A day in the life of a Patient Access Specialist for Oncology with Hackensack Meridian Health includes Obtains Referrals/Authorizations and Verifies eligibility, submits requests for prior authorizations for all oncology services as prescribed by the Clinical care team and conformance to Hackensack Meridian Oncology/Radiation standards and protocols within the network. Su

Navigate to the corresponding State License Verification website based on the state in which the provider is licensed, and search for the provider's license status using the provider's License # or name. If an exclusion is identified, the Analyst will place bills on hold and work collectively to mitigate issues. Perform reviews of Registration billing accuracy and timely

Maintains, confirms and secures referrals, authorization, or pre certifications required for patients to receive physician or medical services. Verifies the accuracy and completeness of patient account information. Maintains database of payer authorization requirements. Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicai

Greet all outpatients and visitors, determine reason for visit to the department and verify the following for scheduled appointments accuracy of identity, prescription, medical insurance, and confirm all demographic and contact information. Accurately update/change/complete any registration records information, as needed. Complete/Scan ID cards, Insurance Cards, Referral

Responsible for registration process of new and current patients at the site. Completes check in and check out functions to include collection of co pays, scheduling of appointments, and requests for medical records. Answers telephone calls and greets all patients and visitors with a smile. Must have ability to communicate with insurance carriers and discharge planners in

Responsible for registration process of new and current patients at the site. Completes check in and check out functions to include collection of co pays, scheduling of appointments, and requests for medical records. Answers telephone calls and greets all patients and visitors with a smile. Must have ability to communicate with insurance carriers and discharge planners in

Position Highlights Position Provider Relations Specialist Location Warrenville, IL Part Time Hours M F 8 30am 12 30pm Responsible for the timely credentialing and re credentialing updates of provider members in Behavioral Care Partners in accordance with requirements established by contracted Managed Care Organizations and NCQA. Under direction of Supervisor, is responsi

Northside Hospital is award winning, state of the art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. A prior authorization specialist is an individual who

Under the supervision of the Director of Compliance, the analyst will manage, develop, implement and monitor policies, procedures, processes, training, corrective action plans and overall operations to ensure compliance with federal and state laws and regulations affecting the Medical System and its Affiliates. Additionally, the Analyst will work collectively with Affilia

Under general supervision of the Claims Administration Follow up Supervisor perform all clerical duties necessary to properly process patient bills to customers taking appropriate follow up steps to obtain timely reimbursement of each 3rd party claim and ensure the financial stability of the Hospital. Responsibilities Consistently applies the corporate values of respect h

As a member of the Medicare Advantage Operations team, the Senior Medicare Advantage Enrollment Representative plays a pivotal role in processing all enrollment, disenrollment, and cancellation requests. This position requires a deep understanding of Medicare Part D programs and meticulous attention to detail to ensure accurate and timely processing. The ideal candidate w

Responsible for registration process of new and current patients at the site. Completes check in and check out functions to include collection of co pays, scheduling of appointments, and requests for medical records. Answers telephone calls and greets all patients and visitors with a smile. Must have ability to communicate with insurance carriers and discharge planners in

Northside Hospital is award winning, state of the art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Under the direction and supervision of Director of Ph

Position Highlights Position Insurance Pre Authorization Representative Location 4201 Winfield Rd, Warrenville IL Full Time 40 hours per week Hours M F, 8 00AM to 4 30PM Required Travel No What you will do Prepares referrals/FMLA/disability forms per payer criteria for designated providers ensuring timely response to requests and meets established turnaround time. Prepare

Northside Hospital is award winning, state of the art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Under the direction and supervision of Director of Ph