Patient service representative jobs in Alafaya, FL

One of Insight Global's top banking clients is looking for a Client Services Officer to sit on site 4 days a week in Pittsburgh, PA or Lake Mary, FL. This person will join the Client Service team within the Treasury Services department of the bank. The Client Service team supports external clients to resolve the most complex day-to-day issues and leverages the appropriate resources to resolve their inquiries. • 1+ years of experience within customer service • Fluent in Portuguese • Strong customer service skills - willing to chase down answers and find solutions for their client • Microsoft Office (specifically Excel)

Bilingual Spanish/ English Customer Service Representative Te gusta ayudar a los demás? Eres fluido en inglés y español? Join our dynamic team at Foundever in DeLand, FL, where every interaction is an opportunity to make a difference! We are seeking passionate individuals to join us on-site at our office located at 1398 S Woodland Blvd, DeLand, FL 32720. Please note that candidates must reside within commuting distance to our office. About Foundever Foundever is a global leader in the customer experience (CX) industry. With 150,000 associates across the globe, we're the team behind the best experiences for +800 of the world's leading and digital-first brands. Our innovative CX solutions, technology and expertise are designed to support operational needs for our clients and deliver a seamless experience to customers in the moments that matter. Job Overview As a Bilingual Spanish/ English Customer Service Representative at Foundever, you will play a vital role in supporting one of the largest insurance and banking providers in the U.S. You will assist customers with their entry-level banking and financial needs while contributing to a team-centric environment. We believe in investing in our people, which is reflected in our robust paid training program and numerous growth opportunities. Notably, 84% of our managers have been promoted from within. Why You Should Join Us Competitive Pay: Starting at $19/hour, with paid training at $15/hour. Work Schedule: Minimum 40 hours per week, with weekend availability as needed. Comprehensive Benefits: 401(k), medical, dental, vision, wellness programs, paid time off, and employee discounts. Growth Opportunities: Clear pathways for career advancement within the company. What We're Looking For Bilingual Proficiency: Must speak fluent English and Spanish Location: Must reside in DeLand, FL, or within commuting distance Age Requirement: Must be at least 18 years old Education: High school diploma or GED equivalent is required Experience: Preferred 6 months to 1 year of relevant work experience Availability: Must have flexible availability during operating hours Customer Service Skills: A professional attitude and strong aptitude for customer service are essential Key Skills Tech-Savvy: Proficient in navigating system tools to search for information and answers Customer Service Excellence: Demonstrated ability to deliver exceptional service consistently Reliability: Dependable and responsible, with a strong commitment to your role Critical Thinking: Capable of assessing situations and developing empathetic solutions Service Orientation: A personal drive to serve others with compassion and professionalism Organizational Skills: Strong organizational abilities to manage tasks effectively Self-Motivated Learner: Ability to independently learn and successfully pass the paid training provided by Foundever. Military Partners We proudly support military families through partnerships with Military One Source and other veteran organizations. We value the unique skills and experiences that veterans bring to our workforce. Equal Opportunity Employment (EEO) Foundever is committed to selecting, developing, and rewarding the best person for the job based on the requirements of the work to be performed and without regard to race, age, color, religion, sex, creed, national origin, ancestry, citizenship, disability/handicap, marital status, protected veteran status, uniform status, sexual orientation, pregnancy, genetic information, gender identity, and expression, or any other basis protected by federal, state or local law. The Company forbids discrimination of all kinds, whether directed at Associates, applicants, vendors, customers, or visitors. This policy applies to all terms and conditions of employment, including recruitment, hiring, promotion, compensation, benefits, training, discipline, and termination. Interested in Becoming Part of Our Team? Visit us at and connect with us on Facebook , LinkedIn , and Twitter .

Be the Voice of Support for Our Team Are you a problem solver with a background in Human Resources or high-volume Contact Centers? We are looking for empathetic, quick-thinking professionals to serve as "First Responders" for our employees. In this role, you will be the first point of contact for employees navigating their work life-from Annual Enrollment and benefits questions to payroll and data management. If you have a passion for helping people and the ability to remain calm under pressure, we want to hear from you. What You Will Do As an HR Customer Service Representative, you will handle high-volume inbound inquiries, analyzing employee needs to provide accurate resolutions or escalate complex issues. Serve as the Expert: Act as the primary resource for inquiries regarding payroll, benefits, and employee data. Solve Problems: Research federal, state, and local regulations to resolve issues of moderate complexity. Provide World-Class Service: De-escalate stressful situations with patience and superior communication skills. Manage Data: Utilize systems (knowledge of PeopleSoft is a plus!) to document cases and maintain strict confidentiality. Support Annual Enrollment: Play a pivotal role in supporting our team during our busiest season of the year. What We Are Looking For The Ideal Candidate: You possess a unique blend of administrative precision and customer service warmth. You are comfortable working in a fast-paced environment and can type 50+ WPM while navigating multiple screens. Required Education & Experience: Education: Bachelor's Degree OR Associate's Degree + 2 years of additional relevant experience. Experience: Minimum 2 years of experience in a Contact Center or Human Resources environment. (Candidates with experience in both are highly preferred). Required Skills: Proficiency in Microsoft Office Suite (Outlook, Word, Excel, PowerPoint). Strong web navigation and computer literacy. Excellent written/verbal communication (spelling, grammar, and punctuation). Ability to prioritize multiple projects under tight deadlines. Schedule & Logistics To ensure we are fully available to support our employees, this position is 100% Onsite. Work Hours: Schedules vary based on availability. Shifts will fall between the hours of 8:00 AM - 6:00 PM (e.g., 8-5, 8:30-5:30, or 9-6). Dress Code: Business-appropriate attire is required for the office and while on camera. Ready to make a difference? Apply today to become a vital part of our HR Support Team!

+ The purpose of the Patient Access Specialist is to meet or exceed the Patient's expectations by assessing our customer's needs, assigning priorities, and triaging the information to the appropriate resources. (Customers may include patients, medical professionals, and family members.) The Patient Access Specialist will be able to function in a multidisciplinary team to provide information about the services that are offered by Patient Services. **Responsibilities:** + Data Entry + Need customer service for overflow help with other teams + Accuracy - creating accounts and cases + Updating information in accounts from **Med Billers** and Requirements: + Strong accurate data entry skills + Previous work experience in **Specialty Pharmacy or Customer Service** preferable **Experience:** + Professional level skills in computer use, including but not limited to Microsoft Office, email, web-based applications, and key boarding skills + Experience working with people in situations that are high-pressure and time-sensitive (either telephone or face-to-face), and that involve solving problems, making decisions, using excellent judgment and "customer service" skills. + This can be obtained through a combination of work experience and post high school education, and need not be obtained in a traditional "customer service" setting + Strong ability to multi-task and strong time management skills + Ability to function in a high-volume, fast-paced environment + Dependable and strong work ethic + Ability to accept and implement feedback and coaching **Skills:** + Experience working with databases (CRM preferable) or a tracking system ; Salesforce CRM experience + Experience working in a health care/pharmaceutical industry environment + Understanding of challenges associated with patients' medical condition **Education:** + Minimum High School or higher degree in any field with relevant healthcare experience. **About US Tech Solutions:** US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit *********************** (********************************** . US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. The Care Coordinator is a highly visible customer service and patient-focused role. They work directly with the organization's patient population and their families to authorize, schedule, and ensure completion of patient visits with specialty care. This includes working with insurance representatives and outside vendors, arranging transportation, communicating with physicians, clinicians and other medical personnel, and any other entities necessary for successful completion of approved referrals. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: * .Serve as primary point of contact for incoming and outgoing patient referrals. Triage referrals, gather necessary information, ensure timely processing and assignment to appropriate providers. * Facilitates communication, collaboration, and coordination of care. Coordinating appointments, referrals, transitions of care between primary care, specialists, hospitals, and other healthcare settings, ensuring seamless transitions and continuity of care. * Schedules patients utilizing coordinated provider list (CPL), makes all necessary arrangements related to the appointment, notify patients of appointment information: date, time, and location. * Uses web-based insurance platforms to generate referral authorizations. * Effectively communicates the physicians/clinicians needs or outstanding items to patients. * Follows all referrals through to completed appointment and obtains all documentation related to appointment, uploading into organization's medical record system for physician review prior to PCP follow-up appointment. * Ensures any missed external appointments are rescheduled and communicated to the PCP. * Addresses referral-related phone calls from patients, providers, etc. Completes and addresses phone messages in a timely manner. * Provides extraordinary customer service to all internal and external customers. * Performs other related duties as assigned. KNOWLEDGE, SKILLS AND ABILITIES: * Knowledge of medical terminology, CPT, HCPCS and ICD coding desired * An understanding of the company's patient population, including the complexities of Medicare programs * Exceptional organizational skills with the ability to effectively prioritize and complete tasks in a timely manner. * An understanding of the company's patient population, including the complexities of Medicare programs * Detail-oriented with the ability to multi-task. * Able to exercise proper phone etiquette. * Ability to navigate proficiently through computer software systems & use technology. * Ability to work well with patients, colleagues, physicians and other personnel in a professional manner. * Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, database, and presentation software. * Spoken and written fluency in English; bilingual preferred. EDUCATION AND EXPERIENCE CRITERIA: * High School diploma or equivalent required * A minimum of 1 year of referral experience in a healthcare setting required. * Experience with web-based insurance sites and obtaining referrals/authorizations for multiple payors preferred. * Experience with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred * Healthcare experience within the Medicare Advantage population preferred. * Medical Assistant certification preferred * CPR for Healthcare Providers is preferred PAY RANGE: $16.5 - $23.56 Hourly EMPLOYEE BENEFITS ****************************************************** We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day. Current Employee apply HERE Current Contingent Worker please see job aid HERE to apply #LI-Onsite

Orlando-Based Billing & Collections Specialist for Growing Private Equity-Backed Company Compensation: $50,000-$60,000 A growing construction company is seeking a Billing and Collections Specialist to manage the accounts receivable lifecycle, ensuring accurate billing, timely collections, and smooth cash application. This role works closely with project managers, internal teams, and vendors to support financial operations and project profitability. Key Responsibilities Prepare and submit billing for multiple active construction projects Collaborate with Project Managers to ensure accurate invoices, including change orders Follow up on outstanding invoices and resolve billing disputes with clients Apply payments and reconcile deposits with AR reports Coordinate with vendors and subcontractors on payments and lien releases Support month-end close by reconciling billed vs. collected amounts and reporting AR metrics Qualifications 2-4 years of billing and collections experience, preferably in construction Experience with Sage Intacct and GC billing platforms (Textura, Procore, GCPay, TeamPlayer) Strong organizational, communication, and Excel skills Attention to detail, ability to multitask, and thrive in a fast-paced environment Team player with self-starter mindset and problem-solving skills Why Apply Competitive pay ($50K-$60K) with opportunities for growth Health, dental, vision, and 401(k) with company match Paid time off and company-paid life/long-term disability insurance Learning programs, tuition reimbursement, and career development Team-building events, referral program, and Employee Assistance Program Apply through Tews Company to join a supportive construction finance team and take the next step in your career! Unlock Your Potential: Join TEWS and Solve the Talent Equation for Your Career. TEWS has opportunities with leading companies for professionals at all career stages, whether you're a seasoned consultant, recent graduate, or transitioning into a new phase of your career, we are here to help. Tews is an equal opportunity employer and will consider all applications for employment without regards to age, color, sex, disability, national origin, race, religion, or veteran status.

Become a part of our caring community and help us put health first The Patient Services Coordinator is directly responsible for scheduling visits and communicating with field staff, patients, physicians, etc. to maintain proper care coordination and continuity of care. The role also assists with day-to-day office and staff management Manages schedules for all patients. Edits schedule for agents calling in sick, ensuring patients are reassigned timely. Updates agent unavailability in worker console. Initiates infection control forms as needed, sends the HRD the completed “Employee Infection Report” to upload in the worker console. Serves as back up during the lunch hour and other busy times including receiving calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. Maintains the client hospitalization log, including entering coordination notes, and sending electronic log to all office, field, and sales staff. Completes requested schedule as task appears on the action screen. Ensures staff are scheduled for skilled nurse/injection visits unless an aide supervisory visit is scheduled in conjunction with the injection visit. Completes requested schedules for all add-ons and applicable orders: Schedules discharge visit / OASIS Collection or recert visit following case conference when task appears on action screen. Schedules TIF OASIS collection visits and deletes remaining schedule. Reschedules declined or missed (if appropriate) visits. Processes reassigned and rescheduled visits. Ensures supervisory visits are scheduled. Runs all scheduling reports including Agent Summary Report and Missed Visits Done on Paper Report. Prepares weekly Agent Schedules. Performs initial review of weekly schedule for productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff. Verifies visit paper notes in scheduling console as needed. Assists with internal transfer of patients between branch offices. If clinical, receives lab reports and assesses for normality, fax a copy of lab to doctor, make a copy for the Case Manager, and route to Medical Records Department. Initiate Employee / Patient Infection Reports as necessary. If clinical, may be required to perform patient visits and / or participate in on-call rotation. Use your skills to make an impact Required Experience/Skills: Must possess excellent communication skills, the ability to interact well with a diverse group of individuals, strong organizational skills, and the ability to manage and prioritize multiple assignments. Must have at least 1 year of home health experience. Prior packet review / QI experience preferred. Coding certification is preferred. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $40,000 - $52,300 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

At Axium Healthcare Pharmacy, Inc., we believe in a better quality of life for patients and their healthcare partners when treating and managing the most complex conditions. We believe in relationships that make life easier, and where a helping hand and better clinical, economical, and overall health outcomes are always within reach, 24 x 7 x 365. Our mission is simple. We aim to partner with and guide our patients to their best possible outcomes. Our longstanding vision is to help our patients and healthcare providers reach and create a better path to treating and managing complex conditions, making their lives easier and giving them hope for a healthier future. Specialty pharmacy is not a new concept. In fact, Axium did not invent specialty pharmacy. But, we did invent a better way to do it. We do it through a combination of clinical expertise, nationwide reach and the delivery of committed, caring, unmatched service and support for everyone, every time with no excuses. And, we've been doing it for years. We invite you to ask us what we can do for you. Our answer to you will almost always be: “Yes, we do.” Established in 2000 and based in Lake Mary, Florida, Axium is a nationwide clinical specialty pharmacy that makes life easier for those managing chronic disease and complex therapies by offering a helping hand and a better path to therapy management. We are licensed and permitted to operate in all 50 states and Puerto Rico, and specialize in providing patients, physicians, nurses, health plans, and other health care providers and partners with injectable and oral brand-name products. Our focus is to “Improve outcomes one relationship at a time,” and we achieve this through an experienced patient care team of doctors of pharmacy, registered nurses, reimbursement specialists, and dedicated patient care coordinators; all of whom deliver the highest level of comprehensive care and clinical support with every prescription. Job Description Includes but is not limited to the following. Other duties may be assigned. • Verify insurance for limits and parameters of policy. • Determine if prior authorization of pre-cert is necessary and work accordingly. • Input required patient data information into system. • Create verification note explaining benefits and other necessary information. • Process/reverse online claims as required. • Gather appropriate documentation, fill out necessary forms and submit authorization requests. • Process/reverse online claims as required o Ability to effectively interpret AND resolve PBM rejections. • Input required authorization information into system(s). • Ability to collaborate with Jr. & Sr. Team members to ensure appropriateness of the prior authorization documentation, and ensure completeness of the prior authorization questionnaires. o Ability to escalate difficult verification issues when unable to resolve timely. • Supporting group and management efforts with a positive attitude • Possessing “critical" and “out of the box" thinking • Provides interdepartmental support as needed The ideal candidate will also possess the following qualities: • Ability to trouble shoot prior authorization issues • Excellent internal customer service and communication skills • Excellent external customer service and communication skills • Understanding of how to refer patients to various assistance programs as needed based on patient's insurance coverage, or lack thereof. • Understanding of insurance and insurance related coding to support claim processing • Understanding of how to identify possible new contracting opportunities. • Understanding of government payors including Share of Cost • Understanding of how to requests vacation/lost/damage overrides from the insurance carriers when warranted Qualifications • Must have experience working with specialty infusion or pharmaceuticals • 2+ years of experience with medical insurance verification, benefits and eligibility investigations required. • Experience with submitting and obtaining prior authorizations • Strong computer proficiency • Knowledge of medical terminology • Excellent communication skills • Professional, reliable and dedicated • Ability to work cooperatively. • Ability to multitask. Additional Information All your information will be kept confidential according to EEO guidelines.

Job Details Entry Orlando, FL Full Time Up to 5% OperationsDescription “Sanitas is a global healthcare organization expanding across the United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness.” Job Summary A Lead Patient Representative Coordinator will play a pivotal role in ensuring the seamless interaction between healthcare providers and patients. They will be responsible for supervising and coordinating a team of Patient Representative Coordinator, overseeing their daily activities, and ensuring a high standard of patient care and satisfaction. The primary focus of this role is to enhance the patient experience by managing patient interactions, addressing concerns, and facilitating efficient communication between patients and healthcare professionals. Essential Job Functions Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Team Leadership - Provide leadership and guidance to a team of Patient Representative Coordinators. Conduct regular team meetings, training sessions, and performance reviews. Patient Interaction Management - Oversee the handling of patient inquiries, concerns, and feedback. Implement best practices for improving patient satisfaction and experience. Training and Development - Develop and implement training programs for Patient Representative Coordinators. Stay updated on healthcare regulations and ensure team members are knowledgeable about relevant policies. Communication Facilitation - Act as a liaison between patients and healthcare providers. Collaborate with different departments. Implement strategies. Quality Assurance - Monitor and evaluate the performance of Patient Representative Coordinators. Implement quality assurance processes. Data Management - Oversee the accurate and confidential management of patient records and information. Lead Patient Engagement efforts. - Training and enforcing the use of patient engagement tools to include My Sanitas App, Patient Portal. Additionally, support and lead social media reviews efforts in the center. Qualifications Supervisory Responsibilities Track the performance of the PRC's and greeters at the Front Desk. Required Education Bachelor's degree in healthcare administration, business, or a related field. Required Experience Previous experience in a patient representative or customer service role within a healthcare setting (2+ years). Required Licenses and Certifications N/A Required Knowledge, Skills, and Abilities Strong leadership and team management skills. Excellent communication and interpersonal skills. Knowledge of healthcare regulations and patient privacy laws. Problem-solving and conflict resolution abilities. Preferred Qualifications Certification in healthcare management or related fields preferred. Familiarity with healthcare information systems preferred. Financial Responsibilities This position does not currently handle physical money or negotiates contracts. Handles up to $12,000 annually. Budget Responsibilities This position does not have budget responsibilities. N/A Languages English Advanced Spanish Preferred Creole Preferred Travel Make weekly deposits in the assigned bank. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job the employee is regularly required to work standing up, walk, use hands to operate tools and equipment and must be able to exert regularly up to 10 pounds of force, frequently exert 30 pounds of force and occasionally exert 50 pounds of force to constantly perform the essential job functions. The employee will be frequently required to reach with hands and arms, bend, balance, kneel, crouch, crawl, push, and pull. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. Environmental Conditions Inside: The employee is subject to environmental conditions, protection from weather conditions but not necessarily from temperature changes. The worker is subject to noise; there may be sufficient noise to cause the worker to shout in order to be heard above ambient noise level. Physical/Environmental Activities Please indicate with an X the frequency for the activities that apply to the essential functions of the job based on the chart below. Please select Not Required for physical demands that aren't essential to job performance. Working Condition Not Required Occasionally (1-33%) Frequently (34-66%) Constantly (67-100%) Must be able to travel to multiple locations for work (i.e. travel to attend meetings, events, conferences). X May be exposed to outdoor weather conditions of cold, heat, wet, and humidity. X May be exposed to outdoor or warehouse conditions of loud noises, vibration, fumes, dust, odors, and mists. X Must be able to ascend and descend ladders, stairs, or other equipment. X Subject to exposure to hazardous material. X

Job Description Our company was founded in 2005 and serves the Central Florida Geriatric population. We are a large practice with 25 providers that serve Skilled Nursing Facilities, Assisted Living Facilities and our homebound patients in the comfort of their home in 14 counties. We are committed to providing excellent care to our patients and buildings while reducing hospital readmissions. Our mission is to create a nurturing healthcare experience, empowering patients, by providing a physician led ecosystem based on a foundation of Science, Technology, Faith and Compassion. Our medical practice is seeking a dedicated and compassionate individual to join our Care Coordination Team. In this vital office-based role, the Care Coordinator will support our homebound patients by ensuring they receive exceptional, well-organized care. Responsibilities include daily coordination of patient needs, close communication with providers and care teams, and thorough documentation of all activities. Strong interpersonal skills and a commitment to compassionate communication-with providers, patients, caregivers, and team members-are essential. This position works closely with both the Care Coordinator Manager and Team Lead to maintain the highest standards of patient-centered care. Qualifications & Attributes: High school diploma or GED. Post high school education is advantageous. Proven experience working in a medical office. Working knowledge of medical terminology and medical insurance plans. Proficiency in Microsoft Office applications (Word, Excel, Outlook). The ability to type and file accurately. Strong communication, interpersonal and presentation skills. Good computer and electronic record skills. Excellent organizational skills. Excellent interpersonal skills. Aptitude in problem-solving, critical thinking, and decision-making. Outstanding time management skills. Excellent written and verbal communication skills. Strategic thinking and analytical skills. Major Areas of Responsibility Responding to Microsoft Teams, emails, as well as voicemails left for you daily and all should be addressed and cleared before clocking out for your shift. Work with assigned color team. Complete orders given by medical practitioner. Add lab results to flowsheet. Prepare the schedule for the following day with records. Ensure color team census is properly maintained. Ensure the workflow process is being completed daily. Thorough, accurate documentation of all activities. Ensure patients have a scheduled upcoming PCP appointment. Contact third parties such as specialists, hospitals, and home health care agencies, to obtain notes for our providers to review. Special projects as designated by the CC Manager. Other tasks as assigned at the discretion of the CC Manager.

This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's insurance and the coverage provided for a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications. Ensure cases move through the process as required in compliance with company requirements and the organization's defined standards and procedures; in a manner that provides the best level of service and quality Conduct benefit investigations for patients by making outbound phone call to payers to verify patient insurance benefit information, navigate complex reimbursement barriers and seek resources to overcome the barriers Verify patient specific benefits and document specifics including coverage, cost share and access/provider options Identify any coverage restrictions and details on how to expedite patient access Document and initiate prior authorization process and claims appeals Report any reimbursement trends or delays in coverage to management Act as a liaison for field representatives, health care providers and patients Requirements In-depth understanding and experience with Major Medical & Pharmacy Benefit Coverage 2 to 3 years of benefit investigation involving the analysis and interpretation of insurance coverage 2 to 3 years of experience interacting with healthcare providers in regard to health insurance plan requirements Excellent verbal communication skills and grammar Salesforce system experience preferred Competencies Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events. Attendance/Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time. Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments. Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values. Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things. Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings. Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity. Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments. Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality. Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed. Benefits Voted Top Work Places in Orlando 3 years in a row, AssistRx understands that the key to success is our fantastic team members. AssistRx has engineered the perfect blend of technology and talent to deliver best in class results. We believe that access to specialty therapies transforms lives and is achieved through the powerful combination of our people and technology. Want to know more? Follow us on LinkedIn to find out how our team members are #TransformingLives. Impactful Work: Join a team that is at the forefront of revolutionizing healthcare by improving patient access to essential medications. Career Growth: We prioritize a “promote from within mentality”. We invest in our employees' growth and development via our Advance Gold program, offering opportunities to expand skill sets and advance within the organization. Innovation: Contribute to the development of groundbreaking solutions that address complex challenges in the healthcare industry. Paid Time off & Holidays: Preloaded PTO: 100 hours (12.5 days) PTO upon employment, *prorated based on start date, increasing to 140 hours (17.5 days) upon anniversary. Plus 9 paid holidays annually. Work Hard, Play Hard: Tenure vacation bonus: $1,000 upon 3-year anniversary and $2,500 upon 5-year anniversary. Full Benefits: Medical, dental, vision, life, & short-term disability insurance, Matching 401(k) with immediate vesting Collaborative Environment: Work alongside talented professionals who are dedicated to collaboration, learning, and pushing the boundaries of what's possible. Tell your friends about us! If hired, receive a $750 referral bonus! Wondering how we recognize our employees for delivering best in class results? Here are some of the awards that our employees receive throughout the year! #TransformingLives Honor: This quarterly award program is a peer to peer honor that recognizes and highlights some of the amazing ways that our team members are transforming lives for patients on a daily basis. Values Award: This quarterly award program recognizes individuals who exhibit one, or many, of our core company values; Excellence, Winning, Respect, Inspiration, and Teamwork. Vision Award: This annual award program recognizes an individual who has gone above and beyond to support the AssistRx vision to transform lives through access to therapy. AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws. All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position. AssistRx does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid in the event of a hire.

Be Part of an Extraordinary Team BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey. Title: Pharmacy Customer Associate II Location: FL-LAKE MARY, 3200 LAKE EMMA RD, STE 1000; the ideal candidate will reside within reasonable distance from this location. Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Shift: We are hiring multiple shifts between the hours of 8:00am-8:00pm The Pharmacy Customer Associate II is responsible for responding to moderately complex customer questions via telephone and written correspondence regarding pharmacy retail and mail order prescriptions. How you will make an impact: Develops and maintains positive customer relations and coordinates with functions within the company to ensure customer requests are handled and resolved appropriate and in a timely manner. Interacts with internal and external customers (could include subscribers, providers, group or benefit administrators, physician offices, third party representatives, and other Blue Cross Plans) to provide claims, customer service, and/or membership support. Responds to client issues via telephone and written correspondence regarding insurance benefits member, provider contracts, eligibility, claims, etc. Completes necessary research to provide proactive, thorough solutions. Displays ownership of service requests ensuring high quality resolution and follow-thru. Supports and guides the customer with their personal options and decisions and helps the customer become knowledgeable and confident about using technology, tools and resources available to them. Minimum Requirements: Requires a HS diploma or equivalent and a minimum of a minimum of 1 year of the company's experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: General knowledge of company pharmacy services, products, insurance benefits, contracts and claims preferred. Specialty Pharmacy experience preferred. Call center experience preferred. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Job Level: Non-Management Non-Exempt Workshift: Job Family: CUS > Care Reps Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Job Description Job Title: Patient Care Coordinator Department: Clinical Job Purpose: Helps patients and providers by providing clinical information, services and assistance. Mindful Behavioral Healthcare is a growing psychiatric practice located in Kissimmee, Florida! Our team is looking for a Full Time Patient Care Coordinator to handle inbound and outbound calls, including the processing and upkeep of pharmacy orders and handling of order inquiries and patient-related issues. Other responsibilities include: maintaining patient census and reaching out to patients regarding their medication and order status, gathering patients' clinical data/ correcting information in appropriate databases, and providing support to physicians, nurses, and patients in a clear and articulate manner. We are looking for a candidate with strong organizational, communication and customer service skills. A High School Diploma and a minimum of 1 year of either Pharmacy Technician or Call Center experience is required Bilingual (English/Spanish) a must! Strong knowledge of Microsoft Office Suites is required Leadership experience is a plus This role is Monday - Friday, 8a-5p EST. Though rare, candidates must be available to work beyond the established scheduled (extended hours), when required by the business. ---------------------- This position requires the individual to undergo and pass a L2 Background check through AHCA (Florida Agency for Healthcare Administration) prior to their first day of employment. This process includes fingerprinting. If you do not possess an active/eligible L2 background check, there may be a cost to the individual of $89.15 to complete the fingerprinting process through DTIS (Digital Trusted Identity Services). If completed during the pre-employment process for Mindful Behavioral Healthcare, this cost will be reimbursed after 90-days of active employment with the company. Please send resume online via Indeed ONLY. Job Type: Full-time Benefits: 401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance Schedule: Monday to Friday Ability to Relocate: Kissimmee, FL: Relocate before starting work (Required) Work Location: In person

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Are you an experienced Insurance Verification Representative looking for a new opportunity with a prestigious healthcare company? Daily Responsibilities: • Assisting overnight with any insurance verification needs • Accurate updates being made to the patient's account when processing claim reversals • Obtains new and existing prescription renewals • Proper handling of medications being returned to Rx Hours for this Position: Monday through Friday, 11.30PM-7.30AM Advantages of this Opportunity: • Competitive salary, negotiable based on relevant experience • Benefits offered, Medical, Dental, and Vision • Fun and positive work environment Qualifications • High School Diploma or G.E.D. • Extensive customer service skills • Experience with Microsoft Office (Word, Excel, Outlook) • Preferred: 1 yr of experience in performing insurance verification • Preferred: knowledge of PBMs and previous pharmacy experience Additional Information Interested in being considered? If you are interested in being considered for this position, please click the apply button below.

Nemours is seeking a Patient Access Specialist I (FULL-TIME), to join our Nemours Children's Health team in Orlando, Florida. Nemours Children's Hospital is the newest addition to the Nemours integrated healthcare system. Our 130-bed pediatric hospital also features the area's only 24-hour Emergency Department designed just for kids as well as outpatient pediatric clinics including several specialties previously unavailable in the region. A hospital designed by families for families, Nemours Children's Hospital blends the healing power of nature with the latest in healthcare innovation to deliver world-class care to the children of Central Florida and beyond. In keeping with our goal of bringing Nemours care into the communities we serve; we also provide specialty outpatient care in several clinics located throughout the region. This position is responsible for providing exemplary service in accordance with Nemours Standards of Behaviors and performs registration functions accurately. Meets or exceeds collection standard by timely verification of insurance benefits and determines financial responsibility by creating a good faith estimate when applicable. Meets or exceeds accuracy standard goals by verifying and updating demographics, insurance information, PCP and/or referral physician, pharmacy of preference when required for each encounter. Explains all essential and legal forms for each service type and collects any patient responsibility or outstanding balance at the time of service. Ensures all financial assessments, eligibility, and benefits are accurate. Collects all patient responsibility amount due for services rendered, adheres to end of day business processing standard verifying cash analysis and receipts balances. Properly identifies patients, accurately updates demographics information, and secures the required forms to ensure compliance with regulatory and NCH policies. Registers bedside admissions utilizing the workstation on wheels or downtime process when necessary or performs pre-registration workflow when assigned. Understands HIPAA privacy rules and ability to use discretion when discussing patient related information that is confidential in nature as needed to perform duties. Resolves all patient accounts subject to departmental standards including clearing the various Workqueues, as assigned, to ensure accuracy. Ability to cross cover registration functions to support the Patient Financial Services department as needed. Practices and displays Nemours' Standards of Behavior while adhering to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies. Maintains a close working relationship with clinical partners to ensure continual open communication between clinical, ancillary and patient access departments in a clear and respectful manner. Completes all mandatory training and education in a timely manner, as well as participate in huddles and/or department meetings as scheduled. Meets attendance requirements, and maintains schedule flexibility, as required. Exhibits effective time management skills by monitoring time and attendance to limit use of unauthorized overtime. Cross training with the Emergency Room. All other duties as assigned by supervisor or manager. Job Requirements High School Diploma required. Healthcare experience and customer service experience preferred. Medical Office/Call Center. Travel to other locations required. Must have the ability to work a flexible schedule. #LI-MW1 About Us Nemours Children's Health is an internationally recognized children's health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. DuPont Trust, as well as other income. As one of the nation's premier pediatric health systems, we're on a journey to discover better ways of approaching children's health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child's world a place to thrive. It's a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever. Inclusion and belonging guide our growth and strategy. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build an inclusive and supportive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families. To learn more about Nemours Children's and how we go well beyond medicine, visit us at *************** .

Nemours is seeking a Patient Access Specialist I (FULL-TIME), to join our Nemours Children's Health team in Orlando, Florida. Nemours Children's Hospital is the newest addition to the Nemours integrated healthcare system. Our 130-bed pediatric hospital also features the area's only 24-hour Emergency Department designed just for kids as well as outpatient pediatric clinics including several specialties previously unavailable in the region. A hospital designed by families for families, Nemours Children's Hospital blends the healing power of nature with the latest in healthcare innovation to deliver world-class care to the children of Central Florida and beyond. In keeping with our goal of bringing Nemours care into the communities we serve; we also provide specialty outpatient care in several clinics located throughout the region. This position is responsible for providing exemplary service in accordance with Nemours Standards of Behaviors and performs registration functions accurately. Meets or exceeds collection standard by timely verification of insurance benefits and determines financial responsibility by creating a good faith estimate when applicable. Meets or exceeds accuracy standard goals by verifying and updating demographics, insurance information, PCP and/or referral physician, pharmacy of preference when required for each encounter. Explains all essential and legal forms for each service type and collects any patient responsibility or outstanding balance at the time of service. * Ensures all financial assessments, eligibility, and benefits are accurate. Collects all patient responsibility amount due for services rendered, adheres to end of day business processing standard verifying cash analysis and receipts balances. * Properly identifies patients, accurately updates demographics information, and secures the required forms to ensure compliance with regulatory and NCH policies. * Registers bedside admissions utilizing the workstation on wheels or downtime process when necessary or performs pre-registration workflow when assigned. * Understands HIPAA privacy rules and ability to use discretion when discussing patient related information that is confidential in nature as needed to perform duties. * Resolves all patient accounts subject to departmental standards including clearing the various Workqueues, as assigned, to ensure accuracy. * Ability to cross cover registration functions to support the Patient Financial Services department as needed. * Practices and displays Nemours' Standards of Behavior while adhering to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies. * Maintains a close working relationship with clinical partners to ensure continual open communication between clinical, ancillary and patient access departments in a clear and respectful manner. * Completes all mandatory training and education in a timely manner, as well as participate in huddles and/or department meetings as scheduled. Meets attendance requirements, and maintains schedule flexibility, as required. Exhibits effective time management skills by monitoring time and attendance to limit use of unauthorized overtime. * Cross training with the Emergency Room. * All other duties as assigned by supervisor or manager. Job Requirements * High School Diploma required. * Healthcare experience and customer service experience preferred. * Medical Office/Call Center. * Travel to other locations required. * Must have the ability to work a flexible schedule. #LI-MW1

Nemours is seeking a Patient Access Specialist I (FULL-TIME), to join our Nemours Children's Health team in Orlando, Florida. Nemours Children's Hospital is the newest addition to the Nemours integrated healthcare system. Our 130-bed pediatric hospital also features the area's only 24-hour Emergency Department designed just for kids as well as outpatient pediatric clinics including several specialties previously unavailable in the region. A hospital designed by families for families, Nemours Children's Hospital blends the healing power of nature with the latest in healthcare innovation to deliver world-class care to the children of Central Florida and beyond. In keeping with our goal of bringing Nemours care into the communities we serve; we also provide specialty outpatient care in several clinics located throughout the region. This position is responsible for providing exemplary service in accordance with Nemours Standards of Behaviors and performs registration functions accurately. Meets or exceeds collection standard by timely verification of insurance benefits and determines financial responsibility by creating a good faith estimate when applicable. Meets or exceeds accuracy standard goals by verifying and updating demographics, insurance information, PCP and/or referral physician, pharmacy of preference when required for each encounter. Explains all essential and legal forms for each service type and collects any patient responsibility or outstanding balance at the time of service. Ensures all financial assessments, eligibility, and benefits are accurate. Collects all patient responsibility amount due for services rendered, adheres to end of day business processing standard verifying cash analysis and receipts balances. Properly identifies patients, accurately updates demographics information, and secures the required forms to ensure compliance with regulatory and NCH policies. Registers bedside admissions utilizing the workstation on wheels or downtime process when necessary or performs pre-registration workflow when assigned. Understands HIPAA privacy rules and ability to use discretion when discussing patient related information that is confidential in nature as needed to perform duties. Resolves all patient accounts subject to departmental standards including clearing the various Workqueues, as assigned, to ensure accuracy. Ability to cross cover registration functions to support the Patient Financial Services department as needed. Practices and displays Nemours' Standards of Behavior while adhering to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies. Maintains a close working relationship with clinical partners to ensure continual open communication between clinical, ancillary and patient access departments in a clear and respectful manner. Completes all mandatory training and education in a timely manner, as well as participate in huddles and/or department meetings as scheduled. Meets attendance requirements, and maintains schedule flexibility, as required. Exhibits effective time management skills by monitoring time and attendance to limit use of unauthorized overtime. Cross training with the Emergency Room. All other duties as assigned by supervisor or manager. Job Requirements High School Diploma required. Healthcare experience and customer service experience preferred. Medical Office/Call Center. Travel to other locations required. Must have the ability to work a flexible schedule. #LI-MW1

Our mission is to provide quality, accessible and patient-centered eye care. Consider joining Magruder Eye Institute/Ascend Vision Partners and join a team that are focused on building a differentiated integrated eye care platform focused on superior patient care delivered through our network of optometrists and ophthalmologists. Team members are expected to exhibit a continuous behavior of professionalism, which includes but is not limited to, acting with integrity and accountability, support our clinicians in all aspects of patient care delivery, support a culture of respect, diversity and inclusion in our organization, and enhance the patient access to primary and specialty eye care. Our vision is to create an admired healthcare company dedicated to delivering personalized eye care with outstanding patient outcomes. GENERAL SUMMARY: The Patient Services Specialist is responsible to create a positive patient experience by consistently exceeding expectations in customer service and patient care, by coordinating and completing patient registration activities that include but are not limited to greet and check in patients, verifying demographic information, obtaining signatures on patient consents, capturing insurance cards, verifying authorization accuracy, collect co-pays and past due balances, working reschedule and recall lists, and balance end of day deposits. ESSENTIAL DUTIES & RESPONSIBILITIES: Provides high level customer service in all interactions with internal and external customers. Provides direct, professional, and knowledgeable interactions with patients, providers, referral sources, and the clinical team. Answers telephone calls accurately and with exceptional customer service and ensures the caller's needs are met and accurate information is obtained. Maintains patient confidentiality regarding access to patient and other clinical information via email, computer, fax, and mail. Addresses concerns of patients, provides service recovery, and escalates issues as needed. Utilizes the operational guidelines for scheduling patient appointments. Completes reminder calls to patient for scheduled appointments, as needed. Obtains payment from each patient, including copayments, balance due and appropriately receipts all monies collected. Verifies, ensures eligibility, and registers patients by obtaining patient demographics and third-party coverage(s) at every encounter. Advises patient on physician referral and provides appropriates notes/updates to referring physician, as needed. Prioritizes and completes all work in an accurate, effective, and efficient manner. NON-ESSENTIAL DUTIES & RESPONSIBILITIES: Maintains public areas (waiting rooms, restrooms and kitchen), as needed. Attends department meetings and completes trainings, as needed. Processes medical records requests; both incoming and outgoing Requirements EDUCATION AND EXPERIENCE REQUIRED: High School diploma or equivalent, required. EDUCATION & EXPERIENCE PREFERRED: N/A LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED: N/A LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED: Certified Patient Services Specialist CORE COMPETENCIES: Ability to work effectively with internal and external customers. Excellent verbal and written communication skills, including listening. Proficient in Microsoft Office products. Ability to maintain confidentiality when dealing with sensitive information. PHYSICAL ACTIVITY OF POSITION: Talking. This position requires expressing or exchanging ideas through the spoken word. This position must participate in activities to convey detailed or essential verbal instructions to physicians, staff, and vendors accurately and succinctly. Hearing. This position is required to perceive sounds at normal speaking levels with or without correction, including the ability to receive detailed information through oral communication and make the discriminations in sound. Repetitive motion. This position requires substantial movements (motions) of the wrists, hands, and fingers while working on reports or the computer. Sedentary work. This position may need to occasionally exert up to 10 pounds of force to lift, carry, push, pull, or otherwise move objects. The job consists primarily of sedentary work and involves sitting most of the time. Walking and standing are required only occasionally. Visual Requirements. This position is required to have close visual acuity (with or without correction) to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; and extensive reading. Environmental Conditions. This position is not substantially exposed to adverse environmental conditions (such as in typical office work.)

BVL Physician Group, LLC Job Title: Patient Care Coordinator Report to: Practice Administrator FLSA Status: Non-Exempt Job Summary: The role of the Patient Care Coordinator is to collaborate with clients by assessing, facilitating, planning and advocating for health needs on an individual basis. Successful outcomes cannot be achieved without specialized skills and knowledge applied throughout the process. These skills include, but are not limited to, positive relationship building, effective written/verbal communication, ability to affect change, perform critical analysis, plan and organize effectively and promote client/family autonomy. It is crucial for the Patient Care Coordinator to have knowledge of funding resources, services and clinical standards and outcomes. Responsibilities: Maintain ongoing tracking and appropriate documentation on referrals to promote Team awareness and ensure patient safety. This tracking may use an IT database. Ensure complete and accurate registration, including patient demographic and current insurance information. Assemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist. Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis. Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians. Review details and expectations about the referral with patients. Assist patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance). Be the system navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns. May assume advocate role on the patient's behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion. Identify and utilize cultural and community resources. Establish and maintain relationships with identified service providers. Ensure that referrals are addressed in a timely manner. Remind patients of scheduled appointments via mail or phone. •Ensure that patient's primary care chart is up to date with information on specialist consults, hospitalizations, ER visits and community organization related to their health. Skills and Specifications High school diploma, sometimes combined with medical assistant certification Strong customer service focus Effective verbal and written communication skills Teamwork orientation Organized and able to manage competing priorities Good judgment Resourcefulness in problem solving Able to take and follow through with delegated tasks and accountability Bilingual skills preferred (English/Spanish) ACKNOWLEDGMENT FORM The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. Printed Name: _____________________________________ Signature: _________________________________________ Date: _____________________________________________