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  • Customer Account Representative - Urology

    Aeroflow 4.4company rating

    Asheville, NC jobs

    Shift: Monday-Friday 8:30 am - 5:30 pm EST Pay: $20/hour Aeroflow Health is taking the home health products and equipment industry by storm. We've created a better way of doing business that prioritizes our customers, our community, and our coworkers. We believe in career building. We promote from within and reward individuals who have invested their time and talent in Aeroflow. If you're looking for a stable, ethical company in which to advance you won't find an organization better equipped to help you meet your professional goals than Aeroflow Health. The Opportunity Within Aeroflow, the Urology team is comprised of many different roles, with all one purpose - to provide great customer service to our new and current patients. As a customer account representative, you will focus on providing exceptional customer service to patients, professionals, and insurance companies. This is a fully remote position; however, it is not a flexible or on-demand schedule. To be successful in this role, you must be able to work in a quiet, distraction-free environment where you can handle back-to-back phone calls and maintain focus throughout your shift. Please note: Working remotely is not a substitute for childcare. Candidates must have appropriate arrangements in place to ensure they are fully available and able to respond to calls and tasks as they come in throughout the workday. Your Primary Responsibilities We are currently seeking a Customer Account Representative. CAR is typically responsible for: Handling a high-volume number of both incoming and outgoing phone calls daily Updating account information, such as: product needs, insurance, contact information, etc. Placing resupply orders for current patients that receive incontinence supplies and catheters Researching insurance payer requirements and understanding reimbursement procedures Troubleshooting equipment problems and offering product changes Maintaining HIPAA/patient confidentiality Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies. Compliance is a condition of employment and is considered an element of job performance Regular and reliable attendance as assigned by your schedule Other job duties as assigned Skills for Success Excellent Customer Service Skills Ability to Think Critically Exceptional Organization High Level of Compassion Outstanding Written and Verbal Communication Willingness to Make Decisions Independently Ability to Contribute to a Team Must Be Adaptable and Willing to Learn General Computer and Email Proficiency Required Qualifications High school diploma or GED equivalent 1 year of customer service experience preferred 1 year of call center experience preferred Excellent written and verbal communication skills Excellent critical thinking skills Excellent De-escalation skills Excellent active listening skills Ability to multitask - shifting between open applications as you speak with patients Ability to type 40+ words per minute with accuracy A reliable, high-speed internet connection is required, with a minimum download speed of 20 Mbps and minimum upload speed of 5 Mbps. Unstable or unreliable connectivity may impact performance expectations. Repeated internet or phone outages may result in the termination of remote work privileges at the discretion of Aeroflow Health management. You might also have, but not required: Knowledge with different types of insurance such as medicare, medicaid, and commercial plans DME supplies, specifically with incontinence and catheters What we look for We are looking for highly motivated, talented, individuals who can work well independently and as a team. Someone who has strong organizational, time management, and problem-solving skills. Willing to learn and adapt to organizational changes. What Aeroflow Offers Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!! Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements: Family Forward Certified Great Place to Work Certified 5000 Best Place to Work award winner HME Excellence Award Sky High Growth Award If you've been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you! Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. If this opportunity appeals to you, and you are able to demonstrate that you meet the minimum required criteria for the position, please contact us as soon as possible. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
    $20 hourly 4d ago
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  • Admissions Services Specialist Acute

    Acadia Healthcare Inc. 4.0company rating

    Los Angeles, CA jobs

    Acadia Healthcare is seeking remote Admissions Services Specialists to support our Acute Behavioral Health Facilities from coast to coast. is 100% remote. Highlights of this role include: Ability to verify benefits information for assigned facility. 1 weekend day shift Friday, Saturday, Sunday Experience monitoring and processing patient referrals (may include fax referrals). Respond to inquiries about facilities within policy timeframes. Support Acadia Healthcare admissions departments throughout the country. As one of the nation's leaders in treating individuals with acute co-occurring mood, addiction, and trauma, Acadia Healthcare places a strong emphasis on our admissions & intake functions to allow us to help every possible person in need. This person will be supporting Acadia Acute Admissions departments around the country in a remote capacity. ESSENTIAL FUNCTIONS: Manage Referral Management Portals Monitor all faxed referrals Monitor all webforms and call center handoffs/rollover referrals Utilize facility admissions/exclusionary criteria to process incoming types of referrals Respond to inquiries about the facility within facility policy timeframes. Document calls inside of Salesforce and follow-up as needed Complete Prior Authorization Pre-Admit the patients in billing system Coordinate with local admissions department regarding bed availability Facilitate intake, admissions, and utilization review process for incoming patients. Perform insurance benefit verifications, disseminating the information to appropriate internal staff. Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations for referrals. Coordinate admission and transfer between levels of care within the facility. Communicate projected admissions to designated internal representative in a timely manner. Ensure all medical admission documentation is gathered from external sources prior to patient admission and secure initial pre-authorization for treatment and admission. STANDARD EXPECTATIONS: * Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentiality. * Communicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: Bachelor's or Master's degree in Behavioral Science, Social Work, Sociology, Nursing, or a related field; in some states, RN, LVN/LPN Knowledge of admission/referral processes, techniques, and tools Familiarity with behavioral health issues and services Solid understanding of financial principles and insurance reimbursement practices Knowledge and proficiency with Salesforce.com (or other CRM application), Concur, and MS Office application. LICENSES/DESIGNATIONS/CERTIFICATIONS: * Licensure, as required for the area of clinical specialty, i.e., RN license, CAC or other clinical counseling or therapy license, as designated by the state in which the facility operates. SUPERVISORY REQUIREMENTS: This position is an Individual Contributor We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws. AHCORP LA
    $32k-39k yearly est. 2d ago
  • Homecare Homebase Support Representative

    Ambercare 4.1company rating

    Frisco, TX jobs

    The HCHB Support Representative is responsible for handling software support calls and tickets initiated by Addus Home Health, Hospice, and Private Duty, and Personal Care branches. The role will also assist in training during acquisition integration projects as well as testing hot fixes and system upgrades HCHB releases. Must have recent Homecare Homebase Software experience. Schedule: Remote Role / Monday - Friday 8am to 5pm. >> We offer our team the best Medical, Dental and Vision Benefits Continued Education PTO Plan Retirement Planning Life Insurance Employee discounts Essential Duties: Managing a service desk (ServiceNow) ticket queue which includes triaging incoming requests, managing escalations to Addus team members, building out new worker login profiles, device buildout, user errors, and assisting branches in clearing claims or preventing ineligible claims. Consult with HCHB's Customer Experience team as needed to provide solutions to HCHB errors. Submit and follow up on HCHB Support Tickets. Assist in project tasks related to new agency acquisitions. Communicate with branches via phone, email, and live chat in a timely fashion to identify and resolve reported issues. Identifying trending issues and providing thorough research and documentation of findings. Effectively provide consultation and education on the appropriate use of all products within the HCHB Suite. Ability to take assigned projects to successful completion. The role may also include training staff during HCHB rollouts, assisting in HCHB quarterly release testing, assist in audit reviews, and develop and conduct training programs to support team members on HCHB applications. Position Requirements & Competencies: High school diploma or GED equivalent, some college preferred. No less than 2 years of recent HCHB software experience. Excellent written and oral communication skills. Excellent customer service skills. Computer proficiency required: including intermediate level knowledge in Microsoft Suite. Ability to analyze and interpret situations to complete tasks or duties assigned. Detail oriented, strong organizational skills. Team players who are passionate about their work and will actively contribute to a positive and collaborative environment. Quick learners with strong problem solving and creative thinking abilities. Driven individuals who remain engaged in their own professional growth. Ability to Travel: Heavy travel (varies and may exceed 50%) is required during acquisition phases. Some travel may be required on weekends or evenings. Addus provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. To apply via text, text 9930 to ************ #ACADCOR #CBACADCOR #DJADCOR #IndeedADCOR We may text you during the hiring process. By proceeding, you give us permission to text you at the mobile number provided. Message and data rates may apply. Message frequency varies. Reply 'Opt Out' at any time if you no longer wish to receive text messages regarding our opportunities. Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index.
    $28k-33k yearly est. 2d ago
  • Call Center Customer Service Rep - Houston, TX

    ARS 4.4company rating

    Houston, TX jobs

    ARS-Rescue Rooter Join ARS, the nation's largest provider of residential HVAC, plumbing, and electrical services with 7,000+ team members and over 45 years of experience. Customer Service Representatives can expect: Year-round work as we service multiple trades with multiple busy seasons. Competitive pay options based on your skill and availability. Paid orientation, paid training, and weekly direct deposit payroll. Clean office environment with great equipment and a strong team ready to grow along side of you. Comprehensive Training Opportunities provided by in-house Learning & Development team. Training including but not limited to technical, sales, safety, leadership, systems training. National Network to support professional growth & development and provide transfer opportunities. Pay: $18-$19 per hour Schedule: 12pm-8:30pm or 2pm-10:30pm Full-time, year-round work What We Offer: Weekly pay via direct deposit Paid training and onboarding Insurance available after 31 days Low-cost medical (as low as $5/week) Dental, vision, HSA/FSA 401(k) with company match 13 days PTO + 8 paid holidays Company-paid life insurance Clean office environment with strong team culture Career growth opportunities within a national network Deliver exceptional customer service through inbound and outbound calls. You'll manage scheduling, handle multi-line phones, and support customers with professionalism and urgency. This is a fast-paced, team-driven role based in-office. **THIS IS NOT A REMOTE POSITION** Prior experience in a customer service or call center environment Proficiency with Microsoft Office and computer-based systems Ability to handle multi-line phones with accuracy and composure Must report daily to our office, this is not a work from home opportunity. Ability to work assigned shift and weekend rotation as required. (Discuss all schedule requirements at interview) Must pass background check and drug screening Note: This posting outlines potential pay ranges and opportunities, which are not guaranteed and do not represent a formal offer. Additional money may be offered based on experience and will be detailed in an offer letter addendum. ARS is an equal opportunity employer and does not discriminate based on any protected status under federal, state, or local law. Privacy policy available upon request.
    $18-19 hourly 2d ago
  • Therapeutic Behavioral Service Specialist - Residential

    Bellefaire JCB 3.2company rating

    Newburgh Heights, OH jobs

    Benefits and Salary: The salary is $40,000 per year At Bellefaire, we prioritize our employees and their wellbeing. We provide competitive benefit options to our employees and their families, including domestic partners and pets. Our offerings include: Our offerings include: Comprehensive health and Rx plans, including a zero-cost option. Wellness program including free preventative care Generous paid time off and holidays 100% paid parental leave for childbirth, adoption, and foster care 50% tuition reduction at Case Western Reserve University for the MNO and MSW programs Defined benefit pension plan 403(b) retirement plan Pet insurance Employer paid life insurance and long-term disability Employee Assistance Program Support for continuing education and credential renewal Ancillary benefits including: dental, vision, voluntary life, short term disability, hospital indemnity, accident, critical illness Flexible Spending Account for Health and Dependent Care Qualifications: A Bachelor's or Master's degree in social work, psychology, nursing, or related human services field. LSW licensure preferred. Experience working with children, adolescents, and their families. Sensitivity in relating to persons of varying backgrounds and demonstrate ability to work with diverse groups of people possessing various strengths, aptitudes, and abilities. Must have and maintain a valid driver's license and driving record that meets the underwriting criteria of the Agency's insurance company. Agency Summary: Bellefaire JCB is among the nation's largest, most experienced child service agencies providing a variety of mental health, substance abuse, education, and prevention services. Bellefaire JCB helps more than 43,000 youth and their families yearly achieve resiliency, dignity and self-sufficiency through its more than 25 programs. Check out on Vimeo! Position Summary: The Therapeutic Behavioral Service (TBS) Specialist, under the administrative/clinical supervision of the Clinical Director of Clinical Services, provides Therapeutic Behavioral Services to clients, their families, and/or significant others as needed. He or she works with clients in residential and community settings, and works to provide support - including education and consultation - for parents and/or caregivers, case coordination, and symptom management and monitoring. The TBS Specialist is expected to meet the program's productivity target for billable service each week. Services take place in the office, the home, and the community. Responsibilities Include: Accept assignment of cases from the supervisor to provide Therapeutic Behavioral Services for clients, their families, and/or significant others as needed Accept case assignments - stepping down from a higher level of care - from the clinical supervisor and jointly develop tasks and interventions that implement treatment goals. Provide services to each client in accordance with medical necessity and as outlined in the client's treatment plan. Recognize the significance of the parent and/or caregiver in the client's life and demonstrate the skills to engage the client, primary family, and other supportive adults in the treatment planning process. Contribute to the development and maintenance of the clinical record through the timely completion of assigned documentation in accordance with applicable licensing and accreditation regulations and standards. Bellefaire JCB is an equal opportunity employer, and hires its employees without consideration to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, veteran status or disability or any other status protected by federal, state or local law. Bellefaire JCB is a partner agency of the Wingspan Care Group, a non-profit administrative service organization providing a united, community-based network of services so member agencies can focus on mission-related goals and operate in a more cost-effective and efficient manner. Powered by JazzHR
    $40k yearly 2d ago
  • Customer Service

    Achieve 3.5company rating

    Tampa, FL jobs

    Achieve is a leading digital personal finance company. We help everyday people move from struggling to thriving by providing innovative, personalized financial solutions. By leveraging proprietary data and analytics, our solutions are tailored for each step of our member's financial journey to include personal loans, home equity loans, debt consolidation, financial tools and education. Every day, we get to help our members move their finances forward with care, compassion, and empathetic touch. We put people first and treat them like humans, not account numbers. Job Description As a part of our Member Services team, you'll impact the lives of everyday people and help them move from surviving to thriving with innovative digital personal finance solutions. From onboarding and new account set up to answering questions and coaching them throughout their journey, you'll be there every step of the way to provide empathy, care, and guidance when it's needed most. This role is structured to include career progression that allows you to train up and work toward higher-level positions. This position is 100% work-from-home. Candidates must reside in the greater Tampa, Orlando or surrounding areas in Florida. Starting Pay: $16.00/hr Start Date: February 16th, 2026 Monday-Friday schedules available 4 X 10 shifts also available, includes weekends (Additional pay incentives for working weekends!) What you'll do: Communicate with our members via phone and email, exhibiting care in every interaction Listen to our members, providing empathy and solutions to their unique needs Collaborate with your team to share knowledge and best practices Accurately document Member interactions and activity Qualifications Minimum of 1 year of Customer Service experience (call center or retail) High school diploma or equivalent Available for an 8-hour shift between the hours of 6am - 8pm People-focused approach and solution mindset Ability to handle a high volume of inbound calls Strong communication skills Additional Information Achieve well-being with: 401 (k) with employer match Medical, dental, and vision with HSA and FSA options Competitive vacation and sick time off, as well as dedicated volunteer days Access to wellness support through Employee Assistance Program, Talkspace, and fitness discounts Up to $5,250 paid back to you on eligible education expenses Pet care discounts for your furry family members Financial support in times of hardship with our Achieve Care Fund A safe place to connect and a commitment to diversity and inclusion through our six employee resource groups Join Achieve, change the future At Achieve, we're changing millions of lives. From the single parent trying to catch up on bills to the entrepreneur needing a loan for the next phase of growth, you'll get to be a part of their journey to a better financial future. We're proud to have over 3,000 employees in mostly hybrid andwork-from-homeroles across the United States with hubs in Arizona, California, and Texas. We are strategically growing our teams with more work-from-home opportunities every day to better serve our members. A career at Achieve is more than a job-it's a place where you can make a true impact, have a sense of belonging, establish a fulfilling career, and put your well-being first. Attention Agencies & Search Firms: We do not accept unsolicited candidate resumes or profiles. Please do not reach out to anyone within Achieve to market your services or candidates. All inquiries should be directed to Talent Acquisition only. We reserve the right to hire any candidates sent unsolicited and will not pay any fees without a contract signed by Achieve's Talent Acquisition leader. Videos To Watch ****************************
    $16 hourly 2d ago
  • Service Officer: Metal Detector Post

    Akron Children's Hospital 4.8company rating

    Akron, OH jobs

    Full time Days 6am-6pm / Nights 6pm-6am Patrols assigned areas of Hospital campus in order to maintain an orderly and safe environment for patients, visitors and staff. Enforces Hospital policies and procedures, and applicable local and state laws. Upholds the mission, vision, values and customer service standards of Children's Hospital Medical Center of Akron (CHMCA). This position is unarmed, with a continual focus and development to elevate to the rank of armed security officer. Responsibilities: 1. Patrol the campus and the surrounding areas being highly visible and alert for safety and security hazards and suspicious activities, working independently with minimal to no supervision. Secures buildings, offices, classrooms and other areas. 2. Respond to alarms and all calls requesting Department of Public Safety services. 3. Knowledge of Department Policies and Procedures with flexibility to modify under certain circumstances for optimal results. 4. Contain and control crowds in order to preserve peace, providing a safe environment during large events. 5. Enforce all parking rules and regulations, assist motorists with vehicle problems, and provide escorts to patients, visitors, and staff. 6. Ability to communicate clearly and concisely, and effectively via two way radio, computer, email, telephone, and verbal communications. 7. Ability to effectively interact with populations of patients/customers with an understanding of their needs for self-respect and dignity utilizing de-escalation and other communication techniques. 8. Ability to use a Record Management System to document incident reports in a complete, concise, and proper manner. 9. Provide appropriate medical assistance to the sick and injured by providing first aid and/or alerting medical staff. 10. Complete and successfully pass Field Training with a Field Training Officer (FTO). 11. Performs all other duties and responsibilities as assigned or directed by Supervision or Command Staff. Other information: Technical Expertise Education and Experience 1. Must be 18 years of age or older at time of hire. 2. High School Diploma or equivalent. 3. Possesses a valid Ohio driver's license (and ability to obtain and maintain eligibility of insurability as determined by the CHMCA insurance carrier's requirements to operate CHMCA vehicles) and reliable transportation to report to alternate sites. 4. Successful completion of the OPOTA Private Security Academy preferred. 5. Successfully complete a thorough background investigation. Full Time FTE: 1.000000
    $35k-43k yearly est. 2d ago
  • Member Enrollment Representative

    Christian Healthcare Ministries 4.1company rating

    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.
    $27k-30k yearly est. 1d ago
  • Member Support Representative

    Christian Healthcare Ministries 4.1company rating

    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 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.
    $27k-31k yearly est. 2d ago
  • Call Center Representative

    American Health Associates 4.0company rating

    Cincinnati, OH jobs

    AMERICAN HEALTH ASSOCIATES, INC. is a premier clinical laboratory servicing over 4000 long-term care facilities. AHA is the fastest growing independent laboratory in the nation, currently offering services in CO, DE, FL, GA, IL, IN, KY, MD, MI, MO, MS, NC, NJ, OH, PA, SC, TN, VA, WA, and WDC. By investing in technology and a skilled work force, we can offer a superior program focused on serving the long-term care industry. THE ROLE: CALL CENTER REPRESENTATIVE RESPONSIBILITIES: • Provide exceptional customer service to nursing home staff, physician office staff, and patients always via phone; • Enter data into a specialized computer system; • Dispatch AHA's Mobile Phlebotomists and Couriers; • Track specimen collection and reporting; • Trouble shoot missing, incomplete, and incorrect orders; • Must have the ability to interact effectively and professionally with clients and coworkers always; • Exceptional Customer Service skills, a must. Requirements QUALIFICATIONS: High School diploma 1-year of customer service experience in healthcare, preferred. Detail oriented with ability to multi-task daily. Knowledge of lab test orders; solid understanding of the importance of critical results. Excellent customer service and telephone etiquette skills required. Effective verbal and written communications, especially listening skills. 10-Key & Alpha Numeric Data Entry, 40 WPM speed and accuracy. Advanced computer skills. Ability to work independently, set priorities, and manage time effectively in a fast-paced work environment. Ensure patient privacy, confidentiality, and HIPAA are upheld always. "Team Player" mindset a must! AHA's Client Services department is open 24/7/365; we look for candidates who are available to work the established schedules and rotating holidays. AHA IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER!
    $24k-31k yearly est. 2d ago
  • Member Services Representative

    UFC Gym 3.5company rating

    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.
    $16-25 hourly 4d ago
  • Member Services Representative

    UFC Gym 3.5company rating

    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.
    $16-25 hourly Auto-Apply 60d+ ago
  • Member Services Representative

    UFC Gym 3.5company rating

    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.
    $23k-32k yearly est. 15d ago
  • Customer Escalations & Advocacy Representative

    Vero Networks 4.2company rating

    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.
    $34k-53k yearly est. Auto-Apply 60d+ ago
  • Customer Success Representative - Bilingual

    IHC Specialty Benefits 4.4company rating

    Akron, OH jobs

    This position is the first point of contact with our insurance broker and direct to consumer customers. You are the first impression of our business and the start of a positive customer experience that will boost a customer's confidence in our service and product offerings. This position covers a multitude of duties and is very fast paced at times. This position must work in the Akron office 3 days per week. This is a bilingual in Spanish role. ESSENTIAL DUTIES AND RESPONSIBILITIES Providing remote application and customer support to end-users of the cloud-based proprietary software. Assisting users with error messages and notifying development of issues when necessary. Instructing users on the proper use of the software via telephone, screenshare, and email. Independently trouble shoot software to identify bugs and errors. Following up with development and users to ensure each case is closed in a timely manner. Meet department attendance requirements, including being prompt and available during scheduled shift. Ability to meet multiple deadlines in a fast-paced environment. Perform similar job-related duties and projects as assigned. Support parent company's sales staff when questions or issues arise. Learn and maintain familiarity with CMS compliance and protocol. Qualifications REQUIREMENTS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. High school diploma or GED One-year recent experience as a CSR in a fast-paced inbound call center environment (preferred) Must be customer service oriented Proficient with computers Be an independent problem solver Fluent in Spanish for spoken and written word Have excellent organization skills Be able to multitask Adapt quickly to new responsibilities Hybrid schedule SUPERVISORY RESPONSIBILITIES None CERTIFICATES, LICENSES, REGISTRATION None PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Small Motor Skills: Picking, pinching, typing or otherwise working primarily with fingers rather than with whole hand or arm, as in handling. Speaking: Expressing or exchanging ideas by means of spoken word. Those activities in which require detailed or important spoken instructions must be conveyed to other workers accurately and quickly. Hearing: Ability to receive detailed information through oral communication with or without correction. Repetitive Motion: Substantial movement (motions) of the wrist, hands, and fingers. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Normal office environment with controlled temperature. ADDITIONAL REQUIREMENTS The company reserves the right to determine if this position will be assigned to work on-site, remotely, or a combination of both. Assigned work location may change. In the case of remote work, physical presence in the office/on-site may be required to engage in face-to-face interaction and coordination of work among co-workers. COMPUTER PROGRAMS USED ON A DAILY BASIS MacOS Google Apps Microsoft Office 365 Suite Asana Vonage INSXCloud Broker Platforms
    $28k-33k yearly est. 19d ago
  • Patient Financial Services Representative

    Southwest Medical Imaging 4.3company rating

    Scottsdale, AZ jobs

    Job Title Patient Financial Services Representative Department Patient Financial Services Reports to Patient Financial Services Supervisor Status Full-Time Non-Exempt Patient Financial Services Representative Position Summary The Patient Account Representative is responsible for managing patient accounts, resolving customer inquiries, and ensuring timely collections with moderate supervision. Key duties include handling delinquent accounts, processing financial assistance applications, verifying insurance eligibility, and maintaining accurate documentation. The role requires effective communication, problem-solving, and multitasking skills in a fast-paced environment, while upholding HIPAA compliance and company policies. Patient Financial Services Representative Detailed Responsibilities Resolve customer inquiries and issues in a timely manner with moderate supervision. Responsible for organizing and performing collection processes for assigned accounts. Identify, document, and submit all account adjustments as appropriate. Contact delinquent or high-risk customers in order to secure payment and determine reason for delinquency on inactive accounts. Manage patient correspondence. Verify patient eligibility as necessary. Process financial assistance applications as needed. Assist with overflow pricing calls as needed. Inform management of any trends or issues negatively impacting the patient experience. Comply with performance standards and departmental goals. Maintains HIPAA compliance. Uphold all SMIL policies and procedures. Other duties as deemed necessary. Patient Financial Services Representative Specific Job Knowledge, Skill, and Ability Moderate comprehension of insurance explanation of benefits. Moderate understanding of patient account collections. Creative problem-solving abilities and negotiation skills. Moderate knowledge of Microsoft Office applications. Ability to multi-task in fast paced environment with a high aptitude for learning. Must be able to communicate calmly, compassionately, and professionally with patients, patient representatives, and other outside contacts. The ability to work effectively with other employees and maintain a cooperative working relationship intra-departmentally and inter-departmentally. The demonstration of ethical and professional conduct, including the ability to maintain confidentiality (HIPAA). Among the many benefits of a career with Southwest Medical Imaging, are the following: Medical, Dental & Vision Coverage Potential for remote work after training Health Savings Accounts (HSA-available if enrolled in a high deductible plan) Flexible Spending Accounts (FSA) Dependent Care Reimbursement Accounts (DCRA) Employee Assistance Program (EAP available if enrolled in Health plan) 401(k) retirement plan Paid Time Off (PTO) Company Paid Basic Life & AD&D Insurance Voluntary Life Insurance Voluntary Short Disability Company Paid Long-Term Disability Pet Discount Program 6 paid Company Holidays Floating Holiday, Jury Duty & Bereavement Leave Tuition Reimbursement Competitive Salary Leadership Mentoring Opportunities Requirements Qualifications High School Education or General Education Degree (GED) required. Minimum 1 year of experience in a medical call center preferred. PHYSICAL REQUIREMENTS: While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel; reach with hands and arms and talk and hear. Specific vision abilities required by this job include close vision, color vision, ability to adjust focus. The employee is frequently required to sit and must be able to remain in a stationary position while performing the essential duties of this position. Inside general air-conditioned, nonhazardous environment only with light background noise.
    $24k-29k yearly est. 60d+ ago
  • PATIENT FINANCIAL SERVICES REPRESENTATIVE

    Southwest Medical Imaging 4.3company rating

    Scottsdale, AZ jobs

    Job DescriptionDescription: Job Title Patient Financial Services Representative Department Patient Financial Services Reports to Patient Financial Services Supervisor Status Full-Time Non-Exempt Patient Financial Services Representative Position Summary The Patient Account Representative is responsible for managing patient accounts, resolving customer inquiries, and ensuring timely collections with moderate supervision. Key duties include handling delinquent accounts, processing financial assistance applications, verifying insurance eligibility, and maintaining accurate documentation. The role requires effective communication, problem-solving, and multitasking skills in a fast-paced environment, while upholding HIPAA compliance and company policies. Patient Financial Services Representative Detailed Responsibilities Resolve customer inquiries and issues in a timely manner with moderate supervision. Responsible for organizing and performing collection processes for assigned accounts. Identify, document, and submit all account adjustments as appropriate. Contact delinquent or high-risk customers in order to secure payment and determine reason for delinquency on inactive accounts. Manage patient correspondence. Verify patient eligibility as necessary. Process financial assistance applications as needed. Assist with overflow pricing calls as needed. Inform management of any trends or issues negatively impacting the patient experience. Comply with performance standards and departmental goals. Maintains HIPAA compliance. Uphold all SMIL policies and procedures. Other duties as deemed necessary. Patient Financial Services Representative Specific Job Knowledge, Skill, and Ability Moderate comprehension of insurance explanation of benefits. Moderate understanding of patient account collections. Creative problem-solving abilities and negotiation skills. Moderate knowledge of Microsoft Office applications. Ability to multi-task in fast paced environment with a high aptitude for learning. Must be able to communicate calmly, compassionately, and professionally with patients, patient representatives, and other outside contacts. The ability to work effectively with other employees and maintain a cooperative working relationship intra-departmentally and inter-departmentally. The demonstration of ethical and professional conduct, including the ability to maintain confidentiality (HIPAA). Among the many benefits of a career with Southwest Medical Imaging, are the following: Medical, Dental & Vision Coverage Potential for remote work after training Health Savings Accounts (HSA-available if enrolled in a high deductible plan) Flexible Spending Accounts (FSA) Dependent Care Reimbursement Accounts (DCRA) Employee Assistance Program (EAP available if enrolled in Health plan) 401(k) retirement plan Paid Time Off (PTO) Company Paid Basic Life & AD&D Insurance Voluntary Life Insurance Voluntary Short Disability Company Paid Long-Term Disability Pet Discount Program 6 paid Company Holidays Floating Holiday, Jury Duty & Bereavement Leave Tuition Reimbursement Competitive Salary Leadership Mentoring Opportunities Requirements: Qualifications High School Education or General Education Degree (GED) required. Minimum 1 year of experience in a medical call center preferred. PHYSICAL REQUIREMENTS: While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel; reach with hands and arms and talk and hear. Specific vision abilities required by this job include close vision, color vision, ability to adjust focus. The employee is frequently required to sit and must be able to remain in a stationary position while performing the essential duties of this position. Inside general air-conditioned, nonhazardous environment only with light background noise.
    $24k-29k yearly est. 17d ago
  • Member Service Representative - Milwaukee Area (Hybrid)

    Dental Associates Ltd. 4.4company rating

    Milwaukee, WI jobs

    Job Description Details Schedule: 40 hours. Monday through Thursday 8:30am-5:30pm & Friday 9:00am-3:00pm 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 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 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 - ********************************
    $27k-31k yearly est. 27d ago
  • Member & Recipient Services Representative (Remote NC, Mon-Fri)

    Vaya Health 3.7company rating

    North Carolina jobs

    LOCATION: Remote - home based, virtual position. The person in this position must reside in North Carolina or within 40 miles of the NC border. . GENERAL STATEMENT OF JOB The primary purpose of the Member & Recipient Svcs Representative position is to assist individuals to access necessary and appropriate services dependent upon need and/or insurance plan. This job is subject to working holidays and holiday rotation as deemed necessary by the business. The Member & Recipient Svcs Representative duties include conducting telephonic screenings that include the collection of demographic information, providing choice among available providers, linking callers to appropriate services in a manner that is convenient for the individual, and linkage to a licensed clinician for urgent/emergent services if needed, regardless of the callers insurance plan. The Member and Recipient Svcs Representative is trained in various insurance plans managed by Vaya: Tailored Plan, Medicaid Direct, and State funded Services and what benefits fall within each plan for member or recipient utilization. The Member & Recipient Svcs Representative is trained to identify indicators that require clinical assistance and decision-making, and to work collaboratively with Member Services Clinicians who handle those clinical responsibilities. The Member & Recipient Svcs Representative will also handle a variety of customer services related calls including, but not limited to: confirming enrollment, accessing services, making referrals to address Social Determinates of Health needs, changing providers, providing general information and linkage to external and external programs as deemed appropriate. This position requires a high-level understanding of North Carolina's Medicaid system and the ability to use multiple technology systems concurrently while on a live phone call. Note: This position requires access to and use of confidential healthcare information or protected health information (PHI) as described in laws addressing patient confidentiality, including, but not limited to, the federal HIPAA law, the Confidentiality of Alcohol and Substance Abuse Patient Records law, 42 CFR Part 2, and various state laws. As such, the individual filling this position shall be required to be trained regarding such laws and shall be required to observe those laws in his/her capacity as an employee of Vaya Health. The individual filling this position shall also sign a confidentiality statement as an employee of Vaya Health. ESSENTIAL JOB FUNCTIONS Handle telephonic requests for services, respond to member and recipient calls, and provide requested information: The Member & Recipient Svcs Representative handles telephonic requests for services by linking Vaya members with contracted providers to conduct clinical assessments. For services requests, the Member & Recipient Svcs Representative will inquire about the caller's needs, review and confirm member and recipient eligibility, collect necessary demographic information, offer choice of available providers based upon the consumers request and service needs, and schedule appointments within established access time standards. The Member & Recipient Svcs Representative will inform a Member Services Manager and/or appropriate Provider Network Development staff of gaps and needs associated with trends that are detected within the services system for timely analysis and resolution. The Member & Recipient Svcs Representative will be alert to any indicators of risk for immediate referral to a Member and Recipient Services Clinician. For the other Member and Recipient Services calls, the Member & Recipient Svcs Representative will obtain information about the caller's questions or concerns and will provide resolution if possible at the time of the call or provide information about the process and expectations for the timeframe when resolution will occur. For information calls, this position will provide information about Vaya, the Vaya provider network, community resources, and about Medicaid services in the State of NC. Member & Recipient Svcs Representative shall receive extensive training on customer services skills such as the use of appropriate tone, cadence, inflection, and choice of recovery oriented and/or person-centered wording. To ensure high-quality customer service each caller will be offered the opportunity to complete a Customer Satisfaction Survey at the close of the call. All Member and Recipient Services Representatives must adhere to NCMT Call Grading Rubric provided by NCDHHS. This position requires a high degree of communication skills with various parties- members, recipients, providers, vendors, community organizations, and legal guardians. The Member and Recipient Svcs Representative will complete warm transfers and linkages to a variety of different parties to assist the caller with correct linkage. Documentation in the electronic information system: The Member & Recipient Svcs Representative completes call notes, forms, reports and other documentation as required. The Member and Recipient Services Representative will complete required documentation at the time of call. This position requires a high degree of technical skills with utilization of multiple systems/logins throughout a phone call. Specialized projects and reviews: The Member & Recipient Svcs Representative will assist in specialized Member Services Departmental projects as requested by the Member and Recipient Services Managers or Directors, and/or the Vice President of Member and Recipient Services. Other duties: Other duties as assigned. KNOWLEDGE, SKILLS, & ABILITIES A degree alone does not prepare an applicant for this position. Experience providing mental health, substance abuse services, or intellectual / developmental disabilities are essential. Thorough knowledge of social work principles, techniques, and practices, and their application to our current mental health system is necessary. This employee should have knowledge of individual and group dynamics, and will learn de-escalation of telephonic situations, and a thorough knowledge risk indicators. Considerable knowledge of governmental and private organizations and resources in the community is beneficial. Considerable knowledge of the laws, regulations', and policies that govern LME/MCO operations is beneficial. Skill in establishing rapport with staff/consumers in discussing their issues in a sensitive, supportive and nonjudgmental way is necessary. Ability to establish and maintain effective working relationships with community members and provider agency staff is necessary. Other skills or abilities required are as follows: Knowledge of behavioral health principles, techniques, and practices, and their application to complex treatment and services provision. Considerable knowledge of person-centered and recovery philosophies. Familiarity with mental health, developmental disability and substance abuse disorders. The ability to remain professionally responsive in an ethical and sensitive manner to individual's needs throughout the course of the work day/shift. The ability to work responsibly and effectively with others for a timely resolution of the caller's needs. The ability to interact professionally and effectively with persons who are upset and who disagree. Knowledge of the laws, regulations, and policies which govern human services and utilization management. The ability to express ideas clearly and concisely orally and in writing, and to plan and execute work effectively and efficiently. The ability to utilize complex telephone and computer systems, and to read and document information electronically. EDUCATION & EXPERIENCE REQUIREMENTS Bachelor's degree in a Human Services field and at least two (2) years of experience working with adults or children with serious psychiatric, chemical dependence or developmental disability in a community mental health center or similar setting OR Bachelor's degree in a field other than human services and at least four (4) years of experience working with adults or children with serious psychiatric, chemical dependence or developmental disability in a community mental health center or similar setting. The Member Services Representative must be qualified as a Qualified Professional according to 10A NCAC 27G .0104 . PHYSICAL REQUIREMENTS Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading. Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers. Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time. RESIDENCY REQUIREMENT: The person in this position is required to reside in North Carolina or within 40 miles of the North Carolina border. SALARY: Depending on qualifications & experience of candidate. This position is non-exempt and is eligible for overtime compensation. DEADLINE FOR APPLICATION: Open Until Filled APPLY: Vaya Health accepts online applications in our Career Center, please visit ****************************************** Vaya Health is an equal opportunity employer.
    $21k-26k yearly est. Auto-Apply 60d+ ago
  • Patient Financial Services Specialist (.8 FTE)

    Lindner Center of Hope 4.5company rating

    Mason, OH jobs

    Patient Financial Services Specialist FTE: .8 (32 hours) Req: 1664 About Us: The Lindner Center of Hope is a nonprofit, comprehensive mental health center and global leader offering state-of-the-science diagnosis and treatment of the most pervasive mental illnesses of our time. One of the first centers designed as a fully integrated system of care to address deficiencies in mental health care as identified by the Institute of Medicine. Innovative residential assessment, inpatient and outpatient programs in partnership with UC Health serving more than 54,660 patients from around the world. A leader in research and collaborations that are advancing the field and positioning Cincinnati as a national leader in mental health care. We embrace the many talents, skills, and experiences our employees bring to Lindner Center of Hope. Everyone is encouraged to use their unique gifts to express ideas, make meaningful contributions to our programs and genuine connections with patients and family, as well as strengthen donor, referrer and community relations. At Lindner Center of Hope, you'll have the opportunity for a consistently rewarding career, working for an organization that shares your desire and ability to make a demonstrable difference in the lives of people living with mental illness. Position Summary: The Financial Counselor serves as the primary contact for patients and families regarding financial assistance, insurance coverage, authorizations and preservice payment. Major Duties and Responsibilities: This position is responsible for conducting financial interviews with inpatients, residential patients, and any outpatients. The Financial Counselor works with health insurance providers to determine coverage and benefit levels and provides information regarding hospital payment options and financial assistance programs. Completes necessary forms in accordance with hospital policies. Meets with patients admitted during the business day to complete the formal admission into the EMR system by collecting and verifying patient demographic and insurance information. Will also take the patient's picture and save the image in the EMR system to be used on the patient face sheet and wristband as dictated by department protocol. Obtains the appropriate signatures on consents and assignment of benefits. Scans insurance cards, picture ID, and other appropriate documents into the document imaging system. If patient presents with new insurance, assists with insurance eligibility and benefits verification electronically. Contacts the patient or responsible party by phone to complete pre-registration and obtain or verify all demographic and insurance information making updates or corrections in the patient account system as appropriate. Screens for medical necessity and completes the Medicare Secondary Payer Questionnaire for all Medicare patients during the pre-registration process. Calls applicable insurance companies to obtain facility and professional mental health, substance abuse and eating disorder benefits. Accurately documents insurance benefits and patient's financial liability in the appropriate fields of the patient account system. Alerts team members to any insurance coverage issues immediately. Follows up with patient/patient representative until resolved. When loading benefits, performs audit of accounts to ensure all of the required demographic, insurance, financial forms, and contracts are obtained and documented in the electronic medical record. Communicates applicable deductible, co-pay, or coinsurance to patient during pre-registration or upon check-in. Collects co-pay, deductible or other out-of-pocket liability including residential self-payments. Accurately posts the payment to the patient account system and receipts the patient Sets payment arrangements as appropriate. Refers the patient to the financial counselor as need arises. Prepare patient cost estimates. Review the process for filing insurance claims for inpatient, residential, PHP, ECT, TMS, IOP, and Outpatient as needed. Assess the patient's need for financial assistance during the admission process or at a time prior to the patient's discharge. Determines patient eligibility for Charity care for inpatient/outpatient levels of care. Completes reviews of the charity application in accordance with the LCOH charity care policies. Obtains the final approval of the application from the Registration Manager prior to notification to the patient or family. Determines when renewal of charity applications need completed. Sends letter to patient notifying them of eligibility for charity care and charity amount. Provides education / counseling to self-pay patients regarding available government coverage options. Monitor financial counseling workqueues in EPIC for currency. Serve as the initial contact for determining out of network benefits and obtaining information for potential single case agreements or reimbursement. Work with Intake staff and other clinical teams on initial referrals to inpatient or other LCOH programs to confirm coverage levels prior to admission Work with the CFAO to determine feasibility of single case agreements Meets with the Utilization Review team routinely to discuss admissions that are a financial risk to the center. Coordinates with Intake and OPP staff to obtain appropriate authorizations, as evidenced by lack of denials for no authorization. Accurately enters authorization number(s), and authorized dates and services in the appropriate field of the patient account system. Communicates any applicable deductible, co-pay, or coinsurance to patient prior to their visit, making arrangements for payment as appropriate. Works closely with clinical team and insurance companies to get treatment plans completed and to obtain the clinical information needed for insurance authorizations for ECT, TMS and Outpatient services. Tracks services received and follow-up with the insurance company to obtain additional authorization as needed. In connection with the registration manager, work with Intake/ARC, outpatient registration, residential admissions and utilization review departments to ensure benefit verifications authorizations, helping hands applications, probono, financial assistance applications and other insurance related questions both internally and externally are addressed timely. Completes a note in the system on all discussions, events and outcomes regarding patient accounts. Responds to all inquiries regarding patient accounts, financial assistance policy and network status. Maintains a working knowledge of the various LCOH and LCOHPA service lines. Stays abreast of third-party payer requirements. Attends seminars and courses on relevant topics as directed by management. This position works closely with Intake outpatient, Central Registration, Medical Records, Social Services, Utilization Review and Billing on a daily basis. Maintains effective communication and cooperative working relationships with other departments, staff, medical staff, patients, and visitors. Patient communication is conducted in a manner that will result in positive patient relations and prompt payment for Lindner Center of HOPE. Demonstrates poise and compassion when handling patient financial situations and consider all possibilities to provide the patient with the most appropriate options for their situation. Completes productivity requirements timely and accurately Assists the ECT, TMS, Financial Counselor and Welcome Center Registration Specialists with registration duties during busy times. Performs all other duties as assigned. Position Qualifications: High school diploma required; Associates degree preferred. Minimum of 3 years' experience in healthcare required. Experience working in mental health setting preferred. Must have experience conducting face to face interviews with Collections and/or Medical Billing experience. Must have a working knowledge of third-party payer contract terms and the ability to calculate patient liabilities. Excellent communication, customer service and math skills along with a high degree of confidentiality are required. Must have strong computer skills including Excel and Word. Analytical and decision-making skills with a strong attention to detail required Ability to enthusiastically follow and model the Lindner Center of HOPE mission, vision and values. Physical Requirements: The physical demands of this position are consistent with those performed in a normal office environment, including occasional lifting, carrying, pushing or pulling, and sufficient manual dexterity to operate standard office equipment and ability to use to use a computer. Must be able to easily move throughout the building. Perks and Benefits At LCOH, we are dedicated to fostering a supportive and caring environment. As part of our team, you'll have access to: Affordable medical, dental, and vision plans for both full-time and part-time employees Flexible spending and health savings accounts Generous paid time off that starts accruing on day one Opportunities for tuition reimbursement and continuous education An employer-matching 401(k) retirement plan to help you plan for the future Complimentary gym membership Employer-provided short and long-term disability coverage, life insurance and an Employee Assistance Program A community of mission-driven individuals passionate about making a difference All candidates extended conditional offer of employment will be subject to a WebCheck (BCI & FBI Fingerprinting). Fingerprints will be submitted to the Bureau of Criminal Investigation (BCI) and the Federal Bureau of Investigation (FBI). The reports from these agencies will include criminal record information. Lindner Center of Hope will follow the requirements for employment based on the State of Ohio Administrative Code 5122-30-31, and any other regulatory requirements regarding criminal background checks. Lindner Center of HOPE also reserves the right to obtain Consumer Reports and/or Investigative Consumer Reports as defined in the Federal Fair Credit Reporting ACT (FCRA). Lindner Center of Hope is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
    $24k-36k yearly est. 43d ago

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