Top 946 Patient access representative Jobs in Summit, 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
Medical Receptionist/ Call Center
Chicago Cardiology Institute —Chicago, IL
- $18 - $23 an hour
- Full-time
- Bilingual
- Background check
- Clinic
- Health insurance
- Dental insurance
Quick Apply
Patient Care Coordinator
Thoms Brown Dental —Naperville, IL
- $18 - $23 an hour
- Full-time
- Dental office
- Administrative experience
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Dermatology Medical Office Front Desk Receptionist
Basko Dermatology —Naperville, IL
- From $18 an hour
- Full-time
- Background check
- Computer literacy
- Writing skills
- Free parking
- Paid training
Quick Apply
Referral Coordinator/Patient Scheduler
JenCare, A ChenMed Company —Chicago, IL
- $17.00 - $24.26 an hour
- Weekends as needed
- Background check
- CPR Certification
- Microsoft Excel
- Free parking
- Paid jury duty
Quick Apply
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 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 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 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 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
Associated Urological Specialists —Chicago Ridge, IL
- $19 - $23 an hour
- Full-time
- OSHA
- HIPAA
- High school diploma or GED
- Profit sharing
- Health savings account
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
3d
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
2d
Patient Access Representative PRN (as needed)
UChicago Medicine AdventHealth La Grange —La Grange, IL
- $16.97 - $27.15 an hour
- Evenings as needed
- Microsoft Excel
- Microsoft Outlook
- Medical office experience
Medical Receptionist/Front Desk
UrgiClinic Urgent Care —Bridgeview, IL
- From $18.50 an hour
- Part-time
- Writing skills
- In-person
- 1 year
- Health insurance
- 401(k)
Quick Apply
4d
Patient Access Representative
Insight —Chicago, IL
- $18 an hour
- Full-time
- Surgery
- Hospital
- Inventory management
- Disability insurance
- Health insurance
Quick Apply
Patient Service Representative
ESPERANZA HEALTH CENTERS —Chicago, IL
- $19 - $23 an hour
- Full-time
- Spanish
- HIPAA
- English
- Paid holidays
- Health insurance
8d
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
Saint Anthony Hospital —Chicago, IL
- $39,000 - $58,000 a year
- Full-time
- Acute care
- Spanish
- Hospital

I want to receive the latest job alert for patient access representative in summit, il

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

patient access representative jobs near summit, il

Patient Access Representative jobs in Hazel Crest, IL

Patient Access Representative jobs in Chicago, IL

Patient Access Representative jobs in Melrose Park, IL

Scheduler jobs in Palos Heights, IL

Patient Services Representative jobs in Chicago, IL

Medical Receptionist jobs in Naperville, IL

Call Center Representative jobs in Chicago, IL

Patient Care Coordinator jobs in Naperville, IL

Patient Services Representative jobs in Chicago Ridge, IL

Patient Access Representative jobs in Muskegon, MI

Patient Care Technician jobs in Staten Island, NY

Patient Access Representative jobs in Lincoln, NE

Patient Access Representative jobs in Hammond, LA

Patient Care Assistant jobs in Toledo, OH

Patient Access Representative jobs in Hialeah, FL

Umc Patient Care jobs in Lubbock, TX

Project Coordinator jobs in Schaumburg, IL

Real Estate Transaction Coordinator jobs in Tennessee

Referral Coordinator jobs in Washington State

Referral Coordinator jobs in Oklahoma City, OK

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 summit, il

Utilization Management Coordinator

Medical Receptionist/ Call Center

Patient Care Coordinator

Dermatology Medical Office Front Desk Receptionist

Referral Coordinator/Patient Scheduler

Patient Service Representative I Hospital

Patient Access Representative

Patient Access Rep I - 3p-1130p

Patient Access Representative I

Patient Service Rep I Hospital

Patient Access Rep I Sc

Patient Service Representative I

Patient Access Representative

Scheduler & Pre-Access Rep - Sleep Center Clinic

Patient Access Representative PRN (as needed)

Medical Receptionist/Front Desk

Patient Access Representative

Patient Service Representative

Patient Access Representative

PATIENT ACCESS REPRESENTATIVE

I want to receive the latest job alert for patient access representative in summit, il

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected