Patient access representative jobs in Tennessee - 1,500 jobs
Prior Authorization Specialist
Methodist Le Bonheur Healthcare 4.2
Patient access representative job in Memphis, TN
If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!
We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South.
Responsible for precertification of eligible prescriptions. Ensures complete documentation is obtained that meets insurer guidelines for medical necessity and payment for services. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.
A Brief Overview
Responsible for precertification of eligible prescriptions. Ensures complete documentation is obtained that meets insurer guidelines for medical necessity and payment for services. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
What you will do
Responsible for precertification of eligible prescription medications for inpatient and outpatient services based on medical plan documents and medical necessity. Ensures medical documentation is sufficient to meet insurer guidelines for medical necessity documentation and procedure payment.
Reviews clinical information submitted by medical providers to evaluate the necessity, appropriateness and efficiency of the use of prescription medications.
Assists with patient assistance and grant coordination for Patients for outpatient pharmacies from designated areas.
Proactively analyzes information submitted by providers to make timely medical necessity review determinations based on appropriate criteria and standards guidelines. Verifies physician orders are accurate. Determines CPT, HCPCS and ICD-10 codes for proper Prior Authorization.
Contacts insurance companies and third party administrators to gather information and organize work-flow based on the requested procedure.
Collects, reads and interprets medical documentation to determine if the appropriate clinical information has been provided for insurance reimbursement and proper charge capture.
Serves as primary contact with physicians/physician offices to collect clinical documentation consistent with insurer reimbursement guidelines. Establishes and maintains rapport with providers as well as ongoing education of providers concerning protocols for pre-certification.
Communicates information and acts as a resource to PatientAccess, Case Management, and others in regard to contract guidelines and pre-certification requirements.
Performs research regarding denials or problematic accounts as necessary. Works to identify trends and root cause of issues and recommend resolutions for future processes.
Education/Formal Training Requirements
High School Diploma or Equivalent
Work Experience Requirements
3-5 years Pharmacy (clinical, hospital, outpatient, or specialty)
Licenses and Certifications Requirements
See Additional Job Description.
Knowledge, Skills and Abilities
Basic understanding of prescription processing flow. Expertise in utiliizing EMRs to document clinical critieria required for third party approval.
Knowledgeable of medical terminology, drug nomenclature, symbols and abbreviations associated with pharmacy practice.
Strong attention to detail and critical thinking skills.
Ability to speak and communicate effectively with patients, associates, and other health professionals.
Ability to diagnose a situation and make recommendations on how to resolve problems.
Experience with a computerized healthcare information system required. Familiarity with fundamental Microsoft Word software.
Excellent verbal and written communication skills.
Supervision Provided by this Position
There are no lead or supervisory responsibilities assigned to this position.
Physical Demands
The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
Must have good balance and coordination.
The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative.
Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.
Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
$24k-28k yearly est. Auto-Apply 4d ago
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Rapid Access Coordinator
Adecco Us, Inc. 4.3
Patient access representative job in Knoxville, TN
Adecco Healthcare & Life Sciences is hiring a **Rapid Access Coordinator** in **Knoxville, TN** ! This role is in person / onsite. Please review the details below and apply with an updated resume.
Type** : Temp to hire
**Schedule** : Part time - 24 hours per week - shift times (7:00AM-7:00PM)
**Pay** : $18.00 to $20.00 per hour based on experience
**Responsibilities of the Rapid Access Coordinator** :
+ Coordinates and facilitates appropriate patient transfer and consult requests from referring facilities in accordance with established clinical guidelines and protocols and EMTALA within established timeframes.
+ Coordinates and facilitates appropriate direct patient admissions from physician offices and ambulatory outpatient centers in a timely manner.
+ Coordinates and schedules tele-medicine consults for emergency departments and inpatient facilities.
+ Utilizes effective and professional communication to act as liaison on behalf of the patient between physicians, hospital staff, and referring facilities.
+ Obtains and documents accurate patient clinical information relevant to transfers or direct admissions and clearly communicates information to accepting physicians.
+ Demonstrates the ability to triage and prioritize patient acuity utilizing critical thinking skills, clinical decision making and acquired knowledge to assist in assessing situations and facilitating patient flow through the continuum of care.
+ Obtains verbal admission order from the provider for patient type/status (inpatient, observation, etc.) and appropriate level of care (critical care, telemetry, medical, etc.) Enters order into eCare.
+ Obtains accurate patient demographic information from referring facilities and physician offices to perform patient quick registration.
+ Immediately requests bed placement for patients and communicates bed numbers back to referring facilities or physician offices. In the event of delays in bed assignment, perform patient status checks and coordinate placement. In event of urgent placement involves the ED physician and/or Clinical or System AOC.
+ Monitors and communicates daily system bed status across the organization. Maintains an up-to-date and accurate profile of bed capacity across all facilities, including the number of patients holding for a bed in the emergency departments, surgery and other patient holding areas. Elevates capacity issues to System Clinical AOCs, hospital CAOs and CNOs.
+ Immediately elevates transfer acceptance issues to the appropriate level of system and facility leadership
+ Schedules appointments for Outreach Link for emergency department patients who need follow-up treatment and/or resources for mental health or substance misuse.
+ Coordinates air transportation when needed.
+ Follows appropriate hand-off protocols at shift change including giving full patient report, completing all patient transfer documentation and patient status orders, and logging off the telephone
+ In the event of an unexpected telephone downtime and/or power outage, opens an urgent ticket with the Help Desk to implement Crisis Link and WiFi phones and immediately initiates proper downtime action steps.
+ Completes all necessary training and refers to facility acceptance guidelines and protocols to coordinate transfers and admissions. Attests quarterly to a review of all guidelines and protocols. Checks emails on a routine basis to stay up to date on process changes that need to be implemented immediately. Maintains an awareness of all services and capabilities.
+ Completes appropriate patient follow-up and manages expectations related to transfer requests in a timely manner (i.e., follow-up when additional testing requested by accepting physician, needed data for stroke/neurology transfers, when physicians request a patient be transported immediately, etc.)
+ Demonstrates proficiency in working with the Patient Checklist, Flowboard, eCare, eCare Schedule Book, STAR and other office-oriented systems as needed.
+ Completes necessary reports and assignments during call downtime.
+ Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
+ Performs other duties as assigned.
**Qualifications** **of the Rapid Access Coordinator** :
+ High School Diploma / GED
+ Licensed as an EMT, Paramedic, or LPN in the state of TN
+ Two years of experience in a health-related field
**Why work for Adecco?**
+ Weekly Pay
+ 401(k) Plan
+ Skills Training
+ Excellent medical, dental, and vision benefits
**Pay Details:** $18.00 to $20.00 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to **********************************************
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
+ The California Fair Chance Act
+ Los Angeles City Fair Chance Ordinance
+ Los Angeles County Fair Chance Ordinance for Employers
+ San Francisco Fair Chance Ordinance
**Massachusetts Candidates Only:** It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
$18-20 hourly 3d ago
Customer Service Representative
Vaco By Highspring
Patient access representative job in Lebanon, TN
Customer Service Representative - Trucking Pay: $19-21/hour (Contract) Schedule: Tuesday-Saturday, 3:00 AM - 11:00 AM/12:00 PM Support daily trucking operations by maintaining accurate load and dispatch information, communicating with drivers and customers, and ensuring timely scheduling and paperwork.
Key Responsibilities:
Enter and update orders in the dispatch system (ERD, LFD, rail cut-off, appointments)
Communicate with customers and drivers via phone/email
Schedule and confirm pickups and deliveries
Track containers, chassis, and yard inventory; prepare reports for Fleet Managers
Ensure all driver/load paperwork is complete and scanned
Support Fleet Managers and relay capacity needs
Qualifications & Environment:
Comfortable in a fast-paced trucking environment with direct communication
Outgoing, detail-oriented, and able to multitask
Background check and drug screen required
$19-21 hourly 3d ago
Assistant Registrar
Chattanooga College Medical Dental and Technical Careers
Patient access representative job in Chattanooga, TN
At Chattanooga College MDTC, Student Services team members help implement our strategy of “Where a small school can make a BIG difference!!”
The Assistant Registrar will provide student records and registration support to current and prospective students to support institutional operations, compliance, and student success. This includes responsibilities such as maintaining student records, coordinating registration activities, ensuring regulatory compliance, generating reports, and providing customer service to students, faculty, and staff. Ideal candidates must have excellent interpersonal, communication, problem-solving, and listening skills. Candidates must be able to adapt to a fast-paced work environment and manage multiple priorities and changing assignments.
This is a professional, non-instructional position supporting the Registrar/Student Services Department. This role requires considerable interaction with students, faculty, staff, and external partners through individual interactions and ongoing operational support. Assistant Registrars are expected to possess extensive knowledge of institutional policies, accreditation requirements, student information systems, and record-keeping procedures. They must be able to interpret individual needs, provide accurate guidance, and work effectively with individuals who may be confused, stressed, or demanding.
Employees in this role can expect to support individuals regarding registration, enrollment status, academic records, and institutional processes; assist with decision-making related to academic and administrative requirements; and help guide individuals toward successful outcomes. This position requires maintaining confidentiality and accurate records to ensure compliance with accreditation standards, institutional policies, and federal regulations (e.g., FERPA, as applicable). The role may also support institutional events such as Orientation, Registration periods, and Graduation. A strong commitment to equity, access, and student success is essential.
Salary Range
$33,000- $35,000
Responsibilities
Provides records management and registration support to a diverse student population, including regular contact regarding enrollment status and academic records.
Implements institutional and departmental priorities related to compliance, data integrity, and operational effectiveness.
Supports students, faculty, and staff through individual interactions to address questions and resolve concerns related to registration and records.
Educates individuals on institutional policies, procedures, timelines, and academic record requirements.
Utilizes and maintains student information systems and related technology to promote efficiency, accuracy, and access.
Completes required professional development and training annually.
Supports department-wide and student services initiatives.
Maintains accurate, confidential documentation and records in compliance with institutional, accreditation, and federal requirements.
Collaborates with academic departments, admissions, financial aid, and other campus partners to ensure seamless operations.
Provides appropriate referrals when student concerns fall outside the scope of the Registrar's Office.
Upholds confidentiality and complies with institutional policies, accreditation standards, and federal regulations.
Assists with planning and coordination of registration periods, Orientation, and Graduation.
Maintains tools, systems, and resources necessary to effectively perform job duties.
Remains current on relevant laws, regulations, accreditation standards, and emerging best practices related to records management.
Collaborates with the Registrar and Student Services leadership.
Please note: This job description is not exhaustive, and additional duties may be assigned as needed.
Skills
Strong interpersonal, communication, and customer service skills
Ability to establish and maintain effective working relationships with students, faculty, and staff
Ability to communicate clearly and professionally in verbal and written formats
Strong organizational skills and attention to detail
Ability to use technology to support services, including Microsoft Office and student information systems
Education & Experience
Education or Training:
Associate's degree in education, business administration, information management, or a related field
Experience:
A minimum of 1 year of experience in an administrative or records-related role
Experience in higher education or student services is preferred
Other Requirements
Please submit a two-minute video to Ted.Richardson@chattanoogacollege.edu with your application summarizing your employment history, interest in the role and explanation of why you would be the best Assistant Registrar for Chattanooga College MDTC.
Applications that do not include the required video submission will not be reviewed.
Equal Employment Opportunity Statement
Chattanooga College MDTC is an Equal Opportunity Employer. We are committed to fostering an inclusive and diverse workplace. Employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other legally protected characteristic, in accordance with applicable federal, state, and local laws.
Chattanooga College MDTC encourages applications from individuals of all backgrounds and experiences and is dedicated to providing equal access to employment opportunities.
Patient access representative job in Maryville, TN
Inspire health. Serve with compassion. Be the difference.
Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre-authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Interviews patient or other source (in accordance with HIPAA Guidelines) to secure information relative to financial status, demographic data and employment information. Enters accurate information into computer database, accesses Sovera to ensure the most recent insurance card is on file, and scans documents according to departmental guidelines. Follows up for incomplete and missing information.
Verifies insurance coverage/benefits utilizing online eligibility or by telephone inquiry to the employer and/or third-party payor. Information obtained through insurance verification must always be documented in the system. Assigns appropriate insurance plan from the third-party database; ensures insurance priorities are correct based on third-party requirements/ COB. Initiates pre-certification process as required according to Departmental Guidelines; obtains signed waiver for cases where pre-certification is required but not yet obtained.
Obtains necessary signatures and other information on appropriate forms and documents as required including, but not limited to, Consent Form, Liability Assignment, and Waiver Letter.
Receives payments and issues receipts, actively working toward collection goals. Maintains cash funds/verification logs and makes daily deposits according to departmental policies and procedures.
Prepares and distributes appropriate reports, documents, and patient identification items as required. This includes, but is not limited to, Privacy Notice, Patient Rights and Responsibilities, Patient Rights in Healthcare Decisions Brochure, Medicare Booklet, schedules, productivity logs, monthly collection reports, patient armbands, patient valuables, etc.
Communicates to patients their estimated financialresponsibility.Requests payment prior to or at the time of service. Refers patients who may need extended terms to the Medical Services Payment Program and patients needing financial assistance to appropriate program.
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director, or executive.
Minimum Requirements
Education - High School diploma or equivalent OR post-high school diploma/highest degree earned
Experience - Two (2) years of Admissions, Billing, Collections, Insurance and/or Customer Service
In Lieu Of
NA
Required Certifications, Registrations, Licenses
NA
Knowledge, Skills and Abilities
Basic computer skills (word processing, spreadsheets, database, data entry)
Knowledge of office equipment (fax/copier)
Mathematical skills
Registration and scheduling experience- Preferred
Familiarity with medical terminology- Preferred
Work Shift
Day (United States of America)
Location
Blount Memorial Hospital
Facility
7001 Corporate
Department
70019272 PatientAccess-Blount
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
$24k-30k yearly est. 4d ago
Insurance Specialist
Bankers Life 4.5
Patient access representative job in Nashville, TN
Bankers Life , one of the most respected brands in the Financial Services industry, is seeking ambitious individuals to grow our team of Insurance Professionals. We offer award-winning training, access to mentors, and a workday that can be built around your lifestyle and an opportunity to advance your career within a leadership role.
As an Insurance Professional, you will:
Build a client base by growing relationships with your network and providing guidance
Gain expertise through sponsored coursework and proprietary agent development training
Guide clients through important financial decisions using the latest software and our expansive product portfolio
Own your career by utilizing company sponsored leadership development programs to increase your potential for advancement to our mid or upper-level management roles
Build manage, and lead teams of Insurance Professionals
What makes a great Insurance Professional?
Strong relationship building and communication skills
Self-motivation to network and prospect for new clients, while demonstrating strong time management skills
A competitive and entrepreneurial spirit to achieve success both for yourself and others
The ability to present complicated concepts effectively
What we offer:
Highly competitive commission structure designed to grow with you
Passive income opportunities and bonus programs
Fully paid study programs for insurance licensing, SIE, Series 6, Series 63, CFP
Award-winning training - Bankers Life has been named as a Training Apex Award Winner for the twelfth consecutive year
Flexible in-office schedules once you complete your agent training
Progressive advancement opportunities
Retirement savings program and more
Bankers Life , a subsidiary of CNO Financial, is a Fortune 500 company with a strong commitment to diversity and inclusion. We value an inclusive and belonging environment where everyone's different viewpoints bring new successes! Please visit our career site to learn more about our mission: ********************************
$31k-41k yearly est. 1d ago
Patient Financial Advocate
Firstsource 4.0
Patient access representative job in Sevierville, TN
FULL Time, Entry Level - GREAT way to get hands on experience! Plenty of opportunities for growth within!
Hours: M- F 10:00am - 6:30pm
and healthcare setting, up to date immunizations are required.
We are a leading provider of transformational outsourcing solutions and services spanning the customer lifecycle across the Healthcare industry.
At Firstsource Solutions USA, LLC, our employees are there for the moments that matter for customers as they navigate some of the biggest, most challenging, nerve-racking, and rewarding decisions of their lives.
Dealing with healthcare challenges is hard enough but the added burden of not knowing how much that care will cost or having a means to pay for it often creates additional stress and anxiety. It's times like these when our teams are there to help guide these patients and their families through the complex eligibility and payment process.
At Firstsource Solutions USA, LLC., we take the burden away from the patient and their family allowing them to focus on their health when they need to most. Afterwards, we work with patients to identify insurance eligibility, help them navigate their financial responsibilities and introduce ways to achieve financial well-being through payment arrangement options.
Our Firstsource Solutions USA, LLC teams are with patients all the way, providing support and assistance all the while seeing first-hand the positive impact of their work through the emotions of relief and joy of the patients.
Join our team and make a difference!
The Patient Financial Advocate is responsible to screen 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. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.
#INDSOL
$30k-38k yearly est. 2d ago
Licensed Customer Service and Sales Rep - Nashville, TN
The Auto Club Group 4.2
Patient access representative job in Nashville, TN
Join America's most trusted brand with over 100 years of service.
Why Choose AAA The Auto Club Group (ACG)
ACG offers excellent and comprehensive benefits packages:
Medical, dental and vision benefits
401k Match
Paid parental leave and adoption assistance
Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays
Paid volunteer day annually
Tuition assistance program, professional certification reimbursement program and other professional development opportunities
AAA Membership
Discounts, perks, and rewards and much more
A DAY IN THE LIFE of a Field Insurance Service Representative
The Auto Club Group is seeking a Field Insurance Service Representative who will provide a high level of support to the Insurance Agency and members by servicing existing insurance accounts.
Perform retention calls, process applications, renewals, amendments, resolve customer problems, as well as selling membership and financial products (credit cards)
Provide price quotes on all insurance products and factor in all applicable rules (underwriting, business, etc.) and discounts to complete the sale
Take insurance payments (initial, installment, lapse, or reinstatement)
Respond to customers' insurance inquiries and explains product features and Auto Club Group service advantages to potential customers for the purpose of promoting and selling various insurance, membership, and financial products
Refer to agent when appropriate
Recognize and promote cross-sale opportunities within the context of servicing a change to an existing member's policy and provide efficient processing of customer policies, endorsements, and status and coverage changes in accordance with state rules and corporate policies and procedures
Provide customer assistance through the performance of sales processing activities and assists management and agents when applicable
Conduct outbound promotional and retention call activities per management request and provides general promotion of Auto Club Group products and services following established guidelines
Participate in a team environment to promote customer satisfaction and consistent service following the customer service model
Receive and resolve member/customer complaints and seeks assistance from management in complaint resolution as necessary
Participate in office events developed to generate insurance revenue, improve member awareness of products, and support local community activities
Fulfill, maintain and service insurance policies
Respond to inquiries regarding insurance availability, eligibility, coverage. Prepare insurance proposals, policy changes, transfers, and billing clarification
Contact members or insureds regarding the renewal of delinquent memberships, late premium payments and to solicit reinstatements in the event of policy cancellations
Verify new business applications
Refer relevant members/insureds to other lines of business (i.e. Travel and Life)
Process insurance and membership payments
Update electronic member information
Maintain filing systems and provide other general Agency support
HOW WE REWARD OUR EMPLOYEES
Starting hourly wage of $23.00 - $25.50 per hour, based on experience
WE ARE LOOKING FOR CANDIDATES WHO
Required Qualifications:
A Current Property & Casualty Insurance license
Must qualify, obtain, and maintain all applicable state licenses and appointments required for selling and/or servicing Auto Club Group Membership products.
Successful completion of Customer Service, Insurance and Membership training within 6 months of hire
Education:
High School Diploma or equivalent
Work Experience:
Provide a high level of customer-focused service
Service insurance policies and processing applications, renewals, and amendments
Respond to billing and coverage questions
Process monetary transactions; Taking payments
Promote the sales of insurance products and services using established guidelines
Present complex information in a clear and concise manner
Knowledge and Skills:
Analyze member/potential customer insurance needs and determine appropriate levels of coverage
Prepare appropriate rate quotations
Organize, plan and promote the sale of ACG insurance and membership products and services
Perform outbound service calls
Maintain accurate records
Insurance terminology
General insurance regulations
Underwriting procedures
Sales regulatory and compliance guidelines
Insurance Systems and/or membership systems (e.g., PPS, POS, IMS, IPM)
Work effectively in a team environment
Work independently, with minimal supervision
Exceed member expectations relating to professionalism of demeanor, efficient and effective customer service (on phone or in person) and maintenance of workstation and office facility
Proficient in using Microsoft Office products
Read, comprehend, and communicate clearly and concisely in the work environment and with the public (e.g
.,
explain instructions, rules and procedures)
Perform mathematical calculations to accurately perform monetary transactions
Work under pressure in a high volume, fast paced customer service environment
Successfully complete appropriate training relative to all Auto Club Group (ACG) products and services
Work Environment
Work in a temperature-controlled office environment. Willingness and ability to work irregular hours to include weekends, holidays, and community events.#LI-AM1
Who We Are
Become a part of something bigger.
The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.
By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance.
And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other.
We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.
To learn more about AAA The Auto Club Group visit ***********
Important Note:
ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.
The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.
The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.
Regular and reliable attendance is essential for the function of this job.
AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
$23-25.5 hourly 5d ago
Test and Surgery Scheduling Specialist
Columbia 4.6
Patient access representative job in Columbia, TN
Full-time Description
This position is a full-time, permanent non-clinical position within Tennessee Orthopaedic Alliance in Columbia, TN.
Responsibilities
Coordinate and schedule tests and procedures, follow-up appointments as designated by physicians
Interact with patients' physicians and other staff both with the Clinic and at outside facilities providing accurate timely and responsive information
Ensure efficient telephone communication
Schedule mutually acceptable appointment times for patients and physicians using computerized scheduling system
Notifies the physician regarding patient cancelation or reschedules
Requirements
Understanding of CPT and ICD-10 coding
Knowledge of administrative and clerical procedures experience with an EHR or NextGen is a plus
Strong organizational and interpersonal skills
Understanding medical terminology
Benefits
Competitive pay
Comprehensive benefits package including medical, dental, vision, 401k match with employee contribution and discretionary profit-sharing
Paid Time Off (which increases with years of service)
Paid Holidays
TOA is an equal opportunity employer. TOA conducts background checks on applicants who accept employment offers. TOA adheres to HIPAA and OSHA safety guidelines.
$26k-30k yearly est. 39d ago
Patient Communications Representative I
Sees Management LLC 4.5
Patient access representative job in Franklin, TN
Job DescriptionDescription:
ABOUT US:
Our focus is to provide our patients with the best healthcare experience through innovation, professionalism and compassionate care. Our physicians and staff share our passion for patient-centric care and are knowledgeable, skilled and empathetic to our patient needs. We continuously look for ways to improve our patient's experience through data analytics, patient surveys and feedback. Our commitment to patient care is also investing in our employees through ongoing continuing education and training.
POSITION SUMMARY
The Patient Communications Representative I for the Call Center will contribute to the fulfillment of all patient schedules. They play an important role in patient experience within the revenue cycle. They are a welcoming voice for all our patients and set the tone for patient care.
KEY RESPONSIBILITIES:
Always positive and friendly with patients, co-workers and anyone who calls in to
Verifies patient information and confirms insurance information and referral status.??
Obtains and retains knowledge of insurance company participation and requirements including when an authorization is needed, or when a referral is needed.
Registers patients correctly in the computer, providing consistency for patient listing and billing information- including name, DOB, address, phone number, email address, insurance
Answers general questions for patients following established guidelines.
Assists with answering and triaging incoming telephone calls and routing them according
Answers and screens telephone calls appropriately and gives non-medical instructions to patients in preparation for their visit to the office.??
Serves as primary appointment scheduler for all physicians and other resources in clinic, using the provided scheduling guide.
Answers questions regarding insurance billing and office financial policies?
Assists patients as needed.?
Provides the highest level of customer service to all patients.?
Assists in maintaining work area.?
Ensures confidentiality of medical records and patient information in accordance with HIPAA.
Performs regular schedule optimization
REQUIREMENTS:
High school diploma or equivalent required.?
Positive attitude and a love for helping others!
Prior experience in a fast-paced medical office and in electronic health record preferred.?
KNOWLEDGE, SKILLS, AND ABILITIES:
Patient Experience - Understanding and anticipate the patient's needs. Proactively strives to exceed our patient's expectations and provide ongoing education and communication.
Proactive- Keep others informed. Ask for help when needed, brings any challenges or concerns to leadership.
Professionalism- Displaying cautious, helpful and ethical behavior. Maintaining composure even under difficult and challenging circumstances.
Excellent Communication Skills - written & verbal. Focus on becoming an active listening to better understand the needs of co-workers and patients.
Drive for Results - Strives for improving the patient experience by committing to continuous improvement and doing above and beyond for optimal outcomes.
Focus on Efficiency - Utilizes technology, innovation, and process improvements to continuously improve efficiency and effectiveness.
Teamwork- Participates as a team member and establishes strong working relationships with teammates and across the organization.
Celebrates Change- Receptive to new ideas and responds to changes with flexibility and optimism.
Forward-thinking attitude - Consider how your actions and behavior influence or affect others, and how will this impact your future growth in the company.
Continues Learning and Improvement- Acknowledges own strengths and development needs and works to strengthen capabilities.
OWNERSHIP SKILLS:
Help foster a positive workplace environment that encourages accountability, collaboration and transparency.
Self-awareness; understanding your learning style and personality traits. Focus on your strengths rather than your weaknesses.
Pride in one's work by asking questions when needed, providing feedback and completed job tasks in a timely manner.
Aligning job responsibilities and projects with the company's goal and mission.
Pro-active measures in daily work that anticipates problems and develops solutions.
Ask for clarification when needed. Work in an organized and structured environment to minimize stress during busy workdays.
Confidence to express ideas and solutions during meetings or projects. Openness to other employee's opinions and feedback.
Establish performance goals and align personal interest and career aspiration with new tasks and responsibilities.
Offer solutions to problems rather than presenting issues.
Ask for constructive feedback regarding job performance.
Share responsibility for actively maintaining "workload items" for clinical and support buckets.
PHYSICAL REQUIREMENT:
Exerting up to twenty-five pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
Repetitive motion. Substantial movements (motions) of the wrists, hands, and/or fingers.
Have close visual acuity to perform an activity including viewing a computer terminal, extensive reading, interpretation, etc.
Must possess the physical, mental, and cognitive skills needed to complete essential tasks, including abilities such as learning, remembering, focusing, categorizing, and integrating information for comprehension, problem-solving, and timely decision-making.
Must be able to be stationary for prolonged periods of time
COGNITIVE REQUIREMENT:
Executes tasks independently.
Learns and memorizes tasks.
Maintains concentration/focus on tasks.
Performs task in a demanding environment requiring multi-task and prioritize work.
Must be comfortable working and interacting with large groups of people daily.
BENEFITS & PERKS:
Generous PTO allowance
Holiday Pay
Health, Dental & Vision
Life Insurance
Short-term disability
Long-term disability
401k with discretionary match
Uniform Allowance (clinic only)
Professional Development
SEES Group LLC. is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any characteristic protected by law.
Requirements:
$27k-31k yearly est. 2d ago
Scheduling Specialist - FT - Days (72925,73788)
Hamilton Health Care System 4.4
Patient access representative job in Cleveland, TN
Hours: 8:30AM - 5PM
Days: Monday - Friday
Primary function is to accurately schedule patients for outpatient procedures. Pre-register patients by entering information into computer accurately and in a professional and courteous manner.
$25k-30k yearly est. 37d ago
Standardized Patient
Vumc.org
Patient access representative job in Nashville, TN
Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research.
Organization:
CELA - Staff
Job Summary:
Come join our exciting team and work as a Standardized Patient, where you will be trained to portray a patient, family member, health care team member, etc. Your employment will be for the purpose of training and/or assessing health care professionals (medical students, residents, nurses) related to interviewing, physical examinations, communication, and interpersonal skills.
REQUIREMENTS:
- High School Diploma or GED
- Experience is not required, but relevant experience in a clinical or simulation-education setting is a definite plus.
This is a PRN role where you work as needed with no routine, specific schedule. Most of our projects take place Monday-Friday between the hours of 7:00 AM & 6:00 PM. On rare occasions, we may also have available work on a Saturday.
.
DEPARTMENT SUMMARY:
The Center for Experiential Learning & Assessment (CELA) at VUMC consists of three interrelated domains: human simulation using standardized patients, technical simulation utilizing state-of-the-art mannequins, and experiential training using human cadavers. CELA strives for growth, balance and integration into students' clinical experiences with live patients, achieving this by preserving the highest degree of realism within carefully scripted encounters, dynamic scenarios, and progressively complex anatomical lessons. For more information, please visit ***********************************
Key Responsibilities:
Recall actions and dialogue that may have occurred during an interaction with the trainee.
Provide feedback on interactions with trainees.
Follow directions in achieving the portrayal of patient.
Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.
At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose.
Core Accountabilities:
* Organizational Impact: Performs tasks that are typically routine that may impact team's performance with occasional guidance. * Problem Solving/ Complexity of work: Utilizes some discretion and research to solve routine problems. * Breadth of Knowledge: Applies knowledge of standards, established processes and procedure that apply to your own job. * Team Interaction: Provides guidance to entry level co-workers.
Core Capabilities :
Supporting Colleagues : Develops Self and Others: Continuously improves own skills by identifying development opportunities.- Builds and Maintains Relationships: Seeks to understand colleagues' priorities, working styles and develops relationships across areas.- Communicates Effectively: Openly shares information with others and communicates in a clear and courteous manner. Delivering Excellent Services: - Serves Others with Compassion: Invests time to understand the problems, needs of others and how to provide excellent service.- Solves Complex Problems: Seeks to understand issues, solves routine problems, and raises proper concerns in a timely manner. - Offers Meaningful Advice and Support: Listens carefully to understand the issues and provides accurate information and support. Ensuring High Quality: - Performs Excellent Work: Checks work quality before delivery and asks relevant questions to meet quality standards. - Fulfills Safety and Regulatory Requirements: Demonstrates basic knowledge of conditions that affect safety and reports unsafe conditions to the appropriate person or department. Managing Resources Effectively : - Demonstrates Accountability: Takes responsibility for completing assigned activities and thinks beyond standard approaches to provide high-quality work/service. - Stewards Organizational Resources: Displays understanding of how personal actions will impact departmental resources. - Makes Data Driven Decisions: Uses accurate information and good decision making to consistently achieve results on time and without error. Fostering Innovation : - Generates New Ideas: Willingly proposes/accepts ideas or initiatives that will impact day-to-day operations by offering suggestions to enhance them. - Applies Technology: Absorbs new technology quickly; understands when to utilize the appropriate tools and procedures to ensure proper course of action. - Adapts to Change: Embraces changes by keeping an open mind to changing plans and incorporates change instructions into own area of work.
Position Qualifications:
Responsibilities:
Certifications:
Work Experience:
Relevant Work Experience
Experience Level:
Less than 1 year
Education:
High School Diploma or GED
Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.
$26k-32k yearly est. Auto-Apply 48d ago
Patient Representative (Full-Time)
Diana Health
Patient access representative job in Smyrna, TN
Diana Health is a high-growth network of modern women's health practices. We are on a mission to set a new standard of care that inspires, empowers, and supports women to live healthier, more fulfilling lives. We partner directly with hospitals and align incentives across stakeholders using integrated care teams, smart technology, and a designed care experience that is good for patients and good for providers. The result is an individualized, comprehensive care program that puts women in the driver's seat of their own health and provides them with the information and compassionate care they need to reach their health goals.
We are an interdisciplinary team joined together by our shared commitment to transform women's health. Come join us!
Role Description
We are looking for a Receptionist / PatientRepresentative driven to create an delightful customer service experience from the moment a client steps through our doors while ensuring the smooth operation of a growing women's health practice. You are warm, welcoming, attentive, outgoing, customer service and detail-oriented, organized, and eager to tackle challenges with empathy and creativity. You are eager to leave a smile on the patient's face after they interact with you and are willing to go above and beyond to create a wonderful experience.
What you'll do
You are the first person our clients see when they walk through the door. You provide a warm, welcoming face of the practice, greeting and supporting clients from our welcome desk. You:
Provide warm and friendly client interactions
Take care of client check in and out, answering questions and disseminating information to appropriate team members as necessary
Provide waiting area tours to new clients, orienting them to our space, making them feel welcome and at home
Ensure paperwork, consents, and insurance information is collected and complete
Managing the client schedule:
You know the schedule front to back / inside and out, and can work through schedule efficiencies based on the flow of the day as well as client and provider needs
You anticipate schedule needs days and weeks in advance
You schedule client appointments in real-time as well as those made through our online platform
Insurance, payment, and billing :
Perform verification of benefit checks with insurance companies
Manage and collect client copays and payment balances
Discuss and set up payment plans with client
Front of the house management:
Work with the team to ensure the office is ready, set up, and prepared for the day
Collaborate on inventory, keeping the office pristine, and other tasks as they arise
Manage phone triage as necessary, coordinating between team members
Qualifications
Customer service and hospitality experience strongly preferred and highly desirable
Bachelor's Degree preferred or High School Diploma/GED w/ 2+ years experience in a related field
Proficiency with Google Suite or Microsoft Office Products
Strong computer skills; preferred familiarity with EMRs
Tendency to organize and create structure in a fast-paced, dynamic environment
Attributes
You love interacting with people, practicing excellent communication and interpersonal skills
You enjoy being the “face” of a clinic or business and representing the brand via an extremely positive, friendly and helpful attitude
You are exceptional at managing many tasks and do not feel overwhelmed by multitasking
You focus on the details and are able to organize and prioritize them along the way
You obsess over growth and process improvement and love learning new tools, processes and systems to aid in continual improvement
You thrive in highly collaborative, fast-paced environments
Benefits
Competitive compensation
Health; dental & vision, with an HSA/FSA option
401(k) with employer match
Paid time off
Paid parental leave
Diana Health Culture
Having a growth mindset and striving for continuous learning and improvement
Positive, can do / how can I help attitude
Empathy for our team and our clients
Taking ownership and driving to results
Being scrappy and resourceful
$26k-32k yearly est. Auto-Apply 59d ago
Standardized Patient (College of Osteopathic Medicine)
Baptist Anderson and Meridian
Patient access representative job in Memphis, TN
This posting is for multiple positions. Events generally occur between 7:30AM and 5:30PM, Monday to Friday. May be subject to hours/shifts running after 5PM.
Standardized Patients (SP) support Osteopathic Medical Education by playing the role of “patient actors”, who create a realistic scenario from which students can learn. A Standardized Patient will be assigned a role and patient profile, be provided training, and then portray the role to students in a simulated clinical setting or classroom.
Standardized Patient scenarios include but are not limited to the SP providing a scripted clinical history, having a basic non-invasive physical exam performed upon them, and/or portraying a simulated illness. Costumes and makeup may be used to enhance the simulated effect. Standardized Patients engage non-verbal communication skills so clinical learners can experience the emotions, body language, and communication skills they might encounter in a clinical environment. All healthcare information in the scenarios is simulated. No invasive procedures or invasive exams will be required during Standardized Patient Encounters.
The ideal candidate will have an interest in training the next generation of health care providers and participating in active learning scenarios. Standardized Patients may also participate in some clinical skills training and/or classroom functions. During events in the Osteopathic Principles and Practice Laboratory session, SPs will serve as demonstration models for osteopathic manipulative techniques (OMT).The following technique modalities are expected to be performed on the SPs: balanced ligamentous tension/ligamentous articular strain, counterstrain, facilitated positional release, still, high-velocity low amplitude, lymphatic techniques, muscle energy, myofascial release, osteopathic cranial manipulative medicine, soft tissue, visceral techniques, and other osteopathic technique modalities as taught in the course.
balanced ligamentous tension/ligamentous articular strain,
counterstrain,
facilitated positional release,
Still technique,
high-velocity low amplitude,
lymphatic techniques,
muscle energy,
myofascial release,
osteopathic cranial manipulative medicine,
soft tissue,
visceral techniques,
and other osteopathic technique modalities as taught in the course
Responsibilities
Commit to attending the required paid training sessions and putting best effort into learning and portraying simulated scenarios.
Commit to attending and working at least 2 events per semester.
Embody a simulated patient, learn a simulated clinical case, and accurately portray the scenario for classroom and exam sessions.
Communicate with the Standardized Patient program of any personal reasons or concerns that would preclude the Standardized Patient from undertaking a role.
Follow and abide by Baptist Health Sciences University and state health and safety regulations.
Participate as a body model for Osteopathic Principles and Practice (OPP) or ultrasound laboratory sessions.
Requirements, Preferences and Experience
High school diploma or GED
Must be at least 18 years of age.
Able to realistically and consistently portray a simulated scenario repeatedly across a long time frame.
Comfortable portraying possibly challenging scenarios (such as emotional scenarios, tough diagnoses, etc).
$26k-32k yearly est. Auto-Apply 41d ago
Standardized Patient (College of Osteopathic Medicine)
Baptist Memorial Health Care 4.7
Patient access representative job in Memphis, TN
This posting is for multiple positions. Events generally occur between 7:30AM and 5:30PM, Monday to Friday. May be subject to hours/shifts running after 5PM. Standardized Patients (SP) support Osteopathic Medical Education by playing the role of "patient actors", who create a realistic scenario from which students can learn. A Standardized Patient will be assigned a role and patient profile, be provided training, and then portray the role to students in a simulated clinical setting or classroom.
Standardized Patient scenarios include but are not limited to the SP providing a scripted clinical history, having a basic non-invasive physical exam performed upon them, and/or portraying a simulated illness. Costumes and makeup may be used to enhance the simulated effect. Standardized Patients engage non-verbal communication skills so clinical learners can experience the emotions, body language, and communication skills they might encounter in a clinical environment. All healthcare information in the scenarios is simulated. No invasive procedures or invasive exams will be required during Standardized Patient Encounters.
The ideal candidate will have an interest in training the next generation of health care providers and participating in active learning scenarios. Standardized Patients may also participate in some clinical skills training and/or classroom functions. During events in the Osteopathic Principles and Practice Laboratory session, SPs will serve as demonstration models for osteopathic manipulative techniques (OMT).The following technique modalities are expected to be performed on the SPs: balanced ligamentous tension/ligamentous articular strain, counterstrain, facilitated positional release, still, high-velocity low amplitude, lymphatic techniques, muscle energy, myofascial release, osteopathic cranial manipulative medicine, soft tissue, visceral techniques, and other osteopathic technique modalities as taught in the course.
balanced ligamentous tension/ligamentous articular strain,
counterstrain,
facilitated positional release,
Still technique,
high-velocity low amplitude,
lymphatic techniques,
muscle energy,
myofascial release,
osteopathic cranial manipulative medicine,
soft tissue,
visceral techniques,
and other osteopathic technique modalities as taught in the course
Responsibilities
Commit to attending the required paid training sessions and putting best effort into learning and portraying simulated scenarios.
Commit to attending and working at least 2 events per semester.
Embody a simulated patient, learn a simulated clinical case, and accurately portray the scenario for classroom and exam sessions.
Communicate with the Standardized Patient program of any personal reasons or concerns that would preclude the Standardized Patient from undertaking a role.
Follow and abide by Baptist Health Sciences University and state health and safety regulations.
Participate as a body model for Osteopathic Principles and Practice (OPP) or ultrasound laboratory sessions.
Requirements, Preferences and Experience
High school diploma or GED
Must be at least 18 years of age.
Able to realistically and consistently portray a simulated scenario repeatedly across a long time frame.
Comfortable portraying possibly challenging scenarios (such as emotional scenarios, tough diagnoses, etc).
$28k-32k yearly est. 40d ago
Patient Financial Advocate
Firstsource 4.0
Patient access representative job in Memphis, TN
FULL Time, Entry Level - GREAT way to get hands on experience! Plenty of opportunities for growth within!
Hours: M-F 10am - 6:30pm
and healthcare setting, up to date immunizations are required.
We are a leading provider of transformational outsourcing solutions and services spanning the customer lifecycle across the Healthcare industry.
At Firstsource Solutions USA, LLC, our employees are there for the moments that matter for customers as they navigate some of the biggest, most challenging, nerve-racking, and rewarding decisions of their lives.
Dealing with healthcare challenges is hard enough but the added burden of not knowing how much that care will cost or having a means to pay for it often creates additional stress and anxiety. It's times like these when our teams are there to help guide these patients and their families through the complex eligibility and payment process.
At Firstsource Solutions USA, LLC., we take the burden away from the patient and their family allowing them to focus on their health when they need to most. Afterwards, we work with patients to identify insurance eligibility, help them navigate their financial responsibilities and introduce ways to achieve financial well-being through payment arrangement options.
Our Firstsource Solutions USA, LLC teams are with patients all the way, providing support and assistance all the while seeing first-hand the positive impact of their work through the emotions of relief and joy of the patients.
Join our team and make a difference!
The Patient Financial Advocate is responsible to screen 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. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.
$30k-37k yearly est. 2d ago
Patient Services Rep, Blount Medical Park, FT, Days
Prisma Health 4.6
Patient access representative job in Maryville, TN
Inspire health. Serve with compassion. Be the difference.
Responsible for aspects of front office management and operation as assigned.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians. Responsible for posting all payments and balancing with the computer reports at day end. Requires a high level of public contact and excellent interpersonal skills. Arranges for patient pre-payments and enforces financial agreements prior to providing service. Gathers charge information, codes, enters into database, completes billing process, distributes billing information. Files insurance claims and assists patients in completing insurance forms. Processes unpaid accounts by contacting patients and third-party payers.
Liaison between patient and medical support staff.Greets patients and visitors in a prompt, courteous, and helpful manner.Checks in patients, verifies and updates necessary insurance information in the patient accounting system.Obtains signatures on all forms and documents as required.Assists patients with ambulatory difficulties.Maintains appointment book and follows office scheduling policies.Provides front office phone support as needed and outlined throughcross trainingprogram.Screens visitors and responds to routine requests for information.Responsible for gathering, accurately coding and posting outpatient charges.Processes vouchers and private payments, to include updating registration screens based on information on checks.Research address verification as needed.Helps to process mail return statements and outgoing statements.Acquires billing information for all doctors for all patients seen in practice.Performs cashiering functions including monitoring and balancing cash drawer daily. Prepares daily cash deposits.Receives payments from patients and issues receipts. Codes and posts payments and maintains required records, reports and files.Works with patients in securing prepayment sources or financial agreements prior to providing service.Participates with other staff to achieve account resolution. Assists with outpatient coding and error resolution. Processes edits and Customer Service and Collection Request for resolution within specified time frames.Identify trends and communicates problems to management.Updates patient account database.Maintains and updates current information on physician's schedules.Schedules surgeries, ancillary services and follow-up outpatient appointments and admissions as requested.Answers questions regarding patient appointments and testing.Assembles patients' charts for next day visit.Updates profiles on all patients, ensuring completeness and accuracy.Oversees waiting area, coordinates patient movement, reports problems or irregularities.
Assists patients with questions on insurance claims, obtaining disability insurance benefits, home health care, medical equipment, surgical care, etc. Processes benefit correspondence, signature, and insurance forms to expedite payment of outstanding claims.Assists patients in completing all necessary forms to obtain hospitalization or Surgical pre-certification from insurance companies.Follows-up with insurance companies ensuring that coverage is approved.Posts all actions and maintains permanent record of patient accounts.Answers patient questions and inquiries regarding their accounts.Confirms all workers' compensation claims with employees.Prepares disability claims in a timely manner.Follows-up with insurance companies ensuring that claims are paid as directed.Maintains files with referral slips, medical authorizations, and insurance slips.
Researches all information needed to complete outpatient billing process including getting charge information from physicians.Codes information about procedures performed and diagnosis on charge.Keys charge information into on-line entry program. Processes and distributes copies of billings according to clinic policies.Assists with outpatient coding and error resolution.Pulls charts for scheduled appointments in advance.Delivers, transports, sorts and files returned charts.Picks up lab reports, dictations, X-rays, and correspondence.Continually checks for misfiled charts and refiles according to filing system. Maintains orderly files.Files all medical reports. Purges obsolete records and files in storage.Destroys outdated records following established procedures for retention and destruction.Makes up new patient charts. Repairs damaged charts. Assists in locating and filing records.Works with medical assistants and other staff to route patient charts to proper location.Follows medical records policies and procedures. -
Collects payments at time of service for daily outpatient visit services.Reviews each account via computer to ensure patient's account(s) are being paid on a timely basis.Performs collection actions including contacting patients by telephone and resubmitting claims to third party reimburses.Evaluates patient financial status and establishes budget payment plans.Reviews accounts for possible assignment to collection agency, makes recommendation to Clinical Dept. Practice Manager.Identifies and resolves patient billing complaints.Participates with other staff to follow up on accounts until zero balance or turned over for collection. Participates in educational activities.Gathers and verifies superbills for specified practice on a daily basis.Enters all charge and same day payment information for patient visits and hospital patients, verifying accuracy of coding, charging and patient insurance status.Prints daily reports, verifying charge entry balancing at day end.Backs up and closes computer files on a daily basis, logging as appropriate (i.e. closing all batches in accordance with policy).Registers new patients after verifying patient status on computer inquiry. Updates financial information as indicated. Maintains strictest confidentiality.Participates in educational activities.Performs related work as required.As representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. -
Performs other duties as assigned.
Supervisory/Management Responsibility
This is a non-management job that will report to a supervisor, manager, director, or executive.
Minimum Requirements
Education - High School diploma or equivalent OR Post-high school diploma. Associate degree in technical specialty program of 18 months minimum in length preferred
Experience - No previous experience required. Multi-specialty group practice setting experience - Preferred
In Lieu Of
NA
Required Certifications, Registrations, Licenses
NA
Knowledge, Skills and Abilities
Basic understanding of ICD-9 and CPT coding- Preferred
Work Shift
Day (United States of America)
Location
Blount Memorial Hospital
Facility
8100 BMPG Joule Street Alcoa
Department
81001003 BMPG Primary Care Joule St
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
$28k-32k yearly est. 4d ago
Branch Customer Service & Sales Representative - Cool Springs, TN
The Auto Club Group 4.2
Patient access representative job in Brentwood, TN
Why Choose a Career with the AAA The Auto Club Group (ACG
Established brand that has been around for over 100 years. Our members know and trust us!
Branch Offices house travel, membership, insurance sales and support employees
You will be challenged to drive new business with competitive products and help retain The Auto Club Group's 14+ million members.
Excellent Opportunities to Build a Career Path:
The Branch Customer Service and Sales Representative can be the start of a long-term career with The Auto Club Group. Your position could lead to a rewarding career and opportunities to grow and pursue other ACG roles such as:
Other Branch positions - Field Insurance Sales Agent, Travel Agent or
Other Departments such as:
Call Centers (ERS, Sales and Service, etc.)
Automotive Services
Claims
Underwriting and more
A DAY IN THE LIFE of a Branch Customer Service and Sales Representative
The Auto Club Group is seeking prospective Member Representative I's or Branch Customer Service and Sales Representatives who can promote ACG products and services, promote customer satisfaction, and participate in office events to help generate revenue by improving member awareness of products. As the face of our branch, you will greet our customers and provide peace of mind by servicing their needs.
Provide sales and support services to members including greeting, servicing, and selling membership, travel products (car, hotel, basic tour packages, etc.) and (some) banking products.
Generate leads, update members on travel and insurance specials, and provide travel information
Respond to customer inquiries and refer to senior staff or agent when appropriate
Provide cashiering services to members which includes taking and processing payments for insurance policies (installment, lapse or reinstatement), travel and sale of tickets, and travel money products, processing remittance/depository transfers and balancing cash drawer
Receive and resolve member/customer complaints and seek assistance from management in complaint resolution when appropriate
Provide administrative support to the travel and/or insurance sales staff during peak periods
Conduct outbound promotional calls for insurance and/or travel products
Other duties as assigned
HOW WE REWARD OUR EMPLOYEES
Our Auto Club Group Branch Customer Service and Sales Representatives earn a competitive hourly wage of $13.67- $21.26 with additional incentives and an annual bonus potential based on performance.
ACG offers excellent and comprehensive benefits packages:
Medical, dental and vision benefits
401k Match
Paid parental leave and adoption assistance
Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays
Paid volunteer day annually
Tuition assistance program, professional certification reimbursement program and other professional development opportunities
AAA Membership
Discounts, perks, and rewards and much more
WE ARE LOOKING FOR CANDIDATES WHO
Required Qualifications:
Education:
High School Diploma or equivalent
Work Experience:
Working in a customer focused environment
Providing customer focused service and timely solutions to problems
Microsoft Office applications
Taking personal responsibility in seeking solutions to problems
Multi-tasking and appropriately prioritizing tasks to ensure meeting office customer service goals
Successful candidates will possess:
Passion and enthusiasm for working with people
Basic mathematical calculations to accurately perform monetary transactions
Communicate effectively (verbal and written) with others in a work environment
Work effectively in a team environment
Exceed member expectations relating to professionalism of demeanor, efficient and effective customer service (on phone or in person) and maintenance of workstation and office facility
Work under pressure in a high volume, fast paced customer service environment
Work irregular hours including holidays and weekends (may include community events)
Work Environment
This is an in-office position. Employees will service ACG members in-person and are based on site in an ACG branch facility.
#LI-AM1
Who We Are
Become a part of something bigger.
The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.
By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance.
And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other.
We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.
To learn more about AAA The Auto Club Group visit ***********
Important Note:
ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.
The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.
The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.
Regular and reliable attendance is essential for the function of this job.
AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
$13.7-21.3 hourly 2d ago
Scheduling Specialist - BPS Neurology Cleveland - FT - Days (73859)
Hamilton Health Care System 4.4
Patient access representative job in Cleveland, TN
Hours: 8AM - 4:30PM
Days: Monday - Friday
Under the direct supervision of the Practice Manager, the Scheduling Specialist verifies demographic and financial information. Seeks to help patients understand their financial responsibilities, giving the estimated out-of-pocket responsibilities and payment options; at all times providing first-class service to set the tone for the patient's journey of care as well as educate and manage the financial expectations for the patient prior to surgery or procedure. Schedules the patient with the appropriate facilities and contacts pre-admission testing. Provides information to the patient regarding when and where to report to Vitruvian Health. Makes appointments in response to any recalls on procedures.
$25k-30k yearly est. 37d ago
Patient Representative (Full-Time)
Diana Health
Patient access representative job in Cookeville, TN
Diana Health is a high-growth network of modern women's health practices. We are on a mission to set a new standard of care that inspires, empowers, and supports women to live healthier, more fulfilling lives. We partner directly with hospitals and align incentives across stakeholders using integrated care teams, smart technology, and a designed care experience that is good for patients and good for providers. The result is an individualized, comprehensive care program that puts women in the driver's seat of their own health and provides them with the information and compassionate care they need to reach their health goals.
We are an interdisciplinary team joined together by our shared commitment to transform women's health. Come join us!
Role Description
We are looking for a Receptionist / PatientRepresentative driven to create an delightful customer service experience from the moment a client steps through our doors while ensuring the smooth operation of a growing women's health practice. You are warm, welcoming, attentive, outgoing, customer service and detail-oriented, organized, and eager to tackle challenges with empathy and creativity. You are eager to leave a smile on the patient's face after they interact with you and are willing to go above and beyond to create a wonderful experience.
What you'll do
You are the first person our clients see when they walk through the door. You provide a warm, welcoming face of the practice, greeting and supporting clients from our welcome desk. You:
Provide warm and friendly client interactions
Take care of client check in and out, answering questions and disseminating information to appropriate team members as necessary
Provide waiting area tours to new clients, orienting them to our space, making them feel welcome and at home
Ensure paperwork, consents, and insurance information is collected and complete
Managing the client schedule:
You know the schedule front to back / inside and out, and can work through schedule efficiencies based on the flow of the day as well as client and provider needs
You anticipate schedule needs days and weeks in advance
You schedule client appointments in real-time as well as those made through our online platform
Insurance, payment, and billing :
Perform verification of benefit checks with insurance companies
Manage and collect client copays and payment balances
Discuss and set up payment plans with client
Front of the house management:
Work with the team to ensure the office is ready, set up, and prepared for the day
Collaborate on inventory, keeping the office pristine, and other tasks as they arise
Manage phone triage as necessary, coordinating between team members
Qualifications
Customer service and hospitality experience strongly preferred and highly desirable
Bachelor's Degree preferred or High School Diploma/GED w/ 2+ years experience in a related field
Proficiency with Google Suite or Microsoft Office Products
Strong computer skills; preferred familiarity with EMRs
Tendency to organize and create structure in a fast-paced, dynamic environment
Attributes
You love interacting with people, practicing excellent communication and interpersonal skills
You enjoy being the “face” of a clinic or business and representing the brand via an extremely positive, friendly and helpful attitude
You are exceptional at managing many tasks and do not feel overwhelmed by multitasking
You focus on the details and are able to organize and prioritize them along the way
You obsess over growth and process improvement and love learning new tools, processes and systems to aid in continual improvement
You thrive in highly collaborative, fast-paced environments
Benefits
Competitive compensation
Health; dental & vision, with an HSA/FSA option
401(k) with employer match
Paid time off
Paid parental leave
Diana Health Culture
Having a growth mindset and striving for continuous learning and improvement
Positive, can do / how can I help attitude
Empathy for our team and our clients
Taking ownership and driving to results
Being scrappy and resourceful
$26k-32k yearly est. Auto-Apply 34d ago
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