Patient Access Data Integrity Specialist I - Jackson, United States - Healthier Mississippi People (HMP)

Healthier Mississippi People (HMP) Jackson, United States

1 week ago

Description

Job Description

Job DescriptionDescription:

Job Description: To perform timely and accurate patient throughput functions such as financial screening including utilizing systems and other means to verify eligibility, benefits, and medical necessity, obtaining prior authorization, calculating and collecting co-pays and other out-of-pocket- amounts

due from patients, register and schedule patients, checking patients in and out, and generally ensuring data requirements for patient

demographics, insurance coverage and financial clearance are met with a high degree of reliability and the Master Patient Index is properly

maintained at all times. Ensures financial success for University of Mississippi Medical Center through diligent approach to work, attention to

detail, and highly reliable data collection and recording.

Basic knowledge of patient throughput workflows and regulations. Proficient in revenue cycle healthcare systems. Ability to maintain

confidentiality. Intellectual capacity to understand and analyze complex payer guidelines and proper patient access regulations.

Demonstrated analytical skills to discover root cause of errors and properly correct. Good verbal and written communication skills. Maintains

professional standards. Effective organizational skills. Basic computer skills, including but not limited to proficiency in Microsoft Word and

Excel, and basic data entry.

Knowledge, Skills and Abilities

Basic knowledge of medical terminology
Basic knowledge of revenue cycle functions
Ability to pay attention to detail
Ability to maintain a professional appearance and attitude
Ability to read, write, type, and follow oral and written directions
Ability to work independently to effectively and efficiently perform assigned duties
Good interpersonal communication and organizational skills, and proven ability to work effectively with others

Responsibilities

Duties may include but are not limited to core revenue cycle patient throughput functions such as data entry, registration,
scheduling, prior authorization, benefits screening, real time eligibility verification, collections from patients for out-of-pocket
amounts, and medical necessity checks. Maintains strict confidentiality and adheres to all HIPAA guidelines and regulations.
Maintains strict confidentiality and adheres to all HIPAA guidelines and regulations.
Focuses daily on complying with policies, processes and department guidelines for assigned revenue cycle duties.
Responsible for assigning accurate medical record numbers, completing medical necessity/compliance checks, providing
proper patient instructions, collecting and properly entering insurance information, collecting payments from patients, and
maintaining the integrity of the patient demographics in the system.
Has a basic understanding of payer guidelines, legal and compliance requirements related to patient access; is
knowledgeable and proficient with payer websites and other useful resources pertaining to revenue cycle functions.
Works assigned reports, work-lists, and patient accounts.
Collaborates with management and co-workers in an open and positive manner.
Contributes to a positive working environment
Performs any other assigned duties since the duties listed are general in nature and are examples of the duties and
responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time

Environmental and Physical Demands:

Requires occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold,

occasional handling or working with potentially dangerous equipment, occasional working hours beyond regularly scheduled hours,

occasional travelling to offsite locations, no activities subject to significant volume changes of a seasonal/clinical nature, occasional work

produced is subject to precise measures of quantity and quality, occasional bending, occasional lifting/carrying up to 10 pounds, occasional

lifting/carrying up to 25 pounds, occasional lifting/carrying up to 50 pounds, occasional lifting/carrying up to 75 pounds, occasional

lifting/carrying up to100 pounds, no lifting/carrying 100 pounds or more, no climbing, no crawling, occasional crouching/stooping, occasional

driving, occasional kneeling,occasional pushing/pulling, frequent reaching, frequent sitting,frequent standing,occasional twisting, and

frequent walking. (Occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more)

Requirements:

Education and Experience: High school diploma or GED required. One (1) or more years of Admissions, Patient Registration, Scheduling, Insurance Verification, Pre-Registration, Collections, Prior Authorizations, Payor Authorizations, Call Center, customer service, or data entry, or healthcare experience,

with a proven track record of accomplishing high quality work in a professional manner. Experience in healthcare, hospital, medical clinic or

health insurance environment preferred.

Certifications, Licenses or Registration Required: N/A

Integration Specialist

2 weeks ago

Relativity Jackson, United States

Company Overview: · At Relativity Space, we have two audacious goals: to build the next great commercial launch company with Terran R and to become America's leading force in additive manufacturing innovation. Both contribute to our long-term vision of creating humanity's indust ...
Health Systems Integration Specialist

2 weeks ago

Blue Cross and Blue Shield of Mississippi Flowood, United States

Healthy Careers Start Here · At Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast-paced atmosphere. Our 'be healthy' culture promotes health and wellness at all levels of the Company, and we provide our employees with the time, t ...
Patient Access Data Integrity Specialist I

4 weeks ago

Healthier Mississippi People Jackson, United States

Job Description: To perform timely and accurate patient throughput functions such as financial screening including utilizing systems and other means to verify eligibility, benefits, and medical necessity, obtaining prior authorization, calculating and collecting co-pays and other ...
Patient Access Data Integrity Specialist II

1 week ago

Healthier Mississippi People (HMP) Jackson, United States

Job Description · Job DescriptionDescription:Job Description: To perform timely and accurate patient throughput functions such as financial screening including utilizing systems and other means to verify eligibility, benefits, and medical necessity, obtaining prior authorization, ...
Patient Access Data Integrity Specialist III

3 weeks ago

Healthier Mississippi People Jackson, United States

Job Description: To perform timely and accurate patient throughput functions such as financial screening including utilizing systems and other means to verify eligibility, benefits, and medical necessity, obtaining prior authorization, calculating and collecting co-pays and other ...
Patient Access Data Integrity Specialist III

1 week ago

Healthier Mississippi People (HMP) Jackson, United States

Job Description · Job DescriptionDescription:Job Description: To perform timely and accurate patient throughput functions such as financial screening including utilizing systems and other means to verify eligibility, benefits, and medical necessity, obtaining prior authorization, ...
International Accountant

2 weeks ago

Antech Diagnostics Belgium, United States

Job Requirements · **Our Company**: · Mars Science & Diagnostics is a division of Mars Petcare, a diverse business dedicated to one purpose: A Better World for Pets. Science & Diagnostics brings together the power of leading pet health science with expertise across diagnostics, d ...
Wood Management Pre Assessor- Central Valley

3 weeks ago

MGE Jackson, United States

Welcome to Mountain G. Enterprises, Inc. (MGE) Professional Services, where opportunities abound At MGE, our mission is to be an industry leader. Through the power of our integrated teams, MGE provides safe, innovative, and environmentally responsible solutions for today and tomo ...
Marienstift, Schweinfurt is looking for nursing assistants for the night shift."

3 days ago

Eclipse Enterprises Jackson, United States

We are looking for a nursing assistant (m/f/d) for Marienstift in Schweinfurt · Starting as soon as possible · Part-time position for 12 hours/week · Working hours from 8:00 pm to 6:00 am · Inflation compensation bonus* · About Us: · Our Marienstift in Schweinfurt offers a home t ...
IT-Support / First-Level Support - IT-Service Bank (m/f/d), Mainz

3 days ago

Skyline Innovations Rankin, United States

Rankin is growing our IT support team and we are looking for a new team member to act as the first point of contact and internal IT service provider for our employees. · Your responsibilities will include: · ✓ Being the first point of contact for all incoming phone and written in ...
Audio Visual Technician

1 week ago

NWN Carousel Mississippi, United States

The Senior Field Specialist – with a commitment to the customer experience, will be responsible for installing and troubleshooting audio visual installations within a team environment. This role requires an individual with high exposure to complex Audio Visual systems and their i ...
Clinical Wound Specialist

2 days ago

Rehab America Careers Jackson, United States Permanent, Full time

The Clinical Wound Specialist will serve as an expert clinician and consultant for wound prevention and in all aspects of wound management. This position will operate as an educator, a resource and as a partner in the delivery of expert care in collaboration with the interprofess ...
Medical Specialist I- Baton Rouge, LA, New Orleans, LA or Jackson, MS

6 days ago

BioSpace Jackson, United States

Job Details · Medical Specialist, Gastroenterology (MS) · The Medical Specialist (Sales Representative), Gastroenterology (MS) will report to the District Manager, Gastroenterology, and be responsible for engaging Gastroenterologists and other key customers within an assigned geo ...
Respiratory Sales Specialist, Jackson, MS

3 weeks ago

Verona Pharma PLC Jackson, United States

Respiratory Sales Specialist, Jackson, MS (Jackson, MS\/Memphis, TN)", "description": "Respiratory Sales Specialist, Jackson, MS (Jackson, MS\/Memphis, TN) · The Company: · Our mission is to improve the health and quality of life for the millions of people affected by chronic res ...
Design Engineer

1 week ago

ektello Jackson, United States

Vehicle Configuration Design Engineer - Seating Properties · Specific Responsibilities of this Position · About Strategic Vehicle Integration (SVI) and Vehicle Configuration: · Vehicle Configuration is a team of about 55 experts within Strategic Vehicle Integration that effect ...
Allergy Territory Account Specialist

2 weeks ago

Novartis AG Jackson, United States

About the Role · This is a field-based and remote opportunity. · Novartis is more than an organization. It is a thriving community where talented people can truly belong. Working closely and collaboratively, we achieve a collective impact that is far greater than any of us could ...
Senior Design Engineer

6 days ago

Kforce Jackson, United States

Responsibilities · Kforce has a client that is seeking a Senior Design Engineer - Seating in Warren, MI. Vehicle Configuration Design Engineer - Seating Properties: This role is combined of two roles on the Vehicle configuration team; Seating Property Math Creation Specialist & ...
Information Technology Support Specialist

4 weeks ago

United States Courts Jackson, United States

Job Details for Information Technology Support Specialist · Court Name/Organization: · Mississippi Southern Probation and Pretrial Services · Overview of the Position: · The Information Technology Support Specialist will work as an integral member of the IT Department team and ...
Local CDL A or B Driver

1 week ago

SRS Distribution Inc. Jackson, MS, United States

Local CDL A or CDL B Driver · We are committed to the personal and professional growth of our team members and we show this by having a clear path of advancement for our Drivers with on-the-job and web-based training for you to move up as a Driver or other positions within the br ...
Senior Telecommunications Specialist

3 weeks ago

BRAVURA CORPORATION Jackson, United States

Role : Senior Telecommunications Specialist · Location : Joint Base Andrews, MD · Education/Certifications : MA/MS (desired) · Years of Experience : 10+ · Clearance · Level & Investigation : Secret · IA Cert Level (DoD : · IAM II or III · Job · Description : · Responsib ...