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Billing Representative jobs at NYU Lutheran Medical Center

- 41 jobs
  • Billing Representative II (Authorizations) - Boynton Beach, Florida

    NYU Langone Medical Center 3.9company rating

    Billing representative job at NYU Lutheran Medical Center

    We have an exciting opportunity to join our team as a Billing Representative II. Under general direction submits claims. Follows-up on unpaid balances (insurance or patient), corrects errors, enters claim information, submits authorization/precertification requests with insurance companies, follows up on denied claims and/or authorizations, and submits appeals as necessary as a part of the revenue cycle team. Job Responsibilities: * Cross cover other areas in the office as assigned by management including Accounts Receivable/Denials, Customer Service or Authorizations. * Perform billing tasks assigned by management which may include data entry, claim review, charge review, accounts receivable follow-up, or other related responsibilities. * Provide input on system edits, processes, policies, and billing procedures to ensure maximization of revenues. * Perform daily tasks in assigned work queues and according to manager assignments. * Identify payer, provider credentialing, and/or coding issues and address them with management. * Follow workflows provided in training classes and request additional training as needed. * Utilize CBO Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims and/or for authorizing procedures in assigned workqueue(s) using payer websites, billing system information and training within expected timeframe. * Review reports to identify revenue opportunities and unpaid claims. * Adhere to general practices and FGP guidelines on compliance issues and patient confidentiality. * Communicate with providers, patients, coders, or other responsible persons to ensure that claims are correctly processed by third party payers. * Work following operational policies and procedures, and regulatory requirements. * Participate in workgroups and meetings. Attend all required training classes. Escalate issues to management as needed. Maintain confidentiality. Read and apply policies and procedures to make appropriate decisions. Coordinate functions and work cooperatively with others. Explain processes and procedures to others; performs other related duties as assigned. * Responsible for assisting the professional billing staff within the CBO with difficult and escalated issues. * Assist department supervisor on special projects and staff training. * Appeal complex denials through review of payer policies, coding, contracts, and medical records. Utilize subject matter experts as needed. * Make appropriate corrections to system to satisfy/edit payer requirements and re-submit claims as needed. Patient Experience & Access * Serves as NYU Langone Health Faculty Group Practice Brand Ambassador by upholding the NYULH Mission, vision and values and promoting excellence in the patient experience, during every encounter. * Drives consistency in every patient and colleague encounter by embodying the core principles of our FGP Service Strategy CARES (Connect, Align, Respond, Ensure, and Sign-Off) * Greets patients warmly and professionally, stating name and role, and clearly communicates each step of the care/interaction as appropriate * Works collaboratively with colleagues and site management to ensure a positive experience and timely resolution for all patient interactions and inquiries whether in person, by phone or via electronic messaging. * Proactively anticipates patient needs, and participates in service recovery by applying the LEARN model (Listen, Empathize, Apologize, Resolve, Notify), and escalates to leadership as appropriate. * Shares ideas or any observed areas of opportunity, to improve patient experience and patient access, with appropriate leadership. (i.e. ways to optimize provider schedules, how to minimize delays, increase employee engagement, etc.) * Partners with Patient Access Center and Central Billing Office team members to support collaboration and promote a positive patient experience. * Takes a proactive approach in ensuring that practice staff are fully versed in the Access Agreement gold standard principles. Minimum Qualifications: To qualify you must have a High School Diploma or GED. Experience in medical billing, accounts receivable, insurance, or related duties; Knowledge of CPT and ICD10; medical billing software; English usage, grammar and spelling; basic math; 2 years' experience in a similar role. Preferred light, accurate keyboarding skills required. Candidates must receive a score of 35 words per minute (wpm) or greater on the typing assessment that will be administered prior to onboarding. Qualified candidates must be able to effectively communicate with all levels of the organization. NYU Langone Florida provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family. NYU Langone Florida is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online. View Know Your Rights: Workplace discrimination is illegal."
    $28k-36k yearly est. 59d ago
  • EMC Biller - Tarrytown

    ENT and Allergy Associates 4.5company rating

    Tarrytown, NY jobs

    ENT and Allergy Associates, LLP and Hümi is seeking a self-motivated, people-friendly full time EMC Biller for our Corporate office located in Tarrytown NY. Review, correct, and bill encounters for submission to the clearinghouse, ensuring compliance with timely filing deadlines using RCx Rules, Waystar, and the NextGen reporting system Hourly: 22.00/ph Essential responsibilities Include but are not limited to the following: RCx Rules, Waystar and/or the NextGen systems are used to review all encounters that need updating and corrections entered with accurate information Run edits against all charges from previous day Run pre-bill reports and verify charges entered for billing/coding specifics Verify doctor participation for all insurances and active location billing Address errors and questions to the office via email and NextGen tasking system After automated billing and EDI file creation by NextGen address any claim production status errors and task situations Submit all EDI files to clearinghouse, Waystar Primary, Secondary, Sleep Study, Hearing Aid, any additional files Secondary claim files updated with primary EOB information through NG Secondary Portal and Waystar EDI files are reviewed daily by 9 m. Verify EDI files have been received for processing at clearinghouse Work rejections immediately upon receipt as received through clearinghouse Updating Provider Master File in file maintenance with all referring physician requests from offices within 48 hour period Billing corrects Data Integrity Non-History reports Create clean claims, void and correct charges manually as per requested internally from collections Work tasks sent to us by all offices within Nextgen system Personal Attributes Ability to focus and work efficiently Excellent attention to detail Ability to organize and prioritize work and manage multiple priorities Qualifications Experience with medical billing systems Familiarity with Insurance and Billing Procedures Familiarity with Electronic Data Interchange (EDI) Other Duties Please note this job description is not designed to cover or contain a completely comprehensive listing of activities, duties, or responsibilities that are required for this position. Duties, responsibilities, and activities may change at any time, with or without notice. The ENT & Allergy Associates Network: ENT & Allergy Associates (ENTA) is the largest ENT, Allergy, and Audiology practice in the country, with over 475 clinicians who practice in over 80 clinical locations throughout New York, New Jersey, Pennsylvania, and Texas. Each ENTA clinical office is comprised of world-class physicians who are specialists and sub-specialists in their respective fields, providing the highest level of expertise and care. With a wide range of services including Adult and Pediatric ENT and Allergy, Voice and Swallowing, Advanced Sinus and Skull Base Surgery, Facial Plastics and Reconstructive Surgery, Treatment of Disorders of the Inner Ear and Dizziness, Asthma-related services, Diagnostic Audiology, Hearing Aid Dispensing, Sleep and CT Services, ENTA Is able to meet the needs of patients of all ages. ENTA is also affiliated with some of the most prestigious medical institutions in the world. Each year ENTA physicians are voted ‘Top Doctor' by Castle Connolly, a true testament to the exceptional care and service they provide to their patients. HÜMI: Backed by over 25 years of experience, Hümi (formerly Quality Medical Management Services USA, LLC, or QMMS USA) specializes in healthcare management and consultancy across practice operations and management, technology, revenue cycle, compliance, HR management, and business applications. With a seasoned team and a commitment to excellence, Hümi delivers cutting-edge healthcare business management solutions. By implementing best practices at every step, Hümi ensures measurable success for its clients. At its core, Hümi represents the human side of healthcare, where operational excellence meets a people-first philosophy. ENT and Allergy Associates is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
    $38k-48k yearly est. Auto-Apply 33d ago
  • Medical Insurance Collector - Tarrytown

    ENT and Allergy Associates LLP 4.5company rating

    Tarrytown, NY jobs

    ENT and Allergy Associates, LLP and Hümi is seeking a self-motivated, people-friendly full time Medical Insurance Collector for our Corporate office location located in Tarrytown, NY. Hourly: $27/hr Job Requirements/Responsibilities Follow-up on patient accounts to assure claims for patient charges submitted to insurance companies are paid in a timely fashion. Processing appeals Analyze and research denials Knowledge of CPT and ICD10 coding requirements Process Refunds Payment posting experience a plus Knowledge of NextGen a plus Previous experience in a medical industry is required Understanding of EOB's, & refunds Knowledge of medical terminology Must have the ability to maintain confidential information Must have the ability to multitask and take initiative Must have the ability to act in a professional manner and diffuse any negative situations CPC is a plus We offer a competitive salary with a comprehensive benefits package including: Medical/Dental/Vision insurance, Company paid long term disability, Flexible spending account, Company paid life insurance, Voluntary life insurance, 401k, Pet insurance. The ENT & Allergy Associates Network: ENT & Allergy Associates (ENTA) is the largest ENT, Allergy, and Audiology practice in the country, with over 475 clinicians who practice in over 80 clinical locations throughout New York, New Jersey, Pennsylvania, and Texas. Each ENTA clinical office is comprised of world-class physicians who are specialists and sub-specialists in their respective fields, providing the highest level of expertise and care. With a wide range of services including Adult and Pediatric ENT and Allergy, Voice and Swallowing, Advanced Sinus and Skull Base Surgery, Facial Plastics and Reconstructive Surgery, Treatment of Disorders of the Inner Ear and Dizziness, Asthma-related services, Diagnostic Audiology, Hearing Aid Dispensing, Sleep and CT Services, ENTA Is able to meet the needs of patients of all ages. ENTA is also affiliated with some of the most prestigious medical institutions in the world. Each year ENTA physicians are voted ‘Top Doctor' by Castle Connolly, a true testament to the exceptional care and service they provide to their patients. HÜMI: Backed by over 25 years of experience, Hümi (formerly Quality Medical Management Services USA, LLC, or QMMS USA) specializes in healthcare management and consultancy across practice operations and management, technology, revenue cycle, compliance, HR management, and business applications. With a seasoned team and a commitment to excellence, Hümi delivers cutting-edge healthcare business management solutions. By implementing best practices at every step, Hümi ensures measurable success for its clients. At its core, Hümi represents the human side of healthcare, where operational excellence meets a people-first philosophy. ENT and Allergy Associates is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
    $27 hourly Auto-Apply 35d ago
  • Patient Service Representative

    Neighborhood Health Center 3.9company rating

    Buffalo, NY jobs

    If you believe healthcare is a right, that everyone deserves high quality care so they can enjoy their highest level of health and wellbeing, and you value each person's individual story - consider joining us at Neighborhood! As a patient service representative, you'll be the first person patients see when they arrive at Neighborhood, and you'll help set the tone for a positive patient visit. About the Role: As a patient service representative, kindness and fairness are key as you use your customer service skills in patient interactions. You'll collaborate with other team members to help ensure a smooth flow for the day. Responsibilities include: * Welcomes patients * Verifies patient information and makes corrects in the computer system * Confirms appointment times, locations, and providers during check-in * Communicates delays to the front desk lead * Assists in ensuring appointments are confirmed * Assists in open and closing procedures * Prints daily appointment schedules and front desk reports * Verifies insurance through epaces, heathenet, healthplex * Inputs insurance information including active/expired dates * Sends appropriate patient messages * Assists patients in filling out forms * Collects co-payments including sliding scale nominal fee * Adheres to cash handling policy You will be primarily based at our Riverway location 1569 Niagara St., and will also travel to other Neighborhood sites as needed. What it's Like to Work at Neighborhood: The top three words employees say describe the work environment are: teamwork, supportive, kind. These are from an anonymous survey of Neighborhood employees for the Buffalo Business First Best Places to Work competition. Neighborhood has earned "finalist" distinction in the competition the last four years. We are a group of flexible and kind individuals who are open to each other's ideas, and see opportunities to innovate and find solutions when challenges arise. Education and Skills to be a PSR: * High school diploma or equivalent * Able to read, write and speak the English language. A second language of Spanish is preferred * Able to learn new software and computer systems * Strong attention to detail and customer service skills * Kindness: you treat each person with respect and compassion, valuing each person's story * Resiliency: you see opportunities to innovate and find solutions when challenges arise * Teamwork: you are open to others' unique perspectives, and will collaborate to meet shared goals * Medical office experience or medical terminology knowledge preferred but not required * EHR knowledge preferred but not required Must be available to work any shift Monday-Friday between 7:45 a.m. and 8:00 p.m. What We Offer: Compensation: Starting rate $18.50 per hour. Benefits: You'll have options for medical, dental, life, and supplemental insurance. We also offer a 403b match, health savings accounts with employer contribution, wellbeing programs, continuing education opportunities, generous paid time off, holidays. About Neighborhood: Neighborhood Health Center is the largest and longest serving Federally Qualified Health Center in Western New York, and is the highest ranked health center for quality in the region. We provide primary and integrated healthcare services all under one roof, regardless of a person's ability to pay. Services include internal/family medicine, pediatrics, OB-GYN, dentistry, podiatry, psychiatry, vision care, nutrition and behavioral health counseling, and pharmacy services. We're working toward a Western New York where all enjoy their highest level of health and wellbeing. Neighborhood Health Center is an equal opportunity employer.
    $18.5 hourly 33d ago
  • Patient Service Representative

    Neighborhood Health Center 3.9company rating

    Buffalo, NY jobs

    If you believe healthcare is a right, that everyone deserves high quality care so they can enjoy their highest level of health and wellbeing, and you value each person's individual story - consider joining us at Neighborhood! As a patient service representative, you'll be the first person patients see when they arrive at Neighborhood, and you'll help set the tone for a positive patient visit. About the Role: As a patient service representative, kindness and fairness are key as you use your customer service skills in patient interactions. You'll collaborate with other team members to help ensure a smooth flow for the day. Responsibilities include: Welcomes patients Verifies patient information and makes corrects in the computer system Confirms appointment times, locations, and providers during check-in Communicates delays to the front desk lead Assists in ensuring appointments are confirmed Assists in open and closing procedures Prints daily appointment schedules and front desk reports Verifies insurance through epaces, heathenet, healthplex Inputs insurance information including active/expired dates Sends appropriate patient messages Assists patients in filling out forms Collects co-payments including sliding scale nominal fee Adheres to cash handling policy You will be primarily based at our Riverway location 1569 Niagara St., and will also travel to other Neighborhood sites as needed. What it's Like to Work at Neighborhood: The top three words employees say describe the work environment are: teamwork, supportive, kind. These are from an anonymous survey of Neighborhood employees for the Buffalo Business First Best Places to Work competition. Neighborhood has earned “finalist” distinction in the competition the last four years. We are a group of flexible and kind individuals who are open to each other's ideas, and see opportunities to innovate and find solutions when challenges arise. Education and Skills to be a PSR: High school diploma or equivalent Able to read, write and speak the English language. A second language of Spanish is preferred Able to learn new software and computer systems Strong attention to detail and customer service skills Kindness: you treat each person with respect and compassion, valuing each person's story Resiliency: you see opportunities to innovate and find solutions when challenges arise Teamwork: you are open to others' unique perspectives, and will collaborate to meet shared goals Medical office experience or medical terminology knowledge preferred but not required EHR knowledge preferred but not required Must be available to work any shift Monday-Friday between 7:45 a.m. and 8:00 p.m. What We Offer: Compensation: Starting rate $18.50 per hour. Benefits: You'll have options for medical, dental, life, and supplemental insurance. We also offer a 403b match, health savings accounts with employer contribution, wellbeing programs, continuing education opportunities, generous paid time off, holidays. About Neighborhood: Neighborhood Health Center is the largest and longest serving Federally Qualified Health Center in Western New York, and is the highest ranked health center for quality in the region. We provide primary and integrated healthcare services all under one roof, regardless of a person's ability to pay. Services include internal/family medicine, pediatrics, OB-GYN, dentistry, podiatry, psychiatry, vision care, nutrition and behavioral health counseling, and pharmacy services. We're working toward a Western New York where all enjoy their highest level of health and wellbeing. Neighborhood Health Center is an equal opportunity employer.
    $18.5 hourly 60d+ ago
  • Customer Service Representative - Contacts and IOLs

    BVI 3.5company rating

    Sarasota, FL jobs

    Job Requisition Name Customer Service Representative - Contacts and IOLs Job Requisition No VN8189 USA - Sarasota Worker Basis Full Time Worker Type Employee Applications Close Date Dec 31, 2025 Purpose As a Customer Service Representative - Contacts and IOLs, you will provide support for both custom soft contact lenses (optometry) and premium intraocular lenses (IOLs, ophthalmology). You will manage orders, assist customers, and contribute to the growth and integration of the service team in Sarasota. This role offers comprehensive training in both product lines, career development opportunities across multiple functions, and compensation of $21.50-$24.00 per hour (depending on experience), plus bonus and benefits. * Process and manage orders for custom soft contact lenses and premium IOLs, ensuring accuracy and timely fulfillment * Collaborate with manufacturing, sales, and leadership teams to support engineer-to-order lens production and product launch activities * Assist customers, optometrists, and eye care professionals with product selection, inquiries, and troubleshooting * Maintain accurate records in ERP and CRM systems and track customer interactions and feedback * Participate in specialized training for premium IOLs and contribute to onboarding programs for customers and internal teams * Support the evolution of the service team, integrating optometry and ophthalmology into a unified customer service model * Gain multi-product expertise and opportunities for career growth through cross-training and team development initiatives * 2+ years of customer service experience, preferably in medical devices, optometry, or healthcare * Experience with ERP/CRM systems (e.g., SAP, Salesforce, Oracle) * Ability to quickly learn complex product specifications and translate them into customer-friendly guidance * Comfortable working with technical product data * Availability for a hybrid role (initial on-site training, key meetings/events, and 2 days per week in office) * Professional and customer-focused approach to problem resolution * Prior experience in optometry, contact lenses, or surgical devices is a plus BVI is refocusing the future of vision. As one of the fastest-growing, diversified surgical ophthalmic businesses in the world, our purpose-built portfolio of trusted brands includes: Beaver (Knives and Blades), Visitec (Cannulas), Malosa (Single-Use Instruments), Vitreq (Vitreoretinal Surgical Products) and PhysIOL (Premium IOLs), and spans more than 90 countries. We've set our sights on touching the lives of millions of patients affected by conditions such as cataracts, refractive error, glaucoma, retinal disease, and dry eye. Unburdened by legacy or bureaucracy, we have developed our strategy around a simple concept - taking pride in delivering innovative solutions for our physicians and patients, based on their needs. We trust and empower our associates to make decisions and solve problems because collaboration drives us. Valuing agility, simplicity, and transparency, we stay committed to listening to our customers, delivering for our patients, and keeping the future in focus. Learn more at ******************
    $21.5-24 hourly 60d+ ago
  • Patient Payment Poster - Tarrytown

    ENT and Allergy Associates LLP 4.5company rating

    Tarrytown, NY jobs

    ENT and Allergy Associates, and Hümi is seeking a self-motivated, people-friendly full time Patient Payment Poster for our Tarrytown Corporate office. Hourly: $20.50/hr Role Expectations: Adheres to standards of professionalism set by the Practice; demonstrates professionalism in behavior, dress, attendance, punctuality and courtesy towards patients and staff Respects confidentiality and is HIPAA compliant in all aspects of communication regarding patient, Practice and staff members Functions as a member of a team and promotes a positive work attitude fostering teamwork and acceptance of management decisions Demonstrates good judgment in escalating difficult situations to Management Complete understanding of NextGen Supports management's goal of utilizing the electronic features of our computer system, as opposed to paper Participates actively in department meetings Follow work standards established for the team Essential Knowledge & Responsibilities for 'Payment Poster': Ensure all monies are posted accurately in NextGen utilizing proper 'Reason Codes' Post unapplied money to charges Knowledge of adjudication of insurance EOBs and patient responsibility Post payments received from lockbox, insurance payments as well as payment journals Complete batch logs and assist the Cash Control department with reconciliation of batches posted Review daily cash reports to ensure all assigned payments are posted properly Ensure batches are balanced and set to post utilizing the background business processor (BBP) Remain HIPAA compliant by scanning journals when needed then shredding copies of checks and credit cards daily Moving patient credits as requested by the front office Cross train and support team to ensure coverage Comply with all policies and procedures as well as make suggestions for improvement in processes Requirements Must have experience with patient payment posting. Must have experience with Phreesia We offer a competitive salary with a comprehensive benefits package including Medical/Dental/Vision insurance, Company paid long term disability, Flexible spending account, Company paid life insurance, Voluntary life insurance, 401k, Pet insurance. The ENT & Allergy Associates Network: ENT & Allergy Associates (ENTA) is the largest ENT, Allergy, and Audiology practice in the country, with over 475 clinicians who practice in over 80 clinical locations throughout New York, New Jersey, Pennsylvania, and Texas. Each ENTA clinical office is comprised of world-class physicians who are specialists and sub-specialists in their respective fields, providing the highest level of expertise and care. With a wide range of services including Adult and Pediatric ENT and Allergy, Voice and Swallowing, Advanced Sinus and Skull Base Surgery, Facial Plastics and Reconstructive Surgery, Treatment of Disorders of the Inner Ear and Dizziness, Asthma-related services, Diagnostic Audiology, Hearing Aid Dispensing, Sleep and CT Services, ENTA Is able to meet the needs of patients of all ages. ENTA is also affiliated with some of the most prestigious medical institutions in the world. Each year ENTA physicians are voted ‘Top Doctor' by Castle Connolly, a true testament to the exceptional care and service they provide to their patients. HÜMI: Backed by over 25 years of experience, Hümi (formerly Quality Medical Management Services USA, LLC, or QMMS USA) specializes in healthcare management and consultancy across practice operations and management, technology, revenue cycle, compliance, HR management, and business applications. With a seasoned team and a commitment to excellence, Hümi delivers cutting-edge healthcare business management solutions. By implementing best practices at every step, Hümi ensures measurable success for its clients. At its core, Hümi represents the human side of healthcare, where operational excellence meets a people-first philosophy. ENT and Allergy Associates is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
    $20.5 hourly Auto-Apply 27d ago
  • Patient Support Services Senior Representative

    Knipper 4.5company rating

    Lakeland, FL jobs

    YOUR PASSION, ACTIONS & FOCUS is our Strength Become one of our Contributors Join the KnipperHEALTH Team! This is a critical position requiring excellent customer interaction skills. Individual is expected to enhance patient satisfaction with Eagle Pharmacy programs by responding to incoming phone calls and placing outgoing call to patients and physicians as assigned while providing support for our Patient Support Services Representatives. Problem solving skills are essential Responsibilities KEY RESPONSIBILITIES: Answer inbound phone calls in a prompt, courteous and professional manner ensuring compliance with state and federal regulations Assists staff with their questions and problems Able to clearly identify problem, analyze situation and rectify patient's concerns using established procedures Handle difficult people and problems by resolving matters in an effective and timely manner Provide floor support Monitoring queues to ensure timely completion Assist with one-on-one training with new representatives as needed Complete History Reports Qualifications MINIMUM JOB REQUIREMENTS: This position requires a high school diploma or equivalent. Having post high school or specialized training is a plus. Candidates should have six months of call center experience and six months of administrative duties experience. Candidates with pharmacy or medical experience are desired. Candidates must be proficient with Microsoft Word, Excel and Outlook. KNOWLEDGE, SKILLS & ABILITIES: Positive attitude with excellent customer service mindset, working in a way that demonstrates a commitment to incredible service Ability to handle multiple activities or interruptions at once Ability to perform repetitious work accurately Focused team player, who can work in conjunction with pharmacists, pharmacy technicians, other departments, customers, and management Work independently with little supervision and meet daily deadlines Able to work under pressure; ability to multi-task; strong attention to detail Creative problem solver and effective at conflict resolution Computer proficiency to navigate required databases and operate in required software packages Excellent communication skills, both written and oral Strong interpersonal skills Interested in working with people with a strong desire to resolve problems Ability to work flexible hours as needed Ability to sit at computer using phone and headset for length of shift with breaks and lunch away from desk assigned per length of given shift PHYSICAL REQUIREMENTS: This position is in a typical office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Knipper and Eagle Pharmacy are equal opportunity employers. #LLKEP
    $28k-34k yearly est. Auto-Apply 2d ago
  • Collection Specialist - Infusion Pharmacy / Remote

    Res-Care, Inc. 4.0company rating

    Englewood, CO jobs

    Our Company Amerita Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for a Collection Specialist to join our Revenue Cycle Management (RCM) team as we grow to be one of the top home infusion providers in the country. The Collection Specialist will report to the Collection Manager and work in our Centennial, CO office. Amerita is an entrepreneurial-founded company and a wholly owned subsidiary of PharMerica. The home infusion market is positioned for rapid growth driven by the aging population, increase in chronic diseases, robust pipeline of infusible drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such as Amerita. As a core member of the Collection team, you will be responsible for a broad range of collection processes related to medical account receivable in support of a single or multiple site locations. We will help you achieve your goals through continuous professional development and regular career progression discussions. We Offer: * Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts• Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance• 401(k) Retirement Plan with Employer Match• Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability• Employee Discounts• Tuition Reimbursement• Paid Time Off & Holidays Responsibilities As a Collection Specialist, you will... * Ensure daily accomplishments work towards company goals for cash collections and Account Receivable over 90 days. * Understand and adhere to state and federal regulations and company policies regarding compliance, integrity, patient privacy and ethical billing and collection practices. * Research outstanding balances and take necessary collection action to resolve in a timely manner; recommend necessary demographic changes to patient accounts to ensure future collections. * Research assigned correspondence; take necessary action to resolve requested information in a timely manner; establish appropriate follow up. * Resubmit accurate and timely claims in formats including, but not limited to, CMS-1500 and electronic 837. * Utilize the mose efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions. * Negotiate payment plans with patients in accordance with company collection policies. * Identify patterns of short-payment or non-payment and bring them to the attention of appropriate supervisory personnel. * Review insurance remittance advices for accuracy. Identify billing errors, short-payments, overpayments and unpaid claims and resolve accordingly, communicating any needed system changes. * Review residual account balances after payments are applied and generate necessary adjustments (within eligible guidelines), overpayment notifications, refund requests and secondary billing. * Interact with third party collection agencies. * Communicate consistently and professionally with other Amerita employees. * Work within specified deadlines and stressful situations. * Work overtime when necessary to meet department goals and objectives. Qualifications * High School Diploma/GED or equivalent required; some college a plus * A minimum of one (1) year of experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus * Working knowledge of automated billing systems; experience with CPR+ preferred * Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding * Solid Microsoft Office skills required, including Word, Excel and Outlook * Ability to type 40 wpm and proficiency with 10-key calculator * Ability to independently obtain and interpret information * Strong verbal and written communication skills About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit ****************** Follow us on Facebook, LinkedIn, and X. Salary Range USD $20.00 - $22.00 / Hour
    $20-22 hourly Auto-Apply 1d ago
  • Sales and CSR

    Florida Capital 4.2company rating

    Orlando, FL jobs

    Sales - Customer Service Sales Background Wanted Forget what you think you know about face to face sales - this is no boring desk job. Our career opportunities are exciting, energetic and full of growth. Whether entry level or mid-career, we offer award winning training and a career with long term growth opportunities to earn above average income, and to grow in your own personal career path. No previous sales experience necessary. Our entry level representatives come from diverse professional backgrounds, many of whom do not have sales, retail, or management experience. We are looking for entrepreneur minded people looking to get started immediately. How we support your career: Pay Scale: We guarantee a weekly w2 base pay plus bonuses each week to give you a comfy cushion for your take home pay Take advantage of our award-winning training and mentorship programs. We offer programs for entry level representatives and those new to sales, for those looking to move into management, leadership programs that focus on emerging leaders and women's leadership Access our proven client acquisition technologies, leads, and other tools to help you become successful. You won't be alone, our branch and team structure offer support and camaraderie throughout your career. Your Day to Day No two days are the same, but typical activities may include: Marketing yourself: use company-sponsored leads, systems, and social media to identify and develop new avenues of business and sales opportunities. Devising solutions to help customers: Our reps are extremely hands on with ALL customers. You will meet with them, follow up with phone calls and text messages if needed. Company Information: Each day you'll handle invoices as well as scheduling for our installation team. Ongoing Learning: We offer daily training meetings and impact sessions in our training room in our office. Our impact sessions may be 1 on 1 or in group style, we change the learning style each day to speak to every type of learner. Take control of your career and positively impact the lives of others in your community. Apply now, our recruiters contact most qualified candidates within just a few days.
    $23k-32k yearly est. Auto-Apply 60d+ ago
  • Medicaid Waiver Specialist

    Area Agency On Aging of Pasco-Pinellas Inc. 3.9company rating

    Saint Petersburg, FL jobs

    Job Description The ADRC serves elders aged 65 or older, adults aged 18-64 with a disability, and their caregivers. Staff support informed decision making, provide Medicaid eligibility assistance for the Statewide Medicaid Managed Care Long-term Care Program (SMMCLTCP), and provide the following duties and responsibilities through customer service that is streamlined, efficient, and consumer-friendly. Duties and Responsibilities: Medicaid Outreach and LTCPE, including: Counsel individuals on the Statewide Medicaid Managed Care Long-term Care Program (SMMCLTCP), available services, eligibility requirements, the application process, and additional information sources. Provide outreach that is standardized and consistent statewide to ensure public awareness of Medicaid programs and services and how to access them. Build relationships with and educate service providers and other professionals to facilitate referrals and increase awareness of Medicaid resources. Medicaid Eligibility Screening and Pre-enrollment (APCL/Waitlist) Placement, including: Accept referrals from the ADRC Helpline and other sources for screening utilizing the DOEA approved 701S screening instrument. Determine the individual's needs and enroll on the pre-enrollment list (APCL/waitlist). Ensure accurate data entry into eCIRTS, and SharePoint. Inform individuals or individual's representatives about potential eligibility for the Medicaid programs, including their rights and responsibilities. Re-evaluate individuals on the pre-enrollment list (APCL/waitlist) using the standardized screening instrument as required or as requested due to a significant change. Enrollment Management System (EMS), including: Provide the duties outlined in the most recent DOEA EMS release procedure. Contact individuals on the release verbally and in writing. Verify an individual's current Medicaid eligibility status. Assist the client to pursue the eligibility process with meeting SMMCLTCP financial and medical eligibility. Work with client to obtain the Physician Referral form (3008). Coordinate with CARES (Comprehensive Assessment and Review for Long Term Care Services) staff for determination of medical eligibility. Track Medicaid applications through the eligibility process. Act as a consumer advocate by coordinating with CARES and DCF/ESS staff to resolve in a timely manner any eligibility issues that arise during the Medicaid eligibility determination process. Assist clients who have lost Medicaid to regain their active status in SMMCLTCP. Grievances and Complaints, including: Provide assistance to SMMCLTCP enrollees, concerning how to file grievances and complaints with the long-term care plans. Provide information concerning Medicaid Fair Hearings. Maintain a record of such complaints, in accordance with statewide procedures. Quality Assurance, including: Assist with quality assurance reviews of 701S and long-term care education contacts by ADRC staff. Assist with insuring eCIRTS data integrity. Assist with tracking and reviews of EMS processing to ensure contractual compliance. Education: Possess a bachelor's degree from an accredited college or university; or Have an Associate of Arts Degree from an accredited college or university and a minimum of one year experience as a caseworker, case manager, intake specialist, or experience in performing human services related work; or Have a high school diploma or GED and two years' experience as a caseworker, case manager, intake specialist, or experience in performing human services related work. Skills/Qualifications: Knowledge of computer applications to perform the functions of the position, including word processing, database, and spreadsheet applications. The ability to work independently and with minimal supervision. Knowledge of available ADRC administered programs and available Medicaid programs. The ability to work with disabled adults, elders, caregivers, stakeholders, and community partners in a knowledgeable, engaged, and compassionate manner. The ability to set and track personal performance goals to efficiently manage workload. Special Requirements: Must pass DOEA Level II criminal background screening; must sign Medicaid Attestation Payroll Form per Department of Elder Affairs/AAAPP requirements. Must sign SMMCLTC Program - Prohibited Activities. Equal Opportunity Employer: At AAAPP, we take pride in providing equal employment opportunities to everyone regardless of their race, ethnicity, beliefs, religion, marital status, gender, citizenship status, age, veteran status, or disability. Accordingly, the purpose of this policy is to reinforce our commitment to the creation and maintenance of a diverse workplace where equality, respect, and consideration for one another are the norm. *Excellent Benefits* No phone calls. DF/SF WP EOE Job Type: Full-time Salary: $21.00 per hour Benefits: 401(k) 401(k) matching Dental insurance Flexible spending account Health insurance Life insurance Paid time off Vision insurance Schedule: Monday to Friday Education: High school or equivalent (Required) Experience: Case management: 1 year (Required) Work Location: Hybrid remote in Saint Petersburg, FL 33702
    $21 hourly 30d ago
  • Patient Services Representative (PSR) - Downtown Buffalo

    UBMD Primary Care 4.8company rating

    Buffalo, NY jobs

    UBMD Primary Care is seeking a full-time Patient Services Representative (PSR) for our busy multi-specialty outpatient clinic located at the Conventus Medical Office Building, 1001 Main Street, Buffalo. The ideal schedule would be Monday through Friday 9:30 am to 5:30 pm with ability to work one (1) Thursday evening (11:30-8:00 pm) per month on rotation with the other PSR's. FREE PARKING!! Duties include, but are not limited to, greeting patients, check in/out, verifying insurances, scheduling appointments, daily copay reports/collecting copays, general customer service. Must have excellent communication and multi-tasking skills, as well as 1-2 years' experience in medical office. EMR and Healthenet experience required. General office skills (faxing, copying, etc.) required. Pay range is $18-$18.50/hour. Any offer of employment is contingent upon successful background check and drug screen. AA/EOE JOB DESCRIPTION POSITION TITLE Patient Services Representative LOCATION(S) Outpatient Clinics REPORTS TO: Site Coordinator/Manager FLSA STATUS: Non-Exempt POSITION TYPE: Full Time/ Part Time SALARY RANGE: $18-$18.50 per hour SUPERVISORY REQUIREMENTS: N/A Job Summary: The Patient Services Representative (PSR) performs administrative duties for the office including scheduling patient appointments, greeting patients, handling heavy call volume, collecting copays as well as greeting vendors and other visitors in the reception area of the clinic. Essential Functions: Schedules and confirms patient appointments. Captures and verifies patient demographics, current insurance, appropriate forms and signatures to ensure accurate billing and medical record information for the check-in process for all patients. Receives changes to payments on patient accounts; compares cash receipts and payments in balancing daily receipts, logging and securing payments according to policy. Performs a variety of duties involved in greeting and directing patients, their families, vendors, and other business associates. Provides information to patients and their families on such matters as services, charges and routine treatment procedures. Answers telephone in a timely manner and manages/directs calls appropriately. Problem solves and utilizes resources to obtain patient information when patient is unable to communicate, seeking assistance as needed. Assists in compilation of data for regular and special reports as requested by the Site Coordinator/Manager and/or Medical Director. Schedules or arranges other tests or referrals to specialists as necessary. Completes prior authorizations for imaging as necessary. Processes referrals and maintains knowledge of referral process. Organizes caseload of patients for the following day. Coordinates timely follow up of patient requests for services regarding prescription requests, referrals, diagnostic testing and appointments for sick visits. Provides patients with educational materials, distribution of resource literature from insurance carriers and/or community service recommendations. Follows Patient Centered Medical Home (PCMH) standards, as applicable per site. Reviews and addresses daily tasks as assigned. Complies with all OSHA regulations. Adheres to HIPAA and confidentiality policies and procedures. Other Functions: Complies with quality assurance, OSHA, HIPAA, infection control, safety and other policies as set forth. Maintains competence through continuing education and/or inservice training. Reviews company email on at least a daily basis in order to receive and address notifications and/or other pertinent information in a timely manner. Any other duties as requested or assigned by the Site Coordinator/Manager, Medical Director and/or other management representative. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. May be required to travel to other UBMDFM location(s) dependent on company need. Work hours may fluctuate depending on company/clinic needs. Qualifications: Education : High School diploma or GED, Associate's degree preferred. Experience : One (1) to two (2) years' experience working in medical reception and/or customer service, preferable in a clinic setting. Experience in electronic medical records strongly preferred. Knowledge, Skills & Abilities : Medical terminology preferred. Knowledge of various insurances and procedure codes helpful. Excellent communication skills required. Knowledge of Microsoft Office programs preferred. ** The specific salary offered may be influenced by a variety of factors including but not limited to the candidate's relevant experience, education, and work location.** Working/Environment Conditions: Position is in a well-lit, fast-paced, clean office environment. Office noise level will be mild to moderate most times. Moderate/average indoor temperatures. Environment may have occupational health exposures/hazards. Physical Requirements: 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 disability to perform the essential functions. Prolonged periods of sitting or standing at a workstation in order to perform duties on a computer. While performing the duties of this job, the employee will be regularly required to sit, talk, hear and use hands and fingers to operate a computer and/or telephone keyboard. Specific vision abilities required by this job include close vision requirements due to computer work. Light to moderate lifting (up to 15 pounds) may be required. Regular, predictable attendance is required. Must possess the physical and mental abilities to perform the tasks normally associated with the essential job functions such as stationary, mobility, operating machinery, convey and exchange information. Equipment: Manual dexterity to operate standard office machines/equipment such as computers, printers, multi-line phone, photocopier, fax system, scanner and/or calculator. UBMD Primary Care is an equal employment opportunity (EEO) employer. We are committed to the principles of equality in employment and opportunity for all employees without regard to race, color, citizenship status, national origin, ancestry, gender or expression whether or not such gender identity or expression differs from the employee's physical sex as assigned at birth (including transgender status), sexual orientation, age, weight, religion, creed, physical or mental disability, predisposing genetic characteristics and information, marital status, familial status, domestic violence victim status, veteran status, military status, political affiliation or any other factor and/or status protected by law. We expect all employees to adhere to these principles of equality which apply to all aspects of the employment relationship including hiring, job selection, job assignment, compensation, corrective action, termination, access to benefits and training and other privileges of employment. UBMD Primary Care is a smoke-free and drug-free workplace in compliance with local, state and/or federal guidelines.
    $18-18.5 hourly 5d ago
  • Patient Services Representative - Williamsville, NY

    UBMD Primary Care 4.8company rating

    Buffalo, NY jobs

    UBMD Primary Care is seeking full-time Patient Services Representatives (PSRs) at our busy outpatient clinic located at 850 Hopkins Rd, Buffalo, NY 14221. The ideal schedule would generally be Monday through Friday, 8:30 AM to 4:30 PM, with the ability to work two to three (2-3) evening hours (12:30-8:30 PM) per month, on rotation with other PSRs Duties include, but are not limited to, greeting patients, maintain high call volume, check in/out, verifying insurances, scheduling appointments, daily copay reports/collecting copays, general customer service. Must have excellent communication and multi-tasking skills. 1-2 years' experience in medical office required, EMR and Healthenet experience required, general office skills (faxing, copying, etc.) required. Pay range is $18 - $18.50/hour. Any offer of employment is contingent upon successful background check and drug screen. AA/EOE JOB DESCRIPTION POSITION TITLE Patient Services Representative LOCATION(S) Outpatient Clinics REPORTS TO: Site Coordinator/Manager FLSA STATUS: Non-Exempt POSITION TYPE: Full Time SALARY: $18.00 - $18.50 per hour Job Summary: The Patient Services Representative (PSR) performs administrative duties for the office including scheduling patient appointments, greeting patients, handling heavy call volume, collecting copays as well as greeting vendors and other visitors in the reception area of the clinic. Essential Functions: Schedules and confirms patient appointments. Captures and verifies patient demographics, current insurance, appropriate forms and signatures to ensure accurate billing and medical record information for the check-in process for all patients. Receives changes to payments on patient accounts; compares cash receipts and payments in balancing daily receipts, logging and securing payments according to policy. Performs a variety of duties involved in greeting and directing patients, their families, vendors, and other business associates. Provides information to patients and their families on such matters as services, charges and routine treatment procedures. Answers telephone in a timely manner and manages/directs calls appropriately. Problem solves and utilizes resources to obtain patient information when patient is unable to communicate, seeking assistance as needed. Assists in compilation of data for regular and special reports as requested by the Site Coordinator/Manager and/or Medical Director. Schedules or arranges other tests or referrals to specialists as necessary. Completes prior authorizations for imaging as necessary. Processes referrals and maintains knowledge of referral process. Organizes caseload of patients for the following day. Coordinates timely follow up of patient requests for services regarding prescription requests, referrals, diagnostic testing and appointments for sick visits. Provides patients with educational materials, distribution of resource literature from insurance carriers and/or community service recommendations. Follows Patient Centered Medical Home (PCMH) standards, as applicable per site. Reviews and addresses daily tasks as assigned. Complies with all OSHA regulations. Adheres to HIPAA and confidentiality policies and procedures. Other Functions: Complies with quality assurance, OSHA, HIPAA, infection control, safety and other policies as set forth. Maintains competence through continuing education and/or inservice training. Reviews company email on at least a daily basis in order to receive and address notifications and/or other pertinent information in a timely manner. Any other duties as requested or assigned by the Site Coordinator/Manager, Medical Director and/or other management representative. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. May be required to travel to other UBMDFM location(s) dependent on company need. Work hours may fluctuate depending on company/clinic needs. Qualifications: Education : High School diploma or GED, Associate's degree preferred. Experience : One (1) to two (2) years' experience working in medical reception and/or customer service, preferable in a clinic setting. Experience in electronic medical records strongly preferred. Knowledge, Skills & Abilities : Medical terminology preferred. Knowledge of various insurances and procedure codes helpful. Excellent communication skills required. Knowledge of Microsoft Office programs preferred. Working/Environment Conditions: Position is in a well-lit, fast-paced, clean office environment. Office noise level will be mild to moderate most times. Moderate/average indoor temperatures. Environment may have occupational health exposures/hazards. Physical Requirements: 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 disability to perform the essential functions. Prolonged periods of sitting or standing at a workstation in order to perform duties on a computer. While performing the duties of this job, the employee will be regularly required to sit, talk, hear and use hands and fingers to operate a computer and/or telephone keyboard. Specific vision abilities required by this job include close vision requirements due to computer work. Light to moderate lifting (up to 15 pounds) may be required. Regular, predictable attendance is required. Must possess the physical and mental abilities to perform the tasks normally associated with the essential job functions such as stationary, mobility, operating machinery, convey and exchange information. Equipment: Manual dexterity to operate standard office machines/equipment such as computers, printers, multi-line phone, photocopier, fax system, scanner and/or calculator. UBMD Primary Care is an equal employment opportunity (EEO) employer. We are committed to the principles of equality in employment and opportunity for all employees without regard to race, color, citizenship status, national origin, ancestry, gender or expression whether or not such gender identity or expression differs from the employee's physical sex as assigned at birth (including transgender status), sexual orientation, age, weight, religion, creed, physical or mental disability, predisposing genetic characteristics and information, marital status, familial status, domestic violence victim status, veteran status, military status, political affiliation or any other factor and/or status protected by law. We expect all employees to adhere to these principles of equality which apply to all aspects of the employment relationship including hiring, job selection, job assignment, compensation, corrective action, termination, access to benefits and training and other privileges of employment. UBMD Primary Care is a smoke-free and drug-free workplace in compliance with local, state and/or federal guidelines.
    $18-18.5 hourly 14d ago
  • Call Center Customer Service Representative

    CDS Family & Behavioral Health Services 3.4company rating

    Gainesville, FL jobs

    CDS Family & Behavioral Health Services, Inc we are looking for a motivated Call Center Customer Service Representative to join our Customer Service department. You will be responsible for making both inbound and outbound calls to the customers. You should have a complete understanding of the products and services offered by the company. Also, you should be able to resolve customer queries and direct the urgent ones to the senior management. You should be able to make outbound calls to the customers informing them about promotional offers. In addition to this, you should be able to gather feedback from customers and maintain a record of the same. Furthermore, you should process customer refunds and handle any special requests professionally. To perform at this job role, you should be aware of the customer service practices and maintain a calm composure at all times. Also, you should be able to maintain an accurate record of all customer details and update the same in a timely manner. Get in touch with us if you have the experience and skills, we are looking for. We would love to have you onboard. Responsibilities Making daily inbound and outbound calls Listening and addressing customer queries Building a long-lasting business relationship with clients Maintaining and updating the record of all customer communications Providing clients with the necessary product information Processing customer applications and refund requests Escalating urgent queries to the senior management Making follow-up calls Informing clients about promotional offers Maintaining and updating call logs Responding to customer emails Calling clients to obtain and verify relevant information Managing customer database Requirements Bachelor's degree in Business Management, Business Administration, or a related field Proven work experience as a Call Center Customer Service Representative, Call Center Representative, or a related field Knowledge of customer service practices and guidelines Highly detail-oriented and organized individual Excellent communication and interpersonal skills Ability to handle stressful situations and maintain a calm composure Good computer skills Strong time management and multitasking skills Ability to work independently and collaboratively with the team Having an eye for detail and good listening skills Ability to offer excellent customer service
    $22k-27k yearly est. 60d+ ago
  • Patient Access Representative

    Jag Physical Therapy 4.2company rating

    Bohemia, NY jobs

    Patient Access Representative As a Patient Access Representative, you play a critical role in ensuring the seamless operation of the healthcare environment, the delivery of quality patient care, and world-class customer service. Your responsibilities encompass greeting and assisting patients, managing appointments, maintaining accurate records, and providing essential administrative support. Additionally, you are responsible for obtaining authorizations and facilitating insurance-related processes to support the delivery of healthcare services. Who We Are: JAG Physical Therapy's care-first model of rehabilitation may be the change you are looking for! JAG Physical Therapy, a comprehensive outpatient, orthopedic physical therapy company with 100 facilities throughout Pennsylvania, New Jersey, and New York, is seeking compassionate and motivated individuals to join our winning team! JAG has been honored by the area's top publications as the best in the business based on growth and outcomes and is considered the Gold Standard for physical therapy care by the Metro area's largest healthcare systems and insurance providers. What You'll Love About Us: Competitive pay Support for ongoing education and training Opportunities for advanced growth including team leader, regional manager, and director Provided uniforms Health, Dental, & Vision Benefits HSA Options including dependent care, medical, and commuter benefits $10,000.00 Term Life Insurance benefit at NO cost to employees up to 3 weeks PTO 401(k) with company match Yearly review for growth opportunities Tuition discounts for employees and their families TicketsAtWork and LifeMart company perks Our workplace fosters a close-knit and supportive environment where individuals genuinely care for and uplift one another, creating a strong sense of unity and camaraderie What You'll Need: High school diploma or equivalent. Completion of a medical assistant certificate program preferred. 1+ years of experience working as a medical receptionist/administrative assistant in the health care field. Excellent organizational and time management skills Strong interpersonal communication skills Ability to work independently or as part of a team Availability to travel throughout JAG locations for coverage. Following the JAG Travel policy. What You'll Do: Greeting patients and other visitors in the medical office. Answer patient questions and provide assistance and directions when necessary. Field all phone calls that arrive using our general office number. Utilize medical office software to schedule new and follow-up appointments for patients. Register new patients and update necessary records. Distribute forms and paperwork to patients to ensure that required fields are completed appropriately. Daily collection of patient financial responsibility Maintain confidentiality of all patient records. Completing and tracking insurance verifications, authorizations, and referrals. Knowledge of Workers' Compensation and Auto claim submissions. Perform other diverse duties as requested or required. Important Disclaimer Notice: The above statements are only intended to represent the essential job functions and general nature of the work being performed and are not exhaustive of the tasks that an Employee may be required to perform. The employer reserves the right to revise this at any time and to require Employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or the work environment change. This job description is not a guarantee of employment. What you'll love about us section is based on full time employment with the company and is not guaranteed based on employment type.
    $32k-39k yearly est. Auto-Apply 60d+ ago
  • Patient Access Representative

    Jag Physical Therapy 4.2company rating

    New York jobs

    As a Patient Access Representative, you play a critical role in ensuring the seamless operation of the healthcare environment, the delivery of quality patient care, and world-class customer service. Your responsibilities encompass greeting and assisting patients, managing appointments, maintaining accurate records, and providing essential administrative support. Additionally, you are responsible for obtaining authorizations and facilitating insurance-related processes to support the delivery of healthcare services. Who We Are: JAG Physical Therapy's care-first model of rehabilitation may be the change you are looking for! JAG Physical Therapy, a comprehensive outpatient, orthopedic physical therapy company with 100 facilities throughout Pennsylvania, New Jersey, and New York, is seeking compassionate and motivated individuals to join our winning team! JAG has been honored by the area's top publications as the best in the business based on growth and outcomes and is considered the Gold Standard for physical therapy care by the Metro area's largest healthcare systems and insurance providers. What You'll Love About Us: Competitive pay Support for ongoing education and training Opportunities for advanced growth including team leader, regional manager, and director Provided uniforms Health, Dental, & Vision Benefits HSA Options including dependent care, medical, and commuter benefits $10,000.00 Term Life Insurance benefit at NO cost to employees up to 3 weeks PTO 401(k) with company match Yearly review for growth opportunities Tuition discounts for employees and their families TicketsAtWork and LifeMart company perks Our workplace fosters a close-knit and supportive environment where individuals genuinely care for and uplift one another, creating a strong sense of unity and camaraderie What You'll Need: High school diploma or equivalent. Completion of a medical assistant certificate program preferred. 1+ years of experience working as a medical receptionist/administrative assistant in the health care field. Excellent organizational and time management skills Strong interpersonal communication skills Ability to work independently or as part of a team Availability to travel throughout JAG locations for coverage. Following the JAG Travel policy. What You'll Do: Greeting patients and other visitors in the medical office. Answer patient questions and provide assistance and directions when necessary. Field all phone calls that arrive using our general office number. Utilize medical office software to schedule new and follow-up appointments for patients. Register new patients and update necessary records. Distribute forms and paperwork to patients to ensure that required fields are completed appropriately. Daily collection of patient financial responsibility Maintain confidentiality of all patient records. Completing and tracking insurance verifications, authorizations, and referrals. Knowledge of Workers' Compensation and Auto claim submissions. Perform other diverse duties as requested or required. Important Disclaimer Notice: The above statements are only intended to represent the essential job functions and general nature of the work being performed and are not exhaustive of the tasks that an Employee may be required to perform. The employer reserves the right to revise this at any time and to require Employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or the work environment change. This job description is not a guarantee of employment. What you'll love about us section is based on full time employment with the company and is not guaranteed based on employment type.
    $32k-39k yearly est. Auto-Apply 60d+ ago
  • Patient Access Representative

    Jag Physical Therapy 4.2company rating

    New York, NY jobs

    Patient Access Representative As a Patient Access Representative, you play a critical role in ensuring the seamless operation of the healthcare environment, the delivery of quality patient care, and world-class customer service. Your responsibilities encompass greeting and assisting patients, managing appointments, maintaining accurate records, and providing essential administrative support. Additionally, you are responsible for obtaining authorizations and facilitating insurance-related processes to support the delivery of healthcare services. Who We Are: JAG Physical Therapy's care-first model of rehabilitation may be the change you are looking for! JAG Physical Therapy, a comprehensive outpatient, orthopedic physical therapy company with 100 facilities throughout Pennsylvania, New Jersey, and New York, is seeking compassionate and motivated individuals to join our winning team! JAG has been honored by the area's top publications as the best in the business based on growth and outcomes and is considered the Gold Standard for physical therapy care by the Metro area's largest healthcare systems and insurance providers. What You'll Love About Us: Competitive pay Support for ongoing education and training Opportunities for advanced growth including team leader, regional manager, and director Provided uniforms Health, Dental, & Vision Benefits HSA Options including dependent care, medical, and commuter benefits $10,000.00 Term Life Insurance benefit at NO cost to employees up to 3 weeks PTO 401(k) with company match Yearly review for growth opportunities Tuition discounts for employees and their families TicketsAtWork and LifeMart company perks Our workplace fosters a close-knit and supportive environment where individuals genuinely care for and uplift one another, creating a strong sense of unity and camaraderie What You'll Need: High school diploma or equivalent. Completion of a medical assistant certificate program preferred. 1+ years of experience working as a medical receptionist/administrative assistant in the health care field. Excellent organizational and time management skills Strong interpersonal communication skills Ability to work independently or as part of a team Availability to travel throughout JAG locations for coverage. Following the JAG Travel policy. What You'll Do: Greeting patients and other visitors in the medical office. Answer patient questions and provide assistance and directions when necessary. Field all phone calls that arrive using our general office number. Utilize medical office software to schedule new and follow-up appointments for patients. Register new patients and update necessary records. Distribute forms and paperwork to patients to ensure that required fields are completed appropriately. Daily collection of patient financial responsibility Maintain confidentiality of all patient records. Completing and tracking insurance verifications, authorizations, and referrals. Knowledge of Workers' Compensation and Auto claim submissions. Perform other diverse duties as requested or required. Important Disclaimer Notice: The above statements are only intended to represent the essential job functions and general nature of the work being performed and are not exhaustive of the tasks that an Employee may be required to perform. The employer reserves the right to revise this at any time and to require Employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or the work environment change. This job description is not a guarantee of employment. What you'll love about us section is based on full time employment with the company and is not guaranteed based on employment type.
    $32k-39k yearly est. Auto-Apply 60d+ ago
  • Patient Access Representative

    Jag Physical Therapy 4.2company rating

    New York, NY jobs

    Patient Access Representative As a Patient Access Representative, you play a critical role in ensuring the seamless operation of the healthcare environment, the delivery of quality patient care, and world-class customer service. Your responsibilities encompass greeting and assisting patients, managing appointments, maintaining accurate records, and providing essential administrative support. Additionally, you are responsible for obtaining authorizations and facilitating insurance-related processes to support the delivery of healthcare services. Who We Are: JAG Physical Therapy's care-first model of rehabilitation may be the change you are looking for! JAG Physical Therapy, a comprehensive outpatient, orthopedic physical therapy company with 100 facilities throughout Pennsylvania, New Jersey, and New York, is seeking compassionate and motivated individuals to join our winning team! JAG has been honored by the area's top publications as the best in the business based on growth and outcomes and is considered the Gold Standard for physical therapy care by the Metro area's largest healthcare systems and insurance providers. What You'll Love About Us: Competitive pay Support for ongoing education and training Opportunities for advanced growth including team leader, regional manager, and director Provided uniforms Health, Dental, & Vision Benefits HSA Options including dependent care, medical, and commuter benefits $10,000.00 Term Life Insurance benefit at NO cost to employees up to 3 weeks PTO 401(k) with company match Yearly review for growth opportunities Tuition discounts for employees and their families TicketsAtWork and LifeMart company perks Our workplace fosters a close-knit and supportive environment where individuals genuinely care for and uplift one another, creating a strong sense of unity and camaraderie What You'll Need: High school diploma or equivalent. Completion of a medical assistant certificate program preferred. 1+ years of experience working as a medical receptionist/administrative assistant in the health care field. Excellent organizational and time management skills Strong interpersonal communication skills Ability to work independently or as part of a team Availability to travel throughout JAG locations for coverage. Following the JAG Travel policy. What You'll Do: Greeting patients and other visitors in the medical office. Answer patient questions and provide assistance and directions when necessary. Field all phone calls that arrive using our general office number. Utilize medical office software to schedule new and follow-up appointments for patients. Register new patients and update necessary records. Distribute forms and paperwork to patients to ensure that required fields are completed appropriately. Daily collection of patient financial responsibility Maintain confidentiality of all patient records. Completing and tracking insurance verifications, authorizations, and referrals. Knowledge of Workers' Compensation and Auto claim submissions. Perform other diverse duties as requested or required. Important Disclaimer Notice: The above statements are only intended to represent the essential job functions and general nature of the work being performed and are not exhaustive of the tasks that an Employee may be required to perform. The employer reserves the right to revise this at any time and to require Employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or the work environment change. This job description is not a guarantee of employment. What you'll love about us section is based on full time employment with the company and is not guaranteed based on employment type.
    $32k-39k yearly est. Auto-Apply 60d+ ago
  • Billing Representative III (Hospital Billing A/R) - Boynton Beach, Florida

    NYU Langone Medical Center 3.9company rating

    Billing representative job at NYU Lutheran Medical Center

    We have an exciting opportunity to join our team as a Billing Representative III on our Hospital Billing Accounts Receivable (A/R) team. Under general direction the Billing Representative III performs advanced billing and financial clearance functions including claims management, complex denial resolution, insurance authorizations, precertifications, and patient cost estimates. This role provides support to staff with escalated issues and participates in training and process improvement efforts. Job Responsibilities: * Perform billing tasks assigned by management which may include data entry, claim review, charge review, accounts receivable follow-up, or other related responsibilities. * Provide input on system edits, processes, policies, and billing procedures to ensure maximization of revenues. * Perform daily tasks in assigned work queues and according to manager assignments. * Identify payer, provider credentialing, and/or coding issues and address them with management. * Follow workflows provided in training classes and request additional training as needed. * Utilize CBO Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims and/or for authorizing procedures in assigned workqueue(s) using payer websites, billing system information and training within expected timeframe. * Review reports to identify revenue opportunities, unpaid claims, delays in obtaining authorizations/financial clearance. * Adhere to general practices and departmental guidelines on compliance issues and patient confidentiality. * Communicate with providers, patients, coders, or other responsible persons to ensure that claims are correctly processed by third party payers. * Work following operational policies and procedures, and regulatory requirements. * Participate in workgroups and meetings. Attend all required training classes. Escalate issues to management as needed. Maintain confidentiality. * Read and apply policies and procedures to make appropriate decisions. * Coordinate functions and work cooperatively with others. * Responsible for assisting other billing representatives with difficult and escalated issues. * Assist department supervisor with special projects and staff training. * Appeal complex denials through review of payer policies, coding, contracts, and medical records. Utilize subject matter experts as needed. * Cross cover other areas in the office as assigned by management including Accounts Receivable/Denials, Customer Service or Authorizations. * Other related duties as assigned. Patient Experience and Access * Drives consistency in every patient and colleague encounter by embodying the core principles of our Billing Department Service Strategy CARES (Connect, Align, Respond, Ensure, and Sign-Off) * Greets patients warmly and professionally, stating name and role, and clearly communicates each step of the care/interaction as appropriate * Works collaboratively with colleagues and site management to ensure a positive experience and timely resolution for all patient interactions and inquiries whether in person, by phone or via electronic messaging. * Proactively anticipates patient needs, and participates in service recovery by applying the LEARN model (Listen, Empathize, Apologize, Resolve, Notify), and escalates to leadership as appropriate. * Shares ideas or any observed areas of opportunity, to improve patient experience and patient access, with appropriate leadership. (i.e. ways to optimize provider schedules, how to minimize delays, increase employee engagement, etc.) * Partners with internal and external team members to support collaboration and promote a positive patient experience. * Takes a proactive approach in ensuring that practice staff are fully versed in the Access Agreement gold standard principles. Minimum Qualifications: To qualify you must have a High School Diploma or GED. Experience in medical billing, accounts receivable, insurance, or related duties; Knowledge of CPT and ICD10; medical billing software; English usage, grammar and spelling; basic math; 3 years experience in a similar role. Light, accurate keyboarding skills required. Prefer that candidates type 35 words per minute (wpm) or greater on the typing assessment that will be administered prior to onboarding. Personal Characteristics: Strong verbal and written communication skills, with the ability to collaborate across departments. Strong critical thinking and effective listening skills Professional demeanor and positive attitude required Time management skills required Ability to develop and maintain effective working relationships with peers, other staff and leadership Qualified candidates must be able to effectively communicate with all levels of the organization. NYU Langone Florida provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family. NYU Langone Florida is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online. View Know Your Rights: Workplace discrimination is illegal."
    $28k-36k yearly est. 35d ago
  • Head of Venture Debt

    Rho 4.2company rating

    New York, NY jobs

    About Us Rho is the modern banking platform built for startups. Open accounts in minutes, issue cards, manage expenses, pay bills, and close the books - all in one connected platform backed by real human support. About The Role We're now building our next major growth engine: a comprehensive lending platform. Our transition to direct origination represents an expansion into a massive market opportunity. The Head of Venture Debt will own and build this franchise from day one. We're looking for an experienced credit professional to architect, launch, and scale our venture debt platform. This is a senior leadership position with full ownership of building a profitable lending business within our established fintech infrastructure. You'll combine deep credit expertise with startup ecosystem knowledge to create a differentiated offering that leverages our unique position. This role demands both strategic vision and hands-on execution as you build the team, technology, and partnerships to compete at the highest level. This role is based in our New York office, 5 days a week. We believe in the power of in-person collaboration to build exceptional products and teams. What You'll Own Build the Platform Design and implement end-to-end venture debt infrastructure from origination through portfolio management Develop proprietary underwriting models leveraging both traditional credit analysis and our platform data Partner with engineering to build technology-first processes that scale Create systems that deliver exceptional borrower experience without compromising credit quality Lead Credit & Risk Establish comprehensive credit policies and underwriting frameworks Structure and close deals ranging from $1M to $25M+ Build monitoring systems and covenant packages that balance risk and founder experience Own credit committee governance and decision-making processes Drive Growth & Partnerships Structure partnerships with private capital providers and institutional investors Design warehouse facilities and forward-flow arrangements Build relationships across the venture ecosystem for deal flow Develop go-to-market strategy that differentiates our offering Build the Team Recruit and lead credit analysts, relationship managers, and operations professionals Foster culture of analytical rigor and commercial judgment Scale the organization while maintaining talent density Partner cross-functionally with sales, product, and engineering What We're Looking For Essential Experience 8+ years in venture debt with experience through multiple credit cycles Track record of personally underwriting and closing $100M+ in transactions Deep understanding of technology and life sciences lending Experience building and managing high-performing credit teams Proven ability to structure and negotiate institutional capital partnerships Technical Excellence Expert-level understanding of venture debt structures, warrants, and equity considerations Sophisticated financial modeling and portfolio risk management capabilities Fluency with modern credit infrastructure and data-driven underwriting Understanding of AI/ML applications in credit decisioning Ownership Mentality Builder who takes complete ownership of outcomes Comfortable operating with autonomy and making critical decisions Track record of building profitable businesses with strong unit economics Willing to be hands-on while scaling the franchise Obsessed with winning in competitive markets Startup DNA Deep knowledge of venture capital dynamics and startup metrics Established relationships in the venture and growth equity ecosystem Understanding of how high-growth companies operate and scale Ability to move fast without breaking things Our people are our most valuable asset. This role is based out of our NYC office, and the compensation range is $250k - $300k base. This role will also have a meaningful performance-based bonus component. Base salary and bonus may vary depending on relevant experience, skills, geographic location, and business needs. In addition to base pay, Rho offers equity, healthcare benefits and paid time off for this role. Diversity is a core value at Rho. We're passionate about building and sustaining an inclusive and equitable environment for all those involved with our mission, including employees, contractors, candidates, customers and vendors. We believe every member of the Rho community enriches our ability to provide a broad range of ways to understand and engage with the market, identify problems, and drive solutions that align with our mission. We welcome all qualified applications and support each of our Rho'ers with ongoing professional growth opportunities.
    $33k-43k yearly est. Auto-Apply 50d ago

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