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Patient Identity Expert Jobs in Appleton, WI (NOW HIRING)

ThedaCare

Patient Financial Advocate

Appleton, WI · On-site

Serves as subject matter expert to providers and others regarding documentation requirements for ... identified. QUALIFICATIONS: * High School diploma or GED preferred * Must be 18 years of age ...

ThedaCare

Patient Financial Advocate

Appleton, WI · On-site

Serves as subject matter expert to providers and others regarding documentation requirements for ... identified. QUALIFICATIONS: * High School diploma or GED preferred * Must be 18 years of age ...

Neuroscience Group

Patient Access Team Lead

Appleton, WI · On-site

$23 - $28/hr

Monitor productivity, quality metrics, and operational performance while identifying opportunities ... Serving as a resource and subject matter expert for the team. Approximately 50% of this position ...

Neuroscience Group

Patient Access Team Lead

Appleton, WI · On-site

$23 - $28/hr

Monitor productivity, quality metrics, and operational performance while identifying opportunities ... Serving as a resource and subject matter expert for the team. Approximately 50% of this position ...

ThedaCare

Patient Safety Specialist - Days

Neenah, WI · On-site

... identity contributing factors to patient safety events and prioritize their impact. Thinks ... Acts as a subject matter expert and provides input and guidance on continual advancement of the ...

Tri-Imaging

Tech III - Appleton

Appleton, WI · On-site

$35K - $45K/yr

Technician III Lead hands-on imaging service as a technical expert and mentor. Appleton, WI • ... If you want meaningful, hands-on work that has a real impact on patient care, and a team that is ...

Tri-Imaging

Tech III - Appleton

Appleton, WI · On-site

$35K - $45K/yr

Technician III Lead hands-on imaging service as a technical expert and mentor. Appleton, WI • ... If you want meaningful, hands-on work that has a real impact on patient care, and a team that is ...

Tri-Imaging

Tech III - Appleton

Appleton, WI · On-site

$35K - $45K/yr

Technician III Lead hands-on imaging service as a technical expert and mentor. Appleton, WI • ... If you want meaningful, hands-on work that has a real impact on patient care, and a team that is ...

UnitedHealth Group

Specialty Pharmacist

Green Bay, WI · On-site

$91K - $163K/yr

Provide patient education and counseling, focusing on adherence, administration, side effects, and ... identity, disability, or protected veteran status, or any other characteristic protected by local ...

UnitedHealth Group

Specialty Pharmacist

Green Bay, WI · On-site

$91K - $163K/yr

Provide patient education and counseling, focusing on adherence, administration, side effects, and ... identity, disability, or protected veteran status, or any other characteristic protected by local ...

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All JobsPatient Identity Expert JobsPatient Identity Expert Jobs in Appleton, WI

Patient Identity Expert information

What is a patient identity expert?

A Patient Identity Expert is a professional who specializes in ensuring the accurate identification and matching of patient records within healthcare systems. Their work helps prevent medical errors, protects patient privacy, and improves the quality of care by making sure that each patient’s medical information is correctly attributed. These experts may work with electronic health record (EHR) systems, implement identity verification protocols, and help resolve duplicate or mismatched records. They play a crucial role in maintaining data integrity and compliance with healthcare regulations such as HIPAA.

What are some typical challenges a patient identity expert faces when managing patient records across multiple healthcare systems?

A Patient Identity Expert often encounters challenges related to duplicate records, mismatched patient information, and inconsistent data entry standards across various healthcare systems. Ensuring accurate patient identification requires close collaboration with IT, registration teams, and clinical staff to reconcile discrepancies and implement best practices. The role also involves staying up-to-date with evolving privacy regulations and using sophisticated technologies to maintain data integrity, which can be both demanding and rewarding.

What are the key skills and qualifications needed to thrive as a patient identity expert, and why are they important?

To thrive as a Patient Identity Expert, you need a strong understanding of healthcare data management, patient identification protocols, and information privacy regulations, often supported by a background in health information management or related fields. Familiarity with electronic health record (EHR) systems, master patient index (MPI) tools, and HIPAA compliance is typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for resolving complex identity discrepancies and collaborating with clinical and IT teams. These skills are vital to ensuring patient safety, data accuracy, and regulatory compliance within healthcare organizations.

What is the difference between Patient Identity Expert vs Medical Records Technician?

AspectPatient Identity ExpertMedical Records Technician
CredentialsCertifications in healthcare data management, patient privacyHealth Information Technology (HIT) certifications, coding certifications
Work EnvironmentHospitals, clinics, healthcare organizations focusing on patient data accuracyMedical record departments, health information management offices
Employer & IndustryHealthcare providers, insurance companies, patient data servicesHospitals, clinics, healthcare facilities managing medical records

The Patient Identity Expert primarily focuses on verifying and maintaining accurate patient identities to ensure data integrity, while the Medical Records Technician manages and organizes patient health records. Both roles require healthcare data knowledge but differ in their specific responsibilities and focus areas within the healthcare industry.

What are popular job titles related to Patient Identity Expert jobs in Appleton, WI?

For Patient Identity Expert jobs in Appleton, WI, the most frequently searched job titles are:

What job categories do people searching Patient Identity Expert jobs in Appleton, WI look for?

The top searched job categories for Patient Identity Expert jobs in Appleton, WI are:

What cities near Appleton, WI are hiring for Patient Identity Expert jobs?

Cities near Appleton, WI with the most Patient Identity Expert job openings:

Patient Identity Expert jobs near you
Infographic showing various Patient Identity Expert job openings in Appleton, WI as of August 2026, with employment types broken down into 2% As Needed, 80% Full Time, 9% Part Time, and 9% Contract. Highlights an 96% In-person, and 4% Remote job distribution.

Patient Financial Advocate

ThedaCare

Appleton, WI • On-site

Other

Re-posted 17 days ago

ThedaCare rating

6.6

Company rating: 6.6 out of 10

Based on 128 frontline employees who took The Breakroom Quiz

569th of 891 rated healthcare providers

Job description

Why ThedaCare?
Living A Life Inspired!
Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.
At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.
Benefits, with a whole-person approach to wellness -
  • Lifestyle Engagement
    • e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support
  • Access & Affordability
    • e.g. minimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare!
Summary :
The Patient Financial Advocate advocates for financial assistance for patient treatments and medications by providing access to drug assistance programs. Reviews orders and checks for authorization of insurance payments. Ensures appropriate medical necessity of treatments as it pertains to insurance payment. Works collaboratively with the patient, the clinical treatment team, and various departments to establish a financial plan of action that minimizes the financial liability incurred by patients while facilitating the patient's timely access to care.
Job Description:
Schedule:
Day Shift, No Weekends, No Holidays
Located in Appleton
KEY ACCOUNTABILITIES:
  • Uses knowledge of current payor requirements, medical necessity, and medical coding to request authorization to determine if services are reimbursable. Reviews daily revenue sheets and makes corrections as needed.
  • Performs pre-authorizations for services per insurance requirements. Understands services provided while utilizing NCCN guidelines to ensure accurate and timely claim submission.
  • Ensures accurate documentation of verification of benefits and authorization of services. Ensures proper documentation for Medicare and bundling compliance to achieve accuracy of patient charges and correct reimbursement for services rendered.
  • Serves as subject matter expert to providers and others regarding documentation requirements for accurate charge capture.
  • Demonstrates ability to act with sensitivity to assist and inform patients about costs of services integrated with the patient's insurance coverage and limits. Reviews patient financial/insurance considerations and collaborates with multiple providers, payors, and patient accounting as appropriate to effectively and efficiently obtain proper authorization for services.
  • Contacts and/or meets with patients to discuss pre-authorization outcomes, billing questions, denials, or concerns. Refers patients to patient accounting as appropriate.
  • Supports patients in obtaining foundation/grant money to aid in medication coverage or refers them to other financial support services when need is identified.
QUALIFICATIONS:
  • High School diploma or GED preferred
  • Must be 18 years of age
PHYSICAL DEMANDS:
  • Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance
  • Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties
WORK ENVIRONMENT:
  • Climate controlled office setting with daily movement throughout the campus
  • Interaction with department members and other healthcare providers
  • Frequent sitting with movement throughout office space
  • Use of computers throughout the work day
  • Frequent use of keyboard with repetitive motion of hands, wrists, and fingers

Scheduled Weekly Hours:
40Scheduled FTE:
1Location:
ThedaCare Regional Cancer Center - Appleton,WisconsinOvertime Exempt:
NoWorker Shift Details:
Days

What ThedaCare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About ThedaCare

Sourced by ZipRecruiter

We want to make exceptional care effortless for our patients. At ThedaCare, that means going above and beyond treating a particular condition – it means helping you achieve better health for life. You and your family are at the center of everything we do, from prioritizing your schedule when making appointments to designing our facilities for your comfort and convenience. Remaining proactive in your care allows us to better predict and prevent disease before complications arise, and when it comes to making important health-related decisions, we are here to support you. In every interaction, we want you to have full confidence the care you receive is purposeful, cost-effective and will help you continue enjoying life as you’ve planned it. ThedaCare is the third largest healthcare employer in Wisconsin, and the largest employer in Northeast Wisconsin with over 7,000 team members.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Neenah, WI, US

Year founded

1909

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