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Patient Access Coordinator at Elevate Patient Financial Solutions – St. Louis, Missouri

Elevate Patient Financial Solutions
St. Louis, Missouri, 63103, United States
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About This Position

Elevate Patient Financial Solutions has an exciting career opportunity available as a Patient Access Coordinator. This remote position requires the individual to live within a 1-hour radius of St. Louis, MO. The Full-Time schedule for this role will be Monday to Friday 8:00 AM to 5:00 PM CST.
Role Summary:
This position is responsible for accurately performing the Schedule functions for physicians and patients, including but not limited to insurance verification and pre-certification for all scheduled services at an HCA Facility. Makes and receives phone calls with intent of scheduling services at an HCA facility. This position must demonstrate a commitment of quality customer service to patients, physicians, co-workers and the general public.
Role Responsibilities:
Insurance Authorization/Verification
  • Thoroughly completes the insurance verification process to ensure the accuracy of insurance information.
  • Obtains insurance authorizations, referral, and treatment consults as needed for all scheduled patients prior to receiving services.
  • Coordinates peer-to-peer reviews as needed between the physician and the insurance company.
  • Obtains benefit coverage from insurance companies and accurately enters information into the appropriate computer system.
  • Obtains diagnosis information and/or CPT code from the physician/office or the outpatient department, as necessary for completing the insurance authorization process.
  • Maintains proficiency in the various systems utilized during insurance verification and authorization process including various on-line payor eligibility programs.
  • Monitors appropriate work lists to ensure timely insurance verification processing.
  • Maintains documentation necessary for compliance with state, federal, and other regulatory agency requirements.
  • Maintains proficiency in the various systems utilized during insurance verification and authorization process including various on-line payor eligibility programs.
Scheduling
  • Makes outbound and receives inbound calls to schedule patients for imaging services at an HCA facility.
  • Schedules and documents notes in hospital and company operating system
  • Provide patient prep instructions for the services scheduled
  • Works with hospital staff to ensure patients are scheduled timely, appropriately and receive the upmost customer service
Clerical
  • Monitors and manages the e-mail inbox or fax machine for assigned practices throughout the day.
  • Works any requests e-mailed or faxes received
  • Checks and responds to voicemails
  • Creates, maintains and monitors log of patients and procedures scheduled for assigned physician practices.
  • Monitors appropriate work lists to ensure timely insurance verification processing.
Additional Responsibilities:
  • Effectively communicates operational activities and issues with co-workers, Supervisor, and Manager.
  • Interfaces courteously and effectively with internal and external customers. Must consistently present a positive departmental and organizational image, as well as commitment to departmental goals, objectives, standards, policies and procedures.
  • Demonstrates proficiency within assigned area of responsibility and a general understanding of the entire Patient Access process.
  • Identifies and recommends process improvements for the Schedule+ Program.
  • Performs other duties as assigned by the Patient Access Management Team.
Role Requirements:
  • Excellent customer service or client relations experience; office or hospital environment
  • High volume call center experience preferred
  • High school diploma or equivalent GED required
  • Associates degree in a related field or a minimum of two years in patient scheduling, registration and/or healthcare billing
  • Strong Literacy (grammar, spelling, math)
  • Strong Microsoft Products, word, excel, outlook, windows
Benefits
ElevatePFS believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset! We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families.
  • Medical, Dental & Vision Insurance
  • 401K (100% match for the first 3% & 50% match for the next 2%)
  • 15 days of PTO
  • 7 paid Holidays
  • 2 Floating holidays
  • 1 Elevate Day (floating holiday)
  • Pet Insurance
  • Employee referral bonus program
  • Teamwork: We believe in teamwork and having fun together
  • Career Growth: Gain great experience to promote to higher roles
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage.
The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

ElevatePFS is an Equal Opportunity Employer

Job Location

St. Louis, Missouri, 63103, United States
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Job Location

This job is located in the St. Louis, Missouri, 63103, United States region.

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