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Lori Long-State Farm Insurance Agent
Patient access representative job in San Diego, CA
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About the Company - Established State Farm Agent in Rancho Bernardo area looking for a licensed and experienced Part-Time Customer Service Representative to provide outstanding service to our customers. This is an in-office position.
Preferred Skills:
Property and Casualty Licensed
Experienced in the insurance industry
Strong communication skills
Friendly, reliable and smart
Detail oriented
Ability to work well in an office environment
Pay range and compensation package - Based on experience.
Equal Opportunity Statement: We are committed to diversity and inclusivity in our hiring practices.
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$31k-41k yearly est. 12h ago
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Part Time Patient Service Representative
Teksystems 4.4
Patient access representative job in San Diego, CA
We are seeking a dedicated and efficient Patient Service Representative who will play a key role in providing exceptional customer service to patients, vendors, insurance companies, and other medical facilities. The ideal candidate will handle a high volume of incoming calls and manage patient appointments effectively.
Responsibilities
* Answer 60-80 incoming phone calls daily to respond to inquiries from patients, vendors, insurance companies, and other medical facilities.
* Provide excellent customer service by properly greeting, listening, assisting, directing, and closing each call.
* Re-schedule patient appointments as required via telephone calls, SMS, or messages received through our Patient Portal.
* Screen and route patient calls to other departments efficiently, ensuring accurate registration, appointment scheduling, and follow-up appointment scheduling in the EMR system.
* Take clear and accurate messages on behalf of patients using an internal communication template.
* Respond to patient questions and needs by editing, canceling, and rescheduling appointments as necessary according to clinic protocols.
* Maintain a good working relationship and effective communication within the department and with other departments for the benefit of the patient.
* Demonstrate knowledge and understanding of SY Health programs and services.
* Adhere to current department productivity and quality assurance requirements.
* Training schedules align with trainers, transitioning into a standard shift of 10:00am to 6:30pm.
Skills
* Minimum of 3 years of experience in customer service, call center, or healthcare setting.
* Fluency in English for both spoken and written communication.
* Exceptional phone manner.
* Excellent interpersonal and communication skills.
* Ability to type 35 words per minute with 90% accuracy.
*Job Type & Location*
This is a Contract to Hire position based out of San Diego, CA.
*Pay and Benefits*The pay range for this position is $25.00 - $25.00/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:
* Medical, dental & vision
* Critical Illness, Accident, and Hospital
* 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
* Life Insurance (Voluntary Life & AD&D for the employee and dependents)
* Short and long-term disability
* Health Spending Account (HSA)
* Transportation benefits
* Employee Assistance Program
* Time Off/Leave (PTO, Vacation or Sick Leave)
*Workplace Type*This is a fully onsite position in San Diego,CA.
*Application Deadline*This position is anticipated to close on Jan 23, 2026.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
$25-25 hourly 2d ago
Bilingual Patient Financial Advocate
Firstsource 4.0
Patient access representative job in Oceanside, CA
Hours: Tuesday-Saturday 10am-630pm
Pay Range: $19 - $21 hourly
Must be bilingual with English and Spanish
Join our team and make a difference!
The Patient Financial Advocate is responsible for screening patients on-site at hospitals for eligibility assistance programs either bedside or in the ER. This includes providing information and reports to client contact(s), keeping them current on our progress.
Essential Duties and Responsibilities:
Review the hospital census or utilize established referral method to identify self-pay patients consistently throughout the day.
Screen those patients that are referred to Firstsource for State, County and/or Federal eligibility assistance programs.
Initiate the application process bedside when possible.
Identifies specific patient needs and assist them with an enrollment application to the appropriate agency for assistance.
Introduces the patients to Firstsource services and informs them that we will be contacting them on a regular basis about their progress.
Provides transition, as applicable, for the backend Patient Advocate Specialist to develop a positive relationship with the patient.
Records all patient information on the designated in-house screening sheet.
Document the results of the screening in the onsite tracking tool and hospital computer system.
Identifies out-patient/ER accounts from the census or applicable referral method that are designated as self-pay.
Reviews system for available information for each outpatient account identified as self-pay.
Face to face screen patients on site as able. Attempts to reach patient by telephone if unable to screen face to face.
Document out-patient/ER accounts when accepted in the hospital system and on-site tracking tool.
Outside field work as required to include Patient home visits to screen for eligibility of State, County, and Federal programs.
Other Duties as assigned or required by client contract
Additional Duties and Responsibilities:
Maintain a positive working relationship with the hospital staff of all levels and departments.
Report any important occurrences to management as soon as possible (dramatic change in the number or type of referrals, etc.)
Access information for the Patient Advocate Specialist as needed (discharge dates, balances, itemized statements, medical records, etc.).
Keep an accurate log of accounts referred each day.
Meet specified goals and objectives as assigned by management on a regular basis.
Maintain confidentiality of account information at all times.
Maintain a neat and orderly workstation.
Adhere to prescribed policies and procedures as outlined in the Employee Handbook and the Employee Code of Conduct.
Maintain awareness of and actively participate in the Corporate Compliance Program.
Educational/Vocational/Previous Experience Recommendations:
High School Diploma or equivalent required.
1 - 3 years' experience of medical coding, medical billing, eligibility (hospital or government) or other pertinent medical experience is preferred.
Previous customer service experience preferred.
Must have basic computer skills.
Working Conditions:
Must be able to walk, sit, and stand for extended periods of time.
Dress code and other policies may be different at each healthcare facility.
Working on holidays or odd hours may be required at times.
Benefits including but not limited to: Medical, Vision, Dental, 401K, Paid Time Off
We are an equal opportunity employer that does not discriminate based on age (40 & over), race, color, religion, sex, national origin, protected veteran status, disability, sexual orientation, gender identity or any other protected class in accordance with applicable laws.
Firstsource Solutions USA, LLC
$19-21 hourly 5d ago
Medical Biller - Cal AIM
Neighbor 4.3
Patient access representative job in San Diego, CA
The Medical Biller for Cal AIM Services is responsible for accurately billing and processing claims for Enhanced Care Management (ECM), Recuperative Care, Community Supports (CS), detox billing, and other Cal AIM-related services. This role ensures timely claim submission, compliance with DHCS and Managed Care Plan (MCP) requirements, and effective coordination with clinical, administrative, and data teams to support revenue integrity.
Essential Functions
Prepare, submit, and track claims for ECM, Recuperative Care, Community Supports, detox billing, and other Cal AIM service lines.
Verify eligibility and authorization requirements for all Cal AIM beneficiaries.
Ensure documentation meets Cal AIM billing standards, including encounter data, activity logs, and service notes.
Reconcile encounters and claims to identify discrepancies or missing documentation.
Process claims corrections, resubmissions, and voids as needed.
Collaborate with ECM/CS/RCP program staff, care managers, and supervisors(stakeholders) to clarify documentation needs and share reconciliation reports of reimbursements.
Communicate with Managed Care Plans regarding claim follow-up, denials, Appeals and payment discrepancies.
Provide feedback and training to program staff regarding billing requirements and documentation best practices.
Maintain accurate records of claims, payments, denials, Appeals and adjustments.
Generate billing reports, productivity summaries, and revenue tracking related to Cal AIM services.
Support audits and data validation efforts as required.
On time, completion of assigned training and policies.
Performs other duties as assigned.
Qualifications
High school diploma or equivalent.
5-7 years of medical billing experience.
Knowledge of Medi-Cal or Medicaid billing processes.
Strong data entry accuracy and attention to detail.
Ability to review clinical documentation and apply billing rules.
Experience with CalAIM, ECM, or Community Supports billing.
Familiarity with DHCS/health plan portals.
Proficient computer skills, with intermediate proficiency in MS Office (Word, Excel, and PowerPoint)
The Pay Rate for this role is based on several factors including the candidate's experience, qualifications, and internal equity. The initial offer usually falls between the minimum and midpoint of the applicable salary range. Pay Band N5: $25.71 - $34.06 (Midpoint: $29.65).
$25.7-34.1 hourly Auto-Apply 32d ago
Scheduling Specialist - Chest Medicine - La Jolla
Scripps Health 4.3
Patient access representative job in San Diego, CA
Caring for San Diegans since 1924, Scripps Clinic is San Diego's first choice for exceptional primary care and highly specialized and coordinated specialty care. Scripps Clinic offers a comprehensive range of medical and surgical services that are nationally recognized for quality, excellence and innovation. From primary to specialty care, our team-based model is designed to provide the best possible care and outcomes for you and your family. More than 900 providers and physicians provide 1.5 million patient visits a year coordinated through an integrated electronic health record.
This is a Full Time position (80 hours per pay period) with a Monday - Friday, 8AM - 5PM schedule, located at our Scripps Anderson Medical Pavilion in La Jolla. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.
Why join Scripps Health?
At Scripps Health, your ambition is empowered and your abilities are appreciated:
* Nearly a quarter of our employees have been with Scripps Health for over 10 years.
* Scripps is a Great Place to Work Certified company for 2025.
* Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
* Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care.
* We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
* Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.
Join a caring team supporting Scripps Anderson Medical Pavilion as a Scheduling Specialist in the Chest Medicine department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following:
* Interacting with patients, payers, and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, scheduling, referral/authorization, point of service payment collection, document collection and arrival/check-in functions.
* Responding to customer billing and payment inquires as needed.
* Mentoring and training staff on departmental procedures.
* Accurately scheduling and re-scheduling complex patient procedures and appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in the scheduling procedures, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, initiating authorizations and referrals, performing Key User duties with minimal errors.
* Accurately documenting patient to provider communication, assessing urgency and escalating as appropriate. May manage the patient check-in and check-out process from start to finish, which includes identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed.
* Regularly displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to accurately identify the need to involve leadership to resolve concerns.
Required Qualifications:
* Must possess excellent mathematical skills and ability to handle monies.
* Excellent communication and customer service skills.
* Strong organizational and analytical skills; innovative with ability to identify and solve problems. Able to adapt, prioritize and meet deadlines.
* Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers are required.
Preferred Qualifications:
* 2 or more years of experience in a customer service or healthcare/medical office environment.
* Previous scheduling experience.
* Experience with Epic.
At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work.
You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential.
Position Pay Range: $27.24-$35.88/hour
$27.2-35.9 hourly 5d ago
Patient Care Service Representative
Modena Allergy + Asthma
Patient access representative job in San Diego, CA
Job DescriptionAbout Us
Modena Health ("MH") and Modena Allergy & Asthma ("MAA") are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona-and ambitious plans for national expansion. We are physician-led, hospitality-focused, and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine.
Known for our high standard of excellence, we provide compassionate, patient-centered care for both pediatric and adult patients. Our model combines hospitality-driven service with innovative technology solutions that streamline operations, improve clinical outcomes, and enhance the experience for both patients and providers.
At Modena, we aim to hire great people, treat them well, and help them find meaning and purpose in our mission. Our dedicated team values collaboration, positivity, and growth while striving to improve lives through expert diagnosis, treatment, and research. We are looking for high-energy, kind, and collaborative individuals eager to grow personally and professionally while making a meaningful impact in the lives of others.
Position Summary
We are seeking a highly skilled and compassionate Patient Care Services Representative to join our team in a hybrid Medical Assistant (MA) and Patient Services Representative (PSR) role. This unique position blends front office administrative duties with back office clinical support, ideal for someone who thrives in a dynamic and patient-centered environment. This role is non-exempt (hourly) and full-time, working 40 hours per week, Monday through Friday.
This role will be based primarily in our Sorrento Valley clinic but may also provide support to other nearby locations within San Diego County. The ideal candidate is adaptable and enjoys collaborating across multiple sites to ensure seamless operations and excellent patient experiences.
Key Responsibilities
Front Office & Administrative Duties:
Greet patients and visitors warmly and professionally.
Manage check-in and check-out processes, verify insurance, and collect co-pays.
Schedule patient appointments, testing, and follow-ups in collaboration with providers.
Submit and track prior authorizations, including verifying insurance and submitting required documentation.
Answer incoming calls and respond to patient inquiries with courtesy and accuracy.
Maintain up-to-date, HIPAA-compliant records in the electronic health record (EHR) system.
Ensure the front office area remains clean, organized, and well-stocked with necessary forms and supplies.
Assist with emergency response protocols by alerting clinical staff as needed.
Contribute to the onboarding and training of new team members to build support and cross-functional skills.
Clinical & Patient Care Duties (if MA certified):
Perform diagnostic procedures such as allergy skin testing, pulmonary function tests (PFTs), and FeNO testing.
Administer allergy and immunotherapy injections following clinical safety protocols.
Prepare and maintain allergy serum and oral desensitization vials.
Monitor and document patient vitals and treatment responses.
Support physicians and advanced practice providers during clinical consultations and procedures.
Educate patients and families on allergy and asthma care plans and treatment options.
Respond to and manage allergic reactions, including emergency interventions when needed.
Escort patients to exam rooms and prepare for provider exams.
Assist in preparing asthma action plans, Epinephrine training, and discharge instructions.
Maintain clean and stocked exam rooms; log refrigerator temperatures and sterilize instruments per protocols.
Assist with clinical prior authorizations under the direction of a supervisor.
Additional responsibilities as assigned.
Qualifications & Requirements
Education: High school diploma or equivalent required.
Experience: 3+ years of experience in a front desk, medical receptionist, or Medical Assistant (MA) role.
Experience with insurance verification, scheduling, and electronic health records preferred.
Licensure & Certifications:
Certified or Licensed Medical Assistant (California), if performing clinical duties.
CPR certification (or willingness to obtain upon hire).
Skills & Abilities:
Strong interpersonal, customer service, and communication skills.
Excellent organizational and multitasking ability in a clinical setting.
Knowledge of medical terminology and EHR systems.
Familiarity with HIPAA and OSHA compliance standards.
Ability to remain composed in fast-paced and emergency situations.
Commitment to patient confidentiality and high-quality service delivery.
Preferred Qualifications:
Prior experience in allergy, immunology, or respiratory care settings.
Comfort with performing skin testing and pulmonary diagnostics.
Experience submitting and managing insurance prior authorizations.
Compensation
The hourly range for this position is $20.00-32.00/hour. The actual compensation for this role will be determined by a variety of factors, including but not limited to the candidate's skills, education, and experience.
Physical Requirements
Ability to stand, walk, and move throughout the clinic, if applicable, for extended periods; occasionally lift objects up to 25 lbs., bend, stoop, or reach as needed. Frequent use of hands and fingers for patient care and equipment operation. Must have normal (or corrected) vision and hearing and be able to respond quickly in a fast-paced clinical environment, if applicable.
What We Offer
Competitive salary and benefits package, including medical, dental & vision insurance, 401(k) retirement plan with employer matching, and professional development opportunities
In addition, we offer paid time Off (PTO), sick time, floating holiday and holiday pay
Opportunity to shape the future of a thriving allergy and asthma practice in beautiful San Diego (and across our expanding network)
A supportive, mission-focused culture where your contributions directly impact patient outcomes and team growth
If this role excites you, please submit your resume and a cover letter outlining your relevant experience and why you're passionate about joining our team. We look forward to hearing from enthusiastic candidates ready to drive our success!
California Consumer Privacy Act (CCPA) Notice
Modena Health ("MH") and Modena Allergy & Asthma ("MAA") complies with the California Consumer Privacy Act ("CCPA"). Personal information provided in the job application process will be collected, used, and retained in accordance with applicable privacy laws. Candidates may request additional information regarding the categories of personal information collected and the purposes for which it is used during the hiring process.
$20-32 hourly 21d ago
Patient Access Rep - PAR Level 3
Healthcare Support Staffing
Patient access representative job in San Diego, CA
Company is the region's pediatric medical center serving San Diego, Imperial and southern Riverside counties. We are: •The largest children's hospital in California (based on admissions)
•The sixth largest children's hospital in the country
•The only hospital in the San Diego area dedicated exclusively to pediatric healthcare
•The region's only designated pediatric trauma center
•Provider of care to 88 percent of the region's children
•Provider of care to 196,905 children (in fiscal year 2014)
Our outstanding team includes more than 730 physicians and more than 1,200 nurses, more than 3,900 employees, more than 500 active volunteers, and more than 1,200 Auxiliary members.
Job Description
The manager is looking for a solid PatientAccessRepresentative III's for their Central Authorization department. The PAR III will be helping with the workload for infusion, hematology, and proton therapy authorizations.
Candidate will work in the Central Authorization Department, helping with infusion, hematology and proton therapy authorizations.
PatientAccessRepresentative III secures and provides appropriate information to patient families and funding sources to register, schedule and/or obtain authorizations for inpatient, outpatient, and/or diagnostic services.
Qualifications
High School Diploma or equivalent
Minimum of 3 yr work experience in health care setting
Must have Insurance Verification & Authorization Experience
Ability to work in a call center environment
Medical Terminology experience
Preferred:
EPIC (or at least another EMR)
Bilingual (Spanish)
background in medical terminology
Additional Information
Advantages of this Opportunity:
Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Monday through Friday 8am-5pm
$33k-42k yearly est. 60d+ ago
Dental Patient Care Coordinator
Refined Dentistry La Jolla
Patient access representative job in San Diego, CA
Job Description
Front Desk / Scheduler / Treatment Coordinator - La Jolla, CA Full Time | Private Fee-for-Service Practice
Our exceptional fee-for-service dental practice is seeking a reliable and personable team member to handle front desk responsibilities, phones, greet and check out patients, patient scheduling, confirming appts and treatment coordination. We pride ourselves on providing outstanding care in a supportive and professional environment.
Compensation:
$28-$29 per hour, based on experience
Monthly bonus opportunities
Schedule:
Monday, Tuesday, Thursday: 8 AM-5 PM
Wednesday: 7:30 AM-4 PM
Friday: 7 AM-1 PM
Qualifications:
Minimum of 3 years of experience in a dental practice
Comfortable discussing financial arrangements with patients
Strong communication and organizational skills
Friendly, professional, and patient-focused demeanor
Responsibilities:
Present and explain treatment, address patient concerns and questions
Assist patients in prioritizing treatment and establishing scheduling and payment
Manage scheduling and all front desk duties
Perform general office tasks and other duties as assigned
If you are a motivated dental professional who enjoys helping patients feel comfortable and confident about their care, we'd love to meet you. Please apply today!
Skills:
General Practice
Fee for Service
Eaglesoft
Insurance
Cosmetic
Benefits:
Medical
Dental
401k
PTO
Bonuses
Compensation:
$27-$29/hour
$28-29 hourly 12d ago
Patient Care Coordinator
Serene Health
Patient access representative job in San Diego, CA
Job Description
Empowering Wellness, Transforming Lives
Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and American TrueCare, our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long-term well-being.
As pioneers in the field, we aspire to lead in member care outcomes and set new standards for excellence and innovation. We are committed to empowering our members to achieve self-sufficiency in health, creating a ripple effect that strengthens families and communities.
Our work culture at Optima MMG is built on pride, passion, and a collective commitment to making a positive difference in people's lives. Our team members are dedicated problem-solvers who bring their unique skills and perspectives to the table. We believe that by fostering a collaborative and supportive environment, we can unlock the full potential of our team and, in turn, provide the best possible care to our members.
A career at Optima MMG is an opportunity to be part of a dynamic and forward-thinking organization. We encourage continuous learning and professional growth, providing our employees with access to industry experts, cutting-edge technologies, and a supportive community that values each individual's contributions. Join us on this journey to not only advance your career but to be a driving force in transforming lives and communities through passionate and fulfilling work!
Job Summary:
The official job title is Lead Care Manager (LCM).
The Lead Care Manager (LCM) role involves developing personalized care plans, coordinating member services, and collaborating closely with members and families, as well as Primary Care Providers to ensure they receive necessary medical treatment and support. The LCM will consult with members to determine their needs, develop individualized action plans, and work with care teams to manage the member experience effectively. Providing emotional support, resolving administrative issues, and ensuring timely access to care are key aspects of the position. Compassion, healthcare knowledge, and exceptional customer service are essential qualities for assisting members in becoming self-sufficient in health. The LCM will work with a diverse population of members enrolled in the Enhanced Care Management program, which may involve one or multiple members from the population of focus section below.
Responsibilities:
• Interview members to assess medical and social determinant of healthcare gaps and provide education about their condition and medication, while developing individualized care plans.
• Respond to member inquiries and concerns, ensuring adherence to hospital and legal requirements.
• Collaborate with interdisciplinary teams, locate medical and social resources, and coordinate social service plans.
• Maintain on-going contact with members, via telehealth and in-person visitation.
• Advocate for members, consult with healthcare providers, arrange appointments and treatment plans, evaluate member progress, and assist with healthcare barriers.
• Maintain empathy and professionalism while contacting members and families.
• Supporting behavioral health coordination, Substance Abuse and Community Resources.
• Perform additional duties as assigned.
Populations of Focus:
• Individuals experiencing homelessness: Lacking a fixed, regular, and adequate nighttime residence.
• Individuals at risk for avoidable hospital or emergency department utilization: Five or more emergency room visits in a six-month period that could have been avoided with appropriate outpatient care or improved treatment adherence.
• Individuals with Serious Mental Health and/ or substance use disorder needs: Adults who meet the eligibility criteria for participation in, or obtaining services through Specialist mental health services or the Drug Medi-Cal organized delivery system or Drug Medi-Cal program.
• Individuals transitioning from incarceration/Justice Involved: Adults transitioning from a correctional setting or transitioned from a correction setting within the past 12 months, or children and youth who are transitioning from a youth correctional facility or transitioned from being in a youth correctional facility within the past 12 months.
• Adults living in the community and at risk for long-term care institutionalization: Adults who are living in the community who meet the SNF Level of Care criteria; or who require lower-acuity skilled nursing or equipment for prevention, diagnosis, or treatment of acute illness or injury.
• Adult nursing facility residents transitioning to the community: Adult nursing residents who are interested in moving out of the institution, and are likely candidates to do so successfully, and are able to reside continuously in the community.
• Children and youth enrolled in California Children's Services (CCS) or CCS Whole Child Model (WCM) with Additional Needs Beyond the CCS condition: Children and youth enrolled in CCS or CCS WCM and are experiencing at least one complex social factor influencing their health.
• Children and Youth Involved in Child Welfare
• Individuals with Intellectual/ Developmental Disabilities: Adults who have a diagnosed I/ DD and qualify for eligibility in any other adult ECM population of focus.
• Pregnant and Postpartum individuals; Birth Equity Population of Focus: Adults and youth who are pregnant or postpartum and qualify for eligibility in any other adult or youth ECM POF, or are subject to racial and ethnic disparities.
Education and Experience:
• High school diploma or GED required.
• Minimum of 1 year experience in case management, member care, customer service, call center, or member care required.
• Valid California driver's license and valid vehicle insurance required.
• MA certificate or medical terminology knowledge preferred.
Required Skills/Abilities:
• Excellent communication, interpersonal, customer service and organizational skills.
• Computer skills for documentation, email and chat support.
• Proficient skills in working independently and collaboratively in a team to provide member care.
• Proficiency in multitasking, organization, and attention to detail is required for effectively providing care to multiple members simultaneously.
• Candidates should exhibit the capability to utilize resources effectively for problem-solving while maintaining composure under pressure in a compassionate manner.
• Applicants must demonstrate proficient speaking, reading, and typing abilities and possess strong proofreading skills.
Physical Requirements:
• Must be able to travel using personal vehicle to complete outreach visits. Mileage reimbursement for the use of your vehicle is at a standard rate.
• Prolonged periods of sitting at an office desk on the computer.
• Lifting: Able to lift up to 15lbs.
Pay range$25-$28 USD
Benefits
Our full-time employees are eligible for the following benefits enrollment after 60 days of employment:
Medical, Dental, & Vision Benefits: We have various insurance options for you and your family.
Short & Long-Term Disability Benefits: Protection when you need it most.
Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans: Added security for you and your loved ones.
Flexible Spending Accounts: Manage your finances with flexibility.
Employee Assistance Program (EAP): Support when life throws challenges your way.
401(K): Building your financial future with us. Effective after 1 year of employment.
Paid Vacation and Sick Leave: Flexibility for the planned and unplanned.
Paid Holidays: Quality time to enjoy celebrations.
Employee Referral Program: Share the opportunities and reap the rewards.
Company Discount Program: Enjoy savings on everyday expenses and memberships.
Equal Employment Opportunity
Optima Medical Management Group and its divisions are an Equal Opportunity Employer. Optima MMG is committed to providing employment opportunities for all qualified candidates without discrimination on the basis of race, religion, sex, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other characteristic protected by federal, state or local laws. Optima MMG is committed to providing reasonable accommodation for individuals with disabilities.
Pre-Employment
Optima Medical Management Group is a drug-free workplace. Employment is contingent upon a successful pre-employment drug screening and background check.
$25-28 hourly 30d ago
Patient Service Representative
PRN Physical Therapy
Patient access representative job in San Diego, CA
As a Patient Service Representative at PRN Physical Therapy, you'll be an essential part of our team, providing exceptional customer service and administrative support to ensure a smooth and positive experience for our patients.
Pay: $19-22/hr based on experience & skill set
Schedule: Full time - clinic is open M-F 7am-6pm
Location: 4435 Eastgate Mall La Jolla, CA 92121
Essential Job Functions:
Patient Interaction:
Greet and welcome patients with professionalism and warmth.
Schedule appointments and manage patient inquiries both in person and over the phone.
Collect and verify patient information, insurance details, and necessary documentation accurately.
Helping to create a positive work environment and culture of the clinic ensuring that patients needs are taking care of during transitional periods of therapy. Help provide customer service, a smile.
Administrative Support:
Maintain patient records and ensure all documentation is complete and accurate.
Assist in keeping front office area neat, tidy and organized
Coordinate with clinical staff to ensure a seamless patient experience.
Assist front office with front office tasks when down time occurring including but not limited to: answering the phone, scanning documents into charts, scheduling patients, taking over the counter payments, filing, faxing, etc.
Communication and Coordination:
Liaise effectively between patients, clinical staff, and other departments within the facility.
Communicate clearly and professionally to address patient concerns or questions.
Miscellaneous Operations:
Maintain a clean and organized reception area.
Assist in managing inventory and ordering office supplies as needed.
Participate in team meetings and contribute ideas for process improvement.
Cleaning and Maintenance: Ensure cleanliness and organization of therapy areas and equipment. Daily equipment cleaning, cleaning tables, laundry, stocking supplies
Physical Requirements:
Sitting: Prolonged periods of sitting at a desk while working on a computer and paperwork.
Manual Dexterity: Ability to use a computer keyboard and perform tasks requiring dexterity.
Vision: Clear vision for reading and analyzing documents.
Communication: Ability to communicate effectively verbally and in writing.
Mobility: Occasional movement within the office environment.
Qualifications:
High school diploma or equivalent; additional education in healthcare administration is a plus.
Proven experience in a customer service role; healthcare setting preferred.
Proficiency in using office software and scheduling systems.
Strong interpersonal skills and the ability to maintain professionalism in a fast-paced environment.
Attention to detail and accuracy in handling patient information and documentation.
Note: This job description is a general outline of responsibilities and requirements. Specific duties may vary based on the needs of the clinic and the directives of management.
$19-22 hourly 32d ago
Outpatient Access Rep II
Thus Far of Intensive Review
Patient access representative job in Boulevard, CA
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
Job Location (Full Address):
1682 Empire Blvd, Webster, New York, United States of America, 14580
Opening:
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
910160 OBGYN WEST RIDGE
Work Shift:
UR - Day (United States of America)
Range:
UR URCA 204 H
Compensation Range:
$18.50 - $24.98
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Responsibilities:
Performs functions associated with patient information processing for ambulatory care visits. Completes the tasks of reception, registration, charge reconciliation process, appointment scheduling, eRecord task management, In Basket management and Telephone encounter management using the electronic medical record and patientaccess and revenue cycle systems. Ensures patient satisfaction with information processing and reception service. Requires accuracy in order to generate a billable service for the provider. Responsible for functions being completed in an accurate, efficient, and customer friendly manner. May act as a resource to new staff.
ESSENTIAL FUNCTIONS
Greets patients to initiate positive ambulatory experience, requests patient identification, ensures use of two identifiers to verify the correct patient, identifies healthcare provider to be seen, identifies referring provider and primary care physician, directs patients to next destination, obtains signatures as needed, identifies and assesses patients' special needs, and monitors reception area to ensure patient needs are met. Provides interaction of warm hand-off to registration and insurance management (RIM). Updates patients regarding waiting time for the provider every 15 minutes. Protects Personal Health Information (PHI) for patients as indicated by HIPAA regulations. Ensures cleanliness and order in the waiting room/lobby.
Collects patient demographic and financial information in an efficient, customer-oriented manner. Asks specific questions of patient to verify information accuracy to establish a billable account. Enters information into electronic medical record (EMR) and patientaccess and revenue cycle system. Requests patient e-mail address for confirmation purposes. Ensures completion of all appropriate forms by patients, such as Medicare Secondary Payer assurance, provision of HIPAA information for new patients, requesting patient identification to verify identity, provision of Financial Assistance Program, etc.
Schedules new and return visits to ambulatory care using the electronic medical record and patientaccess and revenue cycle system, monitors schedules and reports problems to Supervisor, pre-registers patients for next visit, coordinates appointments for ancillary testing or referrals to other clinic sites, follows-up missed appointments and cancellations, completes any correspondence or forms involved with appointment scheduling, schedules interpreters, schedules outside services to meet patient's needs, and ensures patient satisfaction with visit prior to discharge from the area. Prints After Visit Summary (AVS) at check-out when appropriate, uses two patient identifiers to ensure provision of the summary to the correct patient. May assist with provider template changes. Collects patient co-pays, prepares end of day deposits and reconciles any discrepancies.
Answers phone in a timely and courteous manner. Manages incoming clinic calls and sorts calls to various providers. Opens telephone encounter in EMR when speaking with patients. Ensures routing of encounter in EMR to the appropriate staff/provider. Coordinates outgoing calls related to major functions above. Provides information to patients to minimize the need to distribute the telephone call, forwards calls, pages providers, and takes messages.
-Edits and corrects registration errors and completes missing registration data. Assists in charge reconciliation process. Ensures accuracy of patient schedules. Identifies ways to reduce follow-up, repetitive, or corrective work. Manages multiple processes in EMR, including messaging in In Basket and referral work queue processing, which is part of the patient legal medical record, therefore, ensures accurate and concise information is entered.
Assesses the urgency of a situation and determines appropriate routing for the patient, serves as a resource for handling complaints, utilizes service recovery concepts, serves as front-line problem solver.
May escort patient into the treatment corridor, collects height and weight information, records list of current medication, records basic visit documentation, obtains vital signs, etc. Competencies must be verified by clinical staff before performance of any of these duties.
Other duties as assigned.
MINIMUM EDUCATION & EXPERIENCE
High School diploma and 1 year related experience in an administrative office or customer service field required or
Completion of Vision Care 1,2,3 courses required
Or equivalent combination of education and experience
KNOWLEDGE, SKILLS AND ABILITIES
Medical terminology experience preferred
Demonstrated ability to word process documents and enter data into a database preferred
Demonstrates the ICARE values to patient, families and staff preferred
Demonstrated skills related to achievement of customer satisfaction preferred
Ability to act as a resource to less experienced staff preferred
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
$18.5-25 hourly Auto-Apply 11d ago
Standardized Patient
Strategic Operations Inc. 4.1
Patient access representative job in San Diego, CA
Strategic Operations Inc. (STOPS) provides training services and products to the military, law enforcement, first responders, medical providers, and other organizations responsible for homeland security. The company employs state-of-the-art Hollywood special effects pyrotechnics, special effects make-up (wound effects), role players , subject matter experts, instructors, and training scenarios to create training environments that are the most unique in the industry. STOPS also manufactures modular, mobile building systems (relocatable habitat units (RHUs)), props, faux weapons, and live fire targets and constructs, enhances, and transforms training facilities throughout the United States and Canada. STOPS is actively looking to employ individuals, on a part-time/on-call basis, in the support of live action training.
Summary
A Standardized Patient (SP) is a specialized role player, a person who can accurately and consistently recreate the history, personality, physical finding, emotional structure, and response patterns of an actual patient. The SP participates in the teaching and assessment of undergraduate medical students, medical residents, nurses, and allied health care professionals ( learners ) during Medical Simulation training. The SP is a person, age 18 or greater, trained to act out the role of a patient, family member, or other individual to allow “learners” to practice physical exams (non-invasive), history taking skills, communications skills, and other important clinical skills required by Healthcare Providers. The SP must be able to accurately portray a specific scenario for which the learners will perform a brief interview and/or a focused medical case. An SP may also be required to provide constructive feedback regarding the learner's performance.
Job Duties
Specific duties will take place at Naval Medical Center San Diego (Balboa Hospital), the STOPS Tactical Training Laboratory in San Diego, CA, or another location at the direction of the client. Individuals must be able to follow the direction of the Lead Evaluator/Instructor during training scenarios.
The SP will present scenarios in a standardized manner, as instructed by the Lead Evaluator/Instructor and/or as elicited by the learner during simulated interactive patient history and/or a medical case.
The SP will remain in a specific “character” when responding to the learner's questions.
The SP must accurately remember encounters with learners for the purpose of providing feedback on learner performance.
The SP may be recorded or videotaped during the simulation.
The SP must respect the privacy of the learners and hold in confidence all information obtained during a scenario/case.
The SP will perform miscellaneous job-related duties as assigned.
The SP may from time to time be required to perform the duties of a general or casualty actor/role player.
Knowledge, Skills, & Abilities Required
Ability to play a required role and act convincingly while maintaining the specified character - through body language, emotions, personality, and physical findings.
Ability to understand, follow directions, and provide feedback - after action report.
Ability to recall and accurately relay learner's performance to the Lead Evaluator/Instructor.
The individual must have a professional demeanor.
Must enjoy working with people and understand the importance of the position.
Qualifications
The ability to, read, write, and speak English is required.
Prior role-playing experience with military, law enforcement, and first responders/medical providers is preferred, but not necessary.
SPs are assigned based on experience and specific demographic requirements.
Extensive experience is not necessary, perspective individuals will be training on the various components of working as an SP.
$36k-43k yearly est. Auto-Apply 60d+ ago
Patient Care Coordinator I - Scripps Poway Eyecare & Optometry
Keplr Vision
Patient access representative job in San Diego, CA
Are you passionate about providing exceptional customer service and making a difference in the lives of patients? We're looking for a friendly, professional, and detail-oriented individual to join our team as a Patient Care Coordinator. In this dynamic, customer-facing role, you'll be the first point of contact for patients, offering a welcoming atmosphere and top-tier care every step of the way.
What You'll Do:
Be the friendly voice on the phone, assisting patients with scheduling and inquiries
Greet and check in patients with a warm smile and professional demeanor
Manage a variety of front desk tasks with efficiency and attention to detail
Ensure smooth patient flow through excellent time management and multitasking skills
What We're Looking For:
1+ year of customer service experience (healthcare experience a plus, but not required!)
Strong communication skills with the ability to interact professionally and courteously with patients
Tech-savvy with basic computer skills and the ability to learn new systems quickly
A positive, can-do attitude and the ability to stay organized under pressure
Why You'll Love Working Here:
Career growth opportunities - We believe in promoting from within, offering a path for advancement as you gain experience and develop your skills.
Upward mobility - Take your career to the next level! Whether you're looking to grow into leadership roles or specialize in other areas of healthcare, the opportunities are endless.
Supportive, team-oriented environment where your contributions are valued and your growth is encouraged.
Ready to jumpstart your career in healthcare? We're willing to train the right person-if you're passionate about providing outstanding patient care, creating an unforgettable first impression, and building a rewarding career, we want to meet you!
Apply today and take the first step toward an exciting future with us!
Patient access representative job in Oceanside, CA
Profound Research:Profound Research seeks to drive clinical innovation by partnering with community physicians to offer clinical research as a therapeutic option to their patients. Profound enables providers with the right people and tools to launch clinical research operations, often for the first time, to offer new care pathways to patients. Profound Research is looking to grow its energetic team inspired by changing how patients and providers engage in clinical research. Our Mission: Improving Lives by Providing Advanced Therapeutic Options Our Vision: Creating the Absolute Best Patient-Physician Experience in Clinical Research Our Values: Compassion: We value the patient-physician relationship above all else and are committed to a service-oriented approach to all interactions.
Urgency: We work hard and practice selflessness, acting swiftly and decisively to meet the needs of our patients, partners, and colleagues.
Solution Orientation: We are relentlessly positive, and we communicate directly to efficiently identify and implement effective solutions. Excellence: We insist on excellence, holding ourselves accountable and empowering each other to deliver best-in-class service while maintaining the highest ethical and scientific standards.
Profound Ethos o Physicians are the Vanguard o All Decisions Improve Patient Care o Never Compromise Quality
Why this Role Exists: The Embedded Patient Recruitment Specialist should exhibit a platinum level of customer service, acknowledging and greeting patients with a smile, eager to answer questions and exhibiting an unparalleled attention to detail, while maintaining thorough data records.
The Embedded Patient Recruitment Specialist is involved with all aspects of patient recruitment from initiating advertising, chart screening, through initial patient contact to scheduling for first visits or follow up visits. This position is embedded in a clinical trial site and reports to an offsite manager, Senior Director of Patient Recruitment & Engagement. It is important that this person is able to function as part of a team that is dispersed across the nation, while also building comradery with the research teams at sites in the greater Detroit metro area.
Responsibilities-As the first point of engagement with patients, create a customer service experience filled with empathy, compassion, and kindness.
-Available to place outbound recruitment calls to patients interested in participating in clinical research.
-Available to respond to/answer inbound recruitment calls from patients interested in participating in clinical research, within 24-48 hours.
-Accurately complete study pre-screening and screening checklist. Drive enrollment and retention
-Interact with potential clinical trial participants to recruit, assess eligibility criteria, determine patient/subject availability, and coordinate appointments
-Demonstrate knowledge of clinical research protocols including inclusions/exclusions.
-Demonstrate knowledge of effects and side effects of
-Demonstrate knowledge of Good Clinical Practices and FDA regulations.
-Demonstrate knowledge of Profound Research's Policies and Procedures.
-Obtain and maintain potential outreach targets, by therapeutic area, before study starts
-Drive patient enrollment and retention.
-Maintain proficiency within CTM system: database maintenance, patient scheduling, and patient screening logs.
-Maintain up-to-date data entry across all platforms and databases
-Adept at using third party platforms for reviewing and addressing inbound patient leads (i.e., Trial Partners)
-Communicate with Senior Director of Recruitment & Engagement, Clinical Research Site Managers/Directors, Study Coordinators, and support staff regularly with status reports
-Maintain records of study advertising responses by individual study
-Occasional attendance at community events (screenings, etc.), health fairs or events to promote Profound Research Requirements-Telecommunications/call center experience
-Telephone presence and elite customer service etiquette: while performing regular duties, it is regularly required to talk on the phone all
-Comfortable with medical terminology
-Comfortable with basic data input: use of a computer to complete telephone logs and other data entry
-Sales experience Preferred Qualifications-Associate degree Travel Requirements-Occasional travel may be required in this position (less than 1 week per year)
Why Join Profound Research? · Flexible PRN scheduling that works with your availability· Exposure to diverse therapeutic areas and cutting-edge treatments· Supportive team environment with comprehensive training· Opportunity to make a direct impact on patientaccess to innovative therapies· Professional development in the growing field of clinical research
$33k-42k yearly est. Auto-Apply 39d ago
Patient Care Coordinator
Smile Brands 4.6
Patient access representative job in El Cajon, CA
Bright Now! Dental in El Cajon is seeking a motivated and compassionate Patient Care Coordinator to join our growing team. This role is ideal for a dental professional who enjoys patient education, treatment presentation, and helping patients move forward with confidence in their care.
Schedule (days/hours)
5 days
Responsibilities
* Welcome patients and create a positive, caring first impression
* Coordinate patient appointments and support efficient scheduling
* Communicate treatment recommendations and next steps in partnership with the clinical team
* Review insurance benefits and assist patients with financial questions
* Follow up with patients regarding outstanding or recommended care
* Ensure accurate patient records and documentation
* Support a smooth, high-quality patient experience throughout the visit
Qualifications
* At least one year related experience
* Knowledge of dental terminology
* Strong communication and interpersonal skills, with a focus on delivering exceptional customer service
Preferred Qualifications
* Previous experience in a dental or medical office setting
Compensation
$18-$21/hour
About Us
Benefits are determined by employment status/hours worked and include paid time off ("PTO"), health, dental, vision, health savings account, telemedicine, flexible spending accounts, life insurance, disability insurance, employee discount programs, pet insurance, and a 401k plan.
Smile Brands supports over 650 affiliated dental practices across 28 states all focused on a single mission of delivering Smiles For Everyone! Smiles for patients, providers, employees, and community partners. Everyone. Our growing portfolio of affiliated dental brands and practice models range from large regional brands to uniquely branded local practices. This role is associated with the affiliated dental office listed at the top of the job posting on our career site.
Smile Brands Inc. and all Affiliates are Equal Opportunity Employers. We celebrate diversity and are committed to providing an inclusive workplace for all employees. We are proud to be an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, creed, gender (including gender identity and gender expression), religion, marital status, registered domestic partner status, age, national origin, ancestry, physical or mental disability, sex (including pregnancy, childbirth, breastfeeding or related medical condition), protected hair style and texture (The CROWN Act), genetic information, sexual orientation, military and veteran status, or any other consideration made unlawful by federal, state, or local laws. If you would like to request an accommodation due to a disability, please contact us at ***********************
$18-21 hourly Auto-Apply 35d ago
Patient Access Specialist 1
Rancho Health MSO, Inc.
Patient access representative job in Temecula, CA
This job description is to summarize the major duties and responsibilities performed in this job. Incumbents may be requested to perform job-related tasks other than those specifically presented in this description.
PatientAccess Specialist is responsible for booking patients' visits. This process includes greeting, identifying the needs of the patient, and scheduling an appropriate visit. PatientAccess Specialist should help ensure the booking of an appointment is as pleasant an experience as possible.
Essential Job Duties: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Greet patients with a warm salutation and conversation with congenial closing.
Consistently and accurately collect the patient's personal and insurance information, including any necessary updates.
Run patient insurance eligibility.
Review provider schedules to ensure correct placement of appointments.
Follow triage protocol as needed.
Work cooperatively with others, including appropriate communication with patients, providers, support staff and administration.
Route calls to appropriate departments when applicable utilizing a warm handoff.
Attempt to answer questions prior to forwarding the patient's question/concern via message.
Send appropriate inbox messages for med refills, form status, lab results, patient questions when applicable. Include all relevant information in the message.
Communicate patient results when they are available and have been reviewed by the provider.
Reschedule patients as needed due to scheduling conflicts.
Encourage and help patients with MyChart set up.
Comply with all company policies and procedures found in the employee handbook.
Perform other duties and tasks as assigned by leadership.
Required education and experience: The requirements listed below are representative of the knowledge, skills, and/or ability required.
Minimum Education required:
High school graduate or equivalent preferred.
Minimum Experience Required:
Customer Service Experience: A minimum of 1-2 years of experience in customer service, preferably in a healthcare or call center environment.
Healthcare Knowledge: Previous experience in a medical office, clinic, or healthcare-related call center is preferred but not required.
Multitasking Skills: Demonstrated ability to handle high call volumes while maintaining accuracy and a positive attitude.
Communication Skills: Strong verbal and written communication skills, with the ability to manage sensitive and confidential information professionally.
Minimum Knowledge and Skills Required:
Bilingual Spanish is preferred.
Ability to communicate effectively and congenially with patients and staff members in person and over the phone.
Ability to exercise tact, initiative, and good judgement when interacting with patients and staff members.
Basic office skills such as typing, transferring calls, etc.
Organizational and problem-solving skills.
Ability to work on the computer for long stretches of time.
Ability to navigate and accurately input within the EMR system.
Ability to accept supervision and feedback.
Benefits at a Glance:
We offer a comprehensive benefits package designed to support your health, family, financial security, and work-life balance. This includes wellness coverage (medical, dental, vision), life and disability options (life, AD&D, voluntary plans), flexible spending accounts (healthcare and dependent care), retirement savings with a 401(k) match, employee referral bonuses, and generous time off including paid holidays. Employees also have access to an Employee Assistance Program to support overall well-being.
Travel Percentage: 1-5%
Work Authorization: Must be authorized to work in the United States.
Mon - Fri ( 8 am - 5pm)
$33k-42k yearly est. 5d ago
Biller / Dermatology / Part-Time (589)
Sharp Community Medical Group
Patient access representative job in San Diego, CA
at Maven Dermatology
Biller Employment Type: Part-TimeSalary Range: $25-35About Us:Located in the heart of Kearny Mesa, Maven Dermatology is a patient-centered dermatology practice serving individuals and families of all ages. We specialize in medical, surgical, and cosmetic dermatology, offering comprehensive skin care tailored to the unique needs of each patient. From pediatric rashes to complex skin cancers and advanced aesthetic treatments, our experienced team provides high-quality, compassionate care in a welcoming environment.As a growing practice, we emphasize teamwork, innovation, and a culture of continuous learning. Our modern facility is equipped with the latest technology, enabling us to deliver safe and effective care. We are proud to serve the diverse communities of San Diego and are passionate about making dermatology more accessible and inclusive. Job Summary: We're seeking a detail-oriented Medical Biller to join our team and help ensure accurate, timely reimbursement for patient services. In this role, you'll be responsible for processing insurance claims, reviewing patient accounts, and resolving billing discrepancies with both payers and patients. The ideal candidate is organized, proactive, and comfortable working in a fast-paced healthcare environment. You'll collaborate closely with clinical and administrative staff to support smooth revenue cycle operations and deliver an excellent experience for our patients. Key Responsibilities:
Ability to quickly learn and navigate an EHR system.
Patient Information Management: Accurately enter and maintain patient demographic and insurance information in the billing system.
Claims Submission: Prepare and submit insurance claims to various payers, including government and private insurance companies, ensuring compliance with billing regulations.
Claim Follow-Up: Monitor claim status, identify and resolve billing discrepancies, and follow up on outstanding claims to facilitate timely payments.
Insurance Verification: Verify patient insurance coverage and eligibility, including pre-authorization requirements.
Billing Inquiries: Respond to patient and insurance inquiries regarding billing issues, providing excellent customer service.
Payment Posting: Record and reconcile payments received from patients and insurance companies.
Documentation and Reporting: Maintain accurate records of billing and claims activities, generating reports as needed.
Compliance: Stay up-to-date with healthcare billing regulations and compliance requirements, ensuring adherence to all applicable laws and guidelines.
Qualifications:
Experience in EClinicalWorks (ECW) required
Medical billing: 1 year preferred
Medical Biller Certification or Billing and Coding Certification preferred
Benefits:
Medical, Dental, and PTO
Maven Dermatology is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, marital status, status as a protected veteran, or status as a qualified individual with disability.
$25-35 hourly Auto-Apply 5d ago
New Patient Coordinator
Medical Oncology Associates of San Diego
Patient access representative job in San Diego, CA
Medical Oncology Associates of San Diego is a proud partner of One Oncology's network of the nations leading oncology practices.
Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
:
Objective: This position is responsible for coordinating new patient referrals and pertinent information from outside facilities in order for our practice to effectively provide the necessary care and treatment to patients. The position performs complex duties requiring critical thinking, problem resolution, judgment and discretion, following established procedures and guidelines.
Responsibilities/Essential Functions:
Coordinate a high-volume of Oncology /Hematology referrals.
Compile all necessary records and pertinent information from referring office and various facilities.
Proactive Patient outreach to schedule consultations appointments
Manage patient expectations leading up to the consultation appointment, i.e., turnaround time, authorization process, order of care, etc.
Assist patients with new patient registration paper work
Verify insurance eligibility accurately and thoroughly.
Consistently follow up on incomplete referrals that are missing records, authorizations, or other information.
Manage a high volume of calls.
Collaborate with referring medical providers to assist with urgent patient referrals.
Interact with referring office providers and staff on a daily basis.
Foster and maintain positive productive relationships with referring offices, contracted HMOs, and other facilities.
Coordinate and schedule outpatient hospital admissions and secure the required authorizations.
Maintain a high level of confidentiality for patients in accordance to HIPAA standards.
Promotes and contributes positively to inter-departmental issue resolution.
Effectively completes other duties and projects as assigned.
*This is not designed to cover an exhaustive list of duties. Other duties may be assigned and activities may change any time with or without notice, as applicable. Furthermore, job descriptions do not establish a contract or change the at-will nature of employment.
Pay Range: $24.00 - $30.00 per hour based on experience.
Experience, Qualifications, Education
High school diploma or GED required.
Preferred, three years of New Patient Coordinator or Authorization experience in a health care organization. Or a combination of education and experience that demonstrates possession of the required Knowledge, Skills, and Abilities.
Required Knowledge, Skills, and Abilities
Knowledge of records collections methods, techniques, and software (Cerner/Epic).
Knowledge of Insurance eligibility verification and authorizations process.
Ability to act as patient advocate.
Ability to compile and interpret information from multiple sources.
Thrive in a busy fast paced environment.
Establish and maintain professional and productive working relationships with providers and coworkers.
Excellent verbal and written communication skills. Ability to communicate effectively orally and in writing with tack, objectivity, sensitivity, and good judgement when interacting with patients, referring offices, providers, and coworkers from diverse backgrounds and cultures.
Proficiency in computer processing functions, software and other standard office equipment.
Ability to effectively work, collaborate, and prioritize tasks independently and in a team environment.
Ability to calmly and professionally resolve issues with diplomacy and tact.
Strong organizational skills.
Visual acuity to read a computer screen and paper documents; close and distance vision, peripheral vision depth perception, ability to adjust focus.
Hearing acuity to converse with staff and customers in person and by phone.
Ability to stoop, bend, kneel, reach with hands, and lift and move 10 pounds on a regular basis, and up to 25 pounds occasionally; ability to sit for hours at a time.
Working Conditions:
This position functions indoors in a medical/business environment. Employee will be exposed to moderate noise levels and interruptions. Visual acuity to read and compute screen and paper documents; close and distance vision, peripheral vision depth perception, ability to adjust focus; hearing acuity to converse with staff and customers. Ability to sit for hours at a time. Employee will be exposed to moderate noise levels and interruptions.
Travel:
Travel between local offices when necessary.
$24-30 hourly Auto-Apply 60d+ ago
Patient Services Representative Floater
DAP Health 4.0
Patient access representative job in El Cajon, CA
At DAP Health, we are committed to transforming lives and advancing health equity for all. As a leading nonprofit health care provider, we deliver compassionate, high-quality care to the diverse communities of the Coachella Valley and San Diego County. Our comprehensive services range from primary care to mental health, wellness programs, and beyond, with a focus on those who are most vulnerable. Joining our team means becoming part of a passionate, innovative organization dedicated to making a meaningful impact in the lives of those we serve. If you're looking for a dynamic and purpose-driven environment, we invite you to explore the opportunity to contribute to our mission. Job Summary The Patient Services Representative Floater plays a key role in providing exceptional customer service to patients and ensuring they have a positive experience during their visit. In addition, this position also requires traveling between sites and other locations as needed. The Patient Services Representative Floater will fill in and support other clinics on an as needed basis to cover time off, training, or as directed. Supervisory Responsibilities: None Essential Duties/Responsibilities Greet and assist everyone who walks in the door with eye contact and a smile, ensuring everyone feels welcome and cared for Register new patients and patients who have fallen out of care either in person or over the phone Gather all documents required for new patient registration, ensuring accurate patient demographics and guarantor information at every patient visit Identify patients who require program assistance and schedule patients with Care Coordinator Specialist for assessment and program enrollment Answer incoming calls within 3-4 rings and make patient calls in a courteous and professional manner Return voicemails by the end of the next business day Schedule patient follow-up appointments, confirm upcoming appointments, and reschedule as indicated Ensure that appropriate insurance is selected for services rendered for the date of the scheduled visit Check patients in and out for scheduled or walk-in appointments Ensure patients are empaneled according to provider of record and keep up to date with the provider's panel management Assist and encourage patients with signing up for MyChart Answer MyChart patient messages related to registration and/or appointment scheduling Assist patients using tablets or other devices to obtain demographic information required to establish electronic record as needed Run, review, and demonstrate understanding of insurance eligibility Scan all information pertaining to registration into EHR Monitor and respond to website inquiries requesting new patient information Collect and turn in Release of Information (ROI) to HIM department Collect applicable co-pays and outstanding balances at time of check in Keep track of daily incoming documentation for providers Follow up on no-shows and send out no-show letter as stated on no-show workflows Advise Case Manager or EIS Worker when patients indicate need for linkage to internal/external resources (when applicable) Keep supervisor informed of office equipment upkeep/maintenance Complete appointment confirmation calls for unconfirmed patients 24 hours prior Perform other duties as assigned
Required Skills/Abilities
* Ability to maintain recognized medical industry standards of high quality, client-centered services that are HIPAA compliant
* Proficiency in MS Office applications
* Computer expertise in database input
* Effective communication skills, both written and oral
* Excellent customer service skills
* Bilingual in Spanish/English, preferred
Education and Experience
* At least 1 year of experience in medical front office operations preferred - including but not limited to registration process, use of medical terminology, medical insurance, and referral authorizations
* Previous experience working with Electronic Health Records preferred
* Current BLS certification obtained through the American Heart Association or American Red Cross
Working Conditions/Physical Requirements
* This position has a home base at a DAP Health clinic location
* Ability to lift 24 pounds
* Operates in an office setting at times and requires frequent times of sitting, standing, repetitive motion and frequent phone calls/conversations
* Ability to travel to sites around San Diego County, to include Escondido and Borrego Springs as needed. Mileage reimbursement provided per company policy.
* Requires current and valid driver's license and current personal auto insurance as well reliable transportation and a clean driving record
$31k-36k yearly est. 6d ago
Care Coordinator Cancer Screening
Opsam Health
Patient access representative job in Chula Vista, CA
Job title
Care Coordinator - Accelerated Cancer Screening
Reports to
Health Navigator Supervisor, Medical Director
Status
Full-Time (1 Year Grant Funded Position)
Salary
$22.00 - $24.00
OPSAM HEALTH MISSION
We exist to provide quality and patient-centered healthcare to every member of the communities we serve, regardless of the ability to pay.
OPSAM Health is a Federally Qualified Health Center (FQHC) that serves the San Diego County community. Founded in 1973 in a barber shop in Downtown San Diego by Filipino health professionals offering services to immigrants who did not have the finances, linguistic skills, or ability to navigate the health care system. Today, Operation Samahan has evolved into a diverse community health center with services available in National City, Mira Mesa, City Heights, and Rancho Penasquitos. We provide primary care, dental, behavioral health, family planning, integrative health and wellness, healthy eating, civic engagement, and other health-related services to the uninsured, underinsured, and underserved families of all income levels, regardless of their ability to pay.
JOB PURPOSE
The Care Coordinator - Accelerated Cancer Screening will focus on closing cancer screening care gaps for Opsam Health patients, ensuring timely follow-up for abnormal breast, cervical, and colorectal screenings. They will collaborate with clinical teams to guide patients through each step of the screening and follow-up process, addressing any barriers to care. This role includes managing referrals, coordinating with external providers, and auditing patient records to ensure quality care. Additionally, the coordinator will work with the Quality Improvement team to enhance educational and training efforts related to cancer screening's
ESSENTIAL DUTIES AND RESPONSIBILITIES
Responsible for reducing cancer screening care gaps for Opsam Health patients
Oversee clinic care coordinator's daily huddle regarding cancer prevention screening efforts
Support to clinicians to navigate patients through each step in the process of any abnormal breast, cervical and colorectal cancer screening results, assisting patients in accessing recommended follow-up care, including additional imaging, tests and appointments at tertiary care centers
Ensure proper communication with patients, clinical staff, providers, lab and imaging partners to assure the patients' timely and appropriate care
Audit chart records in eClinicalWorks for cancer screening and follow up reports
Assist patients with referrals related to breast, cervical and colorectal abnormalities
Schedule appointments/ referrals with appropriate provider(s) for cervical, breast and colon cancer screening diagnosis, and treatment, including contacting and reminding patients to schedule appointments, anticipatory guidance about expected tests and procedures, and navigate on how to arrive at scheduled appointments on time and prepared
Request medical records from outside care providers and upload to ensure accurate and complete medical record
Consider and strategically address the “social determinants of health” which may be delay or otherwise interfere with timely and appropriate follow-up services
Collaborate with QI Team in the planning and implementation of educational, training and quality improvement efforts for cancer screening
Coordinate all newly diagnosed cancer to oncology specialists (such as Moore's Cancer Center) to ensure timely evaluation and management
Other duties assigned as needed
Qualifications
Medical Assistant, Bachelor's degree in healthcare field or High School Diploma with at least 2 years of clinical care coordination experience.
Knowledge of medical terminologies
Experience working in a large clinic setting
Experience working with Health Insurance plans
Knowledge of scheduling medical appointments and prior authorization processes.
Experience with electronic medical records
Excellent ability to communicate both orally and in writing.
Demonstrated knowledge and advanced level skill in word processing software applications (Word, Excel, Teams, Outlook, & PowerPoint)
Ability to interact well with care teams and all patients and families.
Excellent customer service skills.
$22-24 hourly Auto-Apply 45d ago
Learn more about patient access representative jobs
How much does a patient access representative earn in Santee, CA?
The average patient access representative in Santee, CA earns between $29,000 and $46,000 annually. This compares to the national average patient access representative range of $27,000 to $41,000.
Average patient access representative salary in Santee, CA
$37,000
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