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Verifications Representative
Henry Schein 4.8
Remote hospital insurance representative job
This position is responsible to verify applicable proper Federal and/or State licensing documentation for customers ordering prescription products. Researches and maintains customer license information using electronic databases. Responsible for reviewing and activating new customer accounts and for reviewing potentially fraudulent orders and communicating with external departments as Contacts needed. Contacts customers for additional information as needed. Interacts with Sales team and other internal divisions regarding customer orders for prescription products.
KEY RESPONSIBILITIES:
60% Verify applicable Federal and/or State licensing documentation to release customer orders for prescription products. Contact customers via email and phone to verify additional information as needed. Review and activate new customer accounts and for reviewing potentially fraudulent orders and communicating with external departments as needed.
25% Document and update customer license information to ensure regulatory compliance.
10% Interact with Sales team and other internal divisions regarding customer orders for prescription products.
5% Participate in special projects and perform other duties as required.
SPECIFIC KNOWLEDGE & SKILLS:
Very good telephone etiquette and effective dispute resolution.
General computer skills and ability to learn applicable computer systems.
Ability to clearly document details of customer licensure information
GENERAL SKILLS & COMPETENCIES:
Good time management skills and the ability to prioritize work
Very good attention to detail and accuracy
Customer service oriented
Very good Interpersonal communication skills
Very good written and verbal communication skills
Ability to maintain confidential and highly sensitive information
Ability to work in a team environment
Ability to multi-task
WORK EXPERIENCE:
Typically 1 or more years of related experience.
PREFERRED EDUCATION:
General education, vocational training and/or on-the-job training.
TRAVEL/ PHYSICAL DEMANDS:
Office environment. No special physical demands required.
The schedule for this position is Monday-Friday, 8:30am - 5:00pm EST.
The posted range for this position is $35,093 - $54,834 ($16.87 - $26.36 /hour) which is the expected starting base salary range for an employee who is new to the role to fully proficient in the role. Many factors go into determining employee pay within the posted range including education, prior experience, training, current skills, certifications, location/labor market, internal equity, etc. This position is eligible for an incentive not reflected in the posted range.
Other benefits available include: Medical, Dental and Vision Coverage, 401K Plan with Company Match, PTO [or sick leave if applicable], Paid Parental Leave, Income Protection, Work Life Assistance Program, Flexible Spending Accounts, Educational Benefits, Worldwide Scholarship Program and Volunteer Opportunities.
Henry Schein, Inc. is an Equal Employment Opportunity Employer and does not discriminate against applicants or employees on the basis of race, color, religion, creed, national origin, ancestry, disability that can be reasonably accommodated without undue hardship, sex, sexual orientation, gender identity, age, citizenship, marital or veteran status, or any other legally protected status.
For more information about career opportunities at Henry Schein, please visit our website at: ***************************
Fraud Alert
Henry Schein has recently been made aware of multiple scams where unauthorized individuals are using Henry Schein's name and logo to solicit potential job seekers for employment.
Please be advised that Henry Schein's official U.S. website is
*******************
. Any other format is not genuine. Any jobs posted by Henry Schein or its recruiters on the internet may be accessed through Henry Schein's on-line "career opportunities" portal through this official website. Applicants who wish to seek employment with Henry Schein are advised to verify the job posting through this portal.
No money transfers, payments of any kind, or credit card numbers, will EVER be requested from applicants by Henry Schein or any recruiters on its behalf, at any point in the recruitment process.
$35.1k-54.8k yearly Auto-Apply 7d ago
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Community Engagement Representative, SilverSneakers - Honolulu, HI - Part-time Contractor (remote opportunity in the Honolulu area)
Tivity Health 4.1
Remote hospital insurance representative job
Description/Responsibilities
SilverSneakers Community Engagement Representatives are independent contractors that rely on their professional experience to support Tivity Health within the designated territory. Support may include event coverage, speaking presentations, fitness workshops and demonstrations, and ongoing SilverSneakers brand awareness.
Employment Status: Independent Contractor
Location: Honolulu, HI (must live in the Honolulu area)
Hours: Contractual, dependent on need within market. Approximately 5 hours per month (does fluctuate based on business needs)
Position Summary:
Work in partnership with Tivity Health's Regional Growth Managers (RGMs) to promote SilverSneakers with the utmost knowledge, professionalism and integrity.
Provide outstanding service to members of the SilverSneakers program providing information and product demonstrations to engage in the benefit.
Attend and support community events interacting with our older adult members to help grow our brands and increase program engagement.
Provide table/booth support at various events including setup and teardown.
Lead event speaking presentations for various initiatives.
Virtual event support, as needed.
Identify and communicate client and/or other partner opportunities with RGMs.
Maintain communication records and accurate reports regarding expenses.
Track and report event details providing feedback on attendance and enrollment metrics.
Preferred: Lead 5-15 minute fitness demos.
Qualifications
Ability to complete the SilverSneakers teaching criteria (Fraud, Waste and Abuse, and other format- specific training as needed)
Current CPR certification (if leading demos)
Experience in fitness, wellness, health, nutrition, or senior services.
Event experience preferred.
High degree of computer literacy (MS Office Products), technology, and other virtual training tools (for example, laptop with access to internet and email)
Strong organizational skills
Strong instructional skills
Strong written and verbal communication skills
Ability to function independently with little supervision.
Proficiency in Spanish, Korean, and/or Chinese is highly desirable.
Pay rate: $40/hour
About Tivity Health Inc.
Tivity Health, Inc. is a leading provider of healthy life-changing solutions, including SilverSneakers , Prime Fitness, and WholeHealth Living . We help adults improve their health and support them on life's journey by providing access to in-person and virtual physical activity, social and mental enrichment programs, as well as a full suite of physical medicine and integrative health services. Our suite of services support health plans, employers, health systems and providers nationwide as they seek to reduce costs and improve health outcomes. Learn more at TivityHealth.
Tivity Health is an equal employment opportunity employer and is committed to a proactive program of diversity development. Tivity Health will continue to recruit, hire, train, and promote into all job levels without regard to race, religion, gender, marital status, familial status, national origin, age, mental or physical disability, sexual orientation, gender identity, source of income, or veteran status.
$40 hourly Auto-Apply 52d ago
Remote Insurance Follow-Up Representative
DPWN Holdings (USA), Inc. 4.2
Remote hospital insurance representative job
A Remote Insurance Follow-Up Representative will be responsible for all collection functions for hospital and physician services. This primary responsibility of this position is account resolution which includes the following duties: reviewing accounts, following up with insurance companies on claim status, gathering and submitting any missing information, rebilling, appeals, and billing out secondary electronic or paper claims to all payers as needed.
Duties/Responsibilities
Provide customer service to various healthcare contract customers
Prepare, research and collect from various contracted health insurance payers
Research remits and Explanation of Benefits (EOBs) for complete accurate payments or denials
Provide or arrange for additional information when needed
Submit corrected claims or appeals
Request appropriate adjustments, when required
Identify items that require client assistance
Gather payor trends and provides feedback
Other duties as assigned
Required Skills/Knowledge
EPIC experience preferred
Microsoft Office
Knowledge in government and non-government billing guidelines for facility/physician
Knowledge in account/claim status, resolution and appeals process
Knowledge of the UB04 and HCFA forms
Excellent customer service and time management skills
High attention to detail required
Excellent verbal, written, and electronic communication skills required
Education/Experience
High school diploma or General Education Development (GED) certificate required
One to Two years of college preferred
Minimum of three years of experience preferred
Prior medical billing and insurance collections or healthcare revenue cycle experience preferred
Benefits
Annuity Health offers its employees excellent benefits including: Health, Dental, Vision, HSA and FSA Accounts, Voluntary Insurance, Paid Holidays, PTO, and 401(k).
Salary Description Pay Scale - $16.00 to $26.00
$16-26 hourly 23d ago
Medical Registration Representative
Compdrug 3.8
Hospital insurance representative job in Columbus, OH
Do you provide excellent customer care?
Do you enjoy learning new things?
Are you a problem solver?
Do you thrive working in fast paced environment?
If you answered
yes
to these questions, we would love to hear from you! We have an immediate opening on our Medical Registration Team for a person-centered representative who are the gateway to services daily. This is an amazing opportunity to utilize your customer service skills while impacting the patient experience one individual at a time. Full Time - Core Schedule:
Monday 5:45 am - 2:30 pm
Tuesday 5:45 am - 1:30 pm
Wednesday 5:45 am - 1:30 pm
Thursday 5:45 am - 1:30 pm
Friday 5:45 am - 1:30 pm
Saturday 5:45 am - 9:30 am (occasional) Essential duties
Greets visitors, answers all agency incoming phone calls, responds professionally to inquiries.
Responds to inquiries in a person-centered manner with the goal of service and problem solving.
Brings experience and knowledge in serving individuals via the phone with compassion and empathy in a trauma informed, person centered manner.
Utilizes person centered language, appropriate body language and models pro-social adult behavior.
Registers new patients and establishes record in electronic health record. Collects necessary documentation.
Provides support to colleagues by way of scheduling, routing calls, distributing mail.
Maintains high level of confidentiality while interacting with patients with empathy and respect.
Identifies and escalates potential issues with processes and flow. Participates in problem solving and continuous quality improvements as appropriate.
Adheres to company policies and procedures.
Other duties as assigned.
Regular and timely attendance.
Qualifications
At least two years' experience in a high-volume customer or patient serving role.
Prefer experience working with vulnerable and/or resource insecure population(s).
Excellent oral and written communication skills, including the ability to communicate and collaborate effectively with all levels in sometimes stressful situations.
Excellent problem-solving skills.
Proficiency with windows and Microsoft office products coupled with an ability and interest in learning new processes and systems, including electronic medical record.
Basic understanding and ability to comply with medical privacy regulations, including HIPAA and Title 42.
Bring a trauma informed care, person centered approach to the position.
For more than 40 years, CompDrug has offered comprehensive services in prevention, intervention and treatment to those seeking help for their addictions and mental health issues. It is now the largest opioid treatment program in Ohio, offering medication-assisted treatment using FDA-approved medications. CompDrug's more than 100 full-time employees provide drug testing, outpatient counseling for men and women, and numerous prevention programs for youths and adults. Programs include: Anger Management services, and others. Prevention Services include: Youth to Youth International, Pregnant Moms, Senior Sense, HIV Early Intervention and Business Against Substance Abuse (BASA). Those services combined reach thousands of people every day and are instrumental in saving lives, preventing problems, and proving that treatment works. CompDrug has met the standard for high quality treatment and prevention services, winning several awards and gaining National Accreditation for its Opioid Treatment Program through CARF (Commission for Accreditation for Rehabilitation Facilities), beginning in 2002. Today, all of CompDrug's programs have achieved the highest level of accreditation awarded by CARF. CompDrug provides its employees with a collaborative, flexible and supportive environment where ideas and contributions are recognized and valued. Employees are encouraged to develop and grow their skills through training, on the job learning experiences and problem solving. CompDrug provides a comprehensive benefit package, including medical, dental and vision coverage, student loan repayment, life insurance, maternity/paternity leave, disability, 403b and paid time off. Qualified individuals may apply online at compdrug.org.
Equal Opportunity Employer. We are a drug free workplace.
$29k-35k yearly est. 42d ago
Contract Representative
Global Medical Response 4.6
Hospital insurance representative job in Columbus, OH
Hourly Compensation: $21.00/HR - $23.00/HR Why Choose GMR? Global Medical Response (GMR) and its family of solutions are dedicated to delivering compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. Here you'll embark in meaningful work that will make an impact on you and the customers we service. View our employees' stories on how we provide care to the world at *************************
Learn how our values are at the core of our services and vital to how we approach care and check out our comprehensive benefit options at GlobalMedicalResponse.com/Careers.
Under the direction of the Facility Contract Supervisor, the Facility Contract Representative is responsible for the billing, follow-up, and collections on all facility responsible transports.
Responsibilities:
* Perform an initial review, bill and follow-up with associated facilities on all payor responsible ambulance transports.
* Review correspondence received from facilities and work accounts as necessary.
* Follow all company and department specific Standard Operating Procedures (SOP). Review, print, mail, and email facility invoices on a daily, weekly or monthly basis based on the terms of the contract and SOPs.
* Maintain accurate records and files related to invoices, billing, follow-up, and reporting.
* Receive and make inbound and outbound telephone calls/emails
* Assist in special facility AR projects.
* Attend all client meetings prepared, and able to present data and answer questions.
* Manage and track all work, information, and documents in company provided software.
* Build relationships with internal and external customers.
* Ability to work overtime as needed.
* Adhere to and comply with information systems security. Know and follow Information Systems security policies and procedures, attend Information Systems security training, and report information systems security problems if identified.
Qualifications:
Education & Industry Experience
* High School diploma or general education degree (GED) required.
* Associate degree or technical certification in medical billing preferred.
* Minimum of one year experience in medical billing; knowledge of Medicare, Medicaid, and regulations is preferred.
* Ability to learn quickly and monitor progress to ensure deadlines are met.
* General understanding of ambulance billing and all service levels.
* Working knowledge of all CMS DRG/PPS guidelines.
* Working knowledge of contracts and comprehension of contract terms, rates, billing address, timely filing terms, etc.
* Maintain consistent communication with colleagues and management.
* Communicate effectively, (both orally and in writing) in English.
* Use appropriate grammar and punctuation in written documents.
* Ability to handle and prioritize multiple tasks.
* Maintain punctual attendance in compliance with all associated policies.
* Intermediate to advanced skill level in MS Office applications.
* Always maintain confidentiality
* in accordance with HIPAA guidelines.
* Reliable and team-oriented, with excellent interpersonal skills.
* Type 45 wpm and 10-key by touch.
EEO Statement
Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.
* Pay Range $21.00/hr. - $23.00/hr.
* Check out our careers site Benefits | GMR Careers to learn more about our comprehensive benefit options, which include medical, vision, dental, 401k, disability, FSA, HSA, EAP, vacation and paid time off.
* The application window for this position is anticipated to close on 2.19.2026
R0049947
$21-23 hourly Auto-Apply 10d ago
Work from Home - Insurance Verification Representative
Creative Works 3.2
Remote hospital insurance representative job
We are recruiting 100 entry level Remote Insurance Verification Representatives in
FL, NV, SD, TX, and WY.
If you are looking for steady work from home with consistent pay then this is the opportunity for you.
To make sure this is a fit for you, please understand:
You will be on the phone the entire shift.
You will need to overcome simple objections and maintain a positive attitude.
You will need to purchase a USB Headset (if you don't already have one).
True W2 pay check and direct deposit company (not gimmick 1099 pay)
No phone line needed
No cellphone needed
No driving required
No people to meet
No packaging materials
No shipping
No ebay accounts
No phone experience needed (but a serious advantage)
Company Culture
This compant prides itself on empowering their team to be responsible, "show up" on time for their shift(s), and stay focused on their task(s) the whole time. Working from home is a blessing, but it can also be the biggest distraction. That's why they their staff with the utmost respect and expect the same from them.
This is a serious opportunity from one of the most modern work from home companies on the planet. They are literally a bunch of people spread out around the country with a common goal of helping select customers complete their car insurance quotes. They skype together all day and everyone supports eachother as a team even though 95% all work from REMOTE locations.
This company has been in the online and insurance marketing business for over 3 years now, and the founder has been in this industry for over 10 years now.
Compensation
$8.25/hr starting or 3$ per lead depending on which is more. Focused and aggressive verifiers make $15-$19 an hour.
Scheduling
The shifts that are available are 9am-1pm / 1pm-5pm / 5pm-9pm M-F. (Eastern Time).
Depending on your location and availability you will be assigned (1) of these shifts temporarily until you are well trained and established.
You will start as PART TIME. Once you are established Full time is possible and many reps choose full time. Full on-going success training is provided.
(You are NOT required to purchase training materials or anything from them or us.)
Again all you need is
your own computer,
high speed internet, 5 MBPS Download Speeds and 1 MBPS Upload Speeds
USB headset.
$15-19 hourly 60d+ ago
Onboarding Operations Representative
Hint Health 3.9
Remote hospital insurance representative job
About Hint HealthHint Health is the leading digital health company dedicated to supporting the growth and success of the Direct Primary Care (DPC) movement. With a mission to power direct care and make it the new standard, the HintOS platform supports thousands of clinics and networks across the nation providing care for over a million members. Hint also produces Hint Summit, the leading DPC innovation conference and supports Hint Connect, a curated national network of independent DPC clinics. Founded in 2013, the company is headquartered in San Francisco, CA. To learn more visit *********************
The Level 1 Onboarding Operations Specialist supports the end-to-end onboarding process for new customers. This entry-level role focuses on executing standardized onboarding tasks, verifying documentation, setting up accounts and system access, and ensuring accurate data entry across internal systems. The specialist serves as the primary point of contact for onboarding-related inquiries, adheres to established procedures, and escalates issues as necessary. Success in this role requires strong attention to detail, clear communication skills, basic technical aptitude, and the ability to work efficiently in a fast-paced, process-driven environment.Key Responsibilities
Execute standardized onboarding tasks in accordance with documented procedures, including collecting, verifying, and validating onboarding documentation and following up on discrepancies or missing information
Serve as a first point of contact for onboarding-related questions and requests, maintaining clear and timely communication with internal teams and stakeholders.
Perform accurate data entry and updates across internal systems and tools
Track onboarding queues and workflows to ensure timely completion while maintaining accurate and up-to-date records.
Escalate complex issues, exceptions, or system errors to Sr. Onboarding Operations Specialist or manager
Ensure compliance with company policies, security standards, and regulatory requirements
Contribute to continuous process improvement by providing feedback on onboarding workflows
Have to Have
Bachelor's degree or equivalent work experience
Clear written and verbal communication skills
Strong attention to detail and ability to follow standardized procedure
Ability to prioritize tasks and customer inquiries effectively
Strong problem-solving skills
Empathy, patience, and a positive attitude
Ability to collaborate and work independently as a self-starter
Eligible to work legally in the US or Canada for Hint Health and living within a US time zone
Nice to Have
Experience with data entry, document verification, or process-driven workflows
Familiarity with ticketing systems and/or CRM platforms
Comfortable working with multiple systems and learning new tools quickly
Helpful but not required
Basic understanding of compliance, security, or identity verification processes
Experience in the healthcare or health-tech industries
Life at HintOur team is inquisitive, kind, open, and smart. We share glimpses of our lives-introducing our kids and pets-and host virtual hangouts to stay connected. Our employee Slack channels include spaces for women, caregivers, and our Diversity & Inclusion Committee. We also have regular cadences for company all-hands updates and team learning sessions so all Hinters can stay connected to how their work is changing the landscape of healthcare.
Hint has taken the Parity Pledge and is committed to racial and gender parity. Furthermore, those historically underrepresented in tech-including people of color, immigrants, members of the LGBTQ+ community, people with disabilities and veterans-are encouraged to apply. We look for the best candidate for the job based on demonstrable skills, and do not screen for educational background, age, or markers of socioeconomic status.
BenefitsAt Hint we support our teams to be their best by taking care of them and providing attractive benefits.* Competitive compensation of base salary & stock options* 401k plan* Progressive paid parental leave for both parents* Comprehensive medical, dental & vision + DPC membership or HSA stipend* Remote-first workplace, home office stipend, & optional in-person meet-ups* Flexible working hours, flexible vacation, & paid national holidays
As Hint Health is a remote company, we use e-verify for all US employees to complete an I9. More about this can be found here and here.
$31k-44k yearly est. Auto-Apply 3d ago
Senior Contracts Representative, Defense Agencies IT Business Area
Leidos 4.7
Remote hospital insurance representative job
Leidos is seeking a contracts professional to join our Defense Agencies IT contracts team. This position is an individual contributor.
***Remote candidate must be located within the greater Washington D.C. or Baltimore metro areas and able to support occasional in-person meetings at Leidos and customer sites.***
In this role as a Senior Contracts Representative, you represent the “selling side” of the procurement interaction. Acting as the authorized Leidos counterpart to a US Government Contracting Officer, you will be responsible for a portfolio of task orders. Your primary objectives will be to build productive working relationships with internal and external customers, to negotiate changes where necessary, and to provide business recommendations and risk assessment regarding contract structure, clauses, requirements, proposals, and performance problem resolution.
At Leidos the contracts team functions as an integration role that thrives at the crossroads of all areas of the business. In this role we are a critical formal, and informal, engagement point between Leidos and customer stakeholders. A successful Senior Contracts Representative is self-motivated and enjoys learning about the entire business relationship, and how all the pieces fit together, to accomplish the program's objectives.
Work Location: Daily work location for this position will be remote, though candidate must be located within the greater Washington D.C. or Baltimore metro areas and able to support occasional in-person meetings at Leidos and customer sites.
Clearance Requirement: Ability to obtain and maintain US Secret clearance
Responsibilities:
- Demonstrate and act in accordance with Leidos Values in every business interaction (integrity, inclusion, innovation, agility, collaboration, and commitment)
- Review and negotiate terms and conditions for Non-Disclosure Agreements (NDAs), teaming agreements (TAs), and Organizational Conflicts of Interest (OCIs) mitigation plans.
- Provide cradle-to-grave contract administration support for US Government contracts including: RFP analysis, hands-on proposal development including the development of terms and conditions, coordination of appropriate internal reviews, contract negotiation, and contract/task order administration and execution.
- Responsible for overall contract compliance of assigned tasks in accordance with contract requirements, company policy and procedures, and applicable laws.
- Frequently interact (written, oral, and face-to-face) with other contracts and procurement staff, functional peers, program management, and external and internal customers.
- Daily use of Outlook, Teams, SharePoint, Word, Excel, PowerPoint
- Support audit activities and data requests from internal or external customers
- Stretch assignments for competitive proposal support, and other special projects
Mandatory qualifications for this position:
- Must be a US Citizen
- Ability to obtain and maintain a Secret Clearance
- BA degree and 4 - 8 years of prior relevant experience or Masters with 2 - 6 years of prior relevant experience
- Experience in competitive federal government proposals
- Experience with US Government contracts (FAR / DFARS), interpretation and administration
- Analytical, communication, and presentation skills
- Skills in building and maintaining relationships with both internal and external customers
- Proficient in Outlook, Teams (or similar online collaboration tool), SharePoint (or similar online collaboration tool), Word, Excel, PowerPoint
Preferred qualifications and experience:
- Cost Plus Fixed Fee (CPFF) and/or Firm Fixed Price (FFP) contract types
- Non-disclosure agreements and teaming agreements
- Analyzing and mitigating Organizational and Conflict of Interest (OCI) risk
- Identifying and mitigating risks associated with technical requiremens and contractual agreements
- Negotiating changes
- Coordinating reviews and approvals in accordance with corporate policy and procedures
- Soliciting and understanding information from many sources to solve problems using sound business judgments
- Advanced user skills in Excel and Word
KLDC
At Leidos, we don't want someone who "fits the mold"-we want someone who melts it down and builds something better. This is a role for the restless, the over-caffeinated, the ones who ask, “what's next?” before the dust settles on “what's now.”
If you're already scheming step 20 while everyone else is still debating step 2… good. You'll fit right in.
Original Posting:January 6, 2026
For U.S. Positions: While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above.
Pay Range:Pay Range $73,450.00 - $132,775.00
The Leidos pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet.
The University of Miami/UHealth Central Business Office has an exciting opportunity for a full-time Insurance Verification Representative to work remotely.
CORE RESPONSIBILITIES
* Accounts are completed in a timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient's date of service
* Verification of eligibility and benefits via RTE in UChart, online insurance websites, telephone or other source of automated services
* Add and/or edit insurance information in UChart such as validating that the correct guarantor account and plan listed in patient's account with accurate subscriber information, policy number, and claims address and plan order.
* Completes the checklist and document co-pay.
* Creates referral if applicable, "Benefit only" or "Preauthorization", and documents benefits information: deductible, co-insurance and out of pocket benefits
* Meets productivity standards for assigned work queue, QA goal of 95% or greater and maintains WQ current at 14 days out with minimum daily pending visits
* Assists in educating and acts as a resource to patients, primary care and specialty care practices within the UHealth system and externally
* Contact Primary Care Physician offices and/or Health Plans to obtain authorization or referral for scheduled services according to authorization guidelines listed in UHealth Contract Summary. Submits all necessary documentation required to process authorization request 2
* Obtains authorization for both facility and provider for POS 22 and POS 19 clinics and provider only for POS 11 clinic locations\
* Enters and attaches authorization information in referral section of UChart
* Approves referral and financially clear visits
* Communicates with patients and/or departments regarding authorization denial and/or re-direction of patients by health plan or PCP office
* Contact the Departments and/or patient when additional information is required of them or to alert regarding pending authorization status
* Participates in process improvement initiatives 15% Customer Service
* Provides customer service and assists patients and other UHealth staff with insurance related questions according to departmental standards
* Ensures that patients are aware of issues regarding their financial clearance and educated on the referral/authorization process
* Collaborates with Department and Patient Access teams to ensure that timely and concise communication occurs.
* Ensures service recoveries and escalations are implemented with the guidance of their supervisors and according to departmental standards and guidelines
* Performs other duties as assigned
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS
Insurance Verification Representative
* High School Diploma or equivalent
* Minimum 1 year of relevant work experience
* Computer literate (EPIC scheduling and registration application experience a plus).
* Strong written and oral communication skills.
* Able to work in a team environment.
* Graceful under pressure and stressful situations
Sr. Insurance Verification Representative
* High School Diploma or equivalent
* (3) years of direct experience in Insurance Verification and Registration.
* Computer literate (EPIC scheduling and registration application experience a plus).
Minimum Qualifications (Essential Requirements)
* Strong written and oral communication skills. Able to work in a team environment.
* Graceful under pressure and sensitive situations
* High School Diploma or equivalent and (3) years' direct experience Insurance Verification and Registration.
* Computer literate (EPIC scheduling and registration application experience a plus).
* Strong written and oral communication skills. Able to work in a team environment.
* Graceful under pressure and sensitive situations
* Demonstrated knowledge of insurances, including authorization/referrals guidelines and requirements
* Demonstrated ability to communicate effectively in written and verbal form. Bi-lingual knowledge a plus
* Demonstrated ability to communicate effectively with physicians, customers, teammates and other staff
* Ability to interact and assist patients of all ages, cultural background and with special needs, with a passion for providing excellent service and care
* Ability to work under a high level of stress with time constraints while maintaining composure and sensitivity to each patient's specific needs
* Maintain a high level of diplomacy when dealing with stressful situations · Is innovative, proactive and resourceful in problem solving
Any appropriate combination of relevant education, experience and/or certifications may be considered.
#LI-NN1
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.
Job Status:
Full time
Employee Type:
Staff
$29k-33k yearly est. Auto-Apply 52d ago
Billing & Posting Resolution Representative
CPSI 4.7
Remote hospital insurance representative job
The Billing & Posting Resolution Representative position is responsible for acting as a liaison for hospitals and clinics using TruBridge Accounts Receivable Management Services. They work closely with TruBridge management and hospital employees in receiving, preparing and posting of receipts for hospital services while ensuring the accuracy in the posting of the receipt, contractual allowance and other remittance amounts. Candidates must be detail oriented with excellent verbal and written communication skills, organizational skills, and time management skills.
Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:
Receives daily receipts that have been balanced and stamped for deposit and verifies receipt total.
Research receipts that are not clearly marked for posting.
Post payments to the appropriate account and makes notes required for follow-up.
Posts zero payments to the appropriate account and makes notes required for follow-up.
Maintains log of daily receipts and contractual posted.
Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers.
Responsible for consistently meeting production and quality assurance standards.
Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer.
Updates job knowledge by participating in company offered education opportunities.
Protects customer information by keeping all information confidential.
Processes miscellaneous paperwork.
Ability to work with high profile customers with difficult processes.
May regularly be asked to help with team projects.
3 years hospital payment posting, including time outside Trubridge.
Display a detailed understanding of CAS codes.
Post denials to patient accounts with the correct denial reason code.
Post patient payments, electronic insurance payments, and manual insurance payments.
Balance all payments and contractual daily.
Make sure postings balance to the site's bank deposit.
Adhere to site specific productivity requirements outlined by management.
Serve as a resource for other receipting service specialists.
Must be agile and able to easily shift between tasks.
May require overtime as needed to ensure the day/month are fully balanced and closed.
Assist with backlog receipting projects, such as unresolved situations in Thrive, researching credit accounts, and reconciling unapplied.
Minimum Requirements:
Education/Experience/Certification Requirements
3 years hospital payment posting, including time outside TruBridge.
Computer skills.
Experience in CPT and ICD-10 coding.
Familiarity with medical terminology.
Ability to communicate with various insurance payers.
Experience in filing claim appeals with insurance companies to ensure maximum reimbursement.
Responsible use of confidential information.
Strong written and verbal skills.
Ability to multi-task.
Why Should You Join Our Team?
3 weeks paid Training
Earn time off starting on Day 1
10 Company Paid Holidays
Medical, Dental and Vision Insurance
Company Paid Life and AD&D Insurance
Company Paid Short-Term Disability Insurance
Voluntary Long-Term Disability, Accident insurance, ID Theft Insurance,
Paid Parental Leave
Flexible Spending or Healthcare Savings Accounts
401K Retirement Plan with competitive employer match
Casual Dress Code
Advancement Opportunities to grow within the company
$32k-39k yearly est. Auto-Apply 60d+ ago
Billing & Follow Up Rep-REMOTE- Farmington Hills, MI-675298
Treva Corporation
Remote hospital insurance representative job
Treva is seeking a full-time contracted Billing Representative to join our team! The position is located in Farmington Hills, MI.
Contract Details:
Must have 2 year of recent billing experience.
Shift: 8 hours/5 days per week
13 week contract (possible extension)
What We Offer Employees:
Competitive weekly pay (option of W2 or 1099) | Referral and extension bonus available*|Assistance with flight cost*|Certification reimbursement*|Healthcare benefits available on first day of employment |Travel stipend (must be over 50 miles one way from the facility)
*contingent and based on facilities bill rate and is worked into the contract
For a complete list of open positions, please visit ************************************************
Your Next Big Opportunity Starts Here!
Employment Type: Full-Time / Part-Time
100% Remote - No Experience Needed - Start This Week! Join our fast-growing team at Globe Life AO. We provide full training, flexible hours, and uncapped bonuses. Apply now and get hired in 24-48 hours!
Why Choose Us?
Highly Competitive Salary - Earn between $60,000 and $150,000 per month!
Career Growth - Take advantage of promotions, training, and leadership opportunities.
Work-Life Balance - Flexible schedules to help you succeed while enjoying life.
Supportive Team Culture - Join a team that celebrates wins and fosters collaboration.
Your Role:
Deliver top-notch customer support via phone, email, and chat.
Solve customer concerns efficiently and professionally.
Stay updated on company offerings to provide accurate information.
Work alongside a motivated team to enhance customer satisfaction.
Who We're Looking For:
Excellent communication and problem-solving skills.
A customer-first mindset with a proactive approach.
Ability to multitask and excel in fast-paced environments.
Prior customer service experience is a plus-but passion and dedication matter most!
Ready to step into a rewarding career with fantastic growth potential? Apply today and become part of something amazing!
$30k-33k yearly est. Auto-Apply 60d+ ago
Billing Sponsor Collector Specialist
Musckids
Remote hospital insurance representative job
The Billing Sponsor/Collector Specialist - Government reports to the HPA Collection Supervisor. Under general supervision, the Government Collector resolves unpaid Medicare accounts, submits adjusted claims as needed for overpayments and completes compliance projects within the specified time frame.
Entity
Medical University Hospital Authority (MUHA)
Worker Type
Employee
Worker Sub-Type
Regular
Cost Center
CC002309 SYS - Hospital Patient Accounting
Pay Rate Type
Hourly
Pay Grade
Health-21
Scheduled Weekly Hours
40
Work Shift
Prepares and processes payments for vendor invoices and other financial obligations in accordance with internal accounting policies. Reviews purchase orders, statements, and invoices to verify amounts owed. Maintains and reconciles accounts payable ledger. Responds to vendor inquiries and resolves any discrepancies in billings and payments. May process requests for employee expense reimbursements.
Additional Job Description
Education: High School Degree or Equivalent Work Experience: 1 year
If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: ***************************************
$31k-38k yearly est. Auto-Apply 60d+ ago
Senior Billing & Collections Specialist (Remote)
Databank Holdings
Remote hospital insurance representative job
DataBank Holdings Ltd. is a leading provider of enterprise-class data center, cloud, and interconnection services, offering customers 100% uptime availability of data, applications, and infrastructure. DataBank's managed data center services are anchored in world-class facilities. Our customized technology solutions are designed to help customers effectively manage risk, improve technology performance, and allow focus on core business objectives. DataBank is headquartered in the historic former Federal Reserve Bank Building, in downtown Dallas, TX.
DataBank is proud to be an Equal Opportunity Employer. Our work culture at DataBank does not discriminate based on actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veterans' status, gender, gender identity, gender expression, genetic information, sexual orientation, or any other characteristic protected by applicable federal, state, or local law.
Role Overview
The Senior Billing & Collections Specialist is responsible for the complete billing and collections lifecycle for DataBank's largest and most complex customer portfolios. This role ensures accuracy, timeliness, and compliance across all billing events - from contract activation through invoice generation, reconciliation, dispute management, and collections.
The ideal candidate has a strong command of large-scale billing operations, exceptional attention to detail, and has successfully navigated the complexities of accounts payable from some of the largest corporations in the world to ensure on time payment. The candidate has excellent cross functional communication and collaboration skills including working with Sales, Legal, Service Delivery, Systems Development, and Finance to improve processes or solve problems.
This is a senior individual contributor position - focused on account ownership, problem-solving, communication, and driving continuous improvement for managing DataBank's largest customer's billing and accounts payable requirements that often will vary customer to customer.
Key Responsibilities
Billing Operations
* Own end-to-end billing processes for assigned hyperscale or large enterprise accounts as assigned by management, ensuring accurate and timely invoicing for recurring, usage-based, and project-related services.
* Audit and validate customer account data, billing terms, and service details prior to invoicing. Review and validate all invoices prior to release to ensure adherence to internal controls and audit requirements.
* Understand and manage master service agreement and service order contractual information/data to ensure compliance to contract.
* Reconcile discrepancies between order data, contract terms, and installed services; collaborate with cross-functional teams to resolve discrepancies.
* Calculate and process credit memo adjustments, e.g. SLA credits, and Early Termination Fees (ETFs) in compliance with company processes and policy in a timely manner.
* Partner with Service Delivery, Sales Operations, and IT to identify and correct data integrity issues impacting billing automation.
* Manage and validate submission of all invoices and credit memos, i.e. transactions, as per customer requirements. Monitor for status updates related to submitted transactions.
Collections & Account Management
* Manage the collections process for assigned accounts, ensuring on time payment along with rapid and proactive resolution of billing issues.
* Monitor account aging and payment trends; identify potential risks and escalate unresolved items to leadership when appropriate.
* Serve as the primary contact for customer finance and AP teams, maintaining professional, solution-oriented communication to resolve short pays, disputed balances, or delayed payments.
* Document all collection activities, correspondence, and account updates in the billing or CRM system accurately and promptly.
Other Responsibilities
* Act as a subject-matter expert for assigned accounts, coordinating with internal stakeholders (Sales, Legal, Service Delivery, and Finance Leadership) to resolve complex billing or contractual issues.
* Support process standardization and automation initiatives for improvements by providing feedback on data flow, validation rules, and exception handling specific to hyperscale account needs and requirements.
* Participate in system automation projects including defining requirements and/or testing as required to ensure alignment with the efficiencies and quality required to handle DataBank's largest assigned customers.
* Identify and communicate root causes of recurring issues; partner with leadership to recommend and implement sustainable solutions.
* Track key metrics such as billing accuracy, dispute rates, payment timing relative to payment terms, and provide insight into trends and process improvement opportunities to leadership.
* Support internal and external audits related to assigned accounts including organizing records that are necessary in order to minimize impact of documentation requests.
* Maintain current, accurate process documentation for management of large-scale customers including customer specific requirements as part of said processes.
Qualifications
* Bachelor's degree, preferably in Accounting, Finance, or Business Administration (or equivalent work experience).
* 5+ years of progressive experience in billing and/or collections, ideally within telecom, data center management, colocation services, or managed services industries.
* Proven experience managing large-scale, high-revenue, high-visibility accounts with complex billing structures. Experience with publicly traded customers preferred.
* Strong understanding of revenue components, contract terms, order-to-cash, and billing reconciliations. Must be able to read and interpret contract terms and applicable.
* Intermediate to advanced proficiency in Microsoft Excel. Experience with NetSuite and/or Epicor preferred.
* Exceptional attention to detail, analytical skills, and problem-solving abilities.
* Strong written and verbal communication skills with a professional, customer-focused approach.
* Ability to work independently, manage multiple priorities, and thrive in a fast-paced environment.
Benefits
* Health, Dental, and Vision Insurance
* Short-Term and Long-Term Disability
* Life Insurance
* 401(k) with Company Match
* Paid Time Off and Holidays
$30k-37k yearly est. 60d+ ago
Work From Home - Insurance Representative
Global Elite Group 4.3
Remote hospital insurance representative job
Are you a passionate individual seeking a fulfilling career that offers flexibility and growth opportunities? Look no further! With the option to work from home and enjoy a flexible schedule, you can balance your personal and professional life seamlessly while advancing your career.
Perks Include:1. Work-Life Balance: Embrace the freedom to work from home and tailor your schedule to fit your lifestyle, ensuring you have time for what matters most to you.2. Supportive Environment: Join a nurturing community that values work-life harmony and provides the support and flexibility you need to thrive in your career.3. Mentorship & Growth: Access mentorship opportunities from experienced leaders who are dedicated to helping you succeed, empowering you to grow and excel in your role.
Qualifications:• Dedication to delivering exceptional customer service experiences.• Strong communication and interpersonal skills.• Ability to lead and inspire teams to achieve outstanding results.• Desire to pursue professional growth and development while maintaining a healthy work-life balance.
If you're ready to embark on a fulfilling career path that offers flexibility, growth, and support, apply now! Take advantage of this opportunity to work from home, enjoy a schedule that suits your lifestyle, and receive mentorship as you advance your career in client service leadership.
Don't miss out on this chance to prioritize both your personal and professional aspirations. Apply today and take the next step towards a rewarding career!
*All interviews will be conducted via Zoom video conferencing
(Global Elite Empire Consultants is a third-party recruiter, not an insurance agency)
$31k-37k yearly est. Auto-Apply 5d ago
Remote Life Insurance Representative
Premier Services 3.8
Remote hospital insurance representative job
Job Description
At the Burk Agency, we understand military life-its uncertainties, frequent moves, and the vital need for peace of mind. Join a familiy owned, mission-driven team dedicated to protecting families, one policy at a time.
Are you a military spouse who values family security, flexibility, and purpose? At the Burk Agency, you can build a thriving career on your terms. Offer trusted life insurance solutions that protects families-and do it from wherever duty takes you. No experience necessary; training and mentorship provided.
Why You'll Love Working with Us
Work Wherever Life Takes You: Fully remote role - no matter where you are stationed.
Built for Military Spouses. Choose flexible hours and a positive schedule-mobility is a strength, not a hurdle.
Meaningful Impact: Help safeguard the financial future of families, while using your interpersonal skills in a rewarding advisory role.
Support & Training. We provide comprehensive training, mentorship, and marketing support-no insurance experience required.
Growth Potential: Earn competitive commissions + bonuses. Build your own client base and develop alongside a supportive team.
Responsibilities
Engage families to assess insurance needs and explain coverage options.
Build trust-based relationships through empathy and transparency.
Maintain client records and follow up with exceptional customer service.
Collaborate with agency leadership for promotions and outreach.
What We Offer
Remote work with flexibility around PCS schedules and deployments.
Competitive compensation: base stipend + performance-driven commissions.
Portable career: your business stays active no matter the next duty station.
Purpose-aligned environment among people who “get it.”
Ideal Candidate
A military spouse or partner who understands the unique challenges of military life.
Empathetic communicator with a desire to empower families.
Self-starter who's organized, professional, and adaptable.
Committed to growth, ethical service, and helping others.
Compensation & Benefits
Uncapped Earnings
Raise eligibility starting in your first month (5% bumps with benchmarks)
Health & dental benefits available
All-expenses-paid incentive trips for top performers
Flexible schedule - Part-time or full-time options
Family-like culture with unmatched leadership, training, and support
Agency and carrier bonuses and reward trips available
If you are ready to transform your purpose into profit and your legacy into a lifestyle, we look forward to meeting you.
If you are a self-motivated, results-driven sales professional looking for a commission-only position with unlimited earning potential, we want to hear from you. Please submit your resume and cover letter to apply for this position.
If you are interested, you will be expected to schedule a phone interview as soon as you apply and be on time for that appointment. Once you apply, you will receive an email and a text with instructions as to what we want you to do before you click on the link to schedule your phone interview.
Jan Burkhalter | National Sales Manager
No agent's success, earnings, or production results should be viewed as typical, average, or expected. Not all agents achieve the same or similar results, and no particular results are guaranteed. Your level of success will be determined by several factors, including the amount of work you put in, your ability to successfully follow and implement our training and sales system and engage with our lead system, and the insurance needs of the customers in the geographic areas in which you choose to work
$32k-40k yearly est. 6d ago
Billing/Collections Specialist
Moriah Health Co
Remote hospital insurance representative job
Full-time Description
SUMMARY: The Billing & Collections Specialist, under the supervision of the Billing &
Collections Supervisor (or greater), is responsible for billing services, collecting payments,
maintaining records, and verifying insurance benefits.
The role requires strong communication skills, and adherence to policies and regulations such
as but not limited to: CARF, HIPAA, client confidentiality & Moriah Behavioral Health best
practices.
DUTIES AND RESPONSIBILITIES:
Maintains client demographic information and data collection systems.
Verify insurance benefits and eligibility for behavioral health by utilizing online websites or by contacting carriers directly.
Communicates with Utilization Review/Admissions Teams for Verification of Benefits (VOB), change of insurance, etc.
Represents the Billing & Collections Department to all internal and external inquiries.
Responds to medical record requests from the insurances and follows up with Clinical Documentation Specialist.
Participates in educational activities and attends regular meetings.
Review client charts for attendance and updated information to ensure accuracy of billing.
Works seamlessly with Utilization Review, Clinical, and Admission Teams to develop best practices, policies, and procedures as they relate to Billing & Collections.
Maintains accurate financial records and follows payment procedures.
Monitors outstanding balances to ensure each account is paid on time and in full.
Monitors multiple client accounts.
Ensure all claims are error free before submission.
Managing the status of accounts and balances and identifying inconsistencies.
Update accounts receivable database and new accounts.
Ensure all clients remain informed on their outstanding debts and deadlines.
Provide solutions to any relative challenges of clients.
Notify Clinical Documentation Specialist and or Director of Billing & Collections if clinical data is not up to date.
Work closely with Team Members to create and submit claims as well as client statements.
Work closely with clients to create applicable payment plans for balances due.
Maintain current knowledge and understanding of the laws, regulations, and policies that pertain to Moriah Behavioral Health and insurance provider business practices.
Checks emails periodically throughout the day and responds appropriately.
Must be willing to work on-call rotation as assigned for nights and weekends as needed.
This position is required to be present in office and is not a remote position.
Must be willing to work weekends as needed. When it is needed, unless otherwise required, you may work remotely via phone and email, etc.
Must be able to work flexible hours from 7 a.m. to 9 p.m. EST / EDT
Able to build connections while creating trust and rapport.
Strong understanding of medical necessity criteria is preferred.
Maintains confidentiality and HIPAA compliance in accordance with Moriah Behavioral Health policies.
Maintains and meets CARF certification requirements in accordance with Moriah Behavioral Health policies.
Adherence to laws and best practices in regard to dealing with clients and confidential data.
Follows all Moriah Behavioral Health's policies and procedures.
Performs other related duties as assigned by Supervisor or Greater.
Requirements
QUALIFICATIONS:
? High school diploma or general education degree (GED), 6 months of related experience
and/or training, or equivalent combination of education and experience.
? Possess the ability to function effectively in a team environment and interact
productively with all levels of team personnel and outside contractors.
? Basic Math and Accounting principles.
? Can understand and follow oral and written instructions.
? Ability to read, write the following: Work Orders, instructions, daily reports, and system
manuals.
? Ability to receive and relate orders/information using various communication devices.
? Applicants must be either a U.S. Citizen or have the legal right to work in the United
States.
? Must meet federal, state, and local criminal clearance and child abuse indexing
requirements.
? Applicants must pass a drug screen and submit to random drug testing as requested.
? Applicants are also required to pass a general medical examination.
? Computer Skills Required. Preferred (but not required) knowledge of Kipu, Google Docs,
Excel, Salesforce, Collaborative MD.
? Must possess a valid Driver's License or State ID.
Salary Description 30,000.00 annual
$30k-38k yearly est. 60d+ ago
Remote Insurance Follow-Up Representative
Annuity Health
Remote hospital insurance representative job
Job DescriptionDescription:
A Remote Insurance Follow-Up Representative will be responsible for all collection functions for hospital and physician services. This primary responsibility of this position is account resolution which includes the following duties: reviewing accounts, following up with insurance companies on claim status, gathering and submitting any missing information, rebilling, appeals, and billing out secondary electronic or paper claims to all payers as needed.
Duties/Responsibilities
Provide customer service to various healthcare contract customers
Prepare, research and collect from various contracted health insurance payers
Research remits and Explanation of Benefits (EOBs) for complete accurate payments or denials
Provide or arrange for additional information when needed
Submit corrected claims or appeals
Request appropriate adjustments, when required
Identify items that require client assistance
Gather payor trends and provides feedback
Other duties as assigned
Required Skills/Knowledge
EPIC experience preferred
Microsoft Office
Knowledge in government and non-government billing guidelines for facility/physician
Knowledge in account/claim status, resolution and appeals process
Knowledge of the UB04 and HCFA forms
Excellent customer service and time management skills
High attention to detail required
Excellent verbal, written, and electronic communication skills required
Education/Experience
High school diploma or General Education Development (GED) certificate required
One to Two years of college preferred
Minimum of three years of experience preferred
Prior medical billing and insurance collections or healthcare revenue cycle experience preferred
Benefits
Annuity Health offers its employees excellent benefits including: Health, Dental, Vision, HSA and FSA Accounts, Voluntary Insurance, Paid Holidays, PTO, and 401(k).
Requirements:
$26k-33k yearly est. 4d ago
Billing Representative
Harriscomputer
Remote hospital insurance representative job
The Billing Representative is responsible for the timely and accurate submission of patient bills to various insurance payors, including Medicare, Medicaid, Blue Cross, commercial, and other government entities. This role involves managing billing processes, maintaining customer relationships, and ensuring financial goals are met.
Responsibilities
Coordinate daily hospital billing within established controls to ensure adherence to billing guidelines and standards.
Manage billing inventory for assigned clients and meet financial goals.
Build and maintain strong customer relationships.
Maintain working knowledge of all software applications related to billing claims.
Process claims generated on late charge reports, rejected claims, claims in error, DDE claims, and shadow claims daily.
Ensure facility Rebills are worked and comments logged on patient accounts within 7 business days.
Communicate issues impairing the billing process to the Team Lead/Manager.
Communicate with hospitals to retrieve information for rebills/corrected claims.
Communicate with insurance payors to work claims not processed/paid, utilizing various strategies such as phone calls, letters, meetings, faxing, and emails.
Partner with other teams/departments to resolve billing/payor payment issues.
Submit billing/rebilling requests from customers and team members in a timely manner.
Stay current with billing practices for private and government payors, including billing software applications.
Assist in the training and education of new and existing employees.
Maintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements.
Perform other duties as assigned.
Accurately input/submit worked time by departmental deadlines.
Maintain in-depth knowledge of MEDHOST core products and third-party clearinghouses.
Maintain industry knowledge through self-study and training.
Recommend department and customer documentation.
Provide training and training documentation in areas of expertise.
Attend and participate in team and departmental meetings.
Respond to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from facilities in a timely manner.
Adhere to all HIPAA Privacy and Security requirements.
Perform duties in a positive manner that upholds company policies and procedures.
Requirements
High School or equivalency diploma required.
Minimum 1 year of experience in a hospital billing/patient account receivable related environment.
Minimum 1 year of experience utilizing hospital claims management/billing software.
Ability to follow directions and perform work according to department standards independently.
Computer skills in Microsoft Office applications (Word, Excel, PowerPoint, etc.).
Customer Service oriented.
High Speed Internet access (minimum 300 Mbps download speed) and unlimited data.
Smart phone for Multi Factor Authentication (MFA) application.
What Would Make You Stand Out
MEDHOST (HMS) knowledge is a plus.
Knowledge of hospital billing, revenue cycle, and medical terminology.
Thorough understanding of accounts receivable, collections, billing, appeals, and denials.
Knowledge and understanding of Explanation of Benefits (EOB), state, and federal guidelines.
Ability to navigate healthcare information system(s) and clearinghouse(s).
Ability to access protected health information (PHI) in accordance with departmental assignments and guidelines.
Skilled in making accurate arithmetic computations.
Excellent communication skills (verbal & written), good judgment, tact, initiative, and resourcefulness.
Detail-oriented, organized, and able to multi-task.
Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives.
Flexible with a “can do” attitude and ability to remain professional under high-pressure situations.
What We Offer
3 weeks' vacation and 5 personal days
Comprehensive medical, dental, and vision benefits starting from your first day
Employee stock ownership and RRSP/401k matching programs
Lifestyle rewards
Remote work and more
About Us
MEDHOST, founded in 1984 and headquartered in Franklin, Tennessee, is a leading provider of healthcare information technology solutions. Serving over 1,000 healthcare facilities nationwide, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms. Their mission is to empower healthcare organizations to enhance patient care and improve business operations through innovative, user-friendly solutions. In January 2024, MEDHOST was acquired by N. Harris Computer Corporation, further strengthening its position in the healthcare IT industry.
$28k-35k yearly est. Auto-Apply 17d ago
B2B Billing & Collections Specialist
Cort Business Services 4.1
Hospital insurance representative job in Chesterville, OH
CORT is seeking a full-time Accounts Receivable Collections and Support Specialist to work with our national, commercial accounts. The ideal candidate will be skilled at building customer relationships, with experience in commercial collections and customer support.
The primary responsibility of this position is to review and adjust client invoices for accuracy and for keeping over 30 days past due delinquencies within designated percentage guidelines by performing collection procedures on assigned commercial accounts. This responsibility includes the resolution of all billing and collection issues while providing excellent customer service to both internal and external customers.
During the training period, this is an onsite role that reports to the office each day, however, after training, employees will have the option to work a hybrid schedule with 3 days in office and 2 days from home.
Schedule: Monday-Friday 8am to 4:30pm
What We Offer
* Hourly pay rate; weekly pay; paid training; 40 hours/week
* Promote from within culture
* Comprehensive health insurance (medical, dental, vision) available on the first of the month after your hire date
* 401(k) retirement plan with company match
* Paid vacation, sick days, and holidays
* Company-paid disability and life insurance
* Tuition reimbursement
* Employee discounts and perks
Responsibilities
* Review, adjust, reconcile and send monthly invoices to assigned commercial account customers.
* Contact customers, by telephone and email, to determine reasons for overdue payments and secure payment of outstanding invoices. Communicate with districts and escalate collection issues as appropriate to resolve.
* Determine proper payment allocation as required or requested by A/R processing personnel.
* Resolve short payment discrepancies that customers claim when making payment.
* Complete adjustment forms and follow up with Districts to ensure adjustments are completed timely and accurately.
* Based on established policy and on a timely basis, investigate and resolve on-account payments received and other credits/debits that have not been assigned to an invoice.
* Resolve and clear credit balance invoices before such invoices age 60 days.
* Prepare monthly collection reports to be submitted to Management.
Qualifications
* 2-3 years or more of accounting /collection, or customer service experience. Collections experience preferred.
* Commercial collections experience is ideal.
* High school diploma or equivalent.
* Requires knowledge of credit and collections, invoicing, accounts receivable and customer service principles, practices and regulations.
* Basic math and analytical skills
* Must have excellent communication and negotiation skills with an ability to communicate in a respectful and assertive manner. Must be able to communicate clearly and concisely, both orally and in writing, with an emphasis on telephone etiquette.
* Ability to multi-task and prioritize while speaking with customer.
* Demonstrates good active listening skills, telephone skills and professional email communication skills.
* Position requires strong PC skills and a working knowledge of Outlook, Windows, Word and Excel.
* Must possess average keyboarding speed with a high level of accuracy.
About CORT
CORT, a part of Warren Buffett's Berkshire Hathaway, is the nation's leading provider of transition services, including furniture rental for home and office, event furnishings, destination services, apartment locating, touring and other services. With more than 100 offices, showrooms and clearance centers across the United States, operations in the United Kingdom and partners in more than 80 countries around the world, no other furniture rental company can match CORT's breadth of services.
For more information on CORT, visit *********************
Working for CORT
For more information on careers at CORT, visit *************************
This position is subject to a background check for any convictions directly related to its duties and responsibilities. Only job-related convictions will be considered and will not automatically disqualify the candidate. Pursuant to the Fair Chance Hiring Ordinance for participating locations, CORT will consider all qualified applicants to include those who may have criminal history records. Check your city government website for specific fair chance hiring information.
CORT participates in the E-Verify program.
Applicants must be authorized to work for ANY employer in the US. We are unable to sponsor or take over sponsorship of employment Visa at this time.
EEO/AA Employer/Vets/Disability
Applications will be accepted on an ongoing basis; there is no set deadline to apply to this position. When it is determined that new applications will no longer be accepted, due to the positions being filled or a high volume of applicants has been received, this job advertisement will be removed.
$31k-38k yearly est. Auto-Apply 22d ago
Learn more about hospital insurance representative jobs