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Parts - Service Logistics Specialist
6 days ago
Ingersoll Machine Tools Inc Rockford, United States**Position**: · - Parts & Service Logistics Specialist · **Reporting**: · - Sr. Manager of Operations · **Department**: · - Service · **Summary**: · - To support the Customer Service and Spare Parts department by providing professional and timely responses to our internal and ext ...
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Service Support Specialist
4 days ago
SCI Shared Resources, LLC Machesney Park, United StatesOur associates celebrate lives. We celebrate our associates. · Consider the possibilities of joining a Great Place to Work · This role provides exemplary customer service in all areas of helping client families following the loss of a loved one. A sense of urgency, empathy, atten ...
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health service specialist
1 week ago
Rosecrance Rockford, IL, United StatesOur job is hope. · Join a purpose-driven community of champions. · As a float Health Service Specialist, staff would serve both the crisis residential population at Rosecrance Mulberry Center and the outpatient behavioral health population at the Ware Center. Staff would work clo ...
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Customer Service Specialist
5 days ago
Rock River Valley Blood Center Rockford, United States Full timeAre you looking to put your excellent customer service skills to work in a fun, friendly environment where you're able to make a difference within our community and help save lives? Then we want to talk with you · The Rock River Valley Blood Center is currently hiring a Customer ...
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Health Service Specialist
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Services Specialist
1 week ago
GE Aerospace Loves Park, United States**Job Description Summary** · The Customer Order & Fulfillment Specialist will process orders and administer customer contracts, exhibiting superior customer service. In the role, you will serve as an interface between the Rockford site and the assigned customers globally. · The ...
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Services Specialist
4 days ago
GE Aerospace Loves Park, United StatesJob Description SummaryThe Customer Order & Fulfillment Specialist will process orders and administer customer contracts, exhibiting superior customer service. In the role, you will serve as an interface between the Rockford site and the assigned customers globally.The Customer O ...
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Services Specialist
5 days ago
GE Aerospace Loves Park, United StatesJob Description Summary · The Customer Order & Fulfillment Specialist will process orders and administer customer contracts, exhibiting superior customer service. In the role, you will serve as an interface between the Rockford site and the assigned customers globally. · The Cu ...
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Health Service Specialist
1 day ago
Rosecrance Rockford, United StatesOur job is hope.Join a purpose-driven community of champions.This position qualifies for a $2,000 sign-on bonus that is paid out within your first 9 months Position Purpose:This is an entry level clinical position working in the addiction field.Directly supervise behavioral healt ...
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Services Specialist
1 week ago
GE Aviation Loves Park, United StatesJob Description SummaryThe Customer Order & Fulfillment Specialist will process orders and administer customer contracts, exhibiting superior customer service. In the role, you will serve as an interface between the Rockford site and the assigned customers globally.The Customer O ...
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Services Specialist
5 days ago
GE Aviation Loves Park, United StatesJob Description Summary · The Customer Order & Fulfillment Specialist will process orders and administer customer contracts, exhibiting superior customer service. In the role, you will serve as an interface between the Rockford site and the assigned customers globally. · The Cu ...
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Health Service Specialist
4 days ago
Rosecrance Rockford, United StatesOur job is hope. · Join a purpose-driven community of champions. · This position qualifies for a $2,000 sign-on bonus that is paid out within your first 9 months · Position Purpose: · This is an entry level clinical position working in the addiction field. Directly supervise beh ...
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Health Service Specialist
1 week ago
Rosecrance Rockford, United StatesCheck out our new competitive pay rates including a $2,000 Sign - on Bonus paid out within the first 9 months —because your talents deserve more · Our job is hope. · Join a purpose-driven community of champions. · Position Purpose: Directly supervise behavioral health clients. ...
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Health Service Specialist
3 days ago
Rosecrance Rockford, United StatesLet's change lives together. · Join a purpose-driven community of champions. · $2,000 sign on bonus paid out within your first 9 months · Position Purpose: · This is an entry level clinical position working in the addiction field. Directly supervise addicted clients. Provide co ...
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Health Service Specialist
1 week ago
Rosecrance Rockford, United StatesLet's change lives together. Join a purpose-driven community of champions.$2,000 sign on bonus paid out within your first 9 monthsPosition Purpose:This is an entry level clinical position working in the addiction field. Directly supervise addicted clients. Provide continuity of p ...
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Health Service Specialist
1 day ago
Rosecrance Rockford, United StatesCheck out our new competitive pay rates including a $2,000 bonus paid out within the first 9 months—because your talents deserve more · Our job is hope. · Join a purpose-driven community of champions. · Position Purpose: Directly supervise behavioral health clients. Provide co ...
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Health Service Specialist
15 hours ago
Rosecrance Inc. Rockford, United StatesJob Description · Job DescriptionOur job is hope. · Join a purpose-driven community of champions. · This position qualifies for a $2,000 sign-on bonus that is paid out within your first 9 months · Position Purpose: · This is an entry level clinical position working in the addict ...
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Customer Service Specialist
4 days ago
Rock River Valley Blood Center Rockford, United States Full timeJob Description · Job DescriptionAre you looking to put your excellent customer service skills to work in a fun, friendly environment where you're able to make a difference within our community and help save lives? Then we want to talk with you · The Rock River Valley Blood Cent ...
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Health Service Specialist
14 hours ago
Rosecrance Inc. Rockford, United StatesJob Description · Job DescriptionThis position qualifies for a $2,000 sign-on bonus that is paid out within your first 9 months · Step into a brighter future with the compensation you deserve—now offering higher pay rates · Our job is hope. · Join a purpose-driven community of c ...
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Health Service Specialist
14 hours ago
Rosecrance Inc. Rockford, United StatesJob Description · Job DescriptionCheck out our new competitive pay rates including a $2,000 Sign - on Bonus paid out within the first 9 months —because your talents deserve more · Our job is hope. · Join a purpose-driven community of champions. · Position Purpose: Directly superv ...
Pre-Cert: Access Services Specialist - Rockford, United States - UW Health in Northern Illinois
Description
POSITION SUMMARY:
The Access Service Specialist is responsible for verifying and updating insurance, patient demographics, determining prior authorization requirements, obtaining referrals for outpatient and inpatient services, benefit counseling, estimates and collection.
The position is accountable for multiple electronic work queues in performing their duties.The incumbent works with internal and external customers, including patients, families, third party payers, clinical staff, and review organizations to accomplish their objectives.
This position represents UW Health Northern Illinois and the Revenue Cycle team by adhering and upholding the UW Health Respect for people commitments and UW Health Service Excellence Standards of Behavior in providing the highest quality service to our customers.
They will be friendly, knowledgeable, flexible, and reliable. They will listen to, anticipate, recognize, and satisfy our customer's needs.We will improve our Access Service process while ensuring the highest level of satisfaction, keeping our promises and commitments, and demonstrating our commitment through respect, knowledge, responsiveness, and courtesy.
They will support their co-workers, engage in positive interactions, demonstrate friendliness by smiling and making eye contact when greeting all customers, provide helpful assistance in anticipating and responding to the needs of our customers and staying calm under pressure to deal effectively with difficult people.
EDUCATION/TRAINING:
High school diploma or GED preferred.
At least 2 years' experience in the healthcare or related field with emphasis on insurance prior authorization and referral processes preferred.
LICENSURE/CERTIFICATION:
N/AEXPERIENCE/SKILLS/
ABILITIES:
Must be detail oriented and accurate.
Ability to use good judgments in highly emotional and demanding situationsAbility to react to frequent changes in duties and volume of work Excellent oral and written communication skills and strong patient interviewing techniques by telephone or in personAbility to comprehensively and accurately capture patient demographic, insurance information, detail-orientedAbility to manage multiple tasks with ease and efficiencySelf-starter with a willingness to try new ideasAbility to work independently with minimal supervision and be result orientedPositive, can-do attitude coupled with a sense of urgencyEffective interpersonal skills, including the ability to promote teamworkStrong problem solving skillsAbility to ensure a high level of customer satisfaction including employees, patients, visitors, referring physicians and external stakeholders Ability to use various computer applications including EPIC and MS OfficeBasic math skills and knowledge of general accounting principlesMaintains confidentiality of sensitive informationBroad knowledge of health care business office practices and principlesSolid understanding of coordination of benefits regulationsKnowledge of medical and insurance terminology, CPT, ICD coding structuresKnowledge of Business Office policies and proceduresKnowledge of local, state and federal healthcare regulationsSecuring ValuablesAbility to type 35 words per minute preferred.
ESSENTIAL FUNCTIONS:
Via telephone or in person, determine the guarantor, collect patient demographic and billing or insurance information and verify coverage via RTE or other methods in a courteous and professional manner.
Determines the appropriate payer plans and files orders to drive insurance proration and discounts to ensure accurate and timely reimbursement.
Contacts insurance companies to obtain benefit information and requirements related to pre-certification, pre-existing condition clauses, referral requirements and enter benefit and pre-certification information into Health Link.
Answer and educate patient, medical staff and other appropriate SwedishAmerican Health System personnel regarding prior authorization and referral processes. Maintain awareness that some questions may be sensitive issues with the patient and approach them accordingly. Identify patient insurance priority.Develop and maintain knowledge of insurance plans, contractual relationships, and insurance mergers and acquisitions. Maintain thorough knowledge of payer/plan master files to ensure that the correct payers/plans are attached to the patient.
Provides clinical documentation to insurance companies to support medical necessity of scheduled services.
Review pre-certification, referral information, and co-payment requirements and inform patient or physician office of such requirements, as applicable.
Obtains a financial statement and financial responsibility form as necessaryCollects deductibles and prepayments as required.
Refers patients with limited insurance or high financial liability to a Financial Counselor, and refers patients to the Government Program Coordinator to determine if referral to alternate funding sources is appropriate.
Work claim edits/work queues associated with registration errors.Researches and appeals payment denials, as appropriate.
Our Commitment to Diversity, Equity, and InclusionUW Health is committed to being a diverse, inclusive and anti-racist workplace and is an Equal Employment Opportunity, Affirmative Action employer.
Our integrity shines through in patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day.
Applications from Black, Indigenous and People of Color (BIPOC) individuals, LGBTQ+ and non-binary identities, women, persons with disabilities, military service members and veterans are strongly encouraged.
EOE, including disability/veterans.
