Patient Access Representative III Job at Baptist Health (Florida) (Jacksonville)

Patient Access Representative III

As a Patient Access Representative, you will manage administrative duties for th...

Location

United States , Houston

Salary:

20.46 - 28.90 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

High School Diploma/GED
Two (2) years of related experience
Extended knowledge of HMO’s, PPO’s, Commercial/Governmental payers and System/Entity specific hospital contracts with Third Party payers
Extended knowledge of HIPPA and EMTALA

Job Responsibility

Obtains detailed patient insurance benefit information
Discusses benefits and other financial issues with patients and/or family members during initial evaluation
Advises patients on insurance and billing issues and options
Serves as a resource for patients and their family members on financial matters
Coordinates all necessary payer authorizations
Consistently monitors and updates information regarding insurance data, physicians, authorizations and managed care contracting
Assists patients and their families with questions concerning insurance and other financial issues

What we offer

medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Fulltime

Outpatient Access Representative III

Coordinates activities of Outpatient Access employees. Acts as a resource to sta...

Location

United States of America , Rochester

Salary:

18.71 - 25.27 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma and 2 years' experience in an administrative capacity or customer service field required
Medical terminology experience required
Demonstrated customer relations skills preferred

Job Responsibility

Coordinates activities of Outpatient Access employees
Acts as a resource to staff performing those functions in a clinic setting
Monitors and ensures that all functions are completed in an accurate, efficient, and customer friendly manner
Coordinates all staff training activities
Assists clinic leadership through various aspects of operational support
Performs duties of Outpatient Access as required by departmental needs
Sets the standard for customer service, accuracy, and efficiency in the Outpatient Access work areas
May take on one or more specialized functions, as assigned, including Human Resources, Prior Authorizations, Referral Coordinator, or Direct Provider Support
Identifies, implements and monitors operational changes to improve clinic functioning
Updates and creates new policies and procedures

Fulltime

Outpatient Access Representative III

Coordinates activities of Outpatient Access employees. Acts as a resource to sta...

Location

United States of America , Rochester

Salary:

19.08 - 25.77 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma and 2 years' experience in an administrative capacity or customer service field required
Medical terminology experience required
Demonstrated customer relations skills preferred

Job Responsibility

Coordinates activities of Outpatient Access employees
Acts as a resource to staff performing functions in a clinic setting
Monitors and ensures all functions are completed accurately, efficiently, and in a customer friendly manner
Coordinates all staff training activities
Assists clinic leadership through various aspects of operational support
May assist with lead duties such as personnel related matters, including performance evaluations
May be the front office eRecord superuser
Assist with workflow design and implementation
Serve as the front office expert supporting referral coordination, prior authorizations
Be assigned as main provider support

Fulltime

Pharmacy Access Representative III - Specialty Pharmacy

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

21.71 - 29.31 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Associate’s degrees in a Medical, Secretarial, or related field and 4 years of relevant experience required
Capable of working independently with minimum supervision required
Strong communication skills, problem-solving abilities, and professional presentation required
Demonstrated customer relations skills required
Ability to multi-task, manage many details with accuracy, work under pressure, and maintain a professional attitude required
Completed ASHP-accredited training program or equivalent experience as a pharmacy technician preferred
Certification from a nationally accredited pharmacy technician certification program (Currently PTCB) and maintain ongoing education requirements preferred

Job Responsibility

Manages medication coordination and removal of barriers that prevent patients from receiving their medications
Communicates with the prescriber’s office to acquire necessary information to submit prescriptions to the patient’s insurance for approval including prior authorization
Helps enroll patients in financial assistance programs and arrange timely delivery of the medication
Facilitates communication between the patient, pharmacist, insurance, and staff to ensure coordinated care
Maintains expertise on all potential patient assistance programs (PAP), grants, foundations, and coupons relevant to the high-cost drugs prescribed in their assigned area(s)
Analyzes patients that are receiving high-cost medications for potential participation in PAPs
Coordinates with the patient and/or family to obtain necessary information
Enrolls patients in PAPs
Submits all required documentation to the PAP throughout the duration of treatment
Understands and manages the payment process specific to each PAP

Fulltime

Pharmacy Access Representative III

Manages medication coordination and removal of barriers that prevent patients fr...

Location

United States of America , Rochester

Salary:

21.71 - 29.31 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Associate's degree in a Medical, Secretarial or related field and 4 years of relevant experience required
Or equivalent combination of education and experience
Capable of working independently with minimum supervision required
Strong communication skills, problem-solving abilities, and professional presentation required
Demonstrated customer relations skills required
Ability to multi-task, manage many details with accuracy, work under pressure, and maintain a professional attitude required
Completed ASHP-accredited training program or equivalent experience as a pharmacy technician upon hire preferred
Certification from a nationally accredited pharmacy technician certification program (Currently PTCB) and maintain ongoing education requirements upon hire preferred

Job Responsibility

Manages medication coordination and removal of barriers that prevent patients from receiving their medications
Communicates with the prescriber's office to acquire necessary information to submit prescriptions to the patient's insurance for approval including prior authorization, and helps enroll patients in financial assistance programs and arrange timely delivery of the medication
Facilitates communication between the patient, pharmacist, insurance, and staff to ensure coordinated care
Maintains expertise on all potential patient assistance programs (PAP), grants, foundations, and coupons relevant to the high-cost drugs prescribed in their assigned area(s)
Analyzes patients that are receiving high-cost medications for potential participation in PAPs, and identifies the best options for the patient given their overall circumstances
Coordinates with the patient and/or family to obtain necessary information, including income information and other personal details, as well as to present PAP options to the patient/family when there are multiple options
Enrolls patients in PAPs using the needed permission and information, follows up to determine the status of the application, and ensures proper documentation of this process
Submits all required documentation to the PAP throughout the duration of treatment to verify that payment for each prescription refill is still active
Understands and manages the payment process specific to each PAP, and ensures that payments are properly accounted for the correct patient and correct patient encounter
Meets or discusses with the patient and/or family the status of PAP eligibility on an as-needed basis if coverage changes during treatment duration

Fulltime

Physician Support Rep III

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School Diploma required
Minimum of 2 years of relevant experience required
or an equivalent combination of education and experience
Medical Terminology, experiences with surgical/appointment scheduling software (such as Flowcast), and electronic medical records, preferred
Demonstrated customer relations skills

Job Responsibility

Performs complex secretarial and administrative duties, in a fast-paced environment with minimal direction and considerable latitude for independent judgment in support of the Pulmonary Clinic
Serves as primary contact for providers, manages calendar when applicable, manages providers clinic schedule based on provider templates and preferences for the Pulmonary Procedure Team
Reviews the clinical schedules on a continuous basis to identify for optimizing the time and effort of the providers
Anticipates needs of insurance companies by gathering all necessary information for referrals and prior authorizations
Researches patient medical record for information requested by physicians, insurance companies and attorneys
Edits and completes incoming form requests for provider signature
Manages and edits provider procedure calendars
Receives incoming patient telephone calls for attending (s), fellow (s) and nurse practitioner(s) via eRecord or Access Center transfer call, managing and/or resolving various scheduling/coordination issues and answering questions as needed
Reviews electronic chart work queues, in baskets and pools for continual management and triaging
Schedules outgoing referral requests, which are time sensitive

Fulltime

New

Social Worker – Fostering - Family and Friends Team

Are you passionate about working with Family and Friends Carers and improving th...

Location

United Kingdom , Aylesbury

Salary:

40109.00 - 47629.00 GBP / Year

Buckinghamshire Council

Expiration Date

July 20, 2026

Requirements

Social work qualification
Active SWE registration
Completed ASYE
Working knowledge of legislation and guidance which applies to family and friends work
Experience of working in looked after children or with foster carers
Knowledge of research, inquiries and recent studies affecting this sector of service and an ability to monitor its application in practice
Strong written communication skills
Minimum of 2 years post qualifying experience
Experience and competence in working with the courts and providing written and verbal evidence

Job Responsibility

Deliver targeted and specialist social work services in the area of Kinship Care
Clarify eligibility and undertake statutory social work assessments
Promote the safety and well-being of children and young people
Assess and support prospective Family and Friends carers in line with Fostering Regulations and court proceedings
Hold a manageable caseload of SG and Reg24 assessments
Provide carer support
Work within statutory guidelines and fostering regulations
Assist with duty with opportunities to deliver training, run support groups and be involved in the organisation of carer events
Support the development and growth of the service

What we offer

Market premium of £2,750 per annum for Grade 7
Golden Hello payment after one years service (£1,000 for Grade 6, £2,125 for Grade 7)
Competitive salary with a market increment
Annual leave up to 30 days per year
Opportunity to buy further leave
Up to 15 days per year training, learning and development offer
Free parking across all office sites
Relocation packages available
Generous employer pension contribution
Discounts on Cafés, restaurants and shops

Fulltime

New

Spanish Speaking Caregiver

Join Our Team as a Caregiver in Lake Ariel, PA! *Earn Up to $14hr + Extra Cash T...

Location

United States , Lake Ariel

Salary:

14.00 USD / Hour

CareGivers America

Expiration Date

Until further notice

Requirements

Must be willing to work in Lake Ariel
Fluent in English, bilingual English/Spanish preferred
Availability to work Wednesday, Thursday, Saturday, and Sunday 6am-6pm
Reliable transportation required
Must be able to travel up to 25 miles to client locations

Job Responsibility

Bring comfort and companionship to clients in their homes
Help with daily care like bathing, dressing, toileting, and meals
Keep living spaces clean, safe, and welcoming
Offer medication reminders and support healthy routines
Communicate concerns and escalate safety issues as needed
Be a friendly face and a steady presence

What we offer

Paid Orientation
Weekly Pay
Flexible Schedules
Earn up to $375 for referring a friend
Caregiver Rewards Program
Premium Holiday Pay
Paid Time Off + Benefits including medical, dental, vision, and retirement
Free Employee Assistance Program
Discount Perks
Career Growth

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Patient Access Representative III

Job Description

Job Responsibility

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