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  • Patient Access Representative

    Insight Global

    Remote medicare correspondence 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. 3d ago
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  • Access Coordinator (Remote)

    Northwestern University 4.6company rating

    Remote medicare correspondence representative job

    Department: AccessibleNU Salary/Grade: EXS/6 The Access Coordinator position serves as a subject matter expert on the academic and on-campus housing ADA reasonable accommodation request process for students. The Access Coordinator role is a remote position. Utilizing a thorough and timely process, daily functions include meeting with students with disabilities, reviewing medical and supplemental documentation, evaluating and determining requests for accommodations, and creating and maintaining case notes. The role collaborates with other ANU staff, coordinates with faculty, academic department leaders, and other campus liaisons, and leads campus trainings and outreach events. The Access Coordinator position ensures institutional compliance with federal, state, and local disability regulations. Pay Range: The salary range for the AccessibleNU Access Coordinator position is $68,500 - $70,000 depending on experience, skills, and internal equity. About AccessibleNU: AccessibleNU (ANU) is responsible for the academic and on-campus housing accommodation determination and coordination process for students with disabilities. Northwestern University recognizes disability as an essential aspect of our campus, and as such, we actively collaborate with faculty, staff, and students to achieve access goals. Mission: AccessibleNU supports and empowers students with disabilities by collaborating with the Northwestern community to ensure full participation in the academic learning environment. Principal Accountabilities: * Maintains a full caseload of students and provides ongoing support for undergraduate, graduate, professional, and online students. * Reviews and processes incoming accommodation requests, ensuring a prompt, thorough, and equitable response to each request: * Interprets disability documentation including medical, educational, and/or psychological assessments. Conducts accommodation meetings to gather additional information. Cross-analysis to determine reasonable accommodations. * Ensures accommodation determinations align with ANU process and procedures, the Americans with Disabilities Act (as amended), Sections 504 and 508 of the Rehabilitation Act, state and local disability regulations, the Fair Housing Act, relevant caselaw and legal guidance, and University policies and procedures. * Generates creative and practical solutions to address current and emerging needs, including accommodations for students in off-site placements such as clinical settings, internships, practicums, and experiential learning environments. * Uses office database (AIM) to maintain student files including: sending accommodation emails, maintaining confidential documentation, scheduling appointments, case noting, and documenting communications with students and university personnel regarding the accommodation process. * Engages with faculty, academic department leaders, and staff to facilitate difficult conversations and coordinate and implement complex accommodations (e.g. flexibility with attendance and deadlines, classroom relocation, furniture placement, clinical arrangements, qualifying exam accommodations, adjustments to program requirements, etc.) while upholding essential course and programmatic requirements and/or technical standards. * Provides consultation services, information meetings, presentations, trainings, outreach events, and programming with respect to University disability accommodation processes, definitions, perspectives, implications, applications of professional research, and local, state, and federal laws as requested. * Participates in developing and implementing strategic planning goals, objectives, and assessments as requested. * Participates, leads, and attends AccessibleNU or University based working groups, committees, events, or other division-wide activities as requested. * Performs back-up functions such as front desk duties and test proctoring/coordinating. * Assists ANU leadership team with overall unit functional areas. * Will perform other duties as assigned. Minimum Qualifications: Education and Experience: * Bachelor's degree in higher education administration, rehabilitation counseling, social work, psychology, or related field * Minimum of one (1) year related experience in the postsecondary environment, working directly with students with various disabilities; similar experience with students outside the postsecondary setting and/or a combination of training and experience may be considered * Knowledge of the ADAAA, Section 504, Section 508 and its application to accommodation determination * Familiarity with the complexities of medical documentation and its alignment with accommodation determination, including the interpretation of test results such as the WAIS, Woodcock Johnson, and other diagnostics within the DSM-V. Skills: * Ability to problem solve, collaborate, mediate conflict, and negotiate in challenging situations * Highly developed facilitation skills to foster a welcoming environment for students * Highly developed communication skills to build and promote collaborative partnerships with faculty and administration * Ability to adapt to and openness to change * Ability to independently manage time in a fast-paced environment * Ability to exercise independent judgement related to the impact of the disability, how it relates to classroom and housing access, and the legal aspects involved * Ability to work both independently and in team settings Preferred Qualifications: * Master's degree in higher education administration, rehabilitation counseling, social work, psychology, or related field * Prior case management work with undergraduate, graduate, professional, and online students with disabilities * Proficiency with a range of assistive technologies and adaptive equipment and their application * Demonstrated experience determining clinical and/or offsite accommodations using programmatic technical standards * Working Conditions: The Access Coordinator role is a remote position. Employees must have access to reliable internet. Note: Access Coordinators who are local to the Chicagoland area are required to come to the Evanston or Chicago campus on occasion for division and office events and meetings, on-boarding and trainings, presentations, and accommodation coordination. Will require limited evening and weekend availability. Benefits: At Northwestern, we are proud to provide meaningful, competitive, high-quality health care plans, retirement benefits, tuition discounts and more! Visit us at *************************************************** to learn more. Work-Life and Wellness: Northwestern offers comprehensive programs and services to help you and your family navigate life's challenges and opportunities, and adopt and maintain healthy lifestyles. We support flexible work arrangements where possible and programs to help you locate and pay for quality, affordable childcare and senior/adult care. Visit us at ************************************************************* to learn more. Professional Growth and Development: Northwestern supports employee career development in all circumstances whether your workspace is on campus or at home. If you're interested in developing your professional potential or continuing your formal education, we offer a variety of tools and resources. Visit us at *************************************************** to learn more. Northwestern University is an Equal Opportunity Employer and does not discriminate on the basis of protected characteristics, including disability and veteran status. View Northwestern's non-discrimination statement. Job applicants who wish to request an accommodation in the application or hiring process should contact the Office of Civil Rights and Title IX Compliance. View additional information on the accommodations process. #LI-GY1
    $68.5k-70k yearly 35d ago
  • Contact Center Patient Care Representative

    Orthocincy 4.0company rating

    Remote medicare correspondence representative job

    **Join our dynamic team as a frontline patient care representative who interacts with our patients to provide exceptional and compassionate patient care! The patient care representative may have the option to work remotely after an introductory training period. General Job Summary: Vital to the success of our organization with providing OrthoCincy patients and all other callers a premier Ortho experience while focusing on their individual needs. Essential Job Functions: Schedules appointments for patients either by phone when they call in, through the company website or when requested from the clinic via computerized message system. Uses computerized system to match physician/clinician availability with patients' preferences in terms of date and time. Ability to handle a high volume of incoming calls, while maintaining a high standard of productivity, efficiency and accuracy while working under pressure. Must be able to respond to various inquiries made by patients, hospitals, insurance companies, as well as other medical entities. Engaging in active listening with all callers, while acting as a contact point person between patients, providers and staff. Maintains scheduling system so records are accurate and complete and can be used to analyze patient/staffing patterns. Updates physicians/clinicians or medical assistants. Ensures that updates (e.g. cancellations or additions) are input daily into master schedule. Send requests to clinic for prescription refills and follow up with patients on messages from clinic via computerized message system. Establish and maintain effective working relationships with patients, providers, co-workers, and the public. Maintaining a calm, pleasant and compassionate tone while being able to diffuse tense situations. Follows HIPAA regulations. Perform other duties necessary or in the best interest of the department/organization. Requirements Education/Experience: High school diploma. Minimum one year experience in a medical practice and/or position encouraged. Experience in a high volume call center a plus. Other Requirements: Schedules will change as department needs change. Performance Requirements: Knowledge: Knowledge of OrthoCincy's Mission, Vision and Values. Knowledge of medical practice protocols related to scheduling appointments. Knowledge of anatomy and medical terminology. Knowledge of computerized scheduling systems. Knowledge of customer service principles and techniques. Knowledge of OSHA and safety standards. Skills: Skill in communicating effectively with providers, employees, customers and patients. Skill in maintaining appointment schedule via computerized means. Effective in critical thinking skills. Strong communication skills in a professional manner during stressful and sensitive situations with patients of all ages. Abilities: Ability to multi-task effectively Ability to communicate calmly and clearly Ability to analyze situations and respond appropriately. Ability to alternate between multiple computer systems in a timely manner. Equipment Operated: Standard office equipment. Work Environment: Standard call center workstation. Mental/Physical Requirements: Involves sitting and viewing a computer monitor 90% of the work day. Must be able to remain focused and attentive without distractions (i.e. personal devices).
    $30k-36k yearly est. 48d ago
  • Account Management Representative

    Better Business Bureau, Great West and Pacific 4.3company rating

    Remote medicare correspondence representative job

    Job Title: Account Management Representative - Hawaii Market (Applicants must currently reside in Hawaii to be considered) Wage Range: $24 - $31/hour Help Hawaii's Local Businesses Grow with Trust at the Center At Better Business Bureau , we help businesses grow with confidence-offering tools, partnerships, and guidance that make trust a lasting advantage. In Hawaii, that work is deeply personal. Businesses thrive through connection, community, and cultural alignment. We're looking for a Customer Success Partner based on Oʻahu who understands the local business landscape, is eager to represent BBB in the community, and thrives on building meaningful, long-term relationships. This is a role for a trusted guide-not just a support rep. If you're energized by one-on-one connections, proactive strategy, and local impact, we want to meet you. What We're Looking For This is not a transactional support role. We're looking for someone who can partner strategically, build rapport with business leaders, and represent BBB with integrity in the community. As the main point of contact for a portfolio of Accredited Businesses, your goal will be to help them leverage the right tools, guidance, and resources to grow their business. You'll excel in this role if you: • Live on Oʻahu and are familiar with Hawaii's local business culture • Are a natural relationship builder, proactive communicator, and strategic thinker • Have experience in customer success, client services, or account management • Are confident attending business events, leading conversations, and presenting in person • Enjoy helping businesses grow by identifying opportunities and providing solutions that matter • Can effectively onboard new Accredited Businesses, guiding them through their tools and helping them realize value quickly • Are resourceful and confident with technology, using digital tools to support your portfolio and streamline processes • Are detail-oriented, organized, and comfortable documenting interactions and insights • Can collaborate with teammates, sharing best practices and supporting high-volume periods Bilingual candidates are encouraged to apply. Language skills help us better serve our diverse Accredited Business community. Qualifications • High school diploma or college degree • 1-3 years of experience in Customer Success, Account Management, or equivalent client-facing role • CRM experience required; comfort with Microsoft and/or HubSpot tools preferred Why You'll Love Working at BBB We show up every day ready to help businesses and consumers succeed. Our work is driven by integrity, collaboration, and a belief in the power of trust to drive progress. What we offer: • Mission-driven, supportive team culture • Medical, Dental, and Vision Insurance Plans (Dental and Vision base plans with premiums 100% paid by BBB) • 100% employer-paid life and long-term disability insurance • Optional insurance plans (short-term disability, additional life, accident, etc.) • Paid Time Off (PTO) as of your date of hire • Paid holidays, plus your birthday off with pay • Safe Harbor (immediate vesting) 401(k) plan with up to 6% company match • Local work model with flexibility to work remotely and attend in-person events across Oʻahu and occasionally neighbor islands At BBB, we embrace diversity and strive to create an inclusive environment that allows all team members to thrive. We foster a culture in which our differences are celebrated; our differences are what makes us a Better Business! We are proud to be an Equal Employment Opportunity. We will not discriminate based on race, color, gender, gender identity, religion, sexual orientation, national origin, age, marital status, disability status, citizenship status, veteran status, or any other characteristic prohibited by Local, State, or Federal law. Discrimination, retaliation, or harassment based upon any of these factors is inconsistent with our core values and will not be tolerated. Ready to join the team and show off your skills? Please apply now to join BBB's team, and let's create workplace magic together!
    $24-31 hourly Auto-Apply 50d ago
  • Patient Enrollment Representative (Outbound Call Center)

    Mosaic Pharmacy Service

    Remote medicare correspondence representative job

    Company Profile Medicines are powerful - they can prevent and heal disease, but they can also be costly, ineffective or even harmful if not prescribed and taken correctly. The team at Mosaic Pharmacy Service is helping people get more from their medicines™. Mosaic Pharmacy Service provides comprehensive pharmacy care to medically complex and vulnerable seniors. We provide a patient-focused, pharmacist-driven care model in collaboration with health systems, assisted living facilities and health plans. Our goal is to help our patients feel better about the medications they take every day by simplifying medication regimens, improving adherence, and driving positive outcomes. Mosaic is looking for caring, motivated, and creative individuals to join our team for an innovative new career opportunity. Job Overview As a Patient Enrollment Representative, you are a great communicator who is energized, empathetic, and ready to serve at the frontline of helping seniors and their caregivers. In this role, you'll interact by phone with prospective patients who are interested in learning more about Mosaic and how to enroll. You will be responsible for clearly communicating the value of our service to patients who may ask general questions, request specific information, or need assistance with issues. This role requires strong communication and listening skills that demonstrate compassion and empathy. This is a chance to join a highly motivated team that makes a difference in the lives of people every day Job Duties: Make an average of 120 outbound calls per day to prospective patients using call center technology to educate, inform, and answer questions about available services; enroll patients in the program and schedule an onboarding call with a pharmacy technician. Clearly and compellingly communicate on behalf of Mosaic Pharmacy Service using an approved script provided by the organization. Guide prospective members through the enrollment process, ensuring they understand the commitment and steps to becoming a Mosaic patient. Maintain a positive, professional, and enthusiastic tone on every call. Consistently meet departmental performance metrics (e.g., outbound calls, average appointments scheduled per day, schedule adherence, quality targets, etc.). Escalate patient complaints or concerns promptly to the appropriate supervisor. Appropriately track and record patient interactions/outcomes, and schedule enrollment appointments in Mosaic's technology systems, ensuring accurate documentation. Accept and respond to inbound calls from prospective or current patients, addressing inquiries and completing calls according to procedure. Make follow-up calls as needed to reschedule patients, confirm appointments, and ensure completion of onboarding steps. Demonstrate a strong understanding of Mosaic's offerings to maintain effective, informative conversations with patients. Show discretion and empathy when working with sensitive or confidential patient information. Apply excellent written, verbal, and interpersonal communication skills to deliver accurate information, manage challenging conversations, and uphold Mosaic's standards of professionalism. Use multiple communication channels including sending digital messages to support patient onboarding and ensure timely completion of the enrollment process. Adhere to all required scripting, processes, and protocols. Collaborate with providers (doctors' offices) to review the status of patient onboarding and support a smooth transition into Mosaic's services. Always observe all patient confidentiality laws and organizational guidelines. Benefits Annual accrual 160 hours of Paid Time Off 401(k) Plan with employer matching contribution Health, dental, vision insurance Health savings account (HSA) Life insurance Quarterly incentive program We strongly encourage candidates from all backgrounds and every walk of life to apply. We are committed to creating an inclusive and diverse workforce. Every person on our team brings their own unique perspective and it's what makes our products better and our work more rewarding. We're eager to support you so that you can do work you're proud of Requirements Education High School Diploma, GED, or equivalent is required Experience At least 1 year of contact center, patient-facing provider (doctor) office, or customer service experience is required Prior experience with CRM systems, data entry skills, enrollment communications, quickly learning online management software platforms while multi-tasking on calls strongly preferred Additional Matters This is a full-time position. Employee will work remotely from home Days worked at are Monday through Friday; 40 hours worked per week with shifts between the hours of 9:00 am and 6:30 pm Eastern time and Saturday 10:00 am-2:00 pm. Schedule assigned upon hire. Bilingual/English+Spanish fluency is a plus. Work from home requirements: Qualified applicants must have reliable Internet service (with a minimum of 100 Mbps) and ethernet access at your home. Mosaic will provide equipment (keyboard, monitor, laptop computer, headset etc.). All applicants must provide their own workspace furniture and ensure a secure, quiet workspace free from personal distractions and interruptions. If you experience performance or technology issues, and are within 30 miles of Sterling, Virginia, you may be asked to come on site for further training and technology support. Employee will be required to sign acknowledgement of these job requirements. Salary Description $18-$20/hr
    $18-20 hourly 12d ago
  • Work from Home - Insurance Verification Representative

    Creative Works 3.2company rating

    Remote medicare correspondence 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
  • Patient Resource Representative ( Remote)

    Valley Medical Center 3.8company rating

    Remote medicare correspondence 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. 41d ago
  • Patient Access Representative

    Newvista Behavioral Health 4.3company rating

    Medicare correspondence representative job in Columbus, OH

    Job Address: 10270 Blacklick - Eastern Road NW Pickerington, OH 43147 Patient Access Representative We encourage our team members to take an active part in improving the care and service we provide. If you have a superior level of customer service, the ability to greet our patients with a smile whether on the phone or face-to-face, and a passion for taking care for people, this is the position for you! Responsibilities: The Patient Access Representative is most often the first point of contact for our patients and therefore must represent New Vista Behavioral Health with the highest standard of customer service, compassion and perform all duties in a manner consistent with our mission, values and service standards. The Patient Access Representative will facilitate all components of the patient's entrance in to any New Vista facility. This may include scheduling, registration, benefit verification, pre-certification and financial clearance including pre-visit collection. The Patient Access Representative will be responsible for ensuring that the most accurate patient data is obtained and populated into the patient record. This team member must have an exceptional attention to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal, state and accreditation agencies. Essential Functions Documenting insurance information, personal information, payment methods and other important patient information Contacting insurance companies regarding coverage, preapprovals, billing and other issues Processing and collecting out of pocket payments from patients, including deductibles, co-pays, and co-insurance Handling billing issues between patients and insurance companies Answering the phone to address patient billing inquiries and Communicating information and important details to other medical care staff Managing various types of paperwork and other clerical duties Experience and Education Requirements: Minimum: High School Diploma / GED Associates Degree in Healthcare, Financial or related area preferred. Equivalent combination of education and relevant experience may be accepted Proven skills in Microsoft Office, specifically Excel and Word, Windows based applications, and 10 key calculator with high level of quality outcomes One year experience in hospital or clinic financial, registration, scheduling or insurance authorizations areas Preferred: Working knowledge of CPT, HCPCS, ICD-10, medical terminology, anatomy, and insurance plans Minimum skills, knowledge and ability requirements: Ability to communicate effectively both orally and in writing, excellent telephone etiquette required. Ability to establish and maintain positive working relationships with patients, physicians, clinical and non-clinical hospital staff and insurance companies. Strong organizational skills; attention to detail. Work independently in a self-directed, non-confrontational, collaborative manner. Customer focus: promotes positive internal and external relationships by actively seeking and being responsive to customer feedback. Ability to support and participate in continuous quality improvement projects. Ability to work under stress, meet deadlines and perform all daily assignments with a high level of accuracy. Knowledgeable and experienced with various computers systems; Ability to use a 10-key calculator and computer keyboard.
    $28k-35k yearly est. Auto-Apply 6d ago
  • Patient Care Representative

    Heart of Ohio Family Hea Lth Centers 3.0company rating

    Medicare correspondence representative job in Columbus, OH

    Functions as a liaison between patients and health care providers or agencies in assisting, organizing, coordinating, and providing Outreach and Enrollment Assistance to the uninsured which includes what's available in the Marketplace and Medicaid Expansion. Interpreting a foreign language into English and English into a foreign language to facilitate the health care service (if applicable). Reports to: Operations Supervisor Supervises: No Dress Requirement: Business casual or scrubs in accordance with Heart of Ohio Family Health Center's dress code policy Work Schedule: F/T Monday through Friday during standard business hours but will include some evenings and weekends as well. Times are subject to change due to business necessity Non-Exempt Job Duties: Essentials considered to the successful performance of this position: Collects and evaluates information about a patient regarding opportunities to assist in achieving patient/family healthcare coverage needs Conduct public education activities to raise awareness about Ohio's Healthcare Marketplace, health insurance coverage options, and Medicaid Expansion Contact and secure community presentation locations and recruitment of participants Provide information in a fair, accurate and impartial manner that is culturally appropriate Educates patient's regarding what is offered based on the needs of the patient Researches, and informs and patients about the health care options available Accurately and ethically interprets spoken foreign languages into English and English into a foreign language (if applicable) Accurately translates written foreign languages into English and English into a foreign language, as assigned (if applicable) Accurately, clearly and efficiently documents actions taken and activities performed Other related duties as assigned Job Qualifications (Experience, Knowledge, Skills and Abilities) Willingness to work with all cultural and socioeconomic groups without judgment or bias Demonstrates ability to cooperatively work/mediate with all age groups and family groups Compliance with the HIPAA law and regulation; ability to confidentially retain information, passing only necessary information to those needed to perform their duty Demonstrated ability to accurately and clearly translate, verbal and written, a foreign language into English and English into a foreign language Ability to work with minimal supervision and exercise sound independent judgment Strong verbal and written communication skills Preferred holder of interpreting certificate (if applicable) Some experience in community relations/education and public presentation preferred Experience in or with community healthcare a plus Must be able to work independently as well as with a team Reliable transportation a must Demonstrates competency in working sensitively and respectfully with people of various cultures and social status Knowledge of federal, state and local laws and regulations about health care. Ability to communicate (orally and in writing) in a professional manner Ability to maintain an established work schedule to ensure dependability and accuracy of work quality Equipment Operated: Telephone & Fax Computer & Printer Scanner Calculator Other office and medical equipment as assigned Facility Environment: Heart of Ohio Family Health operates in multiple locations, in the Columbus, OH area. All facilities have a medical office environment with front-desk reception area, separate patient examination rooms, nursing stations, pharmacy stock room, business offices, hallways and private toilet facilities. All clinical facilities are ADA compliant. Physical Demands and Requirements: these may be modified to accurately perform the essential functions of the position: Mobility = ability to easily move without assistance Bending = occasional bending from the waist and knees Reaching = occasional reaching no higher than normal arm stretch Lifting/Carry = ability to lift and carry a normal stack of documents and/or files Pushing/Pulling = ability to push or pull a normal office environment Dexterity = ability to handle and/or grasp, use a keyboard, calculator, and other office equipment accurately and quickly Hearing = ability to accurately hear and react to the normal tone of a person's voice Visual = ability to safely and accurately see and react to factors and objects in a normal setting Speaking = ability to pronounce words clearly to be understood by another individual
    $32k-37k yearly est. Auto-Apply 60d+ ago
  • AWM Managed Account Trade Support

    Jpmorgan Chase & Co 4.8company rating

    Medicare correspondence representative job in Columbus, OH

    Are you looking to join a team that upholds a culture of excellence and delivers top-tier managed product offerings across diverse platforms and clients? As a Trade Support Associate, you will play a vital role in supporting our diverse partners-including third-party portfolio managers, Financial Advisors, Business, Operations, and Technology-by providing essential front-line support related to trade booking and settlement. Key Responsibilities: * Partner with third-party portfolio managers to support daily trade lifecycle activities. * Address phone and email inquiries related to trading, data quality, application usage, and other topics, ensuring clear and supportive communication. * Collaborate with Product Owners to resolve system issues and drive improvements. * Gather, analyze, and interpret large sets of data and information to draw insights and recommend process enhancements. * Serve as the first point of contact for internal and external partners, building strong relationships and trust. * Identify and mitigate business risks to contribute to a safe and effective work environment. * Support audit, regulatory, and compliance deliverables with attention to detail and integrity. * Contribute to ongoing procedure and process analysis to help shape and improve workflows. Required Qualifications, Skills, and Capabilities: * Demonstrate 3+ years of experience in wealth management, asset management, or a support role. * Exhibit proficiency with Microsoft Office Suite (Word, Excel, PowerPoint) and a willingness to learn new software. * Show self-motivation and discipline, with the ability to work independently and take initiative. * Collaborate effectively as a team player, demonstrating a strong work ethic and professionalism. * Apply excellent attention to detail, with strong written, verbal, and problem-solving skills. * Display outstanding organizational and time management abilities. * Adapt and thrive in a fast-paced, dynamic environment where creative and strategic thinking are valued. Preferred Qualifications, Skills, and Capabilities: * Demonstrate experience supporting trade booking and settlement processes. * Apply knowledge of audit, regulatory, and compliance requirements within financial services. * Utilize advanced data analysis skills to drive process improvements. * Exhibit experience building relationships with diverse partners, including Financial Advisors, Business, Operations, and Technology teams. * Embrace opportunities to contribute to change management and workflow optimization initiatives.
    $63k-83k yearly est. Auto-Apply 11d ago
  • Completely Remote Insurance Benefit Enrollment Representative

    Global Elite Empire Agency

    Remote medicare correspondence representative job

    Our company has moved to 100% virtual, work-from-home positions. This position allows you to build your career around your life, rather than being forced to build your life around your career! We're looking for enthusiastic, self-driven individuals to assist existing and prospective clients within our organization. In this position, you will work with multiple clients throughout the day, providing outstanding service and product knowledge. Preferred Skills:- Excellent communication skills, including active listening and problem-solving- Ability to learn, adapt, and adjust on-the-go- Work well with others and individually- Possess a strong work ethic and drive to succeed What You Can Expect:- Flexible schedule- 100% Remote position- Weekly trainings led by top leaders- Life insurance- Health insurance reimbursement- Industry-leading resources and technology
    $27k-33k yearly est. Auto-Apply 60d+ ago
  • ARM Patient Care Representative

    Keybridge Revenue Management

    Remote medicare correspondence representative job

    Patient Care Representative - ARM Team Hybrid/Remote Join a Best Places to Work Winner - 18 Years Running! Do you have experience with medical systems and a passion for helping others? Looking for full-time work with a company known for its award-winning culture? KeyBridge Medical Revenue Care is seeking a compassionate, detail-oriented Patient Care Representative to join our ARM team. About KeyBridge At KeyBridge, we believe exceptional patient care starts with supporting exceptional people. As an 18-time Best Places to Work winner, we're committed to compassion, integrity, and excellence. Our mission is simple: bridge the gap between healthcare providers and their patients by delivering respectful, empathetic financial care in a call-center environment. Position Overview As an ARM Patient Care Representative, you'll serve as the trusted voice of our healthcare clients-guiding patients through billing questions, assisting with payments, and helping resolve account balances. This role is the perfect blend of customer service, problem-solving, and meaningful human connection. What You'll Do Deliver exceptional service: Manage inbound and outbound calls with professionalism and empathy, assisting patients with billing questions, payment options, and account concerns. Resolve issues efficiently: Apply strong problem-solving and analytical skills to provide accurate, timely solutions while maintaining compliance and meeting performance standards. Navigate multiple systems: Work across various medical and internal systems to locate information and support patients with complex inquiries. Collaborate & communicate: Maintain clear, thorough documentation of all interactions, support team members, and help mentor new representatives when needed. Live our values: Foster trust, teamwork, and integrity with patients, clients, and colleagues every day. Requirements What We're Looking For: Strong written and verbal communication skills, with excellent active listening Ability to multitask and work efficiently across multiple systems Experience using medical systems (billing systems such as Epic, Cerner, etc.) Proficiency with Microsoft Office (Outlook, Teams) Positive, professional attitude with a drive to succeed Ability to understand and follow written, oral, and visual instructions Prior remote-work experience Ability to pass ACA certification tests when eligible Spanish-speaking skills a plus Salary Description $16-$20
    $30k-39k yearly est. 49d ago
  • Remote - Billing Representative I

    Mercy Hospitals East Communities 4.1company rating

    Remote medicare correspondence representative job

    Find your calling at Mercy!The Billing Representative I position is responsible for the daily electronic submission of claims, paper claims, and the resolution of failed claims on a daily basis. Billing Representatives I must be able to accurately and efficiently work a high volume of claim transactions across all lines of service. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.Position Details: Qualifications Education: High school diploma or GED required Experience: Two to three years medical billing experience required. Other: Must have ability to work under stress, meet deadlines, and perform all daily assignments with consistent accuracy. Ability to use logic in determining correct document processing and to read, understand and follow written and oral instructions. Must be detail oriented. Required to maintain strict confidentiality. Why Mercy? From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.
    $32k-40k yearly est. Auto-Apply 5d ago
  • Billing & Follow Up Rep-REMOTE- Farmington Hills, MI-675298

    Treva Corporation

    Remote medicare correspondence representative job

    Treva is seeking a full-time contracted Billing Representative to join our team! The position is located in Farmington Hills, MI. Contract Details: Must have 2 year of recent billing experience. Shift: 8 hours/5 days per week 13 week contract (possible extension) What We Offer Employees: Competitive weekly pay (option of W2 or 1099) | Referral and extension bonus available*|Assistance with flight cost*|Certification reimbursement*|Healthcare benefits available on first day of employment |Travel stipend (must be over 50 miles one way from the facility) *contingent and based on facilities bill rate and is worked into the contract For a complete list of open positions, please visit ************************************************
    $30k-37k yearly est. 60d+ ago
  • Billing Sponsor Collector Specialist

    Musckids

    Remote medicare correspondence representative job

    The Billing Sponsor/Collector Specialist - Government reports to the HPA Collection Supervisor. Under general supervision, the Government Collector resolves unpaid Medicare accounts, submits adjusted claims as needed for overpayments and completes compliance projects within the specified time frame. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC002309 SYS - Hospital Patient Accounting Pay Rate Type Hourly Pay Grade Health-21 Scheduled Weekly Hours 40 Work Shift Prepares and processes payments for vendor invoices and other financial obligations in accordance with internal accounting policies. Reviews purchase orders, statements, and invoices to verify amounts owed. Maintains and reconciles accounts payable ledger. Responds to vendor inquiries and resolves any discrepancies in billings and payments. May process requests for employee expense reimbursements. Additional Job Description Education: High School Degree or Equivalent Work Experience: 1 year If you like working with energetic enthusiastic individuals, you will enjoy your career with us! The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need. Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: ***************************************
    $31k-38k yearly est. Auto-Apply 60d+ ago
  • Senior Billing & Collections Specialist (Remote)

    Databank Holdings

    Remote medicare correspondence representative job

    DataBank Holdings Ltd. is a leading provider of enterprise-class data center, cloud, and interconnection services, offering customers 100% uptime availability of data, applications, and infrastructure. DataBank's managed data center services are anchored in world-class facilities. Our customized technology solutions are designed to help customers effectively manage risk, improve technology performance, and allow focus on core business objectives. DataBank is headquartered in the historic former Federal Reserve Bank Building, in downtown Dallas, TX. DataBank is proud to be an Equal Opportunity Employer. Our work culture at DataBank does not discriminate based on actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veterans' status, gender, gender identity, gender expression, genetic information, sexual orientation, or any other characteristic protected by applicable federal, state, or local law. Role Overview The Senior Billing & Collections Specialist is responsible for the complete billing and collections lifecycle for DataBank's largest and most complex customer portfolios. This role ensures accuracy, timeliness, and compliance across all billing events - from contract activation through invoice generation, reconciliation, dispute management, and collections. The ideal candidate has a strong command of large-scale billing operations, exceptional attention to detail, and has successfully navigated the complexities of accounts payable from some of the largest corporations in the world to ensure on time payment. The candidate has excellent cross functional communication and collaboration skills including working with Sales, Legal, Service Delivery, Systems Development, and Finance to improve processes or solve problems. This is a senior individual contributor position - focused on account ownership, problem-solving, communication, and driving continuous improvement for managing DataBank's largest customer's billing and accounts payable requirements that often will vary customer to customer. Key Responsibilities Billing Operations * Own end-to-end billing processes for assigned hyperscale or large enterprise accounts as assigned by management, ensuring accurate and timely invoicing for recurring, usage-based, and project-related services. * Audit and validate customer account data, billing terms, and service details prior to invoicing. Review and validate all invoices prior to release to ensure adherence to internal controls and audit requirements. * Understand and manage master service agreement and service order contractual information/data to ensure compliance to contract. * Reconcile discrepancies between order data, contract terms, and installed services; collaborate with cross-functional teams to resolve discrepancies. * Calculate and process credit memo adjustments, e.g. SLA credits, and Early Termination Fees (ETFs) in compliance with company processes and policy in a timely manner. * Partner with Service Delivery, Sales Operations, and IT to identify and correct data integrity issues impacting billing automation. * Manage and validate submission of all invoices and credit memos, i.e. transactions, as per customer requirements. Monitor for status updates related to submitted transactions. Collections & Account Management * Manage the collections process for assigned accounts, ensuring on time payment along with rapid and proactive resolution of billing issues. * Monitor account aging and payment trends; identify potential risks and escalate unresolved items to leadership when appropriate. * Serve as the primary contact for customer finance and AP teams, maintaining professional, solution-oriented communication to resolve short pays, disputed balances, or delayed payments. * Document all collection activities, correspondence, and account updates in the billing or CRM system accurately and promptly. Other Responsibilities * Act as a subject-matter expert for assigned accounts, coordinating with internal stakeholders (Sales, Legal, Service Delivery, and Finance Leadership) to resolve complex billing or contractual issues. * Support process standardization and automation initiatives for improvements by providing feedback on data flow, validation rules, and exception handling specific to hyperscale account needs and requirements. * Participate in system automation projects including defining requirements and/or testing as required to ensure alignment with the efficiencies and quality required to handle DataBank's largest assigned customers. * Identify and communicate root causes of recurring issues; partner with leadership to recommend and implement sustainable solutions. * Track key metrics such as billing accuracy, dispute rates, payment timing relative to payment terms, and provide insight into trends and process improvement opportunities to leadership. * Support internal and external audits related to assigned accounts including organizing records that are necessary in order to minimize impact of documentation requests. * Maintain current, accurate process documentation for management of large-scale customers including customer specific requirements as part of said processes. Qualifications * Bachelor's degree, preferably in Accounting, Finance, or Business Administration (or equivalent work experience). * 5+ years of progressive experience in billing and/or collections, ideally within telecom, data center management, colocation services, or managed services industries. * Proven experience managing large-scale, high-revenue, high-visibility accounts with complex billing structures. Experience with publicly traded customers preferred. * Strong understanding of revenue components, contract terms, order-to-cash, and billing reconciliations. Must be able to read and interpret contract terms and applicable. * Intermediate to advanced proficiency in Microsoft Excel. Experience with NetSuite and/or Epicor preferred. * Exceptional attention to detail, analytical skills, and problem-solving abilities. * Strong written and verbal communication skills with a professional, customer-focused approach. * Ability to work independently, manage multiple priorities, and thrive in a fast-paced environment. Benefits * Health, Dental, and Vision Insurance * Short-Term and Long-Term Disability * Life Insurance * 401(k) with Company Match * Paid Time Off and Holidays
    $30k-37k yearly est. 60d+ ago
  • Billing/Collections Specialist

    Moriah Health Co

    Remote medicare correspondence representative job

    Full-time Description SUMMARY: The Billing & Collections Specialist, under the supervision of the Billing & Collections Supervisor (or greater), is responsible for billing services, collecting payments, maintaining records, and verifying insurance benefits. The role requires strong communication skills, and adherence to policies and regulations such as but not limited to: CARF, HIPAA, client confidentiality & Moriah Behavioral Health best practices. DUTIES AND RESPONSIBILITIES: Maintains client demographic information and data collection systems. Verify insurance benefits and eligibility for behavioral health by utilizing online websites or by contacting carriers directly. Communicates with Utilization Review/Admissions Teams for Verification of Benefits (VOB), change of insurance, etc. Represents the Billing & Collections Department to all internal and external inquiries. Responds to medical record requests from the insurances and follows up with Clinical Documentation Specialist. Participates in educational activities and attends regular meetings. Review client charts for attendance and updated information to ensure accuracy of billing. Works seamlessly with Utilization Review, Clinical, and Admission Teams to develop best practices, policies, and procedures as they relate to Billing & Collections. Maintains accurate financial records and follows payment procedures. Monitors outstanding balances to ensure each account is paid on time and in full. Monitors multiple client accounts. Ensure all claims are error free before submission. Managing the status of accounts and balances and identifying inconsistencies. Update accounts receivable database and new accounts. Ensure all clients remain informed on their outstanding debts and deadlines. Provide solutions to any relative challenges of clients. Notify Clinical Documentation Specialist and or Director of Billing & Collections if clinical data is not up to date. Work closely with Team Members to create and submit claims as well as client statements. Work closely with clients to create applicable payment plans for balances due. Maintain current knowledge and understanding of the laws, regulations, and policies that pertain to Moriah Behavioral Health and insurance provider business practices. Checks emails periodically throughout the day and responds appropriately. Must be willing to work on-call rotation as assigned for nights and weekends as needed. This position is required to be present in office and is not a remote position. Must be willing to work weekends as needed. When it is needed, unless otherwise required, you may work remotely via phone and email, etc. Must be able to work flexible hours from 7 a.m. to 9 p.m. EST / EDT Able to build connections while creating trust and rapport. Strong understanding of medical necessity criteria is preferred. Maintains confidentiality and HIPAA compliance in accordance with Moriah Behavioral Health policies. Maintains and meets CARF certification requirements in accordance with Moriah Behavioral Health policies. Adherence to laws and best practices in regard to dealing with clients and confidential data. Follows all Moriah Behavioral Health's policies and procedures. Performs other related duties as assigned by Supervisor or Greater. Requirements QUALIFICATIONS: ? High school diploma or general education degree (GED), 6 months of related experience and/or training, or equivalent combination of education and experience. ? Possess the ability to function effectively in a team environment and interact productively with all levels of team personnel and outside contractors. ? Basic Math and Accounting principles. ? Can understand and follow oral and written instructions. ? Ability to read, write the following: Work Orders, instructions, daily reports, and system manuals. ? Ability to receive and relate orders/information using various communication devices. ? Applicants must be either a U.S. Citizen or have the legal right to work in the United States. ? Must meet federal, state, and local criminal clearance and child abuse indexing requirements. ? Applicants must pass a drug screen and submit to random drug testing as requested. ? Applicants are also required to pass a general medical examination. ? Computer Skills Required. Preferred (but not required) knowledge of Kipu, Google Docs, Excel, Salesforce, Collaborative MD. ? Must possess a valid Driver's License or State ID. Salary Description 30,000.00 annual
    $30k-38k yearly est. 60d+ ago
  • Billing Representative

    Harriscomputer

    Remote medicare correspondence representative job

    The Billing Representative is responsible for the timely and accurate submission of patient bills to various insurance payors, including Medicare, Medicaid, Blue Cross, commercial, and other government entities. This role involves managing billing processes, maintaining customer relationships, and ensuring financial goals are met. Responsibilities Coordinate daily hospital billing within established controls to ensure adherence to billing guidelines and standards. Manage billing inventory for assigned clients and meet financial goals. Build and maintain strong customer relationships. Maintain working knowledge of all software applications related to billing claims. Process claims generated on late charge reports, rejected claims, claims in error, DDE claims, and shadow claims daily. Ensure facility Rebills are worked and comments logged on patient accounts within 7 business days. Communicate issues impairing the billing process to the Team Lead/Manager. Communicate with hospitals to retrieve information for rebills/corrected claims. Communicate with insurance payors to work claims not processed/paid, utilizing various strategies such as phone calls, letters, meetings, faxing, and emails. Partner with other teams/departments to resolve billing/payor payment issues. Submit billing/rebilling requests from customers and team members in a timely manner. Stay current with billing practices for private and government payors, including billing software applications. Assist in the training and education of new and existing employees. Maintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements. Perform other duties as assigned. Accurately input/submit worked time by departmental deadlines. Maintain in-depth knowledge of MEDHOST core products and third-party clearinghouses. Maintain industry knowledge through self-study and training. Recommend department and customer documentation. Provide training and training documentation in areas of expertise. Attend and participate in team and departmental meetings. Respond to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from facilities in a timely manner. Adhere to all HIPAA Privacy and Security requirements. Perform duties in a positive manner that upholds company policies and procedures. Requirements High School or equivalency diploma required. Minimum 1 year of experience in a hospital billing/patient account receivable related environment. Minimum 1 year of experience utilizing hospital claims management/billing software. Ability to follow directions and perform work according to department standards independently. Computer skills in Microsoft Office applications (Word, Excel, PowerPoint, etc.). Customer Service oriented. High Speed Internet access (minimum 300 Mbps download speed) and unlimited data. Smart phone for Multi Factor Authentication (MFA) application. What Would Make You Stand Out MEDHOST (HMS) knowledge is a plus. Knowledge of hospital billing, revenue cycle, and medical terminology. Thorough understanding of accounts receivable, collections, billing, appeals, and denials. Knowledge and understanding of Explanation of Benefits (EOB), state, and federal guidelines. Ability to navigate healthcare information system(s) and clearinghouse(s). Ability to access protected health information (PHI) in accordance with departmental assignments and guidelines. Skilled in making accurate arithmetic computations. Excellent communication skills (verbal & written), good judgment, tact, initiative, and resourcefulness. Detail-oriented, organized, and able to multi-task. Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives. Flexible with a “can do” attitude and ability to remain professional under high-pressure situations. What We Offer 3 weeks' vacation and 5 personal days Comprehensive medical, dental, and vision benefits starting from your first day Employee stock ownership and RRSP/401k matching programs Lifestyle rewards Remote work and more About Us MEDHOST, founded in 1984 and headquartered in Franklin, Tennessee, is a leading provider of healthcare information technology solutions. Serving over 1,000 healthcare facilities nationwide, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms. Their mission is to empower healthcare organizations to enhance patient care and improve business operations through innovative, user-friendly solutions. In January 2024, MEDHOST was acquired by N. Harris Computer Corporation, further strengthening its position in the healthcare IT industry.
    $28k-35k yearly est. Auto-Apply 8d ago
  • B2B Billing & Collections Specialist

    Cort Business Services 4.1company rating

    Medicare correspondence 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 13d ago
  • Patient Access Representative (Casual/As Needed)- Western Ave. Health Center

    Adena Health 4.8company rating

    Medicare correspondence representative job in Chillicothe, OH

    The Patient Access Representative assists patients, clinic staff or other clinical staff to schedule, pre-register, register for all services at Adena Health System. Patient Access Representatives use established interviewing techniques to gather information in person, by accessing EPIC or by phone. Information gathered includes demographic information, insurance, financial, ensuring correct precert/authorization and other information from patients or their representatives required for billing and collecting patient accounts. This position uses various electronic tools to ensure the patient's insurance coverage is active. This position will be required to run an estimate on each patient at each visit or over the phone when pre-registering. Required signatures and documents are obtained by this position at the time of registration and scanned into document imaging. This position enters diagnosis, tests and checks orders for completeness and medical necessity. This position interacts with clinicians in the ER, outpatient and clinics to ensure patient care is delivered in a timely manner. The Patient Access Representative must be self-driven and able to multi-task and prioritize their work. They must have strong communication skills and be able to deal effectively with others. This position is team oriented and contributes to achieving department goals. In addition, Patient Access Representatives at AGMC answer all incoming calls on the hospital switchboard and transfer as appropriate. The caregiver in this role will need to be comfortable with collecting at time of service, copay and deductibles, etc. Required Educational Degree: Completed 3 years of high school; High School Diploma or GED Preferred Education: Business or Healthcare education desired Required Experience: 0-2 years hospital clerical, general clerical or customer service related position; Must be able to type 40 words per minute Preferred Experience: Other healthcare, hospital or physician experience Benefits for Eligible Caregivers: Paid Time Off Retirement Plan Medical Insurance Tuition Reimbursement Work-Life Balance About Adena Health: Adena Health is an independent, not-for-profit and locally governed health organization that has been “called to serve our communities” for more than 125 years. With hospitals in Chillicothe, Greenfield, Washington Court House, and Waverly, Adena serves more than 400,000 residents in south central and southern Ohio through its network of more than 40 locations, composed of 4,500 employees - including more than 200 physician partners and 150 advanced practice provider partners - regional health centers, emergency and urgent care, and primary and specialty care practices. A regional economic catalyst, Adena's specialty services include orthopedics and sports medicine, heart and vascular care, pediatric and women's health, oncology services, and various other specialties. Adena Health is made up of 341 beds, including 266-bed Adena Regional Medical Center in Chillicothe and three 25-bed critical access hospitals-Adena Fayette Medical Center in Washington Court House; Adena Greenfield Medical Center in Greenfield; and Adena Pike Medical Center in Waverly.
    $29k-33k yearly est. Auto-Apply 6d ago

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