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  • Patient Access Representative

    Insight Global

    Remote insurance follow up representative job

    One of our top clients is looking for a team of Patient Access Representatives within a call center environment in Beverly Hills, CA! This person will be responsible for handling about 50+ calls per day for multiple specialty offices across Southern California. This position is fully on-site for 2 - 4 months, then fully remote. Required Skills & Experience HS Diploma 2+ years healthcare call center experience (with an average call time of 5 minutes or less on calls) Proficient with scheduling appointments through an EHR software 2+ years experience scheduling patient appointments for multiple physicians in one practice 40+ WPM typing speed Experience handling multiple phone lines Nice to Have Skills & Experience Proficient in EPIC Experience verifying insurances Basic experience with Excel and standard workbooks Experience in either pain management, dermatology, Neurology, Endocrinology, Rheumatology, or Nephrology. Responsibilities Include: Answering phones, triaging patients, providing directions/parking instructions, contacting clinic facility to notify if a patient is running late, scheduling and rescheduling patients' appointments, verifying insurances, and assisting with referrals/follow up care. This position is on-site until fully trained and passing multiple assessments (typically around 2-4 months of working on-site - depending on performance) where it will then go remote.
    $33k-42k yearly est. 2d ago
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  • Virtual Sales Insurance Specialist

    Globe Life: The Gelb Group

    Remote insurance follow up representative job

    Remote Sales Insurance Specialist Are you enthusiastic, self-motivated, and eager to learn? Do you thrive in a fast-paced environment and aren't afraid of hard work? If so, we want to hear from you! At Globe Life: The Gelb Group, we are dedicated to protecting the hardworking middle class. As a Virtual Sales Insurance Specialist, you'll embark on a structured 3-6 month training program designed to provide you with in-depth industry knowledge and hands-on experience. You'll gain valuable insights into our history, mission, and vision while developing the skills necessary to excel and grow within our company. What Youll Do: Master the daily operations of the business through hands-on training. Work directly with customers to tailor permanent benefits that meet their family's needs. Build and maintain strong relationships with organizations such as the Police Association, Nurses Association, Firefighters, Postal Workers, Labor Unions, and more. Develop essential skills in communication, leadership, organization, time management, networking, and team building. Learn business logistics and strategies to maximize earnings and profitability. What Were Looking For: Leadership experience is a plus, but not required. A strong willingness to learn and be coachable. Ability to accept and apply constructive feedback. Strong people skills and a great sense of humor! Highly organized and team-oriented. Company Perks & Benefits: Incentive Trips to destinations like Cabo, Tulum, Vegas, and Cancun. 100% Remote Work from anywhere! Weekly training calls to support professional growth. Performance-based weekly pay & bonuses. Health insurance reimbursement. Life insurance & retirement plan. If youre ready to take your career to the next level, apply today with your most up-to-date resume! Its not about where you startits about where you finish! Overview: American Income Life has been a leading provider of life and supplemental benefits for working families since 1951. We have established strong relationships with unions and associations across the United States. As the company grows rapidly, we are now offering remote positions to serve families across all time zones nationwide. This is an entry-level position with a potential annual income ranging from $60,000 to $80,000. Responsibilities: Assist clients by providing information about products and services Address client questions regarding their coverage Continuously develop and maintain an understanding of evolving products and services Regularly review client agreements to identify opportunities for cost-effective improvements Qualifications: Previous experience in customer service, sales, or a related field (not required) Ability to build rapport with clients Strong multitasking and organizational skills Positive, professional demeanor Excellent written and verbal communication skills What We're Looking For: A sharp individual with an entrepreneurial mindset A team player who thrives under pressure Someone with professional communication skills Benefits: Comprehensive hands-on training Weekly pay Performance-based bonuses Commission-based income Residual income opportunities Company-paid trips Remote work flexibility Compensation details: 55000-100000 Yearly Salary PIcba8b86e1c66-31181-38920149
    $60k-80k yearly 8d ago
  • Remote Insurance Follow-Up Representative

    DPWN Holdings (USA), Inc. 4.2company rating

    Remote insurance follow up 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 8d ago
  • Remote Insurance Follow-Up Representative

    Annuity Health

    Remote insurance follow up 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:
    $30k-38k yearly est. 19d ago
  • Work from Home - Insurance Verification Representative

    Creative Works 3.2company rating

    Remote insurance follow up 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
  • Title Insurance Agency Clerk

    First Bank 4.6company rating

    Remote insurance follow up representative job

    Thank you for your interest in joining our team. If you're looking to be part of a team that values integrity, humility, excellence, challenge, and life-long learning, you've come to the right place. At First Bank we believe in offering opportunities to help individuals build a long and lasting career, and we are currently seeking a Title Insurance Clerk. The Title Insurance Clerk helps Southern Illinois Title fulfill its vision by providing quality service and creating profitable trusted relationships. Duties and Responsibilities Answers telephone calls, answers inquiries and follows up on requests for information. Travels to closings and county courthouses. Processes quotes. Researches the proper legal description of properties. Researches and obtains records at courthouse. Examines documentation such as mortgages, liens, judgments, easements, plat books, maps, contracts, and agreements to verify factors such as properties' legal descriptions, ownership, or restrictions. Evaluates information related to legal matters in public or personal records. Researches relevant legal materials to aid decision making. Prepares reports describing any title encumbrances encountered during searching activities, and outlining actions needed to clear titles. Prepares and issues Title Commitments and Title Insurance Policies based on information compiled from title search. Confers with realtors, lending institution personnel, buyers, sellers, contractors, surveyors, and courthouse personnel to exchange title-related information, resolve problems and schedule appointments. Accurately calculates and collects for closing costs. Prepares and reviews closing documents and settlement statement for loan or cash closings. Obtains funding approval, verification and disbursement of funds. Conducts insured closings with clients, realtors, and loan officers. Maintains a streamline approach to meet deadlines. Records all recordable documents. Conducts 1099 reporting. Helps scan files into System. Protects the company and clients by following company policies and procedures. Performs other duties as assigned. Qualifications Skill Requirements: Analytical skills Interpreting Researching Reporting Problem solving Computer usage Verbal and written communication Detail orientation Critical thinking Complaint resolution Knowledge: Title Insurance Work experience: 5 years of banking or title insurance Certifications: None required Management experience: None required Education: High school diploma Motivations: Desire to grow in career Work Environment Work Hours: Monday through Friday, 8:00-5:00 (Additional hours may be required for company meetings or training.) Job Arrangement: Full-time, permanent Travel Requirement: Frequent travel is required for closings and research. Additional travel may be required from time to time for client meetings, training, or other work-related duties. Remote Work: The job role is primarily in-person. A personal or work crisis could prompt the role to become temporarily remote. Physical Effort: May require sitting for prolonged periods. May occasionally require moving objects up to 30 pounds. Environmental Conditions: No adverse environmental conditions expected. Client Facing Role: Yes The position offers a competitive salary, medical insurance coverage, 401K-retirement plan, and other benefits. EO / M /F/ Vet / Disability. First Bank is an equal opportunity employer. It is our policy to provide opportunities to all qualified persons without regard to race, creed, color, religious belief, sex, sexual orientation, gender identification, age, national origin, ancestry, physical or mental handicap, or veteran's status. Equal access to programs, service, and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify human resources. This application will be given every consideration, but its receipt does not imply that the applicant will be employed. Applications will be considered for vacancies which arise during the 60-day period following submission. Applicants should complete an updated application if not contacted and/or hired during this 60-day evaluation period. Replies to all questions will be held in strictest confidence. In order to be considered for employment, this application must be completed in full. APPLICANT'S STATEMENT By submitting an application I agree to the following statement: (A) In consideration for the Bank's review of this application, I authorize investigation of all statements contained in this electronic application. My cooperation includes authorizing the Bank to conduct a pre-employment drug screen and, when requested by the Bank, a criminal or credit history investigation. (B) As a candidate for employment, I realize that the Bank requires information concerning my past work performance, background, and qualifications. Much of this information may only be supplied by my prior employers. In consideration for the Bank evaluating my application, I request that the previous employers referenced in my application provide information to the Bank's human resource representatives concerning my work performance, my employment relationship, my qualifications, and my conduct while an employee of their organizations. Recognizing that this information is necessary for the Bank to consider me for employment, I release these prior employers and waive any claims which I may have against those employers for providing this information. (C) I understand that my employment, if hired, is not for a definite period and may be terminated with or without cause at my option or the option of the Bank at any time without any previous notice. (D) If hired, I will comply with all rules and regulations as set forth in the Bank's policy manual and other communications distributed to employees. (E) If hired, I understand that I am obligated to advise the Bank if I am subject to or observe sexual harassment, or other forms of prohibited harassment or discrimination. (F) The information submitted in my application is true and complete to the best of my knowledge. I understand that any false or misleading statements or omissions, whether intentional or unintentional, are grounds for disqualification from further consideration of employment or dismissal from employment regardless of when the false or misleading information is discovered. (G) I hereby acknowledge that I have read the above statement and understand the same.
    $32k-36k yearly est. 60d+ ago
  • Patient Resource Representative ( Remote)

    Valley Medical Center 3.8company rating

    Remote insurance follow up representative job

    This salary rangeis inclusive of several career levels and an offer will be based on the candidate's experience, qualifications, and internal equity. The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands, and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization. TITLE: Patient Resource Representative JOB OVERVIEW: The Patient Resource Representative position is responsible for scheduling, pre-registration, insurance verification, estimates, collecting payments over the phone, and inbound and outbound call handling for Primary and Specialty Clinics supported by the Patient Resource Center. This includes call handling for specialized access programs: Accountable Care Network Contracts Hotline Call Handling, MyChart Scheduling, and Outbound dialing for Referral Epic Workqueues. DEPARTMNT: Patient Resource Center WORK HOURS: As assigned REPORTSTO: Supervisor, Patient Resource Center PREREQUISITES: * High School Graduate or equivalent (G.E.D.) preferred. * Minimum of 2 years of experience in a call center, or 1 year in a physician's office; with experience using multi-line phone systems, Electronic Medical Record systems, and working with several software programs at the same time. * Demonstrates basic skills in keyboarding (35 wpm) * Computer experience in a windows-based environment. * Excellent communication skills including verbal, written, and listening. * Excellent customer service skills. * Knowledge of medical terminology and abbreviations. Ability to spell and understand commonly used terms, preferred. QUALIFICATIONS: * Ability to function effectively and interact positively with patients, peers and providers at all times. * Ability to access, analyze, apply and adhere to departmental protocols, policies and guidelines. * Ability to provide verbal and written instructions. * Demonstrates understanding and adherence to compliance standards. * Demonstrates excellent customer service skills throughout every interaction with patients, customers, and staff: * Ability to communicate effectively in verbal and written form. * Ability to actively listen to callers, analyze their needs and determine the appropriate action based on the caller's needs. * Ability to maintain a calm and professional demeanor during every interaction. * Ability to interact tactfully and show empathy. * Ability to communicate and work effectively with the physical and emotional development of all age groups. * Ability to analyze and solve complex problems that may require research and creative solutions with patient on the telephone line. * Ability to document per template requirements, gather pertinent information and enter data into computer while talking with callers. * Ability to utilize third party payer/insurance portals to identify insurance coverage and eligibility. * Ability to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent * Ability to organize and prioritize work. * Ability to multitask while successfully utilizing varying computer tools and software packages, including: * Utilize multiple monitors in facilitation of workflow management. * Scanning and electronic faxing capabilities * Electronic Medical Records * Telephone software systems * Microsoft Office Programs * Ability to successfully navigate and utilize the Microsoft office suite programs. * Ability to work in a fast-paced environment while handling a high volume of inbound calls. * Ability to meet or exceed department performance standards for Quality, Accuracy, Volume and Pace. * Ability to speak, spell and utilize appropriate grammar and sentence structure. UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT AND WORKING CONDITIONS: See Generic for Administrative Partner. PERFORMANCE RESPONSIBILITIES: * Generic Job Functions: See Generic Job Description for Administrative Partner. * Essential Responsibilities and Competencies: * In-depth knowledge of VMC's mission, vision, and service offerings. * Demonstrates all expectations outlined in the VMC Caregiver Commitment throughout every interaction with patients, customers, and staff. * Delivers excellent customer service throughout each interaction: * Provides first call resolution, whenever possible. * Acknowledge if patient is upset and de-escalate using key words and providing options for resolution. * Identify and assess patients' needs to determine the best action for each patient. This is done through active listening and asking questions to determine the best path forward. * A knowledgeable resource for patient/customers that works to build confidence and trust in the VMC health care system. * Schedules appointments in Epic by following scheduling guidelines and utilizing tools and resources to accurately appoint patient. * Generates patient estimates and follows Point of Service (POS) Collection Guidelines to determine patient liability on or before time of service. Accepts payment on accounts with Patient Financial Responsibility (PFR) as well as any outstanding balances, documents information in HIS and provides a receipt for the amount paid. * Strives to meet patients access needs for timeliness and provider, whenever possible. * Applies VMC registration standards to ensure patient records are accurate and up to date. * Ensures accurate and complete insurance registration through the scheduling process, including verifies insurance eligibility or updates that may be needed. * Reviews registration work queue for incomplete work and resolves errors prior to patient arrival at the clinic. * Utilizes protocols to identify when clinical escalation is needed based on the symptoms that patients report when calling. * Takes accurate and complete messages for clinic providers, staff, and management. * Relays information in alignment with protocols and provides guidance in alignment with patient's needs. * Routes calls to appropriate clinics, support services, or community resource when needed. * Coordinates resources when needed for patients, such as interpreter services, transportation or connecting with other resources needed for our patient to be successful in obtaining the care they need. * Identifies, researches, and resolves patient questions and inquiries about their care and VMC. * Inbound call handling for our specialized access programs * A.C.N. Hotline Call handling * Knowledge of contractual requirements for VMC's Accountable Care Network contracts and facilitates care in a way that meets contractual obligations. * Applies all workflows and protocols when scheduling for patients that call the A.C.N. Hotline * Completes scheduling patients for all departments the PRC supports. * Facilitates scheduling for all clinics not supported by the PRC. * Completes registration and transfer call to clinic staff to schedule. * Completes the MyChart Scheduling process for appointment requests and direct scheduled appointments. * Utilizes and applies protocols as outlined for MyChart scheduling * Meet defined targets for MyChart message turnaround time. * Outbound dialing for patient worklists * Utilizes patient worklists to identify patients that require outbound dialing. * Outbound dialing for referral work queues. * Utilizes referral work queue to identify patients that have an active/authorized referral in the system and reaches out to complete scheduling process. * Schedules per department protocols * Updates the referral in alignment with the defined workflow. * Receives, distributes, and responds to mail for work area. * Monitor office supplies and equipment, keeping person responsible for ordering updated. * Other duties as assigned. Created: 1/25 Grade: OPEIUC FLSA: NE CC: 8318 #LI-Remote Job Qualifications: PREREQUISITES: 1. High School Graduate or equivalent (G.E.D.) preferred. 2. Minimum of 2 years of experience in a call center, or 1 year in a physician's office; with experience using multi-line phone systems, Electronic Medical Record systems, and working with several software programs at the same time. 3. Demonstrates basic skills in keyboarding (35 wpm) 4. Computer experience in a windows-based environment. 5. Excellent communication skills including verbal, written, and listening. 6. Excellent customer service skills. 7. Knowledge of medical terminology and abbreviations. Ability to spell and understand commonly used terms, preferred. QUALIFICATIONS: 1. Ability to function effectively and interact positively with patients, peers and providers at all times. 2. Ability to access, analyze, apply and adhere to departmental protocols, policies and guidelines. 3. Ability to provide verbal and written instructions. 4. Demonstrates understanding and adherence to compliance standards. 5. Demonstrates excellent customer service skills throughout every interaction with patients, customers, and staff: a. Ability to communicate effectively in verbal and written form. b. Ability to actively listen to callers, analyze their needs and determine the appropriate action based on the caller's needs. c. Ability to maintain a calm and professional demeanor during every interaction. d. Ability to interact tactfully and show empathy. e. Ability to communicate and work effectively with the physical and emotional development of all age groups. 6. Ability to analyze and solve complex problems that may require research and creative solutions with patient on the telephone line. 7. Ability to document per template requirements, gather pertinent information and enter data into computer while talking with callers. 8. Ability to utilize third party payer/insurance portals to identify insurance coverage and eligibility. 9. Ability to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent 10. Ability to organize and prioritize work. 11. Ability to multitask while successfully utilizing varying computer tools and software packages, including: a. Utilize multiple monitors in facilitation of workflow management. b. Scanning and electronic faxing capabilities c. Electronic Medical Records d. Telephone software systems e. Microsoft Office Programs 12. Ability to successfully navigate and utilize the Microsoft office suite programs. 13. Ability to work in a fast-paced environment while handling a high volume of inbound calls. 14. Ability to meet or exceed department performance standards for Quality, Accuracy, Volume and Pace. 15. Ability to speak, spell and utilize appropriate grammar and sentence structure.
    $36k-40k yearly est. 35d ago
  • Billing Coordinator

    Total Care Therapy LLC 4.5company rating

    Insurance follow up representative job in Dublin, OH

    Job Description About Us At TCT, we are a therapist-owned and operated company passionate about providing exceptional Physical Therapy, Occupational Therapy, and Speech Therapy in assisted living settings. Our mission is to restore independence through compassionate and high-quality care. We take pride in fostering a supportive, close-knit culture that values collaboration and professional growth. At TCT, you'll enjoy competitive pay, flexible schedules, rewarding work, and a comprehensive benefits package. Our values-Tailored, Transformative, Transparent, Compassion, Care, and Community (T's and C's)-guide everything we do. Why Join Us? Comprehensive Benefits: Medical, dental, vision, and life insurance. Work-Life Balance: Flexible scheduling and paid time off. Recognition & Rewards: Employee reward and recognition programs. Growth Opportunities: On-the-job training and upward mobility. Position Details We're looking for a full-time Medical Biller to join our team in Columbus, OH. This on-site position is ideal for candidates who are detail-oriented, organized, and thrive in a collaborative environment. Key Responsibilities Log payments from insurance companies and patients, maintaining accurate records. Update billing addresses and contact details as needed. Follow up on delinquent payments, resolve denial instances, and file appeals. Submit claims and process billing data for insurance providers. Verify insurance benefits for new and existing clients. Administrative Support: Assist with faxing, answering calls, emails, and text messages. Requirements Minimum 1 year of medical billing experience in a healthcare setting. Associate's Degree in Medical Billing, Coding, or a related field. Proficiency with: Google Suite Microsoft Excel and Word CMS 1500 Availity platform Compensation Competitive and based on experience. Let's talk! Powered by JazzHR ut PWqSzESC
    $58k-89k yearly est. 24d ago
  • Billing Specialist

    Collabera 4.5company rating

    Insurance follow up representative job in Dublin, OH

    Established in 1991, Collabera has been a leader in IT staffing for over 22 years and is one of the largest diversity IT staffing firms in the industry. As a half a billion dollar IT company, with more than 9,000 professionals across 30+ offices, Collabera offers comprehensive, cost-effective IT staffing & IT Services. We provide services to Fortune 500 and mid-size companies to meet their talent needs with high quality IT resources through Staff Augmentation, Global Talent Management, Value Added Services through CLASS (Competency Leveraged Advanced Staffing & Solutions) Permanent Placement Services and Vendor Management Programs. Job Description Responsible for finance operations such as customer and vendor contract administration, customer and vendor pricing, rebates, billing and chargeback's, processing vendor invoices, developing and negotiating customer and group purchasing contracts Qualifications EXPERIENCE: 2-4 Years Root cause identification Significant Microsoft Excel Skills Communication (will communicate with external suppliers) Chargeback or rebate experience a plus Additional Information Please revert if you are available in the job market; apply to the position & Call me on ************ or send me your application on ******************************.
    $67k-92k yearly est. Easy Apply 3d ago
  • Part-Time Insurance Verification Specialist (Remote)

    Globe Life Family of Companies 4.6company rating

    Remote insurance follow up representative job

    At Globe Life we are committed to empowering our employees with the support and opportunities they need to succeed at every stage of their career. We take pride in fostering a caring and innovative culture that enables us to collectively grow and overcome challenges in a connected, collaborative, and mutually respectful environment that calls us to Make Tomorrow Better. Role Overview: Could you be our next Part-Time Insurance Verification Specialist? Globe Life is looking for a Part-Time Insurance Verification Specialist to join the team! In this role, you will verify life and health insurance applications directly with potential customers. This is a vital part of our Company's New Business and Underwriting process. The information you verify and gather directly affects whether the Company will decline or issue a policy. This is a remote / work-from-home position. What You Will Do: Make outbound calls to potential customers to verify and document required information to finalize applications for underwriting assessment. Use the Quality Assurance database and conduct appropriate assessments on what additional customer information or verification is needed. Clearly explain the application process to potential customers. Accurately complete additional paperwork as needed. Maintain appropriate levels of communication with management regarding actions taken within the Quality Assurance database. Transfer calls to the appropriate department as needed. Successfully meet the minimum expectation for departmental key performance indicators (K.P.I's). Be enlisted in special projects that encompass making numerous outbound calls, recording activities requested by/from customers, etc. What You Can Bring: Minimum typing requirement of 35 wpm. Bilingual English and Spanish preferred Superior customer service skills required - friendly, efficient, good listener. Proficient use of the computer, keyboard functions, and Microsoft Office. Ability to multitask and work under pressure. Knowledge of medical terminology and spelling is a plus. Excellent organization and time management skills. Must be detail-oriented. Have a desire to learn and grow within the Company. Applicable To All Employees of Globe Life Family of Companies: Reliable and predictable attendance of your assigned shift. Ability to work full-time and/or part-time based on the position specifications.
    $28k-31k yearly est. 60d+ ago
  • Medical Billing Representative- Evernorth -Remote

    The Cigna Group 4.6company rating

    Remote insurance follow up representative job

    Medical Billing Rep -Enrollment/Billing Representative We are seeking a dedicated **Enrollment/Billing Representative** to join our Revenue Cycle Team. This role is responsible for accurate and timely billing, insurance claims processing to ensure optimal reimbursement and compliance. **Essential Duties and Responsibilities** + Understand and apply **Third-Party Billing** guidelines. + Identify root causes of claim denials and recommend corrective actions to prevent recurrence. + Ensure accuracy and timeliness of billing processes. + Meet quality assurance standards and productivity benchmarks set by management. + Process patient and insurance information updates. + Handle **Home Infusion/Nursing claims** . + Identify billing trends and escalate issues as needed. **Education and Experience** + High school diploma or GED required. + At least 1 year of related experience in medical billing, collections, health care, clinical setting, pharmacy, or administrative record management. + Strong customer service background preferred. **Skills, Knowledge, and Abilities** + Excellent communication skills + Ability to interact professionally with patients, payors, and agencies via phone, email, and written correspondence. + Knowledge of Home Infusion, insurance policies, and medical billing practices highly desired. + Familiarity with ICD-10, CPT, HCPCS codes, and medical terminology preferred. + Understanding of third-party payor guidelines and reimbursement practices. + Proficiency in Microsoft Office; knowledge of HCN 360, CareTend, and/or CPR+ is a plus. + Medicare billing knowledge specific to DME preferred. + Strong organizational, time-management, and problem-solving skills. + Ability to maintain confidentiality and handle sensitive information with discretion. + Detail-oriented with the ability to multi-task and perform basic math calculations accurately. + Self-motivated and capable of working independently or as part of a team. As part of Evernorth Health Services, this role supports CarepathRx within our Pharmacy and Care Delivery organization. Our team focuses on specialty pharmacy and infusion services in partnership with hospitals and health systems. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an hourly rate of 17.75 - 26 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About The Cigna Group** Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
    $30k-34k yearly est. 2d ago
  • Remote Medical Billing Specialist FT/PT

    Cardinal Health 4.4company rating

    Remote insurance follow up representative job

    The Medical Billing Specialist is responsible for accurately coding fertility diagnostic ,treatment services and surgical procedures, submitting insurance claims, and managing the billing process for a fertility practice or healthcare facility. They ensure compliance with healthcare regulations and maximize revenue by optimizing reimbursement. General Summary of Duties: Responsible for gathering charge information, coding, entering into data base complete billing process and distributing billing information. Responsible for processing and filing insurance claims and assists patients in completing insurance forms. Essential Functions: o Prepare and submit insurance claims accurately and in a timely manner. o Verify patient insurance coverage and eligibility for fertility services( treatments and surgical procedures). o Review and address coding-related denials and discrepancies. o Researches all information needed to complete billing process including getting charge information from physicians. o Assists in the processing of insurance claims o Processes all insurance provider's correspondence, signature, and insurance forms. o Assists patients in completing all necessary forms, to include payment arrangements made with patients. Answers patient questions and concerns. o Keys charge information into entry program and produces billing. o Processes and distributes copies of billings according to clinic policies. o Records payments for entry into billing system. o Follows-up with insurance companies and ensures claims are paid/processed. o Resubmits insurance claims that have received no response or are not on file. o Works with other staff to follow-up on accounts until zero balance. o Assists error resolution. o Maintains required billing records, reports, files. o Research return mail. o Maintains strictest confidentiality. o Other duties as assigned o Identify opportunities to optimize revenue through accurate coding and billing practices. o Assist in developing strategies to increase reimbursement rates and reduce claim denials. Benefits: Offers nationally competitive compensation and benefits. Our benefits program provides a comprehensive array of services to our employees including, but not limited to health insurance (Primarily covered by the company), paid time off, retirement contributions (401k), & flexible spending account
    $34k-41k yearly est. 60d+ ago
  • Billing Coordinator III (Billing Specialist Subsidiary) REMOTE

    Labcorp 4.5company rating

    Remote insurance follow up representative job

    At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. You'll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today's biggest health challenges around the world. Together, let's embrace possibilities and change lives! **Billing Coordinator III (Billing Specialist Subsidiary) REMOTE** Labcorp is seeking to add a **Subsidiary Billing Specialist (Appeals)- Revenue Cycle Management Division!** This **individual** will be primarily responsible for maximizing revenue for the company. This team interacts with health insurers to secure coverage and reimbursement for our patients. The Subsidiary Billing Specialist (Appeals) is expected to understand all aspects of the insurance appeal process and can identify insurance trends and provide impactful feedback. The result of our work is an innovative, flexible, highly scalable **billing operation** in a collaborative, fast-paced team environment. **Responsibilities:** + Performs research of payer rejections and denials in regards to genetic testing claims + Produces high volume of successful appeals to insurance carriers to obtain payment + Collaborates with multiple teams and to develop best practices and resolve denial issues + Reviews payor medical policies to determine cause of denial + Consistently follows -ups with insurances on payor denials + As needed, communicate via telephone with clients, professionally and concisely. + Participates in projects that extend beyond your day to day to stretch you to think outside the box **Qualifications:** + High School Diploma or equivalent required + Minimum two+ years prior experience dealing with healthcare billing, insurances/claims or accessing payor portals required + Experience with Explanation of Benefits (EOBs) and different denials & denial codes from insurances strongly preferred + Experience with Medicare/Medicaid/ HMOs/PPOs/commercial insurances strongly preferred + Revenue Cycle Management (RCM) experience, strongly preferred + Knowledge/experience with Xifin, CRM applications (i.e. Salesforce) preferred **Other desired skills:** + Concise and professional communication skills to interact with clients, team members and management via various methods, i.e., telephone, email and virtually. + Detail oriented with good organizational skills + Ability to multitask within multiple systems + Adaptable with changing duties, following an SOP but able to problem solve and deviate as required by specific requests + Ability to manage time and tasks independently while working under minimal supervision + Professional and courteous email communication + Possess a strong work ethic and commitment to improving patients' lives + Enjoys problem-solving in a dynamic, fast paced, team-based and rapidly changing environment **Remote Work, requirements** + Dedicated work from home space + Internet download speed of at least 50 megabytes per second **Application Window Closes: 1/1/2026** **Pay Range: $** **17.75 - $21.00 per hour** **Shift: Mon-Fri, 9:00am - 6pm Eastern Time** All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. **Benefits:** Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO. For more detailed information, please click here (************************************************************** . **Labcorp is proud to be an Equal Opportunity Employer:** Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. **We encourage all to apply** If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site (**************************************************** or contact us at Labcorp Accessibility. (Disability_*****************) For more information about how we collect and store your personal data, please see our Privacy Statement (************************************************* .
    $21 hourly 16d ago
  • Billing Clerk

    Ensign Services 4.0company rating

    Remote insurance follow up representative job

    BILLING CLERK About the Company LINK Support Services currently seeks to serve over 300 Skilled Nursing Facilities by offering Part B Ancillary Billing Services and assist in identifying lost revenue opportunities. These Skilled Nursing operations have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the “Service Center,” a world-class service team that provides centralized legal, human resource, training, accounting, IT and other resources necessary to allow on-site leaders and caregivers to focus on day-to-day care and business issues in their facilities and operations. Duties and Responsibilities: SNF AR experience required/Knowledge of Point Click Care (PCC) is a plus Identify and bill Part B billable ancillary items according to SNF consolidated billing guidelines. Provide and conduct education and support as needed with business office staff across multiple locations Communicate Part B billing best practices with peers and staff at assigned locations Communicate Revenue and Collectables to Facilities, Clusters, and Markets across multiple locations Assist with new software implementation as needed Collaborate with team in implementing billing Processes, Procedures and Softwares Organize and research complex data extractions to maximize billing opportunities organization wide Review and complete patient eligibility verifications Report KPIs, month over month trends, claim statuses, and onboarding/training schedules Knowledge, Skills and Abilities: 1+ year SNF experience with Medicare billing and eligibility recognition Point Click Care (PCC) experience necessary Able to prioritize and organize tasks at hand to meet specific deadlines Attention to detail and accuracy Proficient in Microsoft Word, Outlook and Excel, DDE. Knowledge of CPT Coding procedures Knowledge of SNF Per Diem inclusions Must have excellent written and verbal communication skills Able to work with a diverse group of people Ability to self-manage in a remote work environment Must be knowledgeable in Medicare and other state regulatory requirements What You'll Receive In Return As part of the Ensign Services family, you'll enjoy many perks including but not limited to excellent compensation, comprehensive benefits package, PTO, 401K matching, stock options, amazing company culture and not to mention- opportunities for professional growth and advancement. Compensation: $18-$20.00/hour dependent on experience and location Location: This is a remote eligible position that can work from any U.S state other than: Hawaii, New York, New Jersey, Rhode Island, Kentucky, Ohio, Massachusetts, North Dakota, Wyoming, Alaska, Pennsylvania, Pay is based on a number of factors including years of relevant experience, job-related knowledge, skills, and experience. Individuals employed in this position may also be eligible to earn bonuses. Ensign Services is a total compensation company. Dependent on the position offered, equity, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information regarding our benefits offered, check out our ****************************. Ensign Services, Inc. is an Equal Opportunity Employer. Pre-employment criminal background screening required. Job ID: 1137
    $18-20 hourly Easy Apply 41d ago
  • B2B Billing & Collections Specialist

    Cort Business Services 4.1company rating

    Insurance follow up 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 7d ago
  • E-Billing Specialist

    Frost Brown Todd LLP 4.8company rating

    Insurance follow up representative job in Columbus, OH

    Job Description FBT Gibbons is currently searching for a full-time E-Billing Specialist to join our firm. This position will play a crucial role in managing the e-billing process, ensuring accurate and timely submission of invoices, and resolving any issues that arise. Key Responsibilities: Collaborate with billing assistants, attorneys, LPAs, and clients for e-billing setup, rate management and accrual submissions. Enforce client e-billing guidelines by proactively setting up rules and constraints within financial software used by the firm. Utilize FBT Gibbons software solutions to address and correct rates and other e-billing issues before invoices reach the prebill stage. Work with FBT Gibbons software solutions to create and submit e-billed invoices via BillBlast, or manually with Ledes files directly onto vendor e-billing sites. Collaborate with billing assistants to ensure successful resolution of all e-billing submissions. Track, report, and provide deduction reports to attorneys on all appeal items for assigned attorneys and or billing assistants and work through appeal submissions of same. Follow up promptly on rejected or pending e-bills to ensure timely resolution. Create and revise basic spreadsheet reports. Track all e-billing efforts in ARCS, exporting email communication and critical information on history of e-billing submissions through resolutions. Coordinate with the Rate Management Specialist to update rates for e-billed clients. Assist with e-billing email group and profile emails in e-billing software as needed. Assist with other special e-billing requests. Conduct daily review of Intapp forms to ensure proper setup in Aderant, including invoicing requirements, rates, special billing requirements, and approval processes. Qualifications: College degree or commensurate experience with high school diploma. 3+ years of billing experience. Legal billing experience strongly preferred. Interpersonal skills necessary to maintain effective relationships with attorneys and business professionals via telephone, email or in person to provide information with ordinary courtesy and tact. Must have attention to detail with an eye for accuracy. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. Knowledge of Aderant Software a plus. Proficiency in Microsoft Office products such as Word, Excel, Outlook. FBT Gibbons offers a competitive salary and a comprehensive benefits package including medical (HSA with employer contribution or PPO options), dental, vision, life, short- and long-term disability, various parental leaves, well-being/EAP, sick and vacation time as well as a generous 401k retirement package (with matching and profit-sharing benefits). In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. FBT Gibbons is fully committed to equality of opportunity in all aspects of employment. It is the policy of FBT Gibbons to provide equal employment opportunity to all employees and applicants without regard to race, color, religion, national or ethnic origin, military status, veteran status, age, gender, gender identity or expression, sexual orientation, genetic information, physical or mental disability or any other protected status.
    $30k-35k yearly est. 29d ago
  • Health Insurance Verification Specialist (Remote-Wisconsin)

    Atos Medical, Inc. 3.5company rating

    Remote insurance follow up representative job

    Health Insurance Verification Specialist | Atos Medical-US | New Berlin, WI This position is remote but requires you to be commutable to New Berlin, WI for orientation and training/employee events as needed. Join a growing company with a strong purpose! Do you want to make a difference for people breathing, speaking and living with a neck stoma? At Atos Medical, our people are the strength and key to our on-going success. We create the best customer experience and thereby successful business through our 1200 skilled and engaged employees worldwide. About Atos Medical Atos Medical is a specialized medical device company and the clear market and technology leader for voice and pulmonary rehabilitation for cancer patients who have lost their voice box. We design, manufacture, and sell our entire core portfolio directly to leading institutions, health care professionals and patients. We believe everyone should have the right to speak, also after their cancer. That's why we are committed to giving a voice to people who breathe through a stoma, with design solutions and technologies built on decades of experience and a deep understanding of our users. Atos Medical has an immediate opening for a Health Insurance Verification Specialist in the Insurance Department. Summary The Health Insurance Verification Specialist will support Atos Medical's mission to provide a better quality of life for laryngectomy customers by assisting with the attainment of our products through the insurance verification process and reimbursement cycle. A successful Health Insurance Verification Specialist in our company uses client information and insurance management knowledge to perform insurance verifications, authorizations, pre-certifications, and negotiations. The Health Insurance Verification Specialist will analyze and offer advice to our customers regarding insurance matters to ensure a smooth order process workflow. They will also interact and advise our internal team members on schedules, decisions, and potential issues from the Insurance payers. Essential Functions Act as an advocate for our customers in relation to insurance benefit verification. Obtain and secure authorization, or pre-certifications required for patients to acquire Atos Medical products. Verifies the accuracy and completeness of patient account information. Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicaid, and third party payer requirements/on-line eligibility systems. Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for customers. Follows up with physician offices, customers and third-party payers to complete the pre-certification process. Requests medical documentation from providers not limited to nurse case reviewers and clinical staff to build on claims for medical necessity. Collaborates with internal departments to provide account status updates, coordinate the resolution of issues, and appeal denied authorizations. Answer incoming calls from insurance companies and customers and about the insurance verification process using appropriate customer service skills and in a professional, knowledgeable, and courteous manner. Educates customers, staff and providers regarding referral and authorization requirements, payer coverage, eligibility guidelines, documentation requirements, and insurance related changes or trends. Verifies that all products that require prior authorizations are complete. Updates customers and customer support team on status. Assists in coordinating peer to peer if required by insurance payer. Notifies patient accounts staff/patients of insurance coverage lapses, and self-pay patient status. May notify customer support team if authorization/certification is denied. Maintains knowledge of and reference materials of the following: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Inquire about gap exception waiver from out of network insurance payers. Educate medical case reviewers at Insurance Companies about diagnosis and medical necessity of Atos Medical products. Obtaining single case agreements when requesting an initial authorization with out of network providers. This process may entail the negotiation of pricing and fees and will require knowledge of internal fee schedules, out of network benefits, and claims information. Complete all Insurance Escalation requests as assigned and within department guidelines for turn around time. Maintains reference materials for Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Other duties as assigned by the management team. Basic Qualifications High School Diploma or G.E.D Experience in customer service in a health care related industry. Preferred Qualifications 2+ years of experience with medical insurance verification background Licenses/Certifications: Medical coding and billing certifications preferred Experience with following software preferred: Salesforce, SAP, Brightree, Adobe Acrobat Knowledge Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Additional Benefits Flexible work schedules with summer hours Market-aligned pay 401k dollar-for-dollar matching up to 6% with immediate vesting Comprehensive benefit plan offers Flexible Spending Account (FSA) Health Savings Account (HSA) with employer contributions Life Insurance, Short-term and Long-term Disability Paid Paternity Leave Volunteer time off Employee Assistance Program Wellness Resources Training and Development Tuition Reimbursement Atos Medical, Inc. is an Equal Opportunity/Affirmative Action Employer. Our Affirmative Action Plan is available upon request at ************. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Equal Opportunity Employer Veterans/Disabled. To request reasonable accommodation to participate in the job application, please contact ************. Founded in 1986, Atos Medical is the global leader in laryngectomy care as well as a leading developer and manufacturer of tracheostomy products. We are passionate about making life easier for people living with a neck stoma, and we achieve this by providing personalized care and innovative solutions through our brands Provox , Provox Life™ and Tracoe. We know that great customer experience involves more than first-rate product development, which is why clinical research and education of both professionals and patients are integral parts of our business. Our roots are Swedish but today we are a global organization made up of about 1400 dedicated employees and our products are distributed to more than 90 countries. As we continue to grow, we remain committed to our purpose of improving the lives of people living with a neck stoma. Since 2021, Atos Medical is the Voice and Respiratory Care division of Coloplast A/S 56326 #LI-AT
    $30k-35k yearly est. 60d+ ago
  • Federal Government Billing Specialist

    Agilent Technologies 4.8company rating

    Remote insurance follow up representative job

    Agilent is seeking a proactive and detail-oriented Federal Government Billing Specialist to join our Customer Operations Center (COpC). This position plays a key role in supporting the Order Management process by ensuring accurate and compliant billing for federal contracts. The ideal candidate will manage complex invoices in accordance with FAR, DFARS, CAS, and other agency-specific billing requirements, while maintaining operational excellence and compliance across all transactions. Working within the COpC, this role partners closely with cross-functional teams across Agilent, including Credit and Collections, Revenue team, Sales and other COpC teams, to ensure timely and compliant billing. The Specialist will also support internal and external audits, uphold high standards of data accuracy, and contribute to continuous improvement initiatives within the Customer Operations Center. Key Responsibilities Prepare and submit invoices via federal platforms (WAWF, IPP, Tungsten, etc.). Review contract terms and funding modifications for billing accuracy. Monitor unbilled receivables and resolve holds or rejections. Collaborate with Contracts, Project Management, Accounting, and other COpC teams. Maintain billing documentation and support audits (DCAA, DCMA). Assist with month-end close activities and revenue reconciliation. Ensure compliance with federal regulations and company policies. Provide excellent customer service to government agencies and internal teams. Manage portal invoicing based on agency-specific requirements to prevent rework and ensure timely payment. Act as liaison with the collections team to resolve issues and ensure billing integrity. Additional Information This is a complex role requiring adaptability, attention to detail, and a customer-focused mindset. You'll thrive in a fast-paced, diverse environment where ownership and collaboration are key. Schedule: Flexibility required; occasional overtime and late hours on the last working day of each month Qualifications Required Qualifications Associate's or Bachelor's degree in Accounting, Finance, or related field (or equivalent experience). 2+ years of experience in federal billing or government contract accounting. Familiarity with FAR/DFARS and federal audit processes. Proficiency in Microsoft Excel and ERP systems (SAP, Oracle, Deltek). Strong communication, organizational, and time management skills. Ability to work independently and manage multiple priorities. Preferred Qualifications Experience with DCAA-compliant accounting systems. Knowledge of indirect rate structures and cost allocations. Prior experience in a government contractor environment. SAP/CRM experience. Proficiency in Microsoft Office Suite (Outlook, Excel, Word, PowerPoint, OneNote). Additional Details This job has a full time weekly schedule. It includes the option to work remotely. Applications for this job will be accepted until at least January 15, 2026 or until the job is no longer posted.The full-time equivalent pay range for this position is $28.27 - $44.17/hr plus eligibility for bonus, stock and benefits. Our pay ranges are determined by role, level, and location. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. During the hiring process, a recruiter can share more about the specific pay range for a preferred location. Pay and benefit information by country are available at: ************************************* Agilent Technologies, Inc. is an Equal Employment Opportunity and merit-based employer that values individuals of all backgrounds at all levels. All individuals, regardless of personal characteristics, are encouraged to apply. All qualified applicants will receive consideration for employment without regard to sex, pregnancy, race, religion or religious creed, color, gender, gender identity, gender expression, national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, registered domestic partner status, age, sexual orientation, military or veteran status, protected veteran status, or any other basis protected by federal, state, local law, ordinance, or regulation and will not be discriminated against on these bases. Agilent Technologies, Inc., is committed to creating and maintaining an inclusive in the workplace where everyone is welcome, and strives to support candidates with disabilities. If you have a disability and need assistance with any part of the application or interview process or have questions about workplace accessibility, please email job_******************* or contact ***************. For more information about equal employment opportunity protections, please visit *************************************** Required: NoShift: DayDuration: No End DateJob Function: Customer Service
    $31k-36k yearly est. Auto-Apply 60d+ ago
  • Account Representative

    Honda Trading America Corp

    Insurance follow up representative job in Marysville, OH

    What Makes a Honda, is Who makes a Honda Honda has a clear vision for the future, and it's a joyful one. We are looking for individuals with the skills, courage, persistence, and dreams that will help us reach our future-focused goals. At our core is innovation. Honda is constantly innovating and developing solutions to drive our business with record success. We strive to be a company that serves as a source of “power” that supports people around the world who are trying to do things based on their own initiative and that helps people expand their own potential. To this end, Honda strives to realize “the joy and freedom of mobility” by developing new technologies and an innovative approach to achieve a “zero environmental footprint.” We are looking for qualified individuals with diverse backgrounds, experiences, continuous improvement values, and a strong work ethic to join our team. If your goals and values align with Honda's, we want you to join our team to Bring the Future! Job Purpose Located in Marysville, Ohio, Honda Trading America is searching for an Account Representative for the Raw Materials Department. The Raw Materials Department is responsible for the management of the Honda Raw Material Supply System for Steel, Aluminum and Plastic as well as scrap recycling (aluminum, ferrous, plastic). Additional Raw Material direct sales business includes silicon, magnesium and foundry sub materials ($2+ Billion annual divisional sales). Key Accountabilities Ensure On-Time Scheduled Delivery of Customers Raw Material Requirements - Accurate orders placed in a timely manner; thorough analysis of inventory position; frequent follow-up with suppliers; 100% on time delivery (no short-ships/missed shipments) Improve Customer Service - Thorough knowledge of customers & their expectations; rapid response to inquiries; no pending claims; regularly scheduled visits to customer facilities; strive to exceed customers' expectations Improve Supplier Management - Act as contact and liaison between HTA and assigned suppliers; regularly funnel feedback using QCDDM philosophy & evaluations - (lead meetings, track delivery performance and coordinate meeting agendas presentations (quarterly meetings); ensure open lines of communication to discuss organizational improvements. Research and develop new raw material suppliers, perform supplier QAV's, perform parts maker QAV's, attend industry events. Work closely with HRAO/HGT and global offices to understand future development of materials. Sell RMSS internally within Honda. Improve Profitability of Department - Clear and concise reporting of pertinent operating data; thorough checking and analysis of sales, costs and margins; no aged accounts receivable; rapid inventory turnover (where applicable). Improve Efficiency of Department - Develop clear daily operating procedures with assistant; analyze current tasks for opportunities to improve efficiencies and ensure accuracy of all documentation. Communication to Management - Keep management informed of all potential problems or personal concerns; develop one page scenarios to present ideas and keep individuals and groups abreast of information. Motivate Assistant and Control Workload - Understand assistant's daily work activity; encourage information status updates of projects and weekly activities; provide encouragement and direction; coach and counsel to improve efficiency and productivity. Qualifications, Experience, and Skills Minimum Educational Qualifications: BS/BA in business or equivalent work experience (supply chain management / purchasing focus is preferred) Minimum Experience: Minimum three months of supply chain, purchasing or sales experience Other Job-Specific Skills: Excellent microsoft suite skills needed (Excel, PowerPoint, Word) Stong communication skills (verbal and written) Solid problem solving skills Logical negotiation thought process; strong understanding of managing cost, customers and supplier relationships Basic accounting skills/knowledge Ability to perform cost analysis Ability to develop and present a clear and concise proposal Supplier evaluation and selection skills (QCDDM) Job Dimensions No. of Direct Reports: 0 No. of Indirect Reports: 1-2 Financial Dimensions (e.g. annual revenue, operating budget): Approve Purchase Orders and Invoices Decisions Expected Profit/Loss Approval according to Authorization Matrix Decision analysis to assist NAAP in maker layout direction Problem solving on material shortages, expedite decisions, etc. What differentiates Honda and make us an employer of choice? Total Rewards: Competitive Base Salary (pay will be based on several variables that include, but not limited to geographic location, work experience, etc.) Paid Overtime Regional Bonus (when applicable) Industry-leading Benefit Plans (Medical, Dental, Vision, Rx) Paid time off, including vacation, holidays, shutdown Company Paid Short-Term and Long-Term Disability 401K Plan with company match + additional contribution Relocation assistance (if eligible) Career Growth: Advancement Opportunities Career Mobility Education Reimbursement for Continued Learning Training and Development programs Additional Offerings: Tuition Assistance & Student Loan Repayment Lifestyle Account Childcare Reimbursement Account Elder Care Support Wellbeing Program Community Service and Engagement Programs Product Programs Honda is an equal opportunity employer and considers qualified applicants for employment without regard to race, color, creed, religion, national origin, sex, sexual orientation, gender identity and expression, age, disability, veteran status, or any other protected factor.
    $27k-40k yearly est. 7d ago
  • Billing Specialist Rep (Remote)

    Beacon Health System 4.7company rating

    Remote insurance follow up representative job

    The Billing Specialist Representative is responsible for securing timely and accurate reimbursement by resolving billing issues with commercial and government payers. This role requires strong critical thinking and analytical skills to identify denial trends, address payment variances, and pursue appropriate corrective actions. Success in this role depends on a proactive, problem-solving mindset and the ability to adapt in a fast-paced, evolving environment. MISSION, VALUES and SERVICE GOALS * MISSION: We deliver outstanding care, inspire health, and connect with heart. * VALUES: Trust. Respect. Integrity. Compassion. * SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team. Billing & Follow-Up * Submit timely and accurate claims (UB-04/CMS-1500) to payers, ensuring compliance with regulatory and payer-specific requirements. * Work claim edits and correct errors in demographic, insurance, and charge data to ensure clean claim submission. * Conduct prompt and thorough follow-up on outstanding receivables, including appeals and disputes for denials and underpayments. * Identify and resolve payer overpayments in a timely manner to ensure regulatory compliance and prevent future recoupments. * Analyze denial reasons and payment variances to identify root causes and recommend process improvements. * Maintain in-depth knowledge of payer guidelines and federal/state regulations. * Collaborate with payers and internal departments to resolve issues and achieve account resolution. * Accurately document all actions and communications in the billing system. Audit & Analysis * Review patient accounts for accuracy in demographics, insurance coverage, and billing details. * Identify patterns or trends in denials and reimbursement discrepancies. * Assist leadership in developing denial prevention strategies and performance improvement initiatives. * Prioritize and escalate high-risk accounts for timely resolution. * Demonstrate initiative in recommending improvements to workflow and system efficiency. Compliance & Communication * Maintain compliance with HIPAA and all applicable billing regulations. * Respond to payer communications via phone, portal, and email in a professional and timely manner. * Collaborate across teams to ensure coordinated resolution of account issues. * Communicate effectively with patients, coworkers, and external partners, always maintaining professionalism and respect. Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by: * Completing other job-related assignments and special projects as directed. ORGANIZATIONAL RESPONSIBILITIES Associate complies with the following organizational requirements: * Attends and participates in department meetings and is accountable for all information shared. * Completes mandatory education, annual competencies and department specific education within established timeframes. * Completes annual employee health requirements within established timeframes. * Maintains license/certification, registration in good standing throughout fiscal year. * Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department. * Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self. * Adheres to regulatory agency requirements, survey process and compliance. * Complies with established organization and department policies. * Available to work overtime in addition to working additional or other shifts and schedules when required. Commitment to Beacon's six-point Operating System, referred to as The Beacon Way: * Leverage innovation everywhere. * Cultivate human talent. * Embrace performance improvement. * Build greatness through accountability. * Use information to improve and advance. * Communicate clearly and continuously. Education and Experience Associate's or Bachelor's degree in a healthcare or related field preferred. 2+ years of experience in insurance billing and follow-up, with knowledge of UB-04/CMS-1500 claim forms. Knowledge & Skills * Strong analytical, problem-solving, and organizational skills. * Effective written and verbal communication abilities. * Ability to prioritize, manage multiple tasks, and meet deadlines. * Proficient with Microsoft 365 (Word, Excel, Outlook); experience with patient accounting systems preferred. * Demonstrated ability to think critically and adapt to changing environments. Working Conditions: * Extended periods of sitting and computer use. * Must be flexible to work additional hours or shifts as needed. Physical Demands * Occasional lifting of storage boxes weighing up to 50 pounds when filled with completed forms.
    $32k-42k yearly est. 7d ago

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