4 jobs found in Napa, CA

At NorthBay Health, the Patient Services Representative II performs general front office duties of moderate scope and complexity including reception, registration, appointment scheduling, insurance verification and medical records management functions. The Patient Services Representative II exercises judgment within defined guidelines and functions as part of a clerical and customer service team in support of Ambulatory Division medical practices.                                                                                                                  PRIMARY JOB DUTIES  Performs independently all of Level 1, in addition but not limited to the following:...

At NorthBay Health, the Managed Care Analyst is responsible for supporting provider enrollment, contracting and contract performance initiatives. The position is responsible for supporting process improvement for all managed care activities as well as overseeing the implementation and on-going support of the Experian and EPIC contract management applications.   PRIMARY JOB DUTIES Serves as a resource in credentialing standards for NCQA, CMS, Medi-Cal, medical group affiliates and health plans.  Monitors current regulations and enrollment guidelines for payers of all current and future healthcare services.  Proficient in PECOS, PAVE, CAQH, Better Doctors, MD-Staff and other credentialing and enrollment software and websites, and other tools required to enroll, credential and terminate providers. Supports, as needed, enrollment activities and tracks progress toward established timelines. Coordinates the contract...

At NorthBay Health, the Surgery Scheduler functions as a member of the clinic patient care team. Performs duties and orchestrates complex logistics required to schedule patient tests, pre-op/post-op visits, and complex surgical procedures. Responsible for scheduling and coordinating all aspects of the surgical procedure, including patient preferences, maintains close communication with the Operating Room Scheduler, Same Day Center Staff and assures all payer requirements are met prior to scheduling the actual surgery.   Responsible to secure accurate patient demographics, authorizations and payer information in a timely manner to ensure patient care is not delayed. Verifies and documents eligibility and benefits for patient’s specific payers. Ensures appropriate documentation is in the patient’s Electronic Health Record (EHR). Schedules patient procedures as appropriate, and coordinates transfer of necessary records. Reviews and...

At NorthBay Health, the Patient Services Representative II performs general front office duties of moderate scope and complexity including reception, registration, appointment scheduling, insurance verification and medical records management functions. The Patient Services Representative II exercises judgment within defined guidelines and functions as part of a clerical and customer service team in support of Ambulatory Division medical practices.   PRIMARY JOB DUTIES   Performs independently all of Level 1, in addition but not limited to the following:   Registration and Charge Entry         Gathers, updates and verifies a comprehensive package of registration and insurance/payer information and ensures accurate entry into the EMR.  Provides information to patients regarding the selection process of a care provider, assists in determining insurance eligibility, co-payments, share of...