Reimbursement Representative is responsible for reviewing Accounts Receivable credit balances and recommending refunds where appropriate and submitting adjustments as necessary. The Reimbursement Representative reviews insurance company requests for refunds and determines their validity and handles accordingly. Also, assists with posting adjustments submitted by other units.
JOB REQUIREMENTS
Minimum Education
* High School Diploma
Minimum Work Experience
* 2 years of experience in insurance, billing, or collections
Required Licenses/Certifications
Required Skills, Knowledge, and Abilities
* Knowledge of medical practices, terminology, and reimbursement policies.
* Knowledge of managing medical and administrative staff.
* Skill in planning, organizing, delegating, and supervising.
* Skill in evaluating the effectiveness of existing methods and procedures.
* Skill in problem solving.
* Skill in verbal and written communication.
* Ability to read, interpret and apply policies and procedures.
* Ability to set priorities among multiple requests.
* Ability to interact with patients, medical and administrative staff, and the public effectively.
$28k-34k yearly est. 48d ago
Looking for a job?
Let Zippia find it for you.
Homecare Homebase Support Representative
Ambercare 4.1
Frisco, TX jobs
The HCHB Support Representative is responsible for handling software support calls and tickets initiated by Addus Home Health, Hospice, and Private Duty, and Personal Care branches. The role will also assist in training during acquisition integration projects as well as testing hot fixes and system upgrades HCHB releases. Must have recent Homecare Homebase Software experience.
Schedule: Remote Role / Monday - Friday 8am to 5pm.
>> We offer our team the best
Medical, Dental and Vision Benefits
Continued Education
PTO Plan
Retirement Planning
Life Insurance
Employee discounts
Essential Duties:
Managing a service desk (ServiceNow) ticket queue which includes triaging incoming requests, managing escalations to Addus team members, building out new worker login profiles, device buildout, user errors, and assisting branches in clearing claims or preventing ineligible claims.
Consult with HCHB's Customer Experience team as needed to provide solutions to HCHB errors.
Submit and follow up on HCHB Support Tickets.
Assist in project tasks related to new agency acquisitions.
Communicate with branches via phone, email, and live chat in a timely fashion to identify and resolve reported issues.
Identifying trending issues and providing thorough research and documentation of findings.
Effectively provide consultation and education on the appropriate use of all products within the HCHB Suite.
Ability to take assigned projects to successful completion.
The role may also include training staff during HCHB rollouts, assisting in HCHB quarterly release testing, assist in audit reviews, and develop and conduct training programs to support team members on HCHB applications.
Position Requirements & Competencies:
High school diploma or GED equivalent, some college preferred.
No less than 2 years of recent HCHB software experience.
Excellent written and oral communication skills.
Excellent customer service skills.
Computer proficiency required: including intermediate level knowledge in Microsoft Suite.
Ability to analyze and interpret situations to complete tasks or duties assigned.
Detail oriented, strong organizational skills.
Team players who are passionate about their work and will actively contribute to a positive and collaborative environment.
Quick learners with strong problem solving and creative thinking abilities.
Driven individuals who remain engaged in their own professional growth.
Ability to Travel:
Heavy travel (varies and may exceed 50%) is required during acquisition phases.
Some travel may be required on weekends or evenings.
Addus provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
To apply via text, text 9930 to ************
#ACADCOR #CBACADCOR #DJADCOR #IndeedADCOR
We may text you during the hiring process. By proceeding, you give us permission to text you at the mobile number provided. Message and data rates may apply. Message frequency varies. Reply 'Opt Out' at any time if you no longer wish to receive text messages regarding our opportunities.
Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index.
$28k-33k yearly est. 8d ago
Call Center Representative - Irving, TX
ARS 4.4
Dallas, TX jobs
ARS-Rescue Rooter
Pay: $18 - $20 per hour Schedule: shift discussed at interview Full-time, year-round work
Join ARS, the nation's largest provider of residential HVAC, plumbing, and electrical services with 7,000+ team members and over 45 years of experience.
What We Offer:
Weekly pay via direct deposit
Paid training and onboarding
Insurance available after 31 days
Low-cost medical (as low as $5/week)
Dental, vision, HSA/FSA
401(k) with company match
13 days PTO + 8 paid holidays
Company-paid life insurance
Clean office environment with strong team culture
Career growth opportunities within a national network
Deliver exceptional customer service through inbound and outbound calls. You'll manage scheduling, handle multi-line phones, and support customers with professionalism and urgency. This is a fast-paced, team-driven role based in-office - not remote.
What You Need:
Prior experience in a customer service or call center environment
Proficiency with Microsoft Office and computer-based systems
Ability to handle multi-line phones with accuracy and composure
Must report daily to the office (no remote work available)
Weekend and shift flexibility may be required
Must pass background check and drug screening
Note: This posting outlines potential pay ranges and opportunities, which are not guaranteed and do not represent a formal offer. Additional money may be offered based on experience and will be detailed in an offer letter addendum. ARS is an equal opportunity employer and does not discriminate based on any protected status under federal, state, or local law. Privacy policy available upon request.
$18-20 hourly 3d ago
Accounts Receivable Representative
Behavioral Health Group 4.3
Dallas, TX jobs
- 2 days in office Pay Range: $23-$25/hr. Behavioral Health Group (BHG) is the largest network of Joint Commission-accredited treatment centers and a leading provider of opioid addiction treatment services. With over 116 locations in 24 states and a team of more than 1,900 employees, we are dedicated to helping individuals overcome substance use disorders and reclaim their lives. Join us in making a difference.
Job Summary
This position will act as a key member of the Revenue Cycle Department and reports to the Director, Contract and Revenue Cycle. The Revenue Cycle Specialist will help facilitate claims, payments, and verifications daily. The Revenue Cycle Specialist will provide updates and reports on the financial stability of the treatment centers.
Summary of Essential Job Functions
The key responsibilities of the Revenue Cycle Specialist include but not limited to:
Duties and Responsibilities
Reviews claims data to ensure 3rd party billing requirements are met
Reviews claims to ensure eligibility, prior authorizations and proper signatures
Submits claims in an organized sequence in order to achieve reimbursement from private payers, insurance companies and government healthcare programs Medicaid, VA, etc.)
Investigates denied claims through research and applicable correspondence and follows through to resolution
Successfully resolves payment discrepancies in a timely manner
Escalates issues appropriately and promptly to supervision
Verifies and informs treatment center staff about the patient's financial accountability and 3rd party reimbursement, as applicable
Posts payments and adjustments while ensuring all deposits are balanced daily
Documents payment records and issues as they occur
Completes reporting requirements as required by company policy and requested by supervision
Demonstrates an understanding of NPI, taxonomy and electronic claim submission requirements
Identifies underpayments and overpayments/credits to determine steps for resolution
Retrieves missing payment information from payers through various methods (phone, payer portals, clearing houses, etc.)
Reads debits and credits on accounts and takes necessary action to resolve
Performs other duties assigned by supervision
Regulatory
Responsible for complying with all federal, state and local regulatory agency requirements
Responsible for complying with all accrediting agencies
Marketing and Outreach
Participate in community and public relations activities as assigned.
Professional Development
Responsible for the achievement of assigned specific annual goals and objectives
Demonstrates the belief that addiction is a brain disease, not a moral failing
Demonstrates hope, respect, and caring in all interactions with patients and fellow Team Members
Establishes and maintains positive relationships in the workplace
Can work independently and under pressure while handling multiple tasks simultaneously
Makes decisions and uses good judgment with confidential and sensitive issues
Deals appropriately with others in stressful or other undesirable situations
Training
Participate in and provide in-service trainings as required by federal, state, local, and accrediting agencies
Attend conferences, meetings and training programs as directed
Participate in and/or schedule and attend regular in-service trainings
Other
Demonstrated commitment to valuing diversity and contributing to an inclusive working and learning environment
Minimum Requirements
The Revenue Cycle Specialist will be responsible for reviewing claims data to ensure insurance requirements, eligibility, prior authorizations and proper signatures are secured prior to submission. Submits claims in an organized sequence in order to achieve reimbursement from private payers, insurance companies and government healthcare programs with heavy concentration in Medicaid. Will investigate declined claims through research and applicable correspondence in order to successfully resolve payment discrepancies.
Qualifications
The Revenue Cycle Specialist must have the following qualifications.
High school Diploma or equivalent
In addition to meeting the qualifications, the ideal candidate will embody the following characteristics and possess the knowledge, skills and abilities listed below:
Denial Management Skillset
Strong knowledge of Excel
High integrity
Excellent verbal and written communication skills
Sound judgment
Efficient
Self-starter
Strong interpersonal communication skills
Valid driver's license.
Healthcare experience preferred.
Experience in front desk, admissions, billing, and/or collections.
Excellent verbal and written communication skills.
Strong customer service and interpersonal communication skills.
Accurate data entry and basic keyboarding skills.
Ability to work independently under pressure and handle multiple tasks simultaneously.
Ability to enforce fee collection policies.
Basic computer/word processing skills.
Knowledge and use of typical office equipment (calculator, fax machine, copier, computer, telephone, postage meter, scales, scanner, and computer programs).
Knowledge of basic math, accounting, and accounts receivable.
Physical Requirements and Working Conditions
The physical demands described here are representative of the requirements that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions to the extent such accommodation does not create an undue hardship on the business.
Communicate effectively by phone or in person.
Vision adequate to read correspondence and computer screens.
Prolonged sitting, some bending, stooping, and stretching.
Manual dexterity for operating office equipment.
Variable workload and periodic high stress.
Standard medical office environment.
Interaction with patients with various health and legal issues.
Extended keyboarding periods.
Disclaimer
The above statements are intended to describe the general nature and level of work being performed by team members assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of team members so classified. All team members may be required to perform duties outside of their normal responsibilities from time to time, as needed, and this job description may be updated at any time.
BHG is an equal opportunity, affirmative action employer providing equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, national origin, protected veteran status, disability status, or any other legally protected basis, in accordance with applicable law.
Why Join BHG?
Work-Life Balance: Enjoy generous paid time off, holidays, and personal needs. Benefit from flexible schedules with early in/early out hours, no nights, and no Sundays.
Investment in Your Growth: Prioritize your development with role-based training and advancement opportunities.
Comprehensive Benefits: Choose from three benefits programs, including health, life, vision, and dental insurance. Enjoy tuition reimbursement and competitive 401K match.
Recognition and Rewards: Experience competitive pay, quarterly bonuses, and incentives for certifications or licenses.
Employee Perks: Access exclusive discounts on various services and entertainment options, and benefit from our Employee Assistance Program and self-care series.
At BHG, we thrive on the greatness of our people. Join us and become part of a community that values excellence, integrity, and making a real difference in the lives of others.
BHG is an equal opportunity, affirmative action employer providing equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, national origin, protected veteran status, disability status, or any other legally protected basis, in accordance with applicable law.
Starting Pay Range: $23-$25/hr
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
$23-25 hourly 8d ago
Veterinary Sales Representative -Flex Time (12 days/mo)
Promoveo Health 3.0
San Marcos, TX jobs
Pharmaceutical Sales Representative - Veterinary - Flex Time (12 days/mo)
Promoveo Health, a leading Pharmaceutical Sales recruiting, and contract sales company has an outstanding position representing one of our strategic clients. Our client is a rapidly growing organization with a very strong presence in the Veterinary Medicine field.
This is a position where you will be a W2 employee of Promoveo Health.
The Veterinary Sales Representative will be responsible for revenue growth within your specified geographic region. You will be accountable for a sales revenue plan in the clinical (office based) markets. This role requires strong account management and selling skills, as you will be the selling interface between the accounts and the company.
The ideal candidate will have:
· 5+ years of Veterinary Pharmaceutical Sales either on the Pharmaceutical or Distributor side
· Clinical experience calling on Veterinary Practices in this market
· Experience calling on and existing relationships with Vets in the area
· Excellent interpersonal, communication, teaching and negotiation skills
· BS Degree in related discipline
Job Expectations:
·Part time position with high management visibility and performance expectations.
· Travel - You will be home every night- no overnight travel is required!
EOE STATEMENT
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
$47k-87k yearly est. 4d ago
Associate Sales Representative- Corpus Christi or McAllen, TX
BREG, Inc. 4.6
Corpus Christi, TX jobs
Join Our Team and Keep Moving Forward with Breg!
At Breg, we are dedicated to advancing orthopedic solutions that enhance the lives of patients and support healthcare professionals. As a leader in the orthopedic industry, we provide innovative products, consulting, technology, and services that help people move forward with confidence.
We are currently seeking an Associate Sales Representative in Corpus Christi or McAllen, TX. If you thrive in a dynamic environment where innovation and impact go hand in hand, this is the opportunity for you.
Who You Are
You are a forward-thinking professional who values collaboration, innovation, and making a meaningful difference. You bring expertise in the ability to plan, execute, control and deliver. Must be an effective communicator both in writing and verbally. Must be able to engage with patients and provide excellent customer service even in escalated situations.
What You'll Do
As an Associate Sales Representative, you will:
* Accountable for achievement of assigned company goals and objectives through sales to designated accounts.
* Identifies and profiles potential customers. Receives assistance and direction from the territory sales representative
and/or the Regional Director in establishing contact and pursuing establishment of a customer relationship.
Organizes and implements account management activities.
Conducts specific developmental sales activities and goals determined by the Regional Director.
Sells, plans, organizes and implements account management activities.
Understands customer challenges and offers solutions from Breg's portfolio of products and services to improve the
quality and lower the cost of the orthopedic episode. Provides product expertise.
* Provides product education on technical and clinical aspects of products to customers, prospective customers and
patients.
* Measures, fits and troubleshoots Breg products including custom braces.
* Prepares, gathers and submits accurate paperwork required for insurance billing in an accurate and timely manner.
Treats Protected Health Information (PHI) with the strictest confidentiality in accordance with HIPAA standards.
Provides inventory management services to customers, including ordering and returning product as needed.
Prepares weekly reports on travel and service schedule.
Attends local trade shows on an as needed basis.
Collaborate with cross-functional teams to drive excellence in patient care and business solutions.
What You Bring
Bachelor's degree in Business, Marketing or a science field strongly preferred.
2+ years of demonstrated success in business to business sales, business development or direct patient contact is preferred.
Computer proficient to include web browser/internet search, MS Outlook, Word and Excel capabilities. Technical competence includes the ability to learn new software and systems.
A passion for innovation and a commitment to Breg's mission to Keep Moving Forward.
Why Breg?
At Breg, we invest in our people and culture. We offer:
Comprehensive Benefits: Medical, dental, vision, disability, and life insurance, effective the first of the month after hire.
Work-Life Balance: Paid Time Off (PTO) and company-paid holidays.
Growth & Development: Opportunities for professional advancement within a company that values your contributions.
Commitment to Diversity & Inclusion: Breg is proud to be an Equal Employment Opportunity employer, fostering a diverse and inclusive workplace.
For more information regarding Company benefits, please see *****************************
Work Schedules include....
Work schedule may include variable start/end times outside of the company's standard business hours.
Compensation
Salary Range $55,000-$60,000 per year base salary plus variable compensation up to $10,000 at plan. Actual compensation is determined by factors such as experience, skills, and business needs. This range reflects the minimum and maximum target range for new hire base salary/pay across all US locations. Actual pay is based on many factors unique to each candidate, including but not limited to geographical location, work experience, skill set, relevant trainings and certifications, and business needs. The base pay range is subject to change and may be modified in the future.
Ready to Move Forward?
If you're ready to be part of a company that is redefining orthopedic care, apply today at *********************
Breg is an Equal Employment Opportunity Employer and dedicated to a diverse work force and Drug Free work environment. EOE/Minorities/Females/Vet/Disabled are encouraged to apply.
Applicants must be currently authorized to work in the United States on a full-time basis. The Company will not sponsor applicants for work visas for this position.
#LI-KB1
As an Inbound Sales Representative at A Place for Mom, you'll be the trusted first point of contact for families searching for senior care solutions. In this high-impact sales role, you'll use empathy, insight, and strategic guidance to help caregivers as they explore the best care options for their loved ones.
Responsibilities:
What you will do
* Work in a growing, fast-paced industry as an expert resource for families on senior care options, delivering an exceptional experience aligned to our company mission
* Take inbound, pre-screened leads working remotely from your home office as an inside sales representative, working an assigned shift with strong schedule adherence
* Conduct in-depth initial consultation calls with families
* Educate families on customized senior care options, and work to find the senior living communities and home care providers that best match their needs
* Act as the liaison between families and senior housing communities or care providers once you successfully complete the 4 week new hire training program
What will make you successful:
Success is measured by reaching daily production benchmarks (inbound calls and outbound return calls), which consists of referring families out to communities and scheduling tours for them to ultimately drive move-ins. As a Welcome Advisor you will be the company's first interaction with a family with the goal of being empathetic to their situation and delivering a great family experience.
Qualifications
* Two or more years of experience in inside sales/inbound call center
* History of exceeding sales targets
* Ability to multitask; simultaneously talk on the phone and take notes on the computer
* Strong computer and typing skills necessary, including Word and Excel and ability to learn and navigate internal CRM system
Schedule
You will work a 40-hour work schedule on an hourly, non-exempt basis. Schedules are set based on business needs, and may include regularly scheduled evenings and weekends, along with some holiday shifts during the year.
Compensation
* Base Salary: $45,760 ($22.00 an hour)
* On Target Earnings: $74,000 ($28,240 variable bonus (Uncapped)
* Benefits:
* 401(k) plus match
* Dental Insurance
* Health Insurance
* Vision Insurance
* Paid Time Off
#LI-JR1
About A Place for Mom
A Place for Mom is the leading platform guiding families through every stage of the aging journey. Together, we simplify the senior care search with free, personalized support - connecting caregivers and their loved ones to vetted providers from our network of 15,000+ senior living communities and home care agencies.
Since 2000, our teams have helped millions of families find care that fits their needs. Behind every referral and resource is a shared goal: to help families focus on what matters most - their love for each other.
We're proud to be a mission-driven company where every role contributes to improving lives. Caring isn't just a core value - it's who we are. Whether you're supporting families directly or driving innovation behind the scenes, your work at A Place for Mom makes a real difference.
Our employees live the company values every day:
* Mission Over Me: We find purpose in helping caregivers and their senior loved ones while approaching our work with empathy.
* Do Hard Things: We are energized by solving challenging problems and see it as an opportunity to grow.
* Drive Outcomes as a Team: We each own the outcome but can only achieve it as a team.
* Win The Right Way: We see organizational integrity as the foundation for how we operate.
* Embrace Change: We innovate and constantly evolve.
Additional Information:
A Place for Mom has recently become aware of the fraudulent use of our name on job postings and via recruiting emails that are illegitimate and not in any way associated with us. APFM will never ask you to provide sensitive personal information as part of the recruiting process, such as your social security number; send you any unsolicited job offers or employment contracts; require any fees, payments, or access to financial accounts; and/or extend an offer without conducting an interview.
If you suspect you are being scammed or have been scammed online, you may report the crime to the Federal Bureau of Investigation and obtain more information regarding online scams at the Federal Trade Commission.
All your information will be kept confidential according to EEO guidelines.
A Place for Mom uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit *********************
$45.8k-74k yearly 57d ago
[iuat23] Leadership & Home Office & BSO wf - TEXAS
Encompass Health 4.1
Arlington, TX jobs
Hospital Address 3200 Matlock Road, Arlington, Texas, 76015 Job Category Occupational Therapy Schedule Full Time Shift Not Applicable Date Opened 01/16/2024 Description and Requirements The Therapy Team leader assists the Director of Therapy Operations in day to day operations of a therapy team or discipline. The position requires effective supervisory skills along with good communication skills for interdepartmental relationships; and competency in licensed discipline evaluation, assessment, care planning and treatment. The Therapy Team Leader must delegate and supervise tasks of therapist assistants and technicians; assist with staffing, scheduling, orientation, training and communications to provide adequate coverage for patient treatments; and maintain open and on-going communication with hospital departments to ensure patient, staff, and hospital needs are met. This position typically provides patient care in licensed discipline 80% - 90% of work hours.
The Therapy Team Leader helps create an environment and culture that enables the hospital to fulfill its mission by meeting or exceeding its goals, conveying the hospital mission to all staff, holding staff accountable for performance, motivating staff to improve performance, and being responsible for the operation of the department, to include measurement, assessment, and continuous improvement. The Team Leader helps staff improve their clinical skills, and overall performance, through staff development and mentoring.
POSITION REQUIREMENTS
License or Certification:
- Current State license as a Physical Therapist, Occupational Therapist, or Speech Language Pathologist.
- CPR certification preferred unless otherwise required by hospital policy.
Minimum Qualifications:
- Successful completion of a Bachelor's degree or higher from an accredited therapy program, required. Additional training with a Master's or Doctorate's degree in either professional or management area is preferred.
- A minimum of three year's discipline-specific or leadership experience required, with no less than 2 years being clinical.
- Active on Therapy Clinical Ladder (when eligible) or specialty professional certification, preferred.
Machines, Equipment Used:
- General office equipment such as computer/laptop, telephone, copy/fax machine, calculator, scanner, etc.
- Microsoft Office software, to include Outlook, Word, and Excel.
Physical Requirements:
- Visual acuity, speech recognition, speech clarity.
- Ability to lift, lower, push, pull, and retrieve objects weighing a minimum of 30 pounds including medical supplies and equipment and the transferring and repositioning of patients. Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements.
Skills and Abilities:
- Oral communication, written communication, fluency in English, active listening.
- Information ordering, deductive reasoning, social perceptiveness, time management, critical thinking.
- Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner.
- Ability to work independently without continuous supervision.
Environmental Conditions:
- Indoor, temperature controlled, smoke-free environment. Occasional outdoor exposure.
- Exposure or potential exposure to blood and body fluids may be required.
- Handicapped accessible.
- May work under stressful circumstances at times.
Proficiency or Productivity Standards:
- Has regular, reliable, and predictable attendance and punctuality.
- Adheres to dress code including wearing ID badge.
- Adheres to Standards of Business Conduct.
- Maintains current licensure and/or certifications, if applicable.
- May be required to work weekdays and/or weekends, evenings and/or night shifts if needed to meet deadlines.
- May be required to work on religious and/or legal holidays on scheduled days/shifts.
- Will be required to work as necessary during disaster situations, i.e., before, during or after a disaster.
- May be required to stay after workday to assist after a disaster situation until relief arrives.
- May be required to perform other duties as assigned by supervisor.
- This position will support cultural diversity by promoting and maintaining an inclusive work environment and culture that is respectful and accepting of diversity.
$45k-80k yearly est. 60d+ ago
Call Center Representative
Spring Branch Community Health Center 4.3
Houston, TX jobs
The Call Center Representative is responsible for providing timely and professional customer service to incoming phone calls specifically for appointment scheduling. The Call Center Rep will answer incoming calls for lab results, refill requests and schedule patient appointments, manage the provider's schedules in all medical departments according to set protocol of each department and direct all incoming calls of the call system in a manner that will enhance corporate image and increase customer satisfaction. In occasion to serve as back up for Front Desk staff shortage by performing any front office duties under the direction of the Site Supervisor.
QUALIFICATIONS:
* High School Diploma or GED.
* Bilingual- English/Spanish is required.
* Able to work a flexible schedule.
* Previous experience in a Medical Setting preferred.
* Ability to manage multiple phone lines and incoming calls in timely manner.
* Ability to read and interpret documents, such as policies, procedure manuals, and reports.
* Data entry proficient.
* Experience with Electronic Medical Records Systems Preferred
* Minimum of 2 years Healthcare Call Center experience or 2 years of Customer Service Call Center experience.
* Professional and Positive attitude and able to communicate with all levels of management and more importantly with our patients.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
* Responsible for answering incoming calls in a courteous and professional manner, address questions and route calls accordingly.
* Takes all incoming calls, facilitates patient needs, and documents all communication into the chart.
* Always ensure patient confidentiality.
* Schedule all appointments for all departments and clinics based on approved protocol for each department's registration area into the Practice Management System.
* Responsible in assisting and maintaining the patients' demographic information and insert new/updated clinical and administrative documentation in charts.
* Ensures that all patients inquiries are advised on the sliding fee scale and makes adjustments accordingly.
* Gathers third party payment information, records charges, and bills patients for services provided as indicated on the encounter form.
* Processes the charge entry into the Electronic Medical Records system.
* Schedule all incoming phone appointments using specific protocols for each department/ provider with a high degree of accuracy.
* Verify via the telephone all patient information including demographic, insurance and payment balance according to policy and instruct patients accordingly in preparation of their appointment such as the need to come in early if they need to be put on the sliding fee scale, what payment method are accepted and reminders of co-payment need to be paid at the time of service for privately insured patients.
* Receives requests from pharmacy or other providers and contacts patients with messages, to include scheduling of appointments, lab orders, or other needs, and complete documentation.
* Assists with lab callbacks or other clerical/phone tasks.
* Addresses incoming calls for lab results and schedules follow up appointments according to directions of provider.
* Alerts Site Supervisor of any pending patient requests for refills, lab results, or any other requests that have not been addressed by clinical staff or providers in a timely manner outlined by the "Telephone Triage Guide".
* Provides excellent internal/external customer service.
* Performs other duties as assigned.
* All Health Center staff members have emergency and disaster response responsibilities. Participates in all safety programs which may include assignment to an emergency response team.
$33k-39k yearly est. 60d+ ago
Senior Call Center Representative
Texas Children's Medical Center 4.5
Houston, TX jobs
We are searching for a Senior Call Center Representative- someone who works well in a fast-paced setting. In this position, you will serve as a member and/or provider advocate that understands the organization's processes, policies, and procedures to investigate, resolve and/or facilitate the resolution of simple to complex issues/questions. You will be the first point of contact for assistance or information regarding eligibility, benefits, authorizations, claims, referrals and/or any other member/provider demands. Lastly, you will assist and advocate for members and/or providers throughout the complaint and appeal process and support members with timely appointment scheduling.
Think you've got what it takes?
Job Duties & Responsibilities
• Act as a secondary resource to Call Center Representatives in the absence of the Team Lead and responds to escalated calls and triages to management, if necessary
• Identify and handle a variety of routine to complex customer or prospect inquiries or requests
• Educate members about their health coverage benefits and services and empowering members/providers by directing them toward available resources for self-help
• Meet Senior Member Service Representative performance goals for customer satisfaction, quality, productivity, and all performance metrics
• Ensure all HIPAA and state privacy and confidentiality requirements/regulations are adhered to at all times
• File complaints and appeals on behalf of members and providers within the regulatory timeframe and in compliance with departmental policies and procedures
Skills & Requirements
• High school diploma or GED
• Minimum of 3 years of customer service, call center, and/or experience within managed care or insurance industry or
• A Bachelor's degree may substitute for two (2) years of the required experience
Please be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's market specific rate/range will be provided during the interview process. The Customer Advocacy Representative supports Concentra's patients with their inquiries regarding facility and services and employers with their portal related requests. The Customer Support team is responsible for ensuring our customers are supported if they need assistance with our portal, travel health, or their visit to one of our medical centers.
Responsibilities
* First point of contact for incoming customer service, Customer Portal, and travel health calls
* First point of escalation for all customer complaints to Operations
* Review and process all inquiries/issues from patients and employers
* Review, processes and supports client updates or issues for patients and employers while maintaining department standard operating procedures
* Input data into closed loop proprietary database system
* Validate data for accuracy to ensure the highest level of data integrity
* Record all appropriate information via internal applications
* Responsible for daily completion of cases/triage while meeting production requirements
* Communicate with employers for account verification for customer portal and eScreen's Extranet issues
* Escalate HIPPA incidents to leadership
* Schedule and inform travel health appointments in a timely manner
* Troubleshoot complaints pertaining to portal & reporting issues in all applicable systems
* Coordinate with Information Systems on all technical issues which cannot be resolved with internal troubleshooting process
* Identify trends or patterns in account data and/or efficiencies
* This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Qualifications
Education/Credentials
* High school diploma or GED equivalent
* Some college courses in Business Administration or in a related field from an accredited college/university, preferred
Job-Related Experience
* Customarily has at least one or more years of experience in a call center environment
* Proven ability working in multiple systems/applications simultaneously while on the phone
Job-Related Skills/Competencies
* Proficient user of Customer Relationship Management (CRM) system and Centralized Customer Management (CCM) system, Customer Portal, and eScreen's Extranet
* Comfortable with using technology and able to learn new systems/applications
* Skilled at multitasking in multiple systems/applications simultaneously
* Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
* Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism
* The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies
* Effective ability to work in a team environment, as well as independently when required
* Effective interpersonal and communication skills a must; ability to read, write, and speak professionally
* Demonstrated working knowledge of Microsoft Office (Word, Excel, PowerPoint and Outlook)
* Ability to work well with others
* Comfortable in a high-demand environment
* Ability to retain and apply new information quickly
* Concentra core competencies of service mentality, attention to detail, sense of urgency, init
Additional Data
Employee Benefits
* 401(k) Retirement Plan with Employer Match
* Medical, Vision, Prescription, Telehealth, & Dental Plans
* Life & Disability Insurance
* Paid Time Off & Extended Illness Days Offered
* Colleague Referral Bonus Program
* Tuition Reimbursement
* Commuter Benefits
* Dependent Care Spending Account
* Employee Discounts
This job requires access to confidential and critical information, requiring ongoing discretion and secure information management.
We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.
Concentra is an equal opportunity employer, including disability/veterans
Concentra is an equal opportunity employer that prohibits discrimination, and will make decisions regarding employment opportunities, including hiring, promotion and advancement, without regard to the following characteristics: race, color, national origin, religious beliefs, sex (including pregnancy), age, disability, sexual orientation, gender identity, citizenship status, military status, marital status, genetic information, or any other basis protected by federal, state or local fair employment practice laws.
Your Job: The Medical Assistant Patient Representative professional is responsible for all aspects of being the representative for the Patient. Supports and promotes the vision, mission, and strategic plans of Methodist Health System. Your Job Requirements:
* Graduation from an accredited program for medical assistants.
* National/Registered Medical Assistant Certification or obtained certification within 90 days of hire date
* Valid Basic Life Support Certification
* 2 or more years of professional medical assisting in a practice setting preferred.
* Strong proficiency using Microsoft Office products
* Strong oral and written communication skills
* Demonstrated capability to interface and maintain effective relationships with all departments and employees in a team-oriented environment
Your Job Responsibilities:
* Communicate clearly and openly
* Build relationships to promote a collaborative environment
* Be accountable for your performance
* Always look for ways to improve the patient experience
* Take initiative for your professional growth
* Be engaged and eager to build a winning team
* Maintains strict patient confidentiality, and will use complete discretion when discussing patient information.
* May perform intramuscular, intradermal of subcutaneous injections. With complete documentation.
* Assists physicians in providing nursing care to patients in accordance with clinic policies and procedures.
* Takes patient history and vitals.
* Performs general nursing duties as appropriate within the licensure and state guidelines. Conforms to OSHA Regulations and Precautions
* Demonstrates an extensive working knowledge and practice of infection control procedures. Cleans and disinfects all instruments and maintain QA reports for the autoclave.
* Assist in Rx refills via Fax, E-Rx or phone calls and updating in the patient medication module
* Responsible for unpacking and maintaining medical supplies and vaccines and keeping supply closet organized.
* On a monthly bases check for expired medication. Keeping appropriate documentation and disposal.
* Prepare FMLA forms and various documents that come in for physician review and signature. IE: Home health, prescription pre certs
Methodist Medical Group is the North Texas physician organization affiliated with Methodist Health System. Our fast-growing network of providers includes more than 92 MMG ambulatory clinics, an urgent care clinic, and a virtual care service known as MethodistNOW. Our employees enjoy not only competitive salaries but also the outstanding benefits package of Methodist Health System, which includes medical, dental, and vision insurance; a matched retirement plan; an employee wellness program; and more. The opportunities for career growth are equally generous. Our affiliation means being part of an award-winning workplace:
* Newsweek's America's Most Admired Workplaces 2026
* Glassdoor's Best-Led Companies 2025
* Fortune's Best Workplaces in Health Care 2025
* Great Place to Work Certified 2026-2026
* Glassdoor's Best Places to Work 2025
* TIME's Best Companies for Future Leaders 2025
* Military Friendly - Gold Employer 2025
* Newsweek's America's Greatest Workplaces for Mental Well-Being 2025
* Becker's Healthcare Top Places to Work in Healthcare 2025
* Newsweek's Greatest Workplaces 2025
$27k-35k yearly est. 29d ago
Intake Representative
Us Renal Care 4.7
Plano, TX jobs
The Intake Representative is responsible for verifying detailed benefits and authorizations requirements for a high volume of patients. The position requires attention to detail, the ability to multitask, and a sense of urgency. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.
* Verifying correct patient information, including insurance benefits and authorization requirements for permanent and transient patients.
* Submitting required authorizations timely and following up on determinations when needed.
* Update patient information in a timely manner to avoid delays in billing cycles.
* Contacting the admissions team and/or clinical personnel to obtain missing or incorrect information during initial verification.
* Verifying accuracy of data and updating accounts based off weekly audits.
* Update patient accounts with newly acquired information and notify appropriate personnel if claims require rebilling or require voiding and regenerating.
* Keep up to date on COB rules according to insurance guidelines and requirements.
* Maintaining a professional work relationship with all facility and office staff; develop effective relationships at all levels of the organization.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Requirements include:
* High school diploma or equivalent.
* Knowledge of various health insurance programs and the medical insurance industry preferred.
* Previous experience verifying detailed insurance benefits and authorization requirements preferred.
* Knowledge of medical terminology and government/private insurer rules and regulations.
* Must have intermediate computer skills, including Microsoft Office (Word, Excel, Outlook); Working knowledge of Internet for business use.
* Requires research and exceptional organization skills to manage a large patient load.
* Ability to work in a fast-paced environment, deadline driven environment
$26k-38k yearly est. 5d ago
Intake Representative
U.S. Renal Care, Inc. 4.7
Plano, TX jobs
The Intake Representative is responsible for verifying detailed benefits and authorizations requirements for a high volume of patients. The position requires attention to detail, the ability to multitask, and a sense of urgency.
Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.
Verifying correct patient information, including insurance benefits and authorization requirements for permanent and transient patients.
Submitting required authorizations timely and following up on determinations when needed.
Update patient information in a timely manner to avoid delays in billing cycles.
Contacting the admissions team and/or clinical personnel to obtain missing or incorrect information during initial verification.
Verifying accuracy of data and updating accounts based off weekly audits.
Update patient accounts with newly acquired information and notify appropriate personnel if claims require rebilling or require voiding and regenerating.
Keep up to date on COB rules according to insurance guidelines and requirements.
Maintaining a professional work relationship with all facility and office staff; develop effective relationships at all levels of the organization.
$26k-38k yearly est. 22h ago
Reimbursement Representative
U.S. Renal Care 4.7
Plano, TX jobs
USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization.
SUMMARY
The Reimbursement Representative performs reconciliation and review of all outstanding Medicare/Commercial patient balances in accordance with US Renal Care reimbursement policies and procedures.
Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.
Reviews EOB/EOMB's for proper reimbursement.
Resolves electronic claim rejections and Explanation of Benefits denials in a timely manner.
Reviews and researches insurance correspondence and makes necessary corrections to ensure claims payment.
Follows up on unpaid/unresolved account balances, including claims rejected electronically, EOB denial and working A/R aging reports as directed. Provides insurance carriers with requested information to facilitate payment.
Regularly contacts Medicare, Medicaid and /or Commercial payors for resolution to claims not paid or claims not paid according to plan benefits.
Performs claim appeals as required.
Assists with credit balance resolution.
Completes re-bill request as necessary to facilitate timely and proper claims payment.
Follows up on unresolved account balances including RTP's.
Prepares adjustment and write-off requests as necessary.
Performs other duties and responsibilities as required or assigned.
JOB TITLE: Front/Back Office Coordinator
SUPERVISION RECEIVED: Direct supervision from Practice Administrator and Office Supervisor.
Greet patients upon arrival and check patients in on a daily basis.
Collect all co-pays from patients if applicable.
Obtain photo ID and insurance card to be scanned into system.
Check patients out as needed to assist with patient flow.
Prepare deposits.
Prepare end of day batch sheet.
Prepare encounters and SOAP notes for the following business day.
Create new patient chart in SOAP upon patients arrival.
Send all paperwork to appropriate departments via inter-office mail.
Book appointments in HST system when applicable.
Confirm appointments for the following business day.
Assist with office duties that can be performed at the check in desk.
Assist with maintaining a pristine office.
Maintain a neat and clean work environment.
ESSENTIAL FUNCTIONS:
Must arrive prior to start time in order to become situated before patient's arrival.
Perform all office duties required.
EDUCATION: High School Diploma, with 1-2 years experience in healthcare background
KNOWLEDGE:
Knowledge of clinic policies and procedures.
Knowledge of computer systems, programs.
Knowledge of medical terminology.
SKILLS:
Must be able to multi - task.
Must be able to express compassion and kindness to patients calling and being seen in the office.
Must maintain a professional and upbeat attitude.
Skill in written and verbal communication and customer relations.
ABILITIES:
Ability to work with effectively with medical staff, Management, authorizations, external agencies and patients.
PHYSICAL/MENTAL DEMANDS: Requires sitting and standing associated with a normal office environment.
ENVIRONMENTAL/WORKING CONDITIONS: Normal busy office environment with much patient contact. Occasional evening or weekend work.
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.
$26k-32k yearly est. 20d ago
Receptionist/Patient Representative
Surgery Partners Careers 4.6
Tyler, TX jobs
JOB TITLE: Receptionist
Provides support to administrative office staff assuring a smooth departmental work flow. Responsible for performing daily tasks such as front desk clerk, payment collecting, patient check-in, answering phone calls, and filing. Relieves office staff of clerical work, and minor administrative and business detail.
REQUIREMENTS:
High School Diploma required. Associates Degree preferred. Five or more years of administrative experience required.
Benefits:
Comprehensive health, dental, and vision insurance
Health Savings Account with an employer contribution
Life Insurance
PTO
401(k) retirement plan with a company match
And more!
Equal Employment Opportunity & Work Force Diversity
Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.
$27k-32k yearly est. 21d ago
Float Scheduling Representative
Hendrick Medical Center 4.5
Representative job at Hendrick Health
* The Scheduling Representative is responsible for making appointments for patients following medical practice procedures. Tasks may be integrated into other positions such as receptionist, registration clerk, or medical assistant. * JOB REQUIREMENTS
* Minimum Education
* High school diploma or general equivalency diploma (GED)
* Minimum Work Experience
* Minimum one year of experience in an appointment scheduling position
* Required Licenses/Certifications
* Required Skills, Knowledge, and Abilities
* Knowledge of medical practice protocols related to scheduling appointments
* Knowledge of manual/computerized scheduling systems
* Knowledge of customer service principles and techniques
* Skill in communicating effectively with physicians/clinicians about scheduling preferences
* Skill in maintaining master appointment schedule via manual or computerized means
* Skill in producing reports about appointment patterns as needed
* Ability to multitask effectively, dealing with phone calls, in-office patients, staff, and others pleasantly
* Ability to communicate calmly and clearly with patients about appointments in all circumstances including when they are ill or have an emergency
* Ability to analyze situations and respond appropriately
* Designated Driver
* No
* OSHA Category
* 1 - High Risk