —Millsboro, DE
- $20 - $22 an hour
- Full-time
- Vital signs
- Computer literacy
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
2d
Medical Assistant / Medical Receptionist
NutriHealth Weight Loss —Millsboro, DE
- From $20 an hour
- Full-time
- Vital signs
- Computer literacy
- BLS Certification
- Paid holidays
- Health insurance
Quick Apply
2d
Manager, Patient Advocacy
Atlas Health —United States
- $57,000 - $77,000 a year
- Full-time
- Remote
- Up to 50% travel
- Travel
- Senior level
Quick Apply
1d

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Specialist I, Patient Access
Ensemble RCM LLC —Millville, DE
We offer structured career paths, paid professional certifications, tuition reimbursement and mentorship opportunities to help you advance.
6d
Senior Specialist, Patient Access
Ensemble RCM LLC —Lewes, DE
Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable. Each associate will earn a professional certification…
$18.65 - $19.90 an hour

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Insurance Verification and Prior Auth Specialist
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Responds to patient calls about how out of network insurance is handled and provide patient with letter explaining this if necessary.
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Patient Access Specialist I

Bayhealth -
Milford, DE

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Job Details

$17.40 - $26.10 an hour

Benefits

403(b) matching
Paid holidays
Disability insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Customer communication
Customer service
High school diploma or GED

Full Job Description

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?

Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader with hospitals in Dover and Milford, a s well as stand -alone Emergency Department in Smyrna and a hybrid E mergency Department and Urgent Care in Milton . We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore . Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!

Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:

Generous Paid Time Off and Paid Holidays
Matching 401(k)/403(b) Plans
Excellent Health, Dental, and Vision
Disability and Life Insurance options
On Site Child Care
Educational Reimbursement
Health Care and Dependent Care Flex Spending Accounts
Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Location: 800 N Dupont Blvd

Status: Relief 0 Hours

Shift: Day/ Evening

SALARY RANGE: 17.40 - 26.10 HOURLY

General Summary:

Under the supervision of the Patient Access, Supervisor and Team Lead, the Patient Access Specialist I (PAS I) performs complete and accurate registration and admissions functions to provide information for continuity of care and revenue cycle efficiency. The PAS I is an entry level position with the responsibility to obtain and verify demographic, insurance, and eligibility information during the registration process including point of service payments. Provides payment estimates for out-of-pocket costs. In this role the PAS I is assigned to one department/location.

The PAS I must demonstrate competence in each essential duty to become eligible for the PAS II position. A minimum of one-year patient registration experience in the assigned department is required for consideration for PAS II.

Responsibilities:

1. Customer Service; meets the needs of the patient/ patient representative by using clear and respectful communication while obtaining necessary information.
2. Timely and precise completion of each registration, following all department processes and procedures. Must verify that all demographic and insurance information is accurate; utilizes Epic, payer websites or telephone for insurance verification. Obtain current copies of insurance cards and photo identification. Secures patient signatures for required forms.
3. Enter data related to procedures, tests, and diagnoses (when applicable). Determines the need for medical necessity and follows the advanced beneficiary notice process when appropriate based on pre-established guidelines.
4. Obtains and verify the accuracy of physician orders for tests and procedures to minimize risk to hospital reimbursement.
5. Identify the patient using two factor identification. Complies with EMTALA regulation when creating the quick registration account (when applicable).
6. Ensure authorizations (pre-certifications, prior authorization, referrals) are obtained prior to service, as applicable. Notify supervisor of any insurance authorization issues.
7. As appropriate, completes Medicare Secondary Payer questionnaire without errors to support compliance with CMS policies.
8. Perform point of service collections: Responsible for meeting monthly collection goals, having financial conversations with patients as it relates to their co-payments, deductibles, co-insurance, deposit amounts and outstanding balances. Documents payments/actions in the EHR and provides the patient with a payment estimate (when applicable). Follows cash drawer balancing procedures, as appropriate, reconciles payments against deposit totals.
9. Review and resolve account errors in assigned work queues.
10. Maintain qualitative and quantitative individual and team performance targets.
11. Responds to disaster and mass casualty situations in a calm and appropriate fashion. Maintains and understands the emergency management processes and procedures specific to that unit.
12. Adheres to department and system policies. Interact with co-workers, visitors, and other staff consistent with the Bayhealth values.
13. Scheduling (as applicable) – may need to schedule appointments, following procedures and protocols. Assist patients with referral needs in obtaining additional appointments with specialists, and insurance approval authorization for additional visits.
14. Patient flow (as applicable) - maintain efficient patient flow in the registration and check-in process. Accurately complete reception duties in accordance with policies.
15. All other duties as assigned within the scope and range of job responsibilities.

Required Education, Credential(s) and Experience:

Education: High School Diploma or GED
;
;
Credential(s): None Required
;
Experience:
Required: One (1) year in a customer service role.

Preferred: Experience in healthcare or medical office environment. Knowledge of medical terminology.

Preferred Education, Credential(s) and Experience:

Education: Associate Degree
Associate Degree
Business Administration
Related field
Credential(s):
Experience:

To view a full list of all open position at Bayhealth, please visit:

https://apply.bayhealth.org/join/

Apply Now

Refine Your Search

prior authorization jobs in lewes, de

Patient Access Specialist I

Senior Specialist, Patient Access

Patient Representative

Medical Receptionist - Georgetown

Medical Assistant/Receptionist - Millsboro DE/ Float

Medical Assistant / Medical Receptionist

Manager, Patient Advocacy

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