Top 890 Patient access representative Jobs in Riverside, 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
United Dental Partners —Chicago, IL
- $18 - $20 an hour
- Part-time
- Background check
- Spanish
- Dental office
- Disability insurance
- Health insurance
Quick Apply
Access Center Coordinator
Nephrology Associates of Northern Illinois and Indiana —Addison, IL
- $20 - $25 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Quick Apply
Patient Service Coordinator
ORTHOPEDIC ASSOCIATES S.C. —Arlington Heights, IL
- From $20 an hour
- Full-time
- Bilingual
- Microsoft Excel
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Referral Specialist (Chicago)
Premier Home Health Care Services, Inc. —Chicago, IL
- From $20 an hour
- Full-time
- Medical office experience
- HIPAA
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
9d
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 Access Representative
UChicago Medicine AdventHealth La Grange —La Grange, IL
- $16.97 - $27.15 an hour
- Part-time
- CPR Certification
- Microsoft Excel
- Microsoft Outlook
- Paid parental leave
- Disability insurance
Patient Access Representative
Shriners Hospitals for Children —Chicago, IL
- $19.97 - $29.95 an hour
- Full-time
- 18 years or older
- Microsoft Excel
- Mid-level
Quick Apply
4d
Patient Access Representative
Loyola Medicine —Melrose Park, IL
- $16.50 - $24.44 an hour
- Part-time
- HIPAA
- High school diploma or GED
- Communication skills
- Opportunities for advancement
Patient Access Representative I
Endeavor Health —Chicago, IL
- $19.89 - $28.84 an hour
- Part-time
- Anatomy knowledge
- Computer literacy
- Inpatient
- Free parking
- Wellness program
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
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 Service Representative (PSR) - Clinic
Advocate Aurora Health —Park Ridge, IL
- $19.80 - $29.70 an hour
- 8 hour shift
- High school diploma or GED
- Clinic
- 1 year
11d
Patient Access Representative I
Loyola Medicine —Melrose Park, IL
- $16.50 - $24.44 an hour
- Weekends as needed
- Spanish
- HIPAA
- High school diploma or GED
- Tuition reimbursement
- Benefits from day one
Patient Service Representative - OBGYN
Endeavor Health —Elmhurst, IL
- $18.38 - $26.65 an hour
- Full-time
- Spanish
- Computer literacy
- High school diploma or GED
- Free parking
- Wellness program
5d
Patient Access Representative
Insight —Chicago, IL
- $18 an hour
- Full-time
- Surgery
- Hospital
- Inventory management
- Disability insurance
- Health insurance
Quick Apply
Medical Records Receptionist
Cantata Adult Life Services —Brookfield, IL
- $18 - $22 an hour
- Full-time
- HIPAA
- High school diploma or GED
- Organizational skills
Quick Apply
PATIENT ACCESS REPRESENTATIVE
Saint Anthony Hospital —Chicago, IL
- $39,000 - $58,000 a year
- Full-time
- Acute care
- Spanish
- Hospital
Patient Access Partner I
Loyola Medicine —Berwyn, IL
- $15.76 - $22.11 an hour
- Full-time
- High school diploma or GED
- 1 year
- Communication skills
- Tuition reimbursement
- Benefits from day one
10d
Part-Time Patient Intake Coordinator
Clear Choice —Downers Grove, IL
- $20 - $22 an hour
- Part-time
- Dental office
- Computer literacy
- Office
- Paid holidays
- Health insurance
Quick Apply
5d

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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 riverside, il

Utilization Management Coordinator

Dental Front Desk

Access Center Coordinator

Patient Service Coordinator

Referral Specialist (Chicago)

Patient Service Representative I Hospital

Patient Access Representative

Patient Access Representative

Patient Access Representative

Patient Access Representative I

Patient Access Rep I - 3p-1130p

Patient Service Rep I Hospital

Patient Service Representative (PSR) - Clinic

Patient Access Representative I

Patient Service Representative - OBGYN

Patient Access Representative

Medical Records Receptionist

PATIENT ACCESS REPRESENTATIVE

Patient Access Partner I

Part-Time Patient Intake Coordinator

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