Service Representative jobs at Kelsey-Seybold Clinic - 24 jobs

Responsibilities The ASR II is responsible for providing assistance to patients in a friendly and courteous manner. The ASR II is responsible for check-in and check-out functions, including registration and cashiering. The ASR II must maintain a neat and professional appearance and an organized work area. Job Title: Ambulatory Service Representative II - Clinic Support Location: The Woodlands Department: Clinic Support Job Type: Full Time Salary Range: $39,179 - $48,397 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.) Qualifications Education Required: High School diploma or G.E.D. Preferred: Associate or bachelor's Degree in related field Experience Required: 1+ years of direct face to face customer service experience. 1+ years of cash handling or collections experience. 6 months experience in a customer facing role within a medical office, healthcare setting or other service- related industry. OR 1+ years KSC ASR I with 6 months ASR II cross-training experience and the successful completion of Epic Front Desk Training OR 1+ years KSC CBO, Managed Care or Contact Center experience. Preferred: 2+ years of working in a physician, hospital, or medical office environment to include patient registration, appointment scheduling or medical billing. 2+ years of insurance and /or managed care experience to include insurance verification and the ability to identify, understand and communicate plan details to patients with HMO, PPO, EPO, Medicare Advantage and other plans. 1+ years of cash handling or collections experience in a medical office setting. 2+ years of direct face to face customer service experience. License(s) Required: N/A Preferred: N/A Special Skills Required: Experience with computers and Windows-based software including Word and Excel. Excellent verbal and written communication skills. Basic Math ability. Knowledge of customer service principles and practices. Able to maintain strict confidentiality of all personal/health sensitive information. Ability to effectively handle challenging situations and to balance multiple priorities. Preferred: EMR/Epic experience. Basic calculator skills. Other Required: Fluent in English, verbal and written. Professional demeanor, appearance, and grooming. Preferred: Bilingual- English/Spanish Working Environment: Office About Us Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston's fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares. Why Kelsey-Seybold Clinic? Medical, Vision, and Dental Tuition Reimbursement Company Matching 401K Employee Reward and Recognition Program Paid time off for vacation, sick, and holidays Employee Assistance Program Continuing Medical Education allowance

Excellent and competitive benefits package offered which includes medical, dental, vision, disability and life insurance. Company matching retirement plan and generous paid time off to include vacation and sick leave accruals starting from the date of hire. Responsibilities * Schedule appointments for patients. * Answer telephone promptly and in a polite and professional manner. * Obtain and enter accurate demographic information into Electronic Practice Management System (address, telephone number, financial information). * Discuss available coverage options, including private insurance, Medicare/Medicaid/CHIP, state funded programs, sliding scale and self-pay. * Schedule appointment correctly - review appointment date, time, location, and provider name with caller. * Inform caller of items to bring to appointment (including insurance card, medications, office visit fee, and verification of income - if applicable). * Remind caller to arrive at the designated arrival time in order to register and complete necessary paperwork. * Remind caller of cancellation/no-show policy. * Answer questions and offer other information, as requested, to provide patient-focused care * Direct calls to other departments as needed. * Use sound judgment in handling calls, especially with upset patients. * Understanding of when to escalate calls to manager/providers/practice manager. * Make reminder calls as requested. * Make calls to reschedule appointments when necessary. * Serve as the communication liaison between patient and clinical staff by inputting and updating tasks in designated system. * Other reasonably related duties as assigned by supervisor or manager. Performance Requirements * Ability to recognize and respect cultural diversity of patients. * Recognize and respond effectively to verbal, nonverbal, and written communication. * Ability to follow established policies and procedures dealing with health care. * Possess willingness to accept direction and perform repetitive tasks. * Comply with established risk management and safety procedures. * Able to establish and maintain effective working relationships with the patients and health center team. * Must respect the confidential nature of medical information. * Working knowledge of standard concepts, practices, and procedures. * Able to work efficiently and cope with emergency situations, including scheduling changes and provider requirements. * Capable of using experience and judgment to plan and accomplish goals. * Able to read and interpret documents such as charts, safety rules, operating and maintenance instructions, and procedure manuals. * Ability to write routine reports and correspondence. Minimum Qualifications * High School Graduate or Equivalent Preferred. * One (1) year of Data Entry/Medical Office Experience Preferred. * Good computer skills and a working knowledge of Microsoft Office. * Good communication skills including verbal and written. * Professional manner and appearance. * Emotional and physical ability to meet the demands of the position. * Bi-lingual (English/Spanish) highly preferred. Typical Physical Demands The physical demands described herein are representative of those that must be met by a staff member to successfully perform the essential functions associated with this position. Because we are committed to inclusion of those with disabilities, reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions associated with their position. * Carrying: Transporting an object, usually by hand, arm or shoulder. * Lifting: Raising or lowering an object 25-50 pounds. * Repetitive Motions: Making frequent movements with a part of the body. * Requires working under stressful conditions or working under irregular hours. * Exposure: To communicable diseases, body fluids, toxic substances, medicinal preparations and other conditions common to a clinical environment. * Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Ability to work in a moderate noise level in the work environment is required.

Responsibilities Under the supervision of Customer Service Supervisor, employee answers all patient telephone inquiries regarding patient accounts in reference to Clinic billing, insurance information, collection accounts, and general patient concerns. Must maintain effective communication with all customers both internal and external including co-workers. Provides clear and grammatically correct written responses to patient communications as required. Employee works closely with the team leads and supervisor to address issues and identify problems. Employee must have the ability to plan and organize their own work to ensure timely responses, correctly document findings and communication in the patient's account while meeting department standards for quality and productivity. Ability to work independently and as a part of a team is required. Employee's goal is to answer patient inquires in one call whenever possible Job Title: Business Office Customer Service Representative Location: Pearland Administrative Office Department: Bus Ofc - Cust Svc & Collect Job Type: Full Time Salary Range: $42,697 - $52,744 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.) Qualifications Education Required: High School diploma or GED from an accredited program Preferred: Associates Degree or Billing and Coding Certificate Experience Required: 3 years' experience in a health care Call Center or medical insurance environment Preferred: N/A License(s) Required: N/A Preferred: N/A Special Skills Required: Knowledge of insurance billing and KSC contracted health plans' rules, regulations and medical policies. Basic knowledge of medical terminology, ICD10 and CPT coding. Ability to navigate and use a variety of software applications and online resources. Analytical skills to rapidly evaluate simple patient billing questions and resolve on the first call, or to route complex problems to the appropriate party for follow-up action and resolution. Preferred: Computer skills to include basic MS Word & Excel, Epic Resolute. Other Required: Excellent communication and telephone etiquette, problem solving and active listening skills. Clear and grammatically correct written communications. Preferred: Spanish speaker Working Environment: Office About Us Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston's fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares. Why Kelsey-Seybold Clinic? Medical, Vision, and Dental Tuition Reimbursement Company Matching 401K Employee Reward and Recognition Program Paid time off for vacation, sick, and holidays Employee Assistance Program Continuing Medical Education allowance

Responsibilities Schedules appointments in a prompt and courteous manner utilizing a PC. Confirms appointments and handles cancellations in a timely, efficient and courteous manner. Is able to problem solve for patients utilizing identified resources. Provides comprehensive service to facilitate a resolution for any caller request. Acquires and maintains computer skills to effectively utilize applicable software. Job Title: Bilingual Healthcare Services Representative I Location: Remote in Texas ONLY Department: Patient Access Center Job Type: Full Time Salary Range: $36,004.80 - $42,348.80 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.) Technology Requirements All candidates must have a Cable, DSL, or Fiber Internet Plan with 50 Mbps or higher Must have your own Desktop or Laptop Computer Windows 10 or higher Operating System for Windows Users Mac Users must have MacOS 10.15 Catalina or Higher Qualifications Education Required: High School diploma or GED from an accredited program Preferred: N/A Experience Required: 1-year experience in a high-volume contact center OR 1 year of customer service experience Preferred: 2 years contact center or customer service experience with PC experience and knowledge of MS Word and Excel. License(s) Required: N/A Preferred: N/A Skills Required: Critical thinking skills. Preferred: Insurance knowledge of HMOs, PPOs, POS EPOs and indemnity plans. Special Skills Required: Critical thinking skills. Preferred: Ability to exercise good judgment in a high-volume contact center while maintaining a professional attitude. Other Required: Ability to fluently speak, write and understand both the English and Spanish languages Preferred: N/A Working Environment: Remote About Us Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston's fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares. Why Kelsey-Seybold Clinic? Medical, Vision, and Dental Tuition Reimbursement Company Matching 401K Employee Reward and Recognition Program Paid time off for vacation, sick, and holidays Employee Assistance Program Continuing Medical Education allowance Same Posting Description for Internal and External Candidates Same Posting Description for Internal and External Candidates

We are searching for a part-time Clinical Ambulatory Services Representative II-Outpatient Kingwood Glen Specialty Care Clinic- someone who works well in a fast-paced setting. In this position, you will provide excellent customer service as the first contact for patients, providers and staff accessing ambulatory clinics. You will expedite the outpatient check-in and check-out processes by reviewing appointment status using electronic appointment system to view information regarding appointment, insurance, and history. You will also collect pre-visit payments and communicate with the clinic liaison regarding factors impacting the patient visit and general clinic-patient flow. You will also secure the financial integrity of the patient's account by verifying benefits and obtaining referrals, authorizations, and pre-certifications. "As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. " Think you've got what it takes? Qualifications Certified Medical Assistant IS required in one of the following certifications: CCMA - Cert-Cert Clinical MA - CCMA National Health Career Association (NHA) CMA-AAM - Cert-Cert Medical Assistant American Association of Medical Assistants (AAMA) CMA-C - Clinical Medical Assistant Certification American Medical Certification Association (AMCA) EMT - Emergency Medical Techn Texas Department of State Health Services EMT-A - Advanced EMT Texas Department of State Health Services EMT-B - Emergency Medical Techn-Basic Texas Department of State Health Services EMT-I - Emergency Medical Techn-Interm Texas Department of State Health Services EMT-P - Emergency Medical Techn-Parame Texas Department of State Health Services LIC PAR - Lic-Paramedic Texas Department of State Health Services NCMA - National Cert Med Assistant National Center for Competency Testing (NCCT) NRCMA - Nat Reg Cert Med Assistant National Association of Health Professionals (NAHP) RMA - Registered Medical Assistant American Association of Medical Personnel, American Allied Health, American Medical Technologists, or American Registry of Medical Assistants High school diploma or GED required 2-years' experience in a clinical setting required Healthcare and/or Pediatric experience preferred Bilingual in Spanish/English preferred Responsibilities Performs patient registration procedures per department process Obtains and verifies patient demographic data for each encounter Confirms patient appointments, verifying patient demographics and insurance information Enters, batches, and reconciles charges daily Ensures that interpreter services are available for patients as needed Provides basic office support including ordering and maintaining office/clinic supplies; maintaining office equipment; managing correspondence; copying, faxing, mailing and filing documents; and collecting and distributing mail Serves in key role to assure most efficient patient throughput in exam rooms

We're hunting for an Ambulatory Services Rep II, someone who's ready to be part of the best ranked children's hospital in Texas, and among the best in the nation. In this position, you will provide excellent customer service as the first contact for patients, providers and staff accessing virtual and/or non-virtual ambulatory clinics. May orient the patient to the virtual visit process to ensure patient success, if applicable. Will expedite the outpatient check-in and check-out processes by reviewing appointment status using electronic appointment system to view information regarding appointments, insurance, and history. Will collect pre-visit payments and communicate with the clinic liaison regarding factors impacting the patient visit and general clinic-patient flow. Will secure the financial integrity of the patient's account by verifying benefits and obtaining referrals, authorizations, and pre-certifications. Think you've got what it takes? Qualifications: Required H.S. Diploma or GED Required 2 years' experience in customer service or 2 years clerical, medical office, or business experience preferably in a Healthcare environment Responsibilities: Admission- Check-In/Welcome desk, PAR's, Registration, Past Pending. Performs patient registration procedures per department process. May ensure patient is oriented to the virtual visit process and has all technology set up to successfully complete their visit. Ensures that all necessary patient forms are provided and filled out for the clinic visit Communicates with patients, staff and providers regarding patient arrivals, delays, and clinic processes. Alerts clinic staff and providers of any changes or discrepancies in patient's scheduled appointment As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards.

We're searching for an Ambulatory Services Representative II with our Outpatient Ambulatory Clinic, someone who's ready to be part of the best ranked children's hospital in Texas, and among the best in the nation. In this position, you will provide excellent customer service as the first contact for patients, providers and staff accessing virtual and/or non-virtual ambulatory clinics. May orient the patient to the virtual visit process to ensure patient success, if applicable. As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Think you've got what it takes? Qualifications: H.S. Diploma or GED required Required 2 years' experience in customer service or 2 years clerical, medical office, or business experience preferably in a Healthcare environment Responsibilities Admission- Check-In/Welcome desk, PAR's, Registration, Past Pending. Performs patient registration procedures per department process. May ensure patient is oriented to the virtual visit process and has all technology set up to successfully complete their visit. Ensures that all necessary patient forms are provided and filled out for the clinic visit Communicates with patients, staff and providers regarding patient arrivals, delays, and clinic processes. Alerts clinic staff and providers of any changes or discrepancies in patient's scheduled appointment Refers all patients with inadequate funding to the financial counselor with zero reported complaints. Changes status of all appointments daily to reflect arrived, cancelled, no-show, or rescheduled status. Maintains an organized filing system of current referrals in progress and already appointed, communicates all missed appointments to PCP and destroys missed referrals after one month. Reviews new referrals with provider of the day regarding appropriate appointment status. Reviews provider schedule for open slots to appoint patients. Coordinates scheduling. Assists, as needed, licensed staff with the non-financial aspects of the inpatient admission process, e.g., calls escort, helps with paperwork as needed. May perform closing procedures (i.e.- reconciling fee receipts, completing deposit notification forms, reconciling petty cash, balancing the credit card machines, completing batch reports in accordance with department processes Insurance Authorization/Collecting cash & deposits Charge Entry, Billing and Reconciliation Customer Service and communication Flowmaster and Room Management

We're searching for an Ambulatory Services Representative II with our Outpatient Ambulatory Clinic, someone who's ready to be part of the best ranked children's hospital in Texas, and among the best in the nation. In this position, you will provide excellent customer service as the first contact for patients, providers and staff accessing virtual and/or non-virtual ambulatory clinics. May orient the patient to the virtual visit process to ensure patient success, if applicable. As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Think you've got what it takes? Qualifications: * H.S. Diploma or GED required * Required 2 years' experience in customer service or 2 years clerical, medical office, or business experience preferably in a Healthcare environment Responsibilities * Admission- Check-In/Welcome desk, PAR's, Registration, Past Pending. * Performs patient registration procedures per department process. * May ensure patient is oriented to the virtual visit process and has all technology set up to successfully complete their visit. * Ensures that all necessary patient forms are provided and filled out for the clinic visit * Communicates with patients, staff and providers regarding patient arrivals, delays, and clinic processes. * Alerts clinic staff and providers of any changes or discrepancies in patient's scheduled appointment * Refers all patients with inadequate funding to the financial counselor with zero reported complaints. * Changes status of all appointments daily to reflect arrived, cancelled, no-show, or rescheduled status. * Maintains an organized filing system of current referrals in progress and already appointed, communicates all missed appointments to PCP and destroys missed referrals after one month. * Reviews new referrals with provider of the day regarding appropriate appointment status. Reviews provider schedule for open slots to appoint patients. Coordinates scheduling. * Assists, as needed, licensed staff with the non-financial aspects of the inpatient admission process, e.g., calls escort, helps with paperwork as needed. * May perform closing procedures (i.e.- reconciling fee receipts, completing deposit notification forms, reconciling petty cash, balancing the credit card machines, completing batch reports in accordance with department processes * Insurance Authorization/Collecting cash & deposits * Charge Entry, Billing and Reconciliation * Customer Service and communication * Flowmaster and Room Management

We're searching for a part-time Ambulatory Services Representative II with our Outpatient Infusion Center at the Woodlands location, someone who's ready to be part of the best ranked children's hospital in Texas, and among the best in the nation. In this position, you will provide excellent customer service as the first contact for patients, providers and staff accessing virtual and/or non-virtual ambulatory clinics. May orient the patient to the virtual visit process to ensure patient success, if applicable. As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Think you've got what it takes? Qualifications: Required H.S. Diploma or GED Required 2 years' experience in customer service or 2 years clerical, medical office, or business experience preferably in a Healthcare environment Job Duties & Responsibilities Admission- Check-In/Welcome desk, PAR's, Registration, Past Pending. Performs patient registration procedures per department process. May ensure patient is oriented to the virtual visit process and has all technology set up to successfully complete their visit. Ensures that all necessary patient forms are provided and filled out for the clinic visit Communicates with patients, staff and providers regarding patient arrivals, delays, and clinic processes. Alerts clinic staff and providers of any changes or discrepancies in patient's scheduled appointment Refers all patients with inadequate funding to the financial counselor with zero reported complaints. Changes status of all appointments daily to reflect arrived, cancelled, no-show, or rescheduled status. Maintains an organized filing system of current referrals in progress and already appointed, communicates all missed appointments to PCP and destroys missed referrals after one month. Reviews new referrals with provider of the day regarding appropriate appointment status. Reviews provider schedule for open slots to appoint patients. Coordinates scheduling. Assists, as needed, licensed staff with the non-financial aspects of the inpatient admission process, e.g., calls escort, helps with paperwork as needed. May perform closing procedures (i.e.- reconciling fee receipts, completing deposit notification forms, reconciling petty cash, balancing the credit card machines, completing batch reports in accordance with department processes Insurance Authorization/Collecting cash & deposits Charge Entry, Billing and Reconciliation Customer Service and communication

We are searching for a part-time Clinical Ambulatory Services Representative II-Outpatient Kingwood Glen Specialty Care Clinic- someone who works well in a fast-paced setting. In this position, you will provide excellent customer service as the first contact for patients, providers and staff accessing ambulatory clinics. You will expedite the outpatient check-in and check-out processes by reviewing appointment status using electronic appointment system to view information regarding appointment, insurance, and history. You will also collect pre-visit payments and communicate with the clinic liaison regarding factors impacting the patient visit and general clinic-patient flow. You will also secure the financial integrity of the patient's account by verifying benefits and obtaining referrals, authorizations, and pre-certifications. "As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. " Think you've got what it takes? Qualifications Certified Medical Assistant IS required in one of the following certifications: * CCMA - Cert-Cert Clinical MA - CCMA National Health Career Association (NHA) * CMA-AAM - Cert-Cert Medical Assistant American Association of Medical Assistants (AAMA) * CMA-C - Clinical Medical Assistant Certification American Medical Certification Association (AMCA) * EMT - Emergency Medical Techn Texas Department of State Health Services * EMT-A - Advanced EMT Texas Department of State Health Services * EMT-B - Emergency Medical Techn-Basic Texas Department of State Health Services * EMT-I - Emergency Medical Techn-Interm Texas Department of State Health Services * EMT-P - Emergency Medical Techn-Parame Texas Department of State Health Services * LIC PAR - Lic-Paramedic Texas Department of State Health Services * NCMA - National Cert Med Assistant National Center for Competency Testing (NCCT) * NRCMA - Nat Reg Cert Med Assistant National Association of Health Professionals (NAHP) * RMA - Registered Medical Assistant American Association of Medical Personnel, American Allied Health, American Medical Technologists, or American Registry of Medical Assistants * High school diploma or GED required * 2-years' experience in a clinical setting required * Healthcare and/or Pediatric experience preferred * Bilingual in Spanish/English preferred Responsibilities * Performs patient registration procedures per department process * Obtains and verifies patient demographic data for each encounter * Confirms patient appointments, verifying patient demographics and insurance information * Enters, batches, and reconciles charges daily * Ensures that interpreter services are available for patients as needed * Provides basic office support including ordering and maintaining office/clinic supplies; maintaining office equipment; managing correspondence; copying, faxing, mailing and filing documents; and collecting and distributing mail * Serves in key role to assure most efficient patient throughput in exam rooms

We're searching for a part-time Ambulatory Services Representative II with our Outpatient Infusion Center at the Woodlands location, someone who's ready to be part of the best ranked children's hospital in Texas, and among the best in the nation. In this position, you will provide excellent customer service as the first contact for patients, providers and staff accessing virtual and/or non-virtual ambulatory clinics. May orient the patient to the virtual visit process to ensure patient success, if applicable. As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Think you've got what it takes? Qualifications: * Required H.S. Diploma or GED * Required 2 years' experience in customer service or 2 years clerical, medical office, or business experience preferably in a Healthcare environment Job Duties & Responsibilities * Admission- Check-In/Welcome desk, PAR's, Registration, Past Pending. * Performs patient registration procedures per department process. * May ensure patient is oriented to the virtual visit process and has all technology set up to successfully complete their visit. * Ensures that all necessary patient forms are provided and filled out for the clinic visit * Communicates with patients, staff and providers regarding patient arrivals, delays, and clinic processes. * Alerts clinic staff and providers of any changes or discrepancies in patient's scheduled appointment * Refers all patients with inadequate funding to the financial counselor with zero reported complaints. * Changes status of all appointments daily to reflect arrived, cancelled, no-show, or rescheduled status. * Maintains an organized filing system of current referrals in progress and already appointed, communicates all missed appointments to PCP and destroys missed referrals after one month. * Reviews new referrals with provider of the day regarding appropriate appointment status. Reviews provider schedule for open slots to appoint patients. Coordinates scheduling. * Assists, as needed, licensed staff with the non-financial aspects of the inpatient admission process, e.g., calls escort, helps with paperwork as needed. * May perform closing procedures (i.e.- reconciling fee receipts, completing deposit notification forms, reconciling petty cash, balancing the credit card machines, completing batch reports in accordance with department processes * Insurance Authorization/Collecting cash & deposits * Charge Entry, Billing and Reconciliation * Customer Service and communication

We are searching for a Senior Call Center Representative- someone who works well in a fast-paced setting. In this position, you will serve as a member and/or provider advocate that understands the organization's processes, policies, and procedures to investigate, resolve and/or facilitate the resolution of simple to complex issues/questions. You will be the first point of contact for assistance or information regarding eligibility, benefits, authorizations, claims, referrals and/or any other member/provider demands. Lastly, you will assist and advocate for members and/or providers throughout the complaint and appeal process and support members with timely appointment scheduling. Think you've got what it takes? Job Duties & Responsibilities • Act as a secondary resource to Call Center Representatives in the absence of the Team Lead and responds to escalated calls and triages to management, if necessary • Identify and handle a variety of routine to complex customer or prospect inquiries or requests • Educate members about their health coverage benefits and services and empowering members/providers by directing them toward available resources for self-help • Meet Senior Member Service Representative performance goals for customer satisfaction, quality, productivity, and all performance metrics • Ensure all HIPAA and state privacy and confidentiality requirements/regulations are adhered to at all times • File complaints and appeals on behalf of members and providers within the regulatory timeframe and in compliance with departmental policies and procedures Skills & Requirements • High school diploma or GED • Minimum of 3 years of customer service, call center, and/or experience within managed care or insurance industry or • A Bachelor's degree may substitute for two (2) years of the required experience

We are searching for a Senior Call Center Representative- someone who works well in a fast-paced setting. In this position, you will serve as a member and/or provider advocate that understands the organization's processes, policies, and procedures to investigate, resolve and/or facilitate the resolution of simple to complex issues/questions. You will be the first point of contact for assistance or information regarding eligibility, benefits, authorizations, claims, referrals and/or any other member/provider demands. Lastly, you will assist and advocate for members and/or providers throughout the complaint and appeal process and support members with timely appointment scheduling. Think you've got what it takes? Job Duties & Responsibilities • Act as a secondary resource to Call Center Representatives in the absence of the Team Lead and responds to escalated calls and triages to management, if necessary • Identify and handle a variety of routine to complex customer or prospect inquiries or requests • Educate members about their health coverage benefits and services and empowering members/providers by directing them toward available resources for self-help • Meet Senior Member Service Representative performance goals for customer satisfaction, quality, productivity, and all performance metrics • Ensure all HIPAA and state privacy and confidentiality requirements/regulations are adhered to at all times • File complaints and appeals on behalf of members and providers within the regulatory timeframe and in compliance with departmental policies and procedures Skills & Requirements • High school diploma or GED • Minimum of 3 years of customer service, call center, and/or experience within managed care or insurance industry or • A Bachelor's degree may substitute for two (2) years of the required experience

We are searching for a Contact Center Representative-someone who works well in a fast-paced hospital setting. You'll field general inquiries from patients and physicians for information related to scheduled appointments and procedures, insurance verification, My Chart, and customer service needs, confirm correct payer plan, verifies coverage and eligibility, documents authorization requirements and updates demographic information in the EMR, checks referral status, provides information on My Chart enrollment and provides other necessary information to ensure a positive patient experience. Do you think you're the right person for the job? Job Duties & Responsibilities * Answering inbound or making outbound calls to customers with queries in relation to their account, in a timely, efficient and professional manner * Contact Center Pre-Service Insurance Verification Responsibilities * Complete and submit required approval forms to responsible party. Ensures the insurance referral has been obtained prior to date of service * When applicable prepares estimate for patient out-of -pocket responsibilities using E-Pro software * Responsible for reviewing assigned work queues and prioritizing appointments by day of week and financial risk Requirements * High School Diploma/GED * Two (2) years of contact center, customer service, and/or other experience in a healthcare setting (Associate or Bachelor's degree may be substituted for the experience requirement) * Medical scheduling and patient registration knowledge * Understanding patient privacy requirements for protected health information (PHI) Preferred: * Bilingual: English and Spanish * Previous experience with insurance claims filings dealing with Surgery or Radiology * Previous experience with Epic helpful

We are searching for a Care Coordinator. Someone who will be utilizing a collaborative approach, the nurse care coordinator will assess, plan, implement, monitor and evaluate the options and services required to meet an individual's health needs. Provides comprehensive on-going case management services to patients by coordinating and managing care of patients to meet multiple service needs across the continuum of care. Ensure optimal patient outcomes that address quality, service, customer satisfaction and cost effectiveness. The care coordinator will partner with the physician to establish care and allocate resources associated with the patient's risk assessment. Assists the patient/patient's family in coping with illness by optimizing the patient's/family's self-care abilities and supporting their consumer rights. Think you've got what it takes? Qualifications: Bachelor's Degree in nursing Or Associate's Degree in nursing with acceptance or current enrollment in a BSN program and signed agreement, or an associate's degree in a related field accepted by the Texas Board of Nursing for the purposes of obtaining and maintaining an RN license, or Technical diploma in nursing with acceptance or current enrollment in a BSN program and signed agreement, or must be currently enrolled in a nursing bridge program working toward an MSN is required. Verified BSN-equivalency or a signed agreement is required. RN - Licensed Registered Nurses Texas Board of Nursing or Nursing Licensure Compact required BLS - Cert-Basic Life Support American Heart Association required PEARS - Cert-P.E.A.R. American Heart Association preferred CCM - Cert-Certified Case Manager Commission for Case Manager Certification preferred ACM - Cert-Accredited Case Manager American Case Management preferred CCCTM - Certified Care Coordination and Transition Management by the Medical-Surgical Nursing Certification Board is preferred 3 years nursing experience in an acute care setting required Responsibilities: Assesses, develops, implements and monitors a comprehensive plan of care through an interdisciplinary team process in conjunction with the patient/family in internal and external settings. Ensures quality, cost-effective use of resources and facilitates access to care. Collaborates with community health education/outreach organizations and providers to promote health for children with complex health care needs. Engages in professional development. Prepares and monitors outcome data to assist in identification of improvement opportunities. Demonstrates commitment to team, flexibility, professional interpersonal, communication, critical thinking, and customer service skills

We're searching for a part-time Ambulatory Services Representative II with our Outpatient Radiology at the West Campus, someone who's ready to be part of the best ranked children's hospital in Texas, and among the best in the nation. In this position, you will provide excellent customer service as the first contact for patients, providers and staff accessing virtual and/or non-virtual ambulatory clinics. May orient the patient to the virtual visit process to ensure patient success, if applicable. As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Think you've got what it takes? Qualifications: * Required H.S. Diploma or GED * Required 2 years' experience in customer service or 2 years clerical, medical office, or business experience preferably in a Healthcare environment Job Duties & Responsibilities * Admission- Check-In/Welcome desk, PAR's, Registration, Past Pending. * Performs patient registration procedures per department process. * May ensure patient is oriented to the virtual visit process and has all technology set up to successfully complete their visit. * Ensures that all necessary patient forms are provided and filled out for the clinic visit * Communicates with patients, staff and providers regarding patient arrivals, delays, and clinic processes. * Alerts clinic staff and providers of any changes or discrepancies in patient's scheduled appointment * Refers all patients with inadequate funding to the financial counselor with zero reported complaints. * Changes status of all appointments daily to reflect arrived, cancelled, no-show, or rescheduled status. * Maintains an organized filing system of current referrals in progress and already appointed, communicates all missed appointments to PCP and destroys missed referrals after one month. * Reviews new referrals with provider of the day regarding appropriate appointment status. Reviews provider schedule for open slots to appoint patients. Coordinates scheduling. * Assists, as needed, licensed staff with the non-financial aspects of the inpatient admission process, e.g., calls escort, helps with paperwork as needed. * May perform closing procedures (i.e.- reconciling fee receipts, completing deposit notification forms, reconciling petty cash, balancing the credit card machines, completing batch reports in accordance with department processes * Insurance Authorization/Collecting cash & deposits * Charge Entry, Billing and Reconciliation * Customer Service and communication

We are searching for a Senior Call Center Representative- someone who works well in a fast-paced setting. In this position, you will serve as a member and/or provider advocate that understands the organization's processes, policies, and procedures to investigate, resolve and/or facilitate the resolution of simple to complex issues/questions. You will be the first point of contact for assistance or information regarding eligibility, benefits, authorizations, claims, referrals and/or any other member/provider demands. Lastly, you will assist and advocate for members and/or providers throughout the complaint and appeal process and support members with timely appointment scheduling. Think you've got what it takes? Job Duties & Responsibilities * Act as a secondary resource to Call Center Representatives in the absence of the Team Lead and responds to escalated calls and triages to management, if necessary * Identify and handle a variety of routine to complex customer or prospect inquiries or requests * Educate members about their health coverage benefits and services and empowering members/providers by directing them toward available resources for self-help * Meet Senior Member Service Representative performance goals for customer satisfaction, quality, productivity, and all performance metrics * Ensure all HIPAA and state privacy and confidentiality requirements/regulations are adhered to at all times * File complaints and appeals on behalf of members and providers within the regulatory timeframe and in compliance with departmental policies and procedures Skills & Requirements * High school diploma or GED * Minimum of 3 years of customer service, call center, and/or experience within managed care or insurance industry or * A Bachelor's degree may substitute for two (2) years of the required experience

We are searching for a Senior Call Center Representative- someone who works well in a fast-paced setting. In this position, you will serve as a member and/or provider advocate that understands the organization's processes, policies, and procedures to investigate, resolve and/or facilitate the resolution of simple to complex issues/questions. You will be the first point of contact for assistance or information regarding eligibility, benefits, authorizations, claims, referrals and/or any other member/provider demands. Lastly, you will assist and advocate for members and/or providers throughout the complaint and appeal process and support members with timely appointment scheduling. Think you've got what it takes? Job Duties & Responsibilities * Act as a secondary resource to Call Center Representatives in the absence of the Team Lead and responds to escalated calls and triages to management, if necessary * Identify and handle a variety of routine to complex customer or prospect inquiries or requests * Educate members about their health coverage benefits and services and empowering members/providers by directing them toward available resources for self-help * Meet Senior Member Service Representative performance goals for customer satisfaction, quality, productivity, and all performance metrics * Ensure all HIPAA and state privacy and confidentiality requirements/regulations are adhered to at all times * File complaints and appeals on behalf of members and providers within the regulatory timeframe and in compliance with departmental policies and procedures Skills & Requirements * High school diploma or GED * Minimum of 3 years of customer service, call center, and/or experience within managed care or insurance industry or * A Bachelor's degree may substitute for two (2) years of the required experience

We're searching for a Coordinator of Respiratory Care -- someone who works well in a fast-paced setting. In this position, you will demonstrate clinical expertise in the physical and educational aspects of Respiratory Care for the pediatric and neonatal patient population and their families as outlined in the unit profiles. The CRS works interdependently with and independently of the multi-disciplinary team. Scope of practice will include practitioner, educator, researcher, change agent, and administrator. The CRS is dedicated to promoting optimal patient/family care with the ultimate goal of enhanced patient/family outcomes. Think you've got what it takes? Job Duties & Responsibilities * Serves as an advanced clinical practitioner. Collaborates with the health care team to assist in the planning, implementing, and evaluating of treatment approaches utilizing clinical knowledge, sound judgment, and problem-solving. For example, participation in interdisciplinary rounds offering a Respiratory Care perspective to patient care; evaluating response to interventions and modifying plan of care; consults with other disciplines as needed. Acts as a clinical resource to staff and other members of the health care team. For example, available by pager or phone when out of the unit; approached by staff and other members of the health care team regarding clinical issues in the area of expertise. * Maintains clinical skills by providing direct patient care and related activities. Performs patient care and related activities within the scope of their training and responsibilities (demonstrating advanced clinical competencies in an area of expertise). * Serves as an educational resource in expertise for the patient and family, and other health care professionals. Assesses the learning needs of staff, family, and patients. * Conducts research and development activities for Respiratory Care. * Facilitates change in clinical practice to positively affect patient outcomes. Serves as an administrator. Supports and facilitates the attainment of institutional goals and strategic plans. As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Skills & Requirements * Required Technical diploma Respiratory certification/registry program. Preferred Associate's Degree or Bachelor's degree Respiratory Care. Degree may substitute for the experience * RCP - Lic- Respiratory Care - RCP by the Texas Medical Board, RRT CERT - Cert-Reg Respiratory Therapist by the National Board for Respiratory Care * Preferred Basic Life Support * Preferred 1 year of clinical experience in both critical and non-critical areas * Preferred 6 months of critical care experience