Member Enrollment Representative
Circleville, OH jobs
At Christian Healthcare Ministries (CHM), we exist to glorify God, show Christian love, and serve members of the Body of Christ by sharing each other's medical bills.
The Member Enrollment Representative (MER) plays a vital role in this mission by increasing membership through various communication channels while delivering exceptional member experience. The MER is responsible for converting sales leads into new memberships, guiding prospective members through the enrollment process, and ensuring that every interaction reflects CHM's core values and commitment to service excellence.
WHAT WE OFFER
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Professional Development
Paid Training
ESSENTIAL JOB FUNCTIONS
Meet sales targets, goals, and performance expectations.
Engage in inbound and outbound phone sales (no cold calling) to assist and guide prospective members through the enrollment process.
Establish referrals, build relationships, and develop contacts with potential prospects.
Respond promptly and professionally to prospective member calls and inquiries.
Ensure delivery of high-quality, Christ-centered service.
Address member questions, concerns, and provide thoughtful recommendations.
Assist in retaining memberships when appropriate.
Respond to emails, calls, and voicemail promptly.
Clearly explain CHM guidelines, programs, and options to members.
Offer suggestions for improvement to the Member Enrollment Supervisor and Team Leader.
Maintain professionalism, empathy, and a positive attitude.
Demonstrate strong communication skills in both phone and written correspondence.
Uphold CHM's Core Values and Mission Statement in all interactions.
Collaborate with other departments, including Member Services, Marketing, and Communications, to ensure seamless member experience.
Gain a deep understanding of the Member Enrollment Team's structure and objectives.
Input, track, and manage prospects using HubSpot and internal CHM systems.
Develop ongoing relationships with prospects through consistent and intentional follow-up.
OTHER FUNCTIONS
Demonstrate Christian values and adhere to ethical and legal business practices.
Support CHM initiatives and departmental goals as assigned.
EDUCATION, EXPERIENCE & SKILLS REQUIRED
Prior experience in online or phone-based sales (preferred).
College education or equivalent work experience (preferred).
Strong verbal and written communication skills, including professional phone and email etiquette.
Proficiency in CHM guidelines, programs, and policies (training provided).
Competence with Microsoft Office Suite and CRM tools such as HubSpot.
Excellent organizational and time management skills with the ability to handle multiple priorities.
Self-motivated, collaborative, and committed to teamwork.
Strong problem-solving and conflict resolution skills.
Willingness to ask questions, seek guidance, and support team initiatives.
TRAINING & DEVELOPMENT
New representatives will complete a structured training program designed to build a strong understanding of CHM's membership process, communication tools, and ministry values. Ongoing professional development and mentorship opportunities are also provided.
WORKING CONDITIONS
Must adhere to organizational policies and procedures as outlined in the employee handbook.
Occasional travel may be required for ministry or business purposes.
Flexibility to work hours between 8:00 a.m. and 6:00 p.m., based on department needs.
Requires extended periods of sitting, working on a computer, and communicating by phone or email.
Strong reasoning and problem-solving abilities to overcome objections and assist prospective members effectively.
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
Member Support Representative
Barberton, OH jobs
The Member Support Representative is considered the “front line” of the ministry in assisting members with general inquiries by phone and email. This entry-level role is ideal for candidates who enjoy engaging with people, are servant-minded, and can provide compassionate and professional support. In addition to answering questions and resolving issues, the position also provides opportunities to minister to members through prayer and spiritual encouragement.
WHAT WE OFFER
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training
ESSENTIAL JOB FUNCTIONS
Respond to member inquiries via phone and email promptly, with time sensitivity and professionalism.
Verify and update member information accurately in CHM's systems.
Log and track all interactions in the member management system (Gift Manager or CRM).
Follow standard operating procedures (SOPs) when handling common inquiries.
Provide accurate information about CHM guidelines, membership, billing, and processes.
Attract prospects by answering questions, giving suggestions, and making recommendations to obtain membership when appropriate.
Review and assess member concerns, escalating to management when necessary.
Handle escalated or emotional calls with empathy, offering prayer or spiritual encouragement when appropriate.
Meet established performance standards (e.g., call volume, response time, member satisfaction).
Participate in team meetings, training sessions, and development opportunities to stay current with CHM policies and systems.
Protect member confidentiality and comply with HIPAA and organizational privacy standards.
Thrive in a collaborative team environment and contribute positively to overall team goals.
Uphold the mission, vision, values, and service standards of CHM in every interaction.
Maintain a professional demeanor at all times.
Perform other job duties as assigned by management.
QUALIFICATIONS & EXPERIENCE REQUIREMENTS
Required: High School Diploma or equivalent.
Preferred: Some college coursework in business, communications, or related field; or 1-2 years of customer service experience.
Proficiency in Microsoft Office programs (Word, Excel, Outlook).
Ability to operate a PC and navigate information systems/applications (Gift Manager or similar CRM software).
Experience using routine office equipment (fax, copier, printers, multi-line telephones, etc.).
Strong verbal and written communication skills, with active listening ability.
Strong organizational, analytical, and problem-solving skills.
Ability to manage workload, multi-task, and adapt to changing priorities.
Patience, empathy, and conflict-resolution skills for handling sensitive or difficult calls.
CORE COMPETENCIES
Interpersonal Communication
Servant Leadership Mindset
Teamwork & Collaboration
Conflict Resolution
Detail Orientation & Accuracy
Adaptability & Flexibility
PERFORMANCE EXPECTATIONS
Maintain accuracy and efficiency in all member records updates.
Meet or exceed department standards for call and email response times.
Consistently achieve high member satisfaction scores.
Demonstrate reliability, accountability, and professionalism in all duties.
WORK ENVIRONMENT & PHYSICAL REQUIREMENTS
Standard schedule: Monday-Friday, 9:00 AM-5:00 PM (with flexibility for ministry needs).
Office-based environment with regular phone and computer use.
Ability to sit at a desk and use a computer/phone for extended periods.
Manual dexterity for typing and handling office equipment.
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
Consumer Services Representative
Edmond, OK jobs
We are seeking a customer-focused and detail-oriented Consumer Services Representative to join our team in a fully remote capacity. The ideal candidate will be responsible for assisting customers with inquiries, resolving issues, providing product or service information, and ensuring a positive customer experience across multiple communication channels.
Key Responsibilities
Respond to customer inquiries via phone, email, chat, or messaging platform.
Provide accurate information about products, services, policies, and procedures.
Resolve customer issues efficiently while maintaining professionalism and empathy.
Document all customer interactions in the CRM system.
Process orders, returns, refunds, and account updates as needed.
Escalate complex issues to the appropriate department or supervisor.
Meet performance metrics such as response time, customer satisfaction, and quality standards.
Stay informed about product updates, feature changes, and company policies.
Contribute to a positive team environment and suggest process improvements.
Qualifications
High school diploma or equivalent (Associates or Bachelors degree a plus).
Prior customer service experience preferred (call center, retail, hospitality, or similar).
Strong written and verbal communication skills.
Ability to work independently in a remote environment with minimal supervision.
Comfortable using customer support software, CRM systems, and communication tools.
Strong problem-solving and multitasking abilities.
Reliable high-speed internet and a quiet workspace.
Key Skills
Customer service & communication
Active listening
Conflict resolution
Multitasking & time management
Tech-savviness
Attention to detail
Empathy & patience
Work Environment
100% remote position
Flexible or set schedule depending on role
Requires consistent internet connection and adequate home office setup
Benefits (Optional Section)
Health, dental, and vision insurance
Paid time off & holidays
Retirement savings plan
Performance bonuses
Remote work stipend
Preferred qualifications:
Legally authorized to work in the United States
18 years or older
Correspondence Representative-I (Medical Billing Mailing Operation) -PFS - ( Remote)
Columbus, OH jobs
** (Pay Range: ($15.3159-22.9739) Performs the day-to-day correspondence activities within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business Services (PBS) location. Serves as part of a team of correspondence colleagues at a PBS location responsible for sorting and distributing incoming correspondence, performing address updates, and scanning documents into the document imaging system. This position reports directly to a Manager.
**ESSENTIAL FUNCTIONS**
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
Collects, organizes and scans patient and insurance correspondence, insurance vouchers/explanation of benefits and other relevant documentation into Onbase or similar application based on the Health Ministry.
Conducts appropriate indexing with PNC Correspondence into correct folders within Onbase or similar application, redacts and indexes correspondence to multiple accounts within OnBase as needed.
Sorts and date-stamps all incoming correspondence (fax, email, postal mail), distributing correspondence to appropriate resources in a timely, accurate manner.
Reviews all returned mail, researches and corrects the information (name and address) in the patient accounting system as appropriate. Updates the mailing envelope with the correct information and resubmits for mailing.
Assists in large copy and mail productions. Sorts outgoing correspondence to ensure cost effective postage.
Provides support for the Billing & Follow-Up teams by printing UB04's and sends medical records by Certified Mail.
Unpacks and stocks supply orders that arrive to the Patient Business Service Center, keeps inventory on a routine basis regarding supplies and envelopes, follows appropriate process for reorder.
May prepare special reports as directed by the manager to document billing and follow-up services (e.g., Incoming correspondence volume, returned mail status, document imaging status, etc.).
May serve as relief support, if the work schedule or workload demands assistance to departmental personnel. May also be chosen to serve as a resource to train new employees. Cross training in various functions is expected to assist in the smooth delivery of departmental services.
Other duties as needed and assigned by the manager.
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
**MINIMUM QUALIFICATIONS**
High school diploma and a minimum of one (1) year work experience within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing mailroom and document imaging functions or an equivalent combination of education and experience. Data entry skills (50-60 keystrokes per minutes).
Excellent communication (verbal and writing) and organizational abilities. Interpersonal skills are necessary in dealing with internal and external customers. Accuracy, attentiveness to detail and time management skills.
Basic understanding of Microsoft Office Microsoft Office, including Outlook, Word, PowerPoint, and Excel.
To successfully accomplish the essential job functions of this position, the incumbent will be required to work independently, read, write, and operate keyboard and telephone effectively.
Must be comfortable operating in a collaborative, shared leadership environment.
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
**PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS**
Must be able to set and organize own work priorities, and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Excellent problem solving skills are essential.
This position requires the ability to comprehend and retain information that can be applied to work procedures to achieve appropriate service delivery.
The greatest challenge in this position is to ensure that mailroom and document imaging activities are performed promptly and in an accurate manner to assist in order to reduce potential financial loss to the patient and the Ministry Organization.
Position operates in an office environment. Work area is well-lit, temperature controlled and free from hazards. The incumbent is subject to eyestrain due to the many hours spent looking at a CRT screen. The noise level is low to moderate.
Completion of regulatory/mandatory certifications and skills validation competencies preferred.
Must possess the ability to comply with Trinity Health policies and procedures.
**Our Commitment**
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran
Member Services Representative
Alhambra, CA jobs
GENERAL SUMMARY: The Member Services Representative must be highly organized, professional and proactive; a team-player who learns quickly, is extremely detail-oriented and who works effectively with minimal supervision and is responsible for the day-to-day management of our dues growth for all signature clubs. ESSENTIAL DUTIES & RESPONSIBILITIES:
· While adhering to company policies and procedures, demonstrates good customer service skills while initiating outbound calls and receiving inbound calls from customers.
· Negotiates account resolution and accurately inputs and documents actions within the collection systems while maintaining company performance and productivity standards.
· Maintains up-to-date customer contact information in the collections systems.
· May be required to support other queues to facilitate teamwork in the department.
· Escalates and assists other team members with calls as needed.
· Serves as a resource/subject matter expert and may provide training to fellow team members.
· May be required to initiate external contact with customers and may perform advanced loss prevention activities (i.e. skip tracing, field chasing, account settlement) or administrative work.
· Review the Month to Date (MTD) sent by the clubs for accuracy.
· Daily review of ABC on prior day dues collections and all club entries. Review entries for notes, club errors and evergreen invoices.
· Process all refunds from ABC and Point of Sale (POS). Research all refunds from the clubs for accuracy.
· Oversees 3rd party collections and all communication that is needed to the clubs from Swift.
· Works as the liaison between ABC and the Club Operations Managers.
· Timely, responsive, courteous communication with all member inquiries, questions, concerns, and needs.
ORGANIZATION RELATIONSHIPS: The Member Services Representative will report to the Vice President of Operations working with all employees within that department. REQUIRED QUALIFICATIONS:
1) Knowledge, skills & abilities:
· Proficient in Microsoft Office Suite
· Advanced phone and communication skills
· Strong time management skills, with the ability to manage multiple assignments
· Excellent follow-through and detailed documentation skills
· Attention to detail and ability to multi-task and meet deadlines without supervision
· Strong problem solving, research and resolution, and data analysis skills
· Adhere to meal and rest break periods and must clock in and out for all shift times
2) Minimum certifications/educational level:· High School graduate or GED required· 4-year college degree preferred 3) Minimum experience:· 1-4 years of administrative experience· Proficiency in Microsoft Office· Previous experience in collection dues is preferred · Associate's or Bachelor's Degree preferred 4) Physical Requirements:· While performing the duties of this job, the employee is regularly required to sit or stand for up to 8 hours. The employee occasionally sits, walks, kneels and reaches with hands and arms.· Occasionally required to lift and/or move up to 10 lbs This position description intends to describe the general nature and level of work being performed by people assigned to this job. It is not intended to include all duties and responsibilities. The order in which duties and responsibilities are listed is not significant.
Work remote temporarily due to COVID-19.
Compensation: $16.00 - $25.00 per hour
Train Different, Live Different, Work Different. At UFC GYM we inspire others to reach their potential in and out of the gym. We are passionate about maximizing potential - in our members, our teammates and ourselves. Think big, don't settle and change lives including your own. If you believe in excellence, value a high-performance lifestyle and are passionate about enriching lives through health and fitness, then you belong here.
UFC GYM is an original. The Original. We are proud to be the global leader in mixed martial arts inspired fitness and conditioning. Forged from the partnership of two powerhouses, the Ultimate Fighting Championship and New Evolution Ventures (NEV), we empower everyone to access the training benefits and programs of elite UFC athletes.
UFC GYM is more than a brand. We are a community of fitness committed individuals who believe in the power of a team approach. Your success is our success. Join our family and find out!
If you have a disability under the Americans with Disabilities Act or a similar law and you wish to discuss potential accommodations related to applying for employment at our company, please contact us at ************** or ******************.
This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to UFC Gym.
Auto-ApplyMember Engagement Specialist
Cary, NC jobs
The Member Engagement Specialist is responsible for telephonic outreach and screening of identified members based on plan stratification for care management with a call center approach. An experienced and energetic communicator, the engagement specialist is focused on deepening program participation as well as making members aware of CCNC (Community Care of North Carolina) (plan) programs and offerings.
The Member Engagement Specialist interacts with members, providers, and other staff to initiate program interventions, document activities, and refer risk appropriate members to professional staff according to protocols. The candidate for this position must have a disposition towards good customer service, be assertive without being aggressive, and always maintain a professional demeanor. The Member Engagement Specialist may work remotely within regions to cover the needs across the state.
This is primarily a remote position. Occasional in-person training and travel may be required.
Essential Functions
Conduct continual telephonic outreach to identified and referred members focused on engaging members with care management services.
Receive/retrieve and manage referrals from data reports; clinical care management team members, PCP (Primary Care Provider), or other service providers for efficient screening and linking members with care management.
Complete and document member screenings tools and refer clinical needs to most appropriate clinical care management team member for assessment and follow up.
Schedule members for face-to-face or telephonic encounters for care management follow up.
Meet monthly productivity and role expectations.
Complete all assignments within expected timeframes.
Notify supervisor promptly of any issues with receiving or sending referrals, making timely care management assignments, or issues with carrying out any other duties assigned.
Collaborate with the Care Team to address barriers and create efficiency with processes.
Abide by department guidelines, company policies, and HIPAA regulations.
Perform all other duties as requested.
Attend departmental and corporate meetings.
Understand and uphold CCNC goals, objectives, and standards.
Qualifications
High School/GED.
Prior telephonic call center experience desired
Minimum of two years previous work experience, preferably in a health care setting
Healthcare experience and medical terminology knowledge highly preferred
Bilingual preferred
Managed care experience a plus
Knowledge, Skills, and Abilities
Computer skills required including various office software and the internet; experience with MS Office software preferred
Strong Initiative
Performance metric driven and productivity mindset
Strong oral and written communication proficiency
Attention to detail
Organizational and Time Management Skills
Strong Interpersonal Skills
Critical Thinking Skills
Resourceful - Able to shift strategy or approach in response to the demands of a situation
Team-oriented
Adaptable - Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives
Motivational Interviewing Skills
Knowledge of Care Management Principles
Ability to work independently and to use sound judgment when needed
Multi-tasking Abilities
Outgoing and energetic attitude
Respectful customer service skills
Ability to provide information in a manner that is culturally and linguistically appropriate
Knowledge of and experience working in member or clinical data systems
Working Conditions
Routinely there may be some minor physical inconveniences or discomforts in the work setting, including sitting for moderate periods of time and repetitive wrist motion
Must be able to utilize office equipment, computer, keyboard, and phone with or without assistive devices
Repetitive wrist motion and occasional lifting/carrying of up to 25 pounds
The job environment is a home environment
Travel using personal vehicle may be required within the region and/or the State
The job environment can be intense as high volume, repetitive work is an expectation
Auto-ApplyAccount Service Representative II - Claim Follow-Up Representative (Hybrid)
Chicago, IL jobs
Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.
Location
680 Lake Shore Drive
Job Description
Schedule: Hybrid
The Account Service Representative II - Claim Follow-Up Representative is responsible for managing claim follow-up activities to ensure timely reimbursement for professional services. This role includes investigating and resolving unpaid or denied claims, working payer correspondence, and collaborating with internal departments and payers to secure proper claim resolution. The representative will work within the Epic system to monitor accounts receivable and take necessary actions to reduce aged AR.
Key Responsibilities:
Conduct timely and thorough follow-up on outstanding professional billing claims using Epic work queues.
Research and resolve denied, delayed, or unpaid claims by communicating with payers via phone, portal, or written correspondence.
Review payer responses and denial codes to determine appropriate action for claim resolution.
Coordinate with coding, registration, and clinical departments to correct claim errors and resubmit when appropriate.
Document all activities and communications clearly in the Epic system to maintain accurate account records.
Identify and escalate trends or payer issues to management for resolution and payer intervention.
Maintain knowledge of payer-specific guidelines and billing regulations.
Meet or exceed productivity and quality metrics established by the department.
Assist with training and mentoring of new staff as needed.
Education and Skills:
High school graduate required; physician or hospital billing experience and/or training, BS or BA preferred.
Knowledge of ICD_10 coding, medical terminology, third party billing and collections, required.
EPIC experience preferred.
Excellent communication and listening skills.
Problem solving ability and able to handle multiple priorities.
Knowledge of windows-based personal computers is required and experience with electronic claims editing software preferred.
Demonstrates effective utilization of the features of the telephone system in order to achieve greater productivity with appropriate collection practices and techniques.
Thorough knowledge of patient accounting, third party payer procedures, governmental regulations and managed care contracting to be effectively proactive in the billing and collection process, and to respond to inquiries on patient accounts in a customer satisfaction manner.
Education
High School Diploma/GED (Required)
Pay Range
$21.00-$32.55 Hourly
At Lurie Children's, we are committed to competitive and fair compensation aligned with market rates and internal equity, reflecting individual contributions, experience, and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions. In addition to base salary, Lurie Children's offer a comprehensive rewards package that may include differentials for some hourly employees, leadership incentives for select roles, health and retirement benefits, and wellbeing programs. For more details on other compensation, consult your recruiter or click the following link to learn more about our benefits.
Benefit Statement
For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:
Medical, dental and vision insurance
Employer paid group term life and disability
Employer contribution toward Health Savings Account
Flexible Spending Accounts
Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
403(b) with a 5% employer match
Various voluntary benefits:
Supplemental Life, AD&D and Disability
Critical Illness, Accident and Hospital Indemnity coverage
Tuition assistance
Student loan servicing and support
Adoption benefits
Backup Childcare and Eldercare
Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
Discount on services at Lurie Children's facilities
Discount purchasing program
There's a Place for You with Us
At Lurie Children's, we embrace and celebrate building a team with a variety of backgrounds, skills, and viewpoints - recognizing that different life experiences strengthen our workplace and the care we provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.
Lurie Children's and its affiliates are equal employment opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.
Support email: ***********************************
Auto-ApplyAccount Service Representative (Columbus, Ohio)
Columbus, OH jobs
We're not just a workplace - we're a Great Place to Work certified employer! Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members!
JOB DESCRIPTION
Position: Account Service Representative (ASR) - Columbus, Ohio
Position Summary: Account Service Representatives are positions assigned to the Sales Department in Toledo, OH. Each representative is tasked with territory management of an existing territory. In order to fully service their territory, each ASR will be provided a list of accounts specific to their territory. Managing such accounts shall consist of assessment of service needs, financial assessment, and overall growth of each account.
Principle Responsibilities:
Territory management of a specific territory. To comply with all policies and procedures of the company. Follow up on a timely basis to all client and employee requests. Insure proper documentation and materials are accurately completed. Perform financial assessments of existing accounts. Develop Organic Growth within assigned territory. Communicate effectively and professionally with internal and external employees.
Scope: It is imperative that each ASR manage their time appropriately and efficiently. Much of their time will be spent building relationships and communicating client's issues to the operations department. It is the responsibility of each ASR to manage the financial relationship as well as service aspects of each client within the assigned territory.
Education: College degree in Business Management and or Marketing preferred but not required.
Experience: Previous outside service management in the medical field of 2 years preferred but not required.
Skills: The ability to communicate effectively orally and written. All ASR's are to manage their time efficiently and complete their pending paperwork accurately and timely.
Scheduled Weekly Hours:
40
Work Shift:
Job Category:
Sales
Company:
Sonic Healthcare USA, Inc
Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Auto-ApplyMember Service Representative - Hybrid
Portland, ME jobs
Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015.
Position Summary
The Member Service Representative I will interact and support our Health Plan members to ensure customer satisfaction, member loyalty, and retention while maintaining high quality, delivering accurate and timely information, and meeting compliance requirements.
This a hybrid role. The first 5 weeks will be onsite for training. After that, the role can be remote 4 days a week and in office 1 day a week.
Job Description
Key Outcomes:
Delivers world-class customer service by upholding the Martin's Point Culture Statement of People Caring for People, modeling the Martin's Point Values, and building key relationships with members, contracted brokers, other teams, and departments to help promote the success of Martin's Point.
Services all current member needs for their designated line of business via telephone, in writing, and in-person in accordance with departmental service standards and all regulatory requirements.
Works with the Member Service Representative II for support when needed, as well as coordinates the resolution of inquiries with other departments at Martin's Point.
Provides benefit, claims, and coverage information to members in accordance with department policies and procedures and compliance requirements.
Performs administrative activities in relation to Member Services.
Maintains accurate information and documentation in all systems and databases.
Participates in Member Service process improvement events and other projects as assigned.
Education/Experience:
High School diploma or equivalent.
Post-secondary education preferred.
2+ years' experience in customer service.
Skills/Knowledge/Competencies (Behaviors):
Demonstrates an understanding of and alignment with Martin's Point Values.
Customer Service - Ability to relate to internal and external customers in a positive and professional manner while proactively meeting the customers' needs and exceeding Martin's Point quality standards.
Computer skills - Expert knowledge in Microsoft Office Suite, ability to learn and adapt quickly to new applications, and an understanding of telephonic systems, call recording, and tracking systems.
Outstanding telephone and interpersonal skills.
Ability to work in a fast paced, high stress environment.
Ability to prioritize and multi-task while maintaining focus on department objectives.
Ability to function independently and within a team.
Takes appropriate initiative while soliciting input/advice appropriately.
Prioritizes time and tasks efficiently and effectively.
Detail and deadline-oriented.
Ability to work collaboratively with other members of the Member Services team as well as others throughout the organization.
This position is not eligible for immigration sponsorship.
We are an equal opportunity/affirmative action employer.
Do you have a question about careers at Martin's Point Health Care? Contact us at: *****************************
Auto-ApplyMember Services Representative
Alhambra, CA jobs
Job DescriptionGENERAL SUMMARY: The Member Services Representative must be highly organized, professional and proactive; a team-player who learns quickly, is extremely detail-oriented and who works effectively with minimal supervision and is responsible for the day-to-day management of our dues growth for all signature clubs.
ESSENTIAL DUTIES & RESPONSIBILITIES:
While adhering to company policies and procedures, demonstrates good customer service skills while initiating outbound calls and receiving inbound calls from customers.
Negotiates account resolution and accurately inputs and documents actions within the collection systems while maintaining company performance and productivity standards.
Maintains up-to-date customer contact information in the collections systems.
May be required to support other queues to facilitate teamwork in the department.
Escalates and assists other team members with calls as needed.
Serves as a resource/subject matter expert and may provide training to fellow team members.
May be required to initiate external contact with customers and may perform advanced loss prevention activities (i.e. skip tracing, field chasing, account settlement) or administrative work.
Review the Month to Date (MTD) sent by the clubs for accuracy.
Daily review of ABC on prior day dues collections and all club entries. Review entries for notes, club errors and evergreen invoices.
Process all refunds from ABC and Point of Sale (POS). Research all refunds from the clubs for accuracy.
Oversees 3rd party collections and all communication that is needed to the clubs from Swift.
Works as the liaison between ABC and the Club Operations Managers.
Timely, responsive, courteous communication with all member inquiries, questions, concerns, and needs.
ORGANIZATION RELATIONSHIPS: The Member Services Representative will report to the Vice President of Operations working with all employees within that department.
REQUIRED QUALIFICATIONS:
1) Knowledge, skills & abilities:
Proficient in Microsoft Office Suite
Advanced phone and communication skills
Strong time management skills, with the ability to manage multiple assignments
Excellent follow-through and detailed documentation skills
Attention to detail and ability to multi-task and meet deadlines without supervision
Strong problem solving, research and resolution, and data analysis skills
Adhere to meal and rest break periods and must clock in and out for all shift times
2) Minimum certifications/educational level:
High School graduate or GED required
4-year college degree preferred
3) Minimum experience:
1-4 years of administrative experience
Proficiency in Microsoft Office
Previous experience in collection dues is preferred
Associates or Bachelors Degree preferred
4) Physical Requirements:
While performing the duties of this job, the employee is regularly required to sit or stand for up to 8 hours. The employee occasionally sits, walks, kneels and reaches with hands and arms.
Occasionally required to lift and/or move up to 10 lbs
This position description intends to describe the general nature and level of work being performed by people assigned to this job. It is not intended to include all duties and responsibilities. The order in which duties and responsibilities are listed is not significant.
Work remote temporarily due to COVID-19.
Customer Escalations & Advocacy Representative
Tulsa, OK jobs
Customer Escalations & Advocacy Representative
Department: Networks Operations
The Customer Escalations & Advocacy Representative will serve as a senior customer-facing resource responsible for managing complex and sensitive escalations across Vero Fiber's residential, small business, and enterprise segments. This role will advocate for customer needs internally, drive resolution of recurring issues, and work cross-functionally to improve customer experience and retention.
RESPONSIBILITIES
Act as the primary escalation point for high-impact, sensitive, or unresolved customer issues.
Proactively track, document, and analyze escalation trends to identify root causes and recommend process or policy improvements.
Partner with frontline customer service, billing, technical support, NOC, and engineering teams to drive timely and effective resolution of escalated cases.
Serve as an internal customer advocate, ensuring customer perspectives and pain points are considered in operational and strategic decisions.
Manage direct communication with customers in escalated situations, providing clear, empathetic, and solution-focused updates.
Support retention efforts for high-value or at-risk accounts by collaborating with management, sales, and service support teams.
Develop escalation handling processes, playbooks, and best practices to standardize and improve how Vero manages escalated customer issues.
Prepare and deliver regular reports summarizing escalation volume, drivers, outcomes, and any recommendations for improvement.
CORE COMPETENCIES
There are several competencies required to be successful in this position. The following are some of the most important and definitions of each are included at the end of this job posting: Safety and Security, Quality of work, and Results-Orientation.
REQUIRED QUALIFICATIONS
3+ years in account management, sales, customer success, or a related customer-facing role - ideally within telecommunications, ISP, or technology sectors.
Strong problem-solving skills and a solution-oriented mindset.
Excellent communication, active listening, and conflict resolution skills.
Proven ability to manage high-stakes or emotionally charged customer interactions with professionalism and empathy.
Comfortable collaborating across teams and influencing without direct authority.
Experience analyzing data and trends to recommend business process improvements.
Knowledge of Sonar (or other) CRM tools preferred.
JOB DETAILS AND PHYSICAL REQUIREMENTS
This has no travel requirements.
Must be authorized to work in the United States.
This is a staff position.
This is a Nonexempt position.
This is a Full-Time position.
This is a Remote position.
The schedule for this position is based on company requirements for the role. At this time the schedule is Monday through Friday with occasional weekend availability as needed to fulfill the core duties of the role.
This position requires the ability to sit and work at a desk for extended periods of time, using a computer and other office equipment.
This position requires the ability to perform fine motor tasks, such as typing or using a mouse, for extended period of time.
ABOUT VERO
Vero Broadband was formed to fill a need in unserviceable and underserved communities where access to affordable, reliable broadband simply does not exist. Our goal is to bring the highest quality fiber optic-based broadband services to these communities. In addition, Vero strives to enhance communities by becoming an active partner in these communities by adding jobs, supporting local causes, and helping improve the connectivity of schools and rural healthcare as well.
NOTICES
Vero participates in E-Verify. Vero will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS) with information from each new employee's Form I-9 to confirm work authorization. For more information about E-Verify, please visit: ****************
This position requires the ability to pass a standard background check upon offer of position.
At least 2 professional references are required.
CORE COMPETENCY DEFINITIONS
Safety and Security: Employees with a competency of safety and security are able to observe safety and security procedures, report potentially unsafe conditions and use equipment and materials properly. At intermediate levels that can determine appropriate action beyond guidelines. At higher levels of competency, employees make proactive suggestions to improve safety and security within their department or across the organization.
Quality of work: Employees with high quality of work demonstrate accuracy and thoroughness in their work product. They look for ways to improve and promote quality and can apply feedback to improve performance. A stronger employee will monitor their own work to ensure quality.
Results-oriented: Employees who are results-oriented focus on achieving results for the organization or team. Most employees routinely achieve their goals and gradually move on to more challenging tasks. More results-oriented employees go beyond that baseline to deliver exceptional value in their daily work.
Auto-ApplyMember Services Advocate
Fort Lauderdale, FL jobs
Exciting opportunity to WORK AT HOME for a fast-growing healthcare organization! Offers made on the spot to Qualified Candidates! Payrate is $15.00 per hour. We at Convey Health Solutions focus on building specific technologies and services that can uniquely meet the needs of government-sponsored health plans. We provide member management solutions for the rapidly changing healthcare world.
We are seeking Customer Service Representatives to join our call center member services operations team. In these positions, we are recruiting talented individuals that are looking to join a fast paced, growing and professional organization.
ESSENTIAL DUTIES AND RESPONSIBILITIES
As our customers share concerns and provide us with valuable feedback, your ability to recognize and complete the steps necessary to meet their needs will leave a permanent, lasting impression of the passion you have for helping them be at their best.
We make sure our customers are not alone when it comes to understanding their benefits and they will rely on you to advocate for them as you would your own family member.
In addition to the keys to success identified above that you will bring with you to the team, you will need to demonstrate the following abilities:
* Process requests for Over the Counter (OTC) items received from health plan members via mail or phone call
* Update account information such as billing options and changes of address or phone numbers
* Answer questions pertaining to mailings sent out by the company periodically
* Make concise and detailed notations as it pertains to member records
* Submit mail requests for beneficiaries such as ID cards
* Educate beneficiaries on how the plan works, including benefits, cost sharing, and levels of coverage
* Research premium billing discrepancies and prescription claims processed
* Ensure HIPAA regulations are maintained within the immediate environment.
* Responsible for concise and detailed notations as it pertains to member records.
* Handles outbound calls for purposes of validating information.
* Handles inbound calls by assisting members with a high level of accuracy and efficiency.
* Escalates any member issues to management as necessary.
* Responsible for maintaining a high level of call quality as set by client standards, which includes a 90% quality score and answering 80-85% of calls within 20 sec or less.
* Communicate with coworkers, management and customers in a courteous/professional manner.
* Conform with and abide by all regulations, policies, work procedures and instructions.
* Respond promptly when returning telephone calls and replying to correspondence.
* Act and behave in a professional manner to reflect a positive image of the company.
MONTHLY GOALS:
* Meet average QA score of 90%
* Comply with attendance guidelines of 98%
* Schedule adherence of 90% or higher
* Maintain AHT below certain standards
EDUCATION AND EXPERIENCE:
* Highschool Diploma is required and a college degree is a plus.
* One year of customer service experience is preferred
* Call center experience is preferred; healthcare and/or pharmacy industry experience a plus; or any equivalent combination of related training and experience.
* Good oral and written communication skills
* Good computer skills are required.
Job Type: Temporary
Benefits: Work from home
Equal Employment Opportunity Statement:
Convey Health Solutions is an Equal Opportunity Employer committed to fostering an inclusive and diverse workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law.
Convey Health Solutions also provides reasonable accommodations to qualified individuals with disabilities in accordance with applicable laws. Applicants requiring accommodation during the application or interview process should contact the Human Resources department.
About Us
Convey Health Solutions, together with Pareto Intelligence, delivers a powerful combination of purpose-built technology, advanced analytics, and expert services to help health plans thrive in a complex, post--Affordable Care Act environment.
As a trusted partner to Medicare and commercial payers, we provide scalable, compliant solutions that span the entire member lifecycle--from enrollment and billing to risk adjustment, Stars performance, and member engagement. Pareto's deep analytics and financial intelligence complement Convey's operational expertise, enabling our clients to improve performance, reduce costs, and create better healthcare experiences for millions of Americans--especially seniors and vulnerable populations.
Together, we help health plans scale smarter, grow stronger, and make healthcare work better for the people who need it most. Learn more at ************************************
Member Services Representative
Dubuque, IA jobs
If you are looking for a customer service-based position that has a variety of clerical duties, offers a flexible schedule, and the opportunity to work from home if desired, your search is over! Medical Associates Health Plans is looking for a full-time Member Services Representative to join our team!
Who You Are:
Dedicated to providing superior customer service
Able to adapt to various customers and their needs
Have excellent verbal communication
Comfortable learning and navigating various computer programs and phone queues
Excited to work closely with team members in a fast-paced environment
Work Schedule: Monday through Friday, 8:00am to 5:00pm. Training period will be in the office. After training, schedule is 8:00am to 5:00pm
with opportunity to work from home if desired
.
Benefits Package includes:
Single or Family Health Insurance with discounted premium rates for wellness program participation.
401k with immediate matching (50% on the dollar up to 7% of pay + additional annual Profit Sharing
Flexible Paid Time Off Program (24 days off/year)
Medical and Dependent Care Flex Spending Accounts
Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc.
What You'll Be Doing:
Respond to phone, in-person, written or e-mail inquiries from members, employers, brokers, providers, pharmacies as well as internal customers, in accordance with department standards. Perform research on inquiries and resolve; educate members on benefits, Explanation of Benefit forms, the use of the website and other tools and documents utilized by members.
Possess knowledge and ability to communicate to internal and external customers regarding benefit plans, including medical, prescription drug and other employee benefit plans offered
Interpret and enter necessary data and documentation into member and authorization subsystems of core business processing system as necessary to support the member services department; possess knowledge to examine, process, calculate and administer claims according to internal processing guidelines.
Assist in review and resolution of complaints, appeals and grievances as needed.
Complete all additional assigned projects and duties.
Knowledge, Skills and Abilities:
Experience:
One to three years of similar or related experience.
Education:
High school diploma or GED required.
Other Skills:
Excellent telephone presence. Familiar with Microsoft Office applications, particularly Word and Excel.
Physical Aspects:
Stooping - Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles.
Reaching - Extending hand(s) and arm(s) in any direction.
Lifting - Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles.
Fingering - Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand or arm as in handling.
Grasping - Applying pressure to an object with the fingers and palm.
Talking - Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly or quickly.
Hearing - Perceiving the nature of sound with or without correction. Ability to receive detailed information through oral communication and to make fine discriminations in sound, such as when making fine adjustments on machined parts.
Vision - 20 / 40 or better in the best eye with or without correction.
Repetitive Motions - Substantial movements (motions) of the wrists, hands and/or fingers.
Sedentary Work - Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
Environmental Conditions: None - The worker is not substantially exposed to adverse environmental conditions (such as in typical office or administrative work).
Medical Associates Clinic & Health Plans is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, age, national origin, marital status, parental status, disability, veteran status, or other distinguishing characteristics of diversity and inclusion, or any other protected status. Please view Equal Employment Opportunity Posters provided by OFCCP ***************************
Auto-ApplyPatient Financial Services Representative - Patient Financial Services - FT - Day
Topeka, KS jobs
Full time
Shift:
First Shift (Days - Less than 12 hours per shift) (United States of America)
Hours per week:
40
Job Information Exemption Status: Non-Exempt Patient Financial Services Representative is responsible for ensuring efficient, accurate and timely processing patient accounts, uploading applications, service registration and final third- party payment account resolution after initial bill submission for automobile, workers compensation and liability patient accounts. These activities are completed following established policies and procedures, and in compliance with JCAHO, Medicare, Payer contracts, HIPAA, regulatory agencies and the organization's Code of Conduct.
Education Qualifications
High School Diploma / GED Required
Associate's Degree Preferred
Experience Qualifications
1 year Experience in healthcare financial services, patient registration, patient scheduling, or claims processing experience in the liability insurance field. Required
Skills and Abilities
Excellent interpersonal and communication skills and the ability to exhibit patience.
Detailed knowledge of major third-party billing and contract.
Working knowledge of basic medical terminology.
Ability to work productively as part of a team.
Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or government regulations.
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages. Ability to apply concepts of basic Algebra.
What you will do
Responsible for the processing of patient accounts after initial bill submission to final 3rd party payment resolution. This responsibility includes timely and accurate resolution of denied claims and insurance correspondence and follow-up on unpaid claims exceeding the clean claim payment cycle.
Processes patient accounts from uploading into the clearinghouse application through final claim submission, both manual and electronic. This responsibility includes resolving remaining bill edit failures, claim submission, receipt reconciliation and rebilling when necessary.
Collects, validates, and updates patient's comprehensive data set and documenting in the registration system, completing electronic insurance verifications, identifying managed care issues and referring as appropriate for resolution, obtaining appropriate signatures to satisfy legal and health system requirements and completion of required forms including Medicare MSP.
Identifies and notifies management of customer service issues and potential process/system problems that cause billing and payment errors and assists in improvement implementation as requested.
Accurately and efficiently distributes and/or prepares various reports; processes account credit balances, refund requests, cash transfers, returned checks and unidentified payments in a timely manner.
Accurately posts payments and adjustments and balances all entries according to payer cash processing and reconciliation procedures.
Answers questions from other staff or clinic offices by phone or e-mail in a timely manner.
Consistently and accurately documents accounts with activities as needed in a timely manner.
Analyzes and resolves insurance correspondence for unpaid claims. Validates accuracy of insurance information and completed insurance verification for specific payors that do not participate in electronic eligibility by established procedures (phone calls, websites, etc.).
Completes manual billing process for claims that cannot be sent electronically.
Creates encounters for Physicians providing Hospital professional services including but not limited to ED professional fees, Hospital visits, Invasive procedures, Hospitalists, Radiologists, Therapies (including Chemo & Radiation), Counseling, etc.
Generates re-bills after all edits have been resolved and re-submits claims to third-party payor.
Identifies and correctly resolves all electronic claim edits failures in a timely manner.
Identifies missing or incorrect requirements of rejected claims and either resolves or forwards promptly to appropriate staff for resolution.
Monitors and completes patient accounts on billing hold for additional information within ten business days.
Reviews and resolves unbilled encounter report. Reviews Hospital cards/interface charges/electronic charge sheets, etc. for accuracy and resolves missing/incorrect information as necessary. Reviews Posting & Exception Reports and verifies that information has been accurately recorded on the account receivable system.
Required for All Jobs
Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
Performs other duties as assigned
Patient Facing Options
Position is Not Patient Facing
Remote Work Guidelines
Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
Stable access to electricity and a minimum of 25mb upload and internet speed.
Dedicate full attention to the job duties and communication with others during working hours.
Adhere to break and attendance schedules agreed upon with supervisor.
Abide by Stormont Vail's Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.
Remote Work Capability
Hybrid
Scope
No Supervisory Responsibility
No Budget Responsibility No Budget Responsibility
Physical Demands
Balancing: Occasionally 1-3 Hours
Carrying: Occasionally 1-3 Hours
Climbing (Ladders): Rarely less than 1 hour
Climbing (Stairs): Rarely less than 1 hour
Crawling: Rarely less than 1 hour
Crouching: Rarely less than 1 hour
Driving (Automatic): Rarely less than 1 hour
Driving (Standard): Rarely less than 1 hour
Eye/Hand/Foot Coordination: Frequently 3-5 Hours
Feeling: Occasionally 1-3 Hours
Grasping (Fine Motor): Frequently 3-5 Hours
Grasping (Gross Hand): Frequently 3-5 Hours
Handling: Occasionally 1-3 Hours
Hearing: Frequently 3-5 Hours
Kneeling: Occasionally 1-3 Hours
Lifting: Occasionally 1-3 Hours up to 30 lbs
Operate Foot Controls: Rarely less than 1 hour
Pulling: Occasionally 1-3 Hours up to 30 lbs
Pushing: Occasionally 1-3 Hours up to 30 lbs
Reaching (Forward): Occasionally 1-3 Hours up to 30 lbs
Reaching (Overhead): Occasionally 1-3 Hours up to 30 lbs
Repetitive Motions: Frequently 3-5 Hours
Sitting: Frequently 3-5 Hours
Standing: Occasionally 1-3 Hours
Stooping: Rarely less than 1 hour
Talking: Occasionally 1-3 Hours
Walking: Occasionally 1-3 Hours
Working Conditions
Burn: Rarely less than 1 hour
Chemical: Rarely less than 1 hour
Combative Patients: Rarely less than 1 hour
Dusts: Rarely less than 1 hour
Electrical: Rarely less than 1 hour
Explosive: Rarely less than 1 hour
Extreme Temperatures: Rarely less than 1 hour
Infectious Diseases: Rarely less than 1 hour
Mechanical: Rarely less than 1 hour
Needle Stick: Rarely less than 1 hour
Noise/Sounds: Rarely less than 1 hour
Other Atmospheric Conditions: Rarely less than 1 hour
Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour
Radiant Energy: Rarely less than 1 hour
Risk of Exposure to Blood and Body Fluids: Rarely less than 1 hour
Risk of Exposure to Hazardous Drugs: Rarely less than 1 hour
Hazards (other): Rarely less than 1 hour
Vibration: Rarely less than 1 hour
Wet and/or Humid: Rarely less than 1 hour
Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.
Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.
Auto-ApplyPatient Financial Services Representative - Reimbursement - FT - Day
Topeka, KS jobs
Full time
Shift:
First Shift (Days - Less than 12 hours per shift) (United States of America)
Hours per week:
40
Job Information Exemption Status: Non-Exempt Reimbursement Representative is responsible for processing all activities related to payment processing and reconciliation from the point of cash balancing & deposit preparation through payment reconciliation. These activities are completed following established policies and procedures, and in compliance with JCAHO, Medicare, Payer contracts, HIPAA, regulatory agencies and the organization's Code of Conduct.
Education Qualifications
High School Diploma / GED Required
Associate's Degree Preferred
Experience Qualifications
1 year Experience in healthcare financial services, patient registration, patient scheduling, or claims processing experience in the liability insurance field. Required
Skills and Abilities
Excellent interpersonal and communication skills and the ability to exhibit patience.
Detailed knowledge of major third-party billing and contract.
Working knowledge of basic medical terminology.
Ability to work productively as part of a team.
Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or government regulations.
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages. Ability to apply concepts of basic Algebra.
What you will do
Accurately posts payments and adjustments and balances all entries according to payer cash processing and reconciliation procedures.
Accurately and efficiently processes account credit balances and processes refund requests in a timely manner.
Accurately and efficiently distributes and/or prepares various reports; processes account credit balances, refund requests, cash transfers, returned checks and unidentified payments in a timely manner.
Follows cash receipting and balancing processing procedures with accuracy and efficiency.
Researches and accurately resolves accounts in a timely manner.
Consistently and accurately documents accounts with activities as needed in a timely manner.
Analyzes and resolves insurance correspondence for unpaid claims. Validates accuracy of insurance information and completed insurance verification for specific payors that do not participate in electronic eligibility by established procedures (phone calls, websites, etc.).
Verifies payments received accurately and in a timely manner. Verification may include payer, account number, patient name, date of service, contractual adjustment, etc.
Accurately and efficiently processes cash transfer according to established procedure.
Accurately and efficiently processes unidentified payments and unapplied activity accounts in a timely manner.
Identifies and notifies management of customer service issues and potential process/system problems that cause billing and payment errors and assists in improvement implementation as requested.
Answers questions from other staff or clinic offices by phone or e-mail in a timely manner.
Assists with the revision or development of the department's internal documents, procedural manuals and forms, as requested.
Reads and comprehends correspondence from government and third-party payers to keep abreast of new regulations, policies and billing and payment requirements.
Required for All Jobs
Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
Performs other duties as assigned
Patient Facing Options
Position is Not Patient Facing
Remote Work Guidelines
Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
Stable access to electricity and a minimum of 25mb upload and internet speed.
Dedicate full attention to the job duties and communication with others during working hours.
Adhere to break and attendance schedules agreed upon with supervisor.
Abide by Stormont Vail's Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.
Remote Work Capability
Hybrid
Scope
No Supervisory Responsibility
No Budget Responsibility No Budget Responsibility
Physical Demands
Balancing: Occasionally 1-3 Hours
Carrying: Occasionally 1-3 Hours
Climbing (Ladders): Rarely less than 1 hour
Climbing (Stairs): Rarely less than 1 hour
Crawling: Rarely less than 1 hour
Crouching: Rarely less than 1 hour
Driving (Automatic): Rarely less than 1 hour
Driving (Standard): Rarely less than 1 hour
Eye/Hand/Foot Coordination: Frequently 3-5 Hours
Feeling: Occasionally 1-3 Hours
Grasping (Fine Motor): Frequently 3-5 Hours
Grasping (Gross Hand): Frequently 3-5 Hours
Handling: Occasionally 1-3 Hours
Hearing: Frequently 3-5 Hours
Kneeling: Occasionally 1-3 Hours
Lifting: Occasionally 1-3 Hours up to 30 lbs
Operate Foot Controls: Rarely less than 1 hour
Pulling: Occasionally 1-3 Hours up to 30 lbs
Pushing: Occasionally 1-3 Hours up to 30 lbs
Reaching (Forward): Occasionally 1-3 Hours up to 30 lbs
Reaching (Overhead): Occasionally 1-3 Hours up to 30 lbs
Repetitive Motions: Frequently 3-5 Hours
Sitting: Frequently 3-5 Hours
Standing: Occasionally 1-3 Hours
Stooping: Rarely less than 1 hour
Talking: Occasionally 1-3 Hours
Walking: Occasionally 1-3 Hours
Working Conditions
Burn: Rarely less than 1 hour
Chemical: Rarely less than 1 hour
Combative Patients: Rarely less than 1 hour
Dusts: Rarely less than 1 hour
Electrical: Rarely less than 1 hour
Explosive: Rarely less than 1 hour
Extreme Temperatures: Rarely less than 1 hour
Infectious Diseases: Rarely less than 1 hour
Mechanical: Rarely less than 1 hour
Needle Stick: Rarely less than 1 hour
Noise/Sounds: Rarely less than 1 hour
Other Atmospheric Conditions: Rarely less than 1 hour
Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour
Radiant Energy: Rarely less than 1 hour
Risk of Exposure to Blood and Body Fluids: Rarely less than 1 hour
Risk of Exposure to Hazardous Drugs: Rarely less than 1 hour
Hazards (other): Rarely less than 1 hour
Vibration: Rarely less than 1 hour
Wet and/or Humid: Rarely less than 1 hour
Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.
Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.
Auto-ApplyMember Service Representative- Dental (Hybrid)
Milwaukee, WI jobs
Job Description
Company Perks
As a team member of Dental Associates, you can expect an excellent compensation, experience on-the-job training, continued education offerings and abundant opportunities for career growth.
Benefits Overview:
Medical Insurance with optional Health Savings Account through Associated Bank
Dental: Diagnostic and Preventive covered at 100%, Basic and Restorative (immediate family)
Vision Insurance
Life Insurance
401k
Company paid short term disability
Paid Time Off
Paid Holidays
FSA
Critical Illness
Hospital Indemnity
Plus opportunities for pay increases and bonuses
Job Responsibilities
The Care-Plus Member Service Representative is responsible for the accurate and timely explanation of insurance products and supports administrative needs of individual and group CarePlus insurance plans.
Manage all aspects of member insurance plans from account management and registration of new member accounts, claims, EOBs, pre-authorizations to resolving discrepancies for Individual and Group policies
Answer phone calls from external and internal customers to answer questions and provide assistance on benefit coverage questions, plan provisions, exclusions and limitations
Manage all financial aspects of accounts. Collect premium payments, bank downloads, and balancing of daily deposits
Complete daily, weekly, monthly reports as assigned
State of Wisconsin Accident & Health intermediary license must be obtained within six months of hire
Schedule
40 hours per week
Monday/Tuesday: 8:30am-5:30pm
Wednesday/Thursday: 9:00am-6:00pm
Friday 10:00am-4:00pm
1 Saturday a month: 7:00am-12:00pm
Hybrid- 2 days remote and 3 days in the office per week
Job Requirements
Minimum of a high school or equivalent
2 + years of dental, collection, insurance, healthcare or similarly fast-paced, customer-focused environment is preferred
Excellent communication skills (verbal/written) and ability to positively resolve conflict
Strong mathematical stills and ability to accurately work with finances
Technologically savvy, ability to work with several computer applications simultaneously
Applicants will be required to obtain WI Accident and Health license
The Company
At Dental Associates, we foster a culture which invites our patients into our "dental home" and provides our employees with a career, not just a job.
Founded in 1974, Dental Associates is Wisconsin's largest family and dentist-owned dental group practice with over a dozen offices throughout the state. Dental Associates is a strong company with the resources to continually invest in our overall growth and talented team members. Be part of a dynamic organization that will make you proud.
If you're ready for an exciting, stable career with a growing company apply today!
Get to know Dental Associates - ************************
YouTube - ***********************************************
Facebook - *******************************************
Twitter - ********************************
Patient Financial Services Representative II
Saint Petersburg, FL jobs
Johns Hopkins All Children's Hospital is a premiere clinical and academic health system, providing expert pediatric care for infants, children and teens with some of the most challenging medical problems. Ranked in multiple specialties by U.S. News & World Report, we provide access to innovative treatments and therapies. With more than half of the 259 beds in our teaching hospital devoted to intensive care level services, we are the regional pediatric referral center for Florida's west coast. Physicians and community hospitals count on us to care for critically ill patients and perform complex surgical procedures.
Join us in making a difference in the lives of our littlest patients. Apply today!
What Awaits You?
Free onsite parking
Career growth and development
Tuition Assistance
Diverse and collaborative working environment
Comprehensive and affordable benefits package
POSITION SUMMARY:
Responsible for a variety of roles, including but not limited to customer service, claim processing, and cash postings. Assists with all facets of the hospital billing process to meet deadlines and to be timely in reducing unbilled inventory, accounts receivable, cash posting, and account inquiries.
QUALIFICATIONS:
A minimum of a High School diploma, GED, Certificate of Completion or equivalent achievement.
2 years of relevant work experience with moderate understanding of medical, billing and coding terminology for physician and/or hospital facility
Moderate knowledge physicians and/or hospital facility insurance and self-pay accounts receivable with contract reimbursement and/or denials management and/or claims appeals and/or claims follow-up and/or refunds and credit balance review and processing experience
Ability to read, write, speak and understand English
Moderate computer skills, working in multiple systems and proficient in Microsoft Office Applications
Applicant must live local to Johns Hopkins All Children's Hospital, St. Petersburg, FL
Work Hours: Full-Time, Monday-Friday, 8:00 AM - 4:30 PM. No weekend work required. This position is 90% work from home; occasional on-site work as needed.
Salary Range: Minimum 16.86/hour - Maximum 26.97/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.
We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
Patient Financial Services Representative II
Saint Petersburg, FL jobs
Johns Hopkins All Children's Hospital is a premiere clinical and academic health system, providing expert pediatric care for infants, children and teens with some of the most challenging medical problems. Ranked in multiple specialties by U.S. News & World Report, we provide access to innovative treatments and therapies. With more than half of the 259 beds in our teaching hospital devoted to intensive care level services, we are the regional pediatric referral center for Florida's west coast. Physicians and community hospitals count on us to care for critically ill patients and perform complex surgical procedures.
Join us in making a difference in the lives of our littlest patients. Apply today!
What Awaits You?
* Free onsite parking
* Career growth and development
* Tuition Assistance
* Diverse and collaborative working environment
* Comprehensive and affordable benefits package
POSITION SUMMARY:
Responsible for a variety of roles, including but not limited to customer service, claim processing, and cash postings. Assists with all facets of the hospital billing process to meet deadlines and to be timely in reducing unbilled inventory, accounts receivable, cash posting, and account inquiries.
QUALIFICATIONS:
* A minimum of a High School diploma, GED, Certificate of Completion or equivalent achievement.
* 2 years of relevant work experience with moderate understanding of medical, billing and coding terminology for physician and/or hospital facility
* Moderate knowledge physicians and/or hospital facility insurance and self-pay accounts receivable with contract reimbursement and/or denials management and/or claims appeals and/or claims follow-up and/or refunds and credit balance review and processing experience
* Ability to read, write, speak and understand English
* Moderate computer skills, working in multiple systems and proficient in Microsoft Office Applications
* Applicant must live local to Johns Hopkins All Children's Hospital, St. Petersburg, FL
Work Hours: Full-Time, Monday-Friday, 8:00 AM - 4:30 PM. No weekend work required. This position is 90% work from home; occasional on-site work as needed.
Salary Range: Minimum 16.86/hour - Maximum 26.97/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility.
In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.
JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins!
Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
Patient Financial Services Representative II
Saint Petersburg, FL jobs
Johns Hopkins All Children's Hospital is a premiere clinical and academic health system, providing expert pediatric care for infants, children and teens with some of the most challenging medical problems. Ranked in multiple specialties by U.S. News & World Report, we provide access to innovative treatments and therapies. With more than half of the 259 beds in our teaching hospital devoted to intensive care level services, we are the regional pediatric referral center for Florida's west coast. Physicians and community hospitals count on us to care for critically ill patients and perform complex surgical procedures.
Join us in making a difference in the lives of our littlest patients. Apply today!
What Awaits You?
* Free onsite parking
* Career growth and development
* Tuition Assistance
* Diverse and collaborative working environment
* Comprehensive and affordable benefits package
POSITION SUMMARY:
Responsible for a variety of roles, including but not limited to customer service, claim processing, and cash postings. Assists with all facets of the hospital billing process to meet deadlines and to be timely in reducing unbilled inventory, accounts receivable, cash posting, and account inquiries.
QUALIFICATIONS:
* A minimum of a High School diploma, GED, Certificate of Completion or equivalent achievement.
* 2 years of relevant work experience with moderate understanding of medical, billing and coding terminology for physician and/or hospital facility
* Moderate knowledge physicians and/or hospital facility insurance and self-pay accounts receivable with contract reimbursement and/or denials management and/or claims appeals and/or claims follow-up and/or refunds and credit balance review and processing experience
* Ability to read, write, speak and understand English
* Moderate computer skills, working in multiple systems and proficient in Microsoft Office Applications
* Applicant must live local to Johns Hopkins All Children's Hospital, St. Petersburg, FL
Work Hours: Full-Time, Monday-Friday, 8:00 AM - 4:30 PM. No weekend work required. This position is 90% work from home; occasional on-site work as needed.
Salary Range: Minimum 16.86/hour - Maximum 26.97/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.
We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
Patient Financial Services Representative
Shaker Heights, OH jobs
Great opportunity to join a company that values our employees and the patients we serve! Centers for Dialysis Care is seeking an experienced Patient Financial Services Representative to work out of our Corporate Office located in Shaker Heights, OH. This position is onsite.
Why Choose CDC?
We offer a complete benefits package to include medical, dental, vision, 401K, Short/Long Term Disability options, along with company paid life insurance
210 Hours of PTO
Tuition Reimbursement Program
Employee Perks Program
Career Development Opportunities
Position Overview:
The purpose of this position is to bill and collect insurance accounts receivable for multi-payer sources.
Job Description:
Prepares and sends claims monthly to payers for dialysis services rendered at our CDC clinics via an electronic billing system.
Analyzes Accounts Receivable to ensure timely payment is received for claims billed. This includes root cause analysis, contact with payers (via phone or paper/electronic status inquires), ensuring patient responsibility is properly and timely identified.
Follows and reports status of delinquent patient accounts to the Director of Patient Accounts and Chief Financial Officer
Works on various revenue collection projects/duties as assigned
Qualifications:
High school diploma required, some college accounting courses or other field related continuing education
Knowledge of electronic billing systems preferably Quadex is required.
At least 3 years' experience in a Healthcare Accounts Receivable setting is essential
Excellent customer service, interpersonal and communication skills required
Knowledge of medical billing/collection practices
Knowledge of business office procedures
Knowledge of basic medical coding and third-party operating procedures and practices
Ability to establish and maintain effective working relationships with patients, employees and the public
Centers for Dialysis Care is proud to be an Equal Opportunity Employer.
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