Top Medical Service Representative Skills

Below we've compiled a list of the most important skills for a Medical Service Representative. We ranked the top skills based on the percentage of Medical Service Representative resumes they appeared on. For example, 13.0% of Medical Service Representative resumes contained Customer Service as a skill. Let's find out what skills a Medical Service Representative actually needs in order to be successful in the workplace.

The six most common skills found on Medical Service Representative resumes in 2020. Read below to see the full list.

1. Customer Service

high Demand
Here's how Customer Service is used in Medical Service Representative jobs:
  • Developed highly empathetic relationship with patients and earned reputation for delivering exceptional customer service.
  • Greeted all customers in a warm and friendly manner and provided positive and courteous customer service at the reception desk.
  • Worked with customer service team and to successfully refine claims payment process for efficiency and quality.
  • Provided courteous, prompt, efficient customer service by providing photocopies of medical information to attorneys.
  • Provided quality customer service in a nationwide 24/7/365 call center.
  • Provide customer service to clients of various health plans.
  • Performed a range of customer service functions and reviews.
  • Received the Commander's Customer Service Survey Award
  • Star Trainer - hands on training that imitates outbound and inbound customer service/front office calls.

Show More

2. Insurance Companies

high Demand
Here's how Insurance Companies is used in Medical Service Representative jobs:
  • Developed a new Corporate Account strategy to help facilitate new business from Insurance companies, hospitals and larger assisted/independent living facilities.
  • Take calls for doctors offices and insurance companies for sick patients and send the information over to a nurse
  • Work directly with physicians, nurses, staff, clients, families and insurance companies.
  • Take inbound phone calls from Hospital, doctors' offices and insurance companies a process triage request if necessary.
  • Cross trained in many different projects for different insurance companies.
  • Facilitate high levels of communication with account managers, intake specialists, insurance companies, Medicare/Medicaid and all other encounters.

Show More

3. Medical Records

high Demand
Here's how Medical Records is used in Medical Service Representative jobs:
  • Managed Medical Records Department ensuring all clinical files are complete and following standards set by Joint Commission.
  • Analyze and interpret patient medical records to identify and determine amount and nature of billable services.
  • Compiled, abstracted and maintained patients' medical records to document condition and treatment.
  • Acted as a liaison between the physician's office and the Medical Records Department.
  • Comply with both employers and insurance companies request for medical records.
  • Scheduled appointments and procedures, assisted with patient's medical records.
  • Faxed requests for medical records.
  • Experienced at registering patients, scheduling appointments and surgery, recording and filing patient medical records.
  • Traveled with the company and set up Medical Records Department in several different states.
  • Assisted with organization and filing of medical records - Florida First HMO Insurance Company Winter Haven, Florida.

Show More

4. Phone Calls

high Demand
Here's how Phone Calls is used in Medical Service Representative jobs:
  • Answered customer phone calls on disability, life, and dental claims
  • Answered phone calls to help students make appointments with different providers.
  • Coordinated over 150 appointments scheduling daily - Verified medical insurance eligibility - Answered phone calls and assisted with health inquires or information
  • Administered account management for clients in a Call Center environment via inbound/outbound phone calls including internet interaction for customers.
  • Managed incoming phone calls, communicated with students providing program requirements, application updates and event details.
  • Answered customer's questions concerning their accounts and directed their phone calls to licensed representatives if necessary

Show More

5. Patient Care

high Demand
Here's how Patient Care is used in Medical Service Representative jobs:
  • Trained to communicate precise and applicable information with patient care providers to assist effective and proficient patient care.
  • Assisted physicians when needed Performed a wide variety of clerical functions relating to radiographic reporting and patient care Performed and processed x-rays
  • Coordinated patient care with organizational leaders in 11 external organizations, scheduled exams for 8 clinics, and managed immunizations.
  • Rectified contract price discrepancies withholding procurement of goods essential to patient care in collaboration with purchasing and accounts payable departments.
  • Executed presentations on product opportunities, savings initiatives, inventory management and improved quality of patient care to C-Suite.
  • Monitored the status of all patients receiving Respite or General Inpatient Care and facilitated the communication between the agency/hospital/physician.12.

Show More

Job type you want
Full Time
Part Time
Internship
Temporary

6. Medical Bills

high Demand
Here's how Medical Bills is used in Medical Service Representative jobs:
  • Reviewed medical bills related to workers compensation claims.
  • Created training manuals for our review team to help coach employees on reviewing and processing medical bills for payment.
  • Work directly with claims case owners as needed in order to process complex medical bills.
  • Process Worker's Compensation medical bills for multiple states while utilizing individual state guidelines.
  • Work with providers and customers to ensure medical bills are processed correctly.
  • Review and process medical bills for workers compensation claims.
  • Review daily minimum work comp medical bills.
  • Reviewed and processed No Fault Auto Medical bills for payment to rendering providers per state law and state regulations.
  • Processed Workers' Compensation Medical bills for multi states in strict compliance with state handling rules and regulations.
  • Reviewed and Paid Medical Bills Scanned, uploaded, printed and mailed completed documents.

Show More

7. Scheduling Appointments

high Demand
Here's how Scheduling Appointments is used in Medical Service Representative jobs:
  • Greeted patients, assisted with paperwork, data entry, and scheduling appointments.
  • Handled phone calls from patients and office for scheduling appointments.
  • Completed and coordinated the Independent Medical Exam process of data entry, scheduling appointments while coordinating communications via Attorneys and Claimants.
  • Worked in high-volume call center scheduling appointments and completing follow up surveys for existing customers on behalf of automobile dealerships.
  • Corresponded daily with builders and homeowners for scheduling appointments, service start-ups and miscellaneous customer correspondence for the service department.
  • Provide patients with excellent customer service in a call quality oriented environment scheduling appointments, confirmations and rescheduling missed appointments.

Show More

8. Data Entry

high Demand
Here's how Data Entry is used in Medical Service Representative jobs:
  • Provide administrative support for managers and supervisors including data entry, preparing spreadsheets, correspondence processing, database maintenance and filing.
  • Filed medical records, answered phones, processed insurance referrals, collected patient demographic information, data entry, message documentation.
  • Attended to Laboratory inquiries regarding specimen results; including data entry and applying testing requirements for multiple specimen collections.
  • Provided administrative support including data entry, documentation organization, call center for multiple facilities and receptionist duties.
  • Gathered supporting documentation, processed reported changes and inputted information into the data entry systems/Microsoft Office Software.
  • Greeted and registered patients utilizing IDX/EAGLE data entry systems for inputting patient's demographics and billing information.

Show More

9. Medical Services

high Demand
Here's how Medical Services is used in Medical Service Representative jobs:
  • Assisted Manager, Medical Services, in the supervision of the day-to-day activities of three Medical Service Representatives.
  • Assisted Medical Services Manager in the development of new liaison strategies aimed at referring physicians.
  • Receive inbound calls requesting permission to receive medical services.
  • Entered in request for medical services from various sources.
  • Entered data for Worker's Compensation medical services Answered high-level customer service calls Took Medical Terminology and CPT4 Codes classes
  • Implemented regulations, policies and procedures pertaining to financial determination and patient's ability to pay for medical services.

Show More

10. High Volume

high Demand
Here's how High Volume is used in Medical Service Representative jobs:
  • Utilized automated systems to process a high volume of documents, transactions and bills for processing payments.
  • Complete high volume of data entry by quickly and accurately processing loan-related task queues to meet productivity and quality requirements.
  • Managed high volume customer inquires Maintained company database of client information Billing, Soft collection Handling escalated call from customer service representative
  • Process high volume data entry including scanning, copying/faxing, filing, electronic communications and verifying information in electronic health records.
  • Provided efficient and knowledgeable insurance policyholder service and administration support for high volume property and casualty insurance organization.
  • Retain and manage a high volume of information, while effectively balancing quality and productivity.

Show More

11. Durable Medical Equipment

high Demand
Here's how Durable Medical Equipment is used in Medical Service Representative jobs:
  • Processed orders for Durable Medical Equipment to Patients Homes, Hospital and/or Skilled Nursing Facility * Verified Eligibility and benefits
  • Verify patients' insurance coverage for durable medical equipment coverage by corresponding with insurance underwriters.
  • Verify coverage and eligibility for durable medical equipment for patients.
  • Perform coverage verification with health plans for durable medical equipment.
  • Obtain appropriate documentation for claims processing for durable medical equipment.
  • Provided support to verify patient eligibility for durable medical equipment.

Show More

12. CPT

high Demand
Here's how CPT is used in Medical Service Representative jobs:
  • Checked diagnosis and CPT codes for relevancy to worker comp claims.
  • Identify and provide accurate CPT/ICD codes during authorization check and authorization request.
  • Utilize hospital ICD9/CPT coding system to obtain inpatient services authorization.
  • Review and pay high cost DRG, Physician and Ambulatory surgery bills, review CPT and ICD 9 codes for appropriateness.
  • Process billing according to coding guidelines such as CPT (Billing) and ICD-9 (Diagnostics).
  • Collect payments, batch payments for bank deposits, code daily encounters with ICD-9 and CPT codes.

Show More

13. Patient Demographics

high Demand
Here's how Patient Demographics is used in Medical Service Representative jobs:
  • Registered, checked in and out of patients, interviewed and verified and updated patient demographics and insurance eligibility when applicable.
  • Register new patients and update existing patient demographics by collecting information, including patient's personal and financial information.
  • Obtain and enter information into hospital system required patient demographics and insurance information, prior to scheduled service date.
  • Maximized reimbursement by insuring accurate processing of patient demographics and insurance information at point of admission to the system.
  • Obtain and verified patient demographics, insurance, eligibility, and financial responsibility information to ensure complete and accurate registration.
  • Registered new patients and updated existing patient demographics by collecting patient detailed patient information including personal and financial information.

Show More

14. Computer Software

high Demand
Here's how Computer Software is used in Medical Service Representative jobs:
  • Utilize automated computer software to schedule appointments, take messages, provide referral services and register for classes and events.
  • Accessed multiple computer software programs, and maintained high quality of compassion and concern while communicating with all callers.
  • Adapt to changes promptly in computer software, client specific rules and call handling procedures.

Show More

15. Medicaid

average Demand
Here's how Medicaid is used in Medical Service Representative jobs:
  • Explain Medicaid Prior Authorization criteria to physician office, pharmacy, and patients.
  • Verified benefits for commercial/Medicaid/Medicare insurance.
  • Provided program information and eligibility requirements, conducted phone applications and verified eligibility for Compass and or the Georgia Medicaid program.
  • Worked with Medicare, Medicaid and commercial insurances to verify insurance information for accuracy and completeness and resolved discrepancies as needed.
  • Processed photo identification or driver's license and insurance cards (including Medicare) and/or Medicaid information on electronic record system.
  • Provide assistance to patients by applying for Medicaid programs, Social Security Disability, Medicare savings programs and drug replacement applications.

Show More

16. Providers

average Demand
Here's how Providers is used in Medical Service Representative jobs:
  • Served as liaison between providers and internal departments to communicate and quickly resolve escalated contractual issues.
  • Provided members and medical providers with reimbursement checks.
  • Process Workers Compensation Claims*Call providers to get additional information
  • Provide guidance and assistance on inquiries and problems encountered by internal customers, providers, claimants, and policyholders.
  • Assisted members, providers, employer groups, and brokers with a variety of insurance needs.
  • Pay bills to internal customers, providers, claimants, and/or policyholders with integrity and expertise.
  • Channeled, for network providers, schedule appointments for clients in network providers.
  • Reviewed PA fee reviews from providers, making corrections to payments when needed.
  • Assist members, clients, and providers in reference to member accounts.
  • Communicated with providers and clients via phone, email, and letters.
  • Matched providers by verifying billing and professional address to claim.
  • Called on cardiologists, internists, and primary care providers.
  • Contacted members of health plans and also medical providers.
  • Process Worker's Compensation claims Call providers to obtain additional information Create spreadsheets and word documents pertaining to insurance claims

Show More

17. Sales Goals

average Demand
Here's how Sales Goals is used in Medical Service Representative jobs:
  • Planned and implemented targeted sales goals, activities and value added programs to meet and exceed business sales goals.
  • Organize and execute lunch and dinner programs to assist in meeting and exceeding sales goals.
  • Maintained sales goals given each quarter, as well as other measured parameters.
  • Motivated tellers and personally obtained numerous referrals contributing directly to the achievement of branch service and sales goals.
  • Achieved sales goals through superior account development and customer retention capabilities for accounts generating approximately $10K annually.
  • Leveraged Service Representatives are responsible for meeting and exceeding sales goals, while providing exceptional customer support.

Show More

18. State Guidelines

average Demand
Here's how State Guidelines is used in Medical Service Representative jobs:
  • Processed document for payments that are followed by specific state guidelines.
  • Reviewed claims per state guidelines and appropriateness of requests.
  • Adhered to multiple state guidelines.

Show More

19. Company Policies

average Demand
Here's how Company Policies is used in Medical Service Representative jobs:
  • Reviewed and processed Worker's Comp bills by following specific state guidelines and company policies.
  • Maintained up-to-date knowledge of company policies, procedures and upgrades for better patient experiences.
  • Maintained knowledge of functional area and company policies and procedures.

Show More

20. Quality Standards

average Demand
Here's how Quality Standards is used in Medical Service Representative jobs:
  • Provided departmental quality standards by generating accurate bill transactions for payment using ExPRS and OnDemand programs.
  • Processed payments in 4 different jurisdictions, while continually meeting or exceeding production numbers and quality standards.

Show More

21. Hippa

average Demand
Here's how Hippa is used in Medical Service Representative jobs:
  • Learn and maintain continuing guideline revisions and complete required training such as HIPPA, Security and Code of Conduct regulations.
  • Cataloged schedules and clinical data into specialized computer programs *Maintained patient demographic information *Exhibited exceptional interpersonal skills *Adhered to Federal HIPPA regulations
  • Initiated follow-up calls to customers and maintained confidentiality and security of information, as expected under HIPPA security compliance.
  • Maintained confidentiality of all client's information in accordance with state/federal regulations, company policy and HIPPA requirements.
  • Managed and updated demographic and insurance information, including authorizations and referrals, while demonstrating HIPPA confidentiality regulations.
  • Maintained patient confidentiality as per HIPPA guidelines and ability to work in fast pace continually changing environment.

Show More

22. Hipaa

average Demand
Here's how Hipaa is used in Medical Service Representative jobs:
  • Followed strict medical guidelines and HIPAA patient confidentiality regulations.
  • Ensured HIPAA, JCAHO compliance on site as Project Manager with the facilities' Decision Support and integrated management departments.
  • Handle confidential information with sensitivity and discretion in accordance with HIPAA and Data Privacy laws and company data security requirements.
  • Communicate effectively with insurance providers, patients and medical personnel, while answering phones and maintaining conformity with all HIPAA regulations.
  • Collect and enters insurance and benefit data as well as maintaining customer/patient confidentiality according to HIPAA and company standards.
  • Developed and implemented department goals, demonstrated respect for patients by adhering to HIPAA Privacy and Security protocols.

Show More

23. Patient Referrals

average Demand
Here's how Patient Referrals is used in Medical Service Representative jobs:
  • Receive patient referrals, and consult with doctors to determine availability and get prospective patients scheduled for their first appointment/consultation.
  • Expedited service and administrative tasks to resolve patient issues including insurance verification, patient account reconciliation and outgoing patient referrals.
  • Utilized in-office displays, patient contests, newsletters and email promotions to generate patient referrals and minimize cancellations.
  • Balanced daily cash drawer, authorized and scheduled patient referrals, and scheduled laboratory and clinical appointments.
  • Scheduled and coordinated educational in-services and delivered oral presentations in order to obtain patient referrals.
  • Arranged patient referrals with specialists and contacted insurance carriers to verify patients' insurance coverage.

Show More

24. Outbound Calls

average Demand
Here's how Outbound Calls is used in Medical Service Representative jobs:
  • Make outbound calls to providers and member to advise of prior authorization decisions.
  • Place outbound calls to members to promote product/service campaigns and/or to educate members on current/upcoming initiatives.
  • Maintained regular contact with possible future candidates by making outbound calls and e-mailing potential candidates regularly.
  • Process insurance verification and authorizations, Enter data in system for service approval, inbound/outbound calls for patient concerns
  • Make outbound calls to different medical insurance carriers to verify members benefits/eligibility for Veterans health/medical insurance policies.
  • Served as primary source through inbound/outbound calls for registration tasks and functions utilizing computerized database systems.

Show More

25. Epic

average Demand
Here's how Epic is used in Medical Service Representative jobs:
  • Coordinated all schedules in Outlook with Epic EMR for all the Ma's, Physicians and Clinic Manager.
  • Scheduled patent appointments in Epic EMR software.
  • Versed in creating hospital accounts reflecting provider and department deliverables utilizing EPIC and RIS software specific for scheduling.

Show More

26. Physician Offices

average Demand
Here's how Physician Offices is used in Medical Service Representative jobs:
  • Process referrals and prior authorizations for procedures physician offices and facilities.
  • Denied ineligible payment requests from physician offices and hospitals, notifying case managers of discrepancies.
  • Received referral information and followed up with case managers, families, and physician offices regarding admission arrangements.
  • Maintained department databases, tracked other insurance enrollments, communicated with plans, credentialing, physician offices and hospital
  • Speak to members, referring physician offices and imaging provider to answer question regarding initial or pending authorization requests.
  • Coordinated registration and diagnosis information with physician offices and service areas to minimize inconvenience to patient.

Show More

27. Processing Procedures

average Demand
Here's how Processing Procedures is used in Medical Service Representative jobs:
  • Provide assistance on inquiries and solving problems, and explain processing procedures.
  • Provided guidance and assistance on inquiries and/or problems, and explained processing procedures (i.e.

Show More

28. Independent Judgment

average Demand
Here's how Independent Judgment is used in Medical Service Representative jobs:
  • Implemented initiative and independent judgment to resolve problems of limited scope and complexity.
  • Exercised initiative and independent judgment to resolve problems.
  • Exercised initiative and independent judgment to resolve problems, such as CI suggestions.

Show More

29. Healthcare

low Demand
Here's how Healthcare is used in Medical Service Representative jobs:
  • Completed an independent study regarding how the experience has and will continue to shape my healthcare practice.
  • Increased sales by calling on multiple healthcare providers in various specialties.
  • Scheduled healthcare staff for distance learning symposiums and in-person seminars.
  • Provided village educators and healthcare leaders with methods for health, development, and literacy promotion.
  • Assisted healthcare providers with inquires and bill coding in a timely manner.
  • Demonstrated confidentiality in a manner consistent with medical, administrative, ethical, legal and regulatory requirements of the healthcare system.

Show More

30. Medical Procedures

low Demand
Here's how Medical Procedures is used in Medical Service Representative jobs:
  • Obtain authorizations for patients for various medical procedures.
  • Processed medical procedures and diagnosis coding, prior authorization requests, data entry, eligibility verification, correspondence, and research.
  • Obtain prior authorizations for medical procedures, surgeries, medications, and specialists consutations.
  • Completed authorizations of medical procedures for multiple insurance companies Extensive medical terminology/data entry Received exclusive inter-departmental training and trained new hires
  • Obtained Authorizations for various medical procedures Responsible for obtained more than 100 authorizations per week Handled Insurance Verifications and Medical Billing
  • Verify Insurance Pre authorization for Medical procedures Pre-Registration

Show More

31. Medical Supplies

low Demand
Here's how Medical Supplies is used in Medical Service Representative jobs:
  • Provided customer service to Purchasing Managers and assisted in fulfilling inventory needs of hospital medical supplies and accurately scheduling deliveries.
  • Coordinated a unique grassroots marketing strategy for durable and disposable medical supplies.
  • Delivered needed medical supplies in emergency situations.
  • Monitor and maintain stock of medical and non-medical supplies for a 24-bed in-patient surgical and transplant unit.
  • Delegated ordering of office and medical supplies within range of departmental fiscal budget.
  • Maintained appropriate levels of office, medical supplies, and other materials.

Show More

32. Bill Review

low Demand
Here's how Bill Review is used in Medical Service Representative jobs:
  • Respond to medical bill review inquiries.

Show More

33. MSR

low Demand
Here's how MSR is used in Medical Service Representative jobs:
  • Use Web Administration Server to help assist MSR Remote Agents with specific technical system issues.
  • Mentor new MSR's and serve as designated Point of Contact for high profile clients.
  • Evaluated employee performance and selected exceptional MSRs for special assignments.
  • Coached, evaluated and performance managed MSRs to ensure timely and accurate service to clients.

Show More

34. Market Share

low Demand
Here's how Market Share is used in Medical Service Representative jobs:
  • Increased number of referring physicians and market share within competitive market baskets.
  • Increased sales and market share of products.
  • Develop and deliver informative sales presentations based in individual customer needs to maximize market share of the designated product portfolio.
  • Developed and implemented strategies to increase product awareness and usage; developed excellent customer relationships to increase market share.
  • Monitored competitive activities and sales performance, and implemented improvements to increase revenue and market share.
  • Measured, evaluated and compensated via product market share growth and hospital/wholesale purchases.

Show More

35. MRI

low Demand
Here's how MRI is used in Medical Service Representative jobs:
  • Schedule all Biopsies, Mammograms, Breast ultrasounds, Breast MRI's, and bone density scans to multiple outside facilities.
  • Processed ultrasound, X-ray, CAT scan, and MRI orders and order lab work.
  • Act as the liaison for other department such as X-ray, MRI labs for Doctors and Residents.
  • Charge and batch all x-rays, cat scans, mammograms and MRI services done at my location.
  • Direct patients to the necessary locations to receive lab work, MRI's and/or physical therapy.
  • Acted as liaison between physician's offices and this MRI facility.

Show More

36. Internal Medicine

low Demand
Here's how Internal Medicine is used in Medical Service Representative jobs:
  • Schedule appointments for Obstetrics/Gynecology and Internal Medicine specialties; * In depth knowledge of insurance protocol and medical terminology.
  • Coordinated and maintained front office for Neurology, Cardiology, and Community Internal Medicine.
  • Cross-trained in multiple areas including reception and Community Internal Medicine.
  • Launched an enterprise to provide a critical diagnostic medical device for Internal Medicine, Primary Care, Endocrinology and Neurology specialties.
  • Focus on clinicians in sections of Psychiatry, Podiatry, Obstetrics & Gynecology, Neurology and Internal medicine.
  • Promoted pharmaceutical products to General Physicians, Pediatricians, ENT's and Internal Medicine specialists.

Show More

37. External Customers

low Demand
Here's how External Customers is used in Medical Service Representative jobs:
  • Maintain relationships with internal and/or external customers and providers to ensure timely processing of transactions.
  • Exemplified the second-to-none customer service delivery for which American Funds is nationally renowned in all interactions with internal and external customers.
  • Provide guidance and technical direction and service internal and external customers while assuring proper compliance with WMFS/department policy and procedures.
  • Placed direct orders, drop ship and remote enhanced delivery orders, and communicated effectively with internal and external customers.
  • Interact with various departments using cross-functional communication with relevant information sources to address the needs of internal and external customers.
  • Communicated with internal associates and external customers or agents regarding outstanding requirements or the status of an application or transaction.

Show More

38. HMO

low Demand
Here's how HMO is used in Medical Service Representative jobs:
  • Verify eligibility and benefits for all patients with HMO, PPO, EPO, and POS plans.
  • Interfaced with HMO's, Medicare and Medicaid to resolve any issues, including coverage and reimbursements.
  • Audited inpatient Medicare, Blue Cross, Commercial, Medical Assistance and HMO Insurance's.
  • Accumulated, prepared, and analyzed data necessary for contract compliance of HMO and PPO plans.
  • Verified insurance coverage HMO, PPO, IEHP, Med-cal and Medicare insurance eligibility.
  • Managed HMO accounts for OB GYN and Leo Jenkins Cancer Center.

Show More

39. Necessary Information

low Demand
Here's how Necessary Information is used in Medical Service Representative jobs:
  • Collaborated with branch offices, securing necessary information for accurate processing.
  • Communicate with case managers, attorneys, and others to gather necessary information in order to complete transactions.

Show More

40. Doctor Offices

low Demand
Here's how Doctor Offices is used in Medical Service Representative jobs:
  • Register patients for events, screenings, or classes at hospitals and doctor offices appointment and canceling appointments.
  • Provided benefit information concerning co pays, claim details, and located doctor offices.
  • Answered calls for doctor offices and insurance companies.
  • Handle all calls, messages, and scheduling for various hospitals and doctor offices locally and throughout the United States.
  • Fax documents for prior authorizations and prescriptions to doctor offices and following up to check the status.
  • Received inbound calls from doctor offices providing information or inquiring about a sleep study for a patient.

Show More

41. Appropriate Party

low Demand
Here's how Appropriate Party is used in Medical Service Representative jobs:
  • Answered phones and direct calls to appropriate party.

Show More

42. Medical Staff

low Demand
Here's how Medical Staff is used in Medical Service Representative jobs:
  • Page and call doctors and other medical staff in other departments in the hospital.
  • Worked collaboratively with all hospital departments, managers and medical staff to facilitate process improvement and resolution of patient concerns.
  • Job entailed communication with hospital medical staff, business office collections department and corresponding with local community medical clinics.
  • Worked closely with medical staff in obtaining information, resolving issues and ensuring expedient patient flow and customer satisfaction.
  • Maintained good communication between department heads, medical staff and governing boards by attending board meetings and synchronizing interdepartmental functions.
  • Cultivated relationships with nursing and medical staff, leading to improved responsiveness to patient and family concerns.

Show More

43. Diagnosis Codes

low Demand
Here's how Diagnosis Codes is used in Medical Service Representative jobs:
  • Pended claims to case manager for relevancy of diagnosis codes to work comp injury.
  • Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.

Show More

44. Computer System

low Demand
Here's how Computer System is used in Medical Service Representative jobs:
  • Entered data, such as history, diagnostic procedures and treatment into computer systems.
  • Train coworkers on computer systems, billing and equipment usage.
  • Researched and pulled patient information from different computer programs for coders and entered patient information into hospital computer system.
  • Obtain records, files and results for appointments/admissions and enters related information on hospital and departmental computer systems.
  • Register and input member and guest information into computer system to allow for accurate billing and activity registration.
  • Batch applications in a client confidential environment, quality control completed applications and key customer information into computer system

Show More

45. Appropriate Departments

low Demand
Here's how Appropriate Departments is used in Medical Service Representative jobs:
  • Received incoming documents and distributed to the appropriate departments.
  • Answered and routed incoming calls to the appropriate departments (Shoretel UC Platform).
  • Triaged patient calls based on urgency, routed calls to appropriate departments.
  • Routed calls to appropriate departments Provided medical information by streamlining customer needs Navigated between many software systems and networks
  • Accelerate in the task of identifying and mitigating issues regarding registration and escalating them to appropriate departments and individuals.
  • Communicate effectively with appropriate departments regarding managed care benefits.

Show More

46. CMS

low Demand
Here's how CMS is used in Medical Service Representative jobs:
  • Acted as a liaison between members and providers; ensure CMS guidelines are being adhered to.
  • Review medical record information to identify all appropriate coding based on CMS HCC categories.

Show More

47. Additional Information

low Demand
Here's how Additional Information is used in Medical Service Representative jobs:
  • Analyzed data for accuracy and gathered additional information when necessary to determine payment or denial of transactions.
  • Communicated all financial responsibilities and additional information necessary for processing patient's insurance.
  • Contacted patients for additional information as required.
  • Assist supervisor with escalated calls, contact health insurance to give additional information and communicate with doctor's office staff.
  • Called Subscribers and advised when we needed additional information or not able to complete wireless claims.
  • Set up task for additional information to be routed to other departments for follow - up.

Show More

20 Most Common Skill for a Medical Service Representative

Customer Service17%
Insurance Companies14.2%
Medical Records9.9%
Phone Calls7.1%
Patient Care6.6%
Medical Bills5.9%
Scheduling Appointments5.4%
Data Entry4.8%

Typical Skill-Sets Required For A Medical Service Representative

RankSkillPercentage of ResumesPercentage
1
1
Customer Service
Customer Service
13%
13%
2
2
Insurance Companies
Insurance Companies
10.8%
10.8%
3
3
Medical Records
Medical Records
7.5%
7.5%
4
4
Phone Calls
Phone Calls
5.4%
5.4%
5
5
Patient Care
Patient Care
5.1%
5.1%
6
6
Medical Bills
Medical Bills
4.5%
4.5%
7
7
Scheduling Appointments
Scheduling Appointments
4.1%
4.1%
8
8
Data Entry
Data Entry
3.7%
3.7%
9
9
Medical Services
Medical Services
2.6%
2.6%
10
10
High Volume
High Volume
2.4%
2.4%
11
11
Durable Medical Equipment
Durable Medical Equipment
2.2%
2.2%
12
12
CPT
CPT
2.1%
2.1%
13
13
Patient Demographics
Patient Demographics
2%
2%
14
14
Computer Software
Computer Software
1.9%
1.9%
15
15
Medicaid
Medicaid
1.8%
1.8%
16
16
Providers
Providers
1.5%
1.5%
17
17
Sales Goals
Sales Goals
1.5%
1.5%
18
18
State Guidelines
State Guidelines
1.4%
1.4%
19
19
Company Policies
Company Policies
1.4%
1.4%
20
20
Quality Standards
Quality Standards
1.4%
1.4%
21
21
Hippa
Hippa
1.3%
1.3%
22
22
Hipaa
Hipaa
1.3%
1.3%
23
23
Patient Referrals
Patient Referrals
1.3%
1.3%
24
24
Outbound Calls
Outbound Calls
1.2%
1.2%
25
25
Epic
Epic
1.1%
1.1%
26
26
Physician Offices
Physician Offices
1.1%
1.1%
27
27
Processing Procedures
Processing Procedures
1.1%
1.1%
28
28
Independent Judgment
Independent Judgment
1.1%
1.1%
29
29
Healthcare
Healthcare
0.9%
0.9%
30
30
Medical Procedures
Medical Procedures
0.9%
0.9%
31
31
Medical Supplies
Medical Supplies
0.9%
0.9%
32
32
Bill Review
Bill Review
0.8%
0.8%
33
33
MSR
MSR
0.8%
0.8%
34
34
Market Share
Market Share
0.8%
0.8%
35
35
MRI
MRI
0.8%
0.8%
36
36
Internal Medicine
Internal Medicine
0.8%
0.8%
37
37
External Customers
External Customers
0.8%
0.8%
38
38
HMO
HMO
0.7%
0.7%
39
39
Necessary Information
Necessary Information
0.7%
0.7%
40
40
Doctor Offices
Doctor Offices
0.7%
0.7%
41
41
Appropriate Party
Appropriate Party
0.7%
0.7%
42
42
Medical Staff
Medical Staff
0.7%
0.7%
43
43
Diagnosis Codes
Diagnosis Codes
0.6%
0.6%
44
44
Computer System
Computer System
0.6%
0.6%
45
45
Appropriate Departments
Appropriate Departments
0.6%
0.6%
46
46
CMS
CMS
0.6%
0.6%
47
47
Additional Information
Additional Information
0.6%
0.6%

56,234 Medical Service Representative Jobs

Where do you want to work?