Referral Coordinator
Patient service representative job in Leesburg, FL
Aegis Medical Group is a comprehensive healthcare network offering a wide range of medical services, including primary care, internal medicine, cardiology, endocrinology, and more. Our network also includes partnerships with home health providers, skilled nursing facilities, and outpatient therapies, ensuring seamless care transitions for our patients. With a commitment to respectful, efficient, and holistic healthcare, we strive to meet all medical needs within a supportive and collaborative environment. Our goal is to become the trusted home for your healthcare needs as we continue to expand our services to better serve our patients.
Role Description
This is a full-time, on-site role for a Referral Coordinator based in Leesburg, FL. The Referral Coordinator will be responsible for verifying insurance, efficiently managing patient referrals, ensuring effective communication between patients and healthcare providers, and maintaining thorough records. Daily tasks will include working with insurance providers, scheduling appointments, providing outstanding customer service, and assisting patients with any questions or issues related to their referrals.
Qualifications
Proficiency in Insurance Verification and understanding of Medical Terminology.
Strong Communication and Phone Etiquette skills to interact effectively with patients, providers, and insurance personnel.
Demonstrated excellent Customer Service abilities in a fast-paced healthcare environment.
Organizational and problem-solving skills with attention to detail.
Experience with electronic medical record (EMR) systems is a plus.
Knowledge of healthcare operations and referral workflows is advantageous.
High school diploma or equivalent; additional education or certification in medical administration is preferred.
Customer Service Representative! $19/hr
Patient service representative job in Paisley, FL
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 .
Patient Care Coordinator
Patient service representative job in Lady Lake, FL
RAYUS now offers DailyPay! Work today, get paid today!
RAYUS Radiology is looking for a Patient Coordinator to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Patient Coordinator you will provide services to patients and referring professionals by greeting customers, registering patients and scheduling/authorizing appointments. This is a full-time, working Monday thru Friday Days.
ESSENTIAL DUTIES AND RESPONSIBLITIES:
(60%) Scheduling & Insurance
Schedules patient examinations according to existing company policy
Arranges transportation and hotel accommodations for patients when appropriate
Communicates to team any scheduling changes in order to ensure highest patient satisfaction
Pre-certifies/Authorizes all exams with patient's insurance company as required
Verifies medical necessity on all exams as required
Handles release of information requests for patients, referring offices, other medical facilities, attorneys & insurance companies following company guidelines
Facilitates follow up contact with patients for scheduling future appointments etc. as appropriate
(35%) Registration
Greets and checks-in patients scheduled for Vascular services; registers demographic information and process payment plans and copays with patients
Answers phones and handles calls in a professional and timely manner
Maintains positive interactions at all times with patients, referring offices and staff
Supports Vascular team in order to ensure highest patient satisfaction
Acts as liaison between team and the patients waiting for exams
Maintains front office lobby area by straightening magazines, organizing coffee supplies, and assisting with general office clean up
Maintains the supply of patient information sheets
(5%) Performs other duties as assigned
Patient Representative (Full-Time)
Patient service representative job in Orange City, FL
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 / Patient Representative 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
Auto-ApplyPatient Services Coordinator, Home Health
Patient service representative job in Lake Mary, FL
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.
Auto-ApplyPatient Access Specialist
Patient service representative job in Orlando, FL
**Duration: 03+ Months - Tempt To Hire** **Shifts Available:** + M-F 9am-6pm + M-F 9:30am-6pm + M-F 11am-8pm **Responsibilities/Qualification:** + **Prior Authorization** experience required. + Need **Patient Access, customer service** for overflow help with other teams
+ **Accuracy** - creating accounts and cases (Case Management)
+ Updating information in accounts from Med Billers and Requirements:
+ **Strong accurate data entry skills**
+ Previous work experience in Specialty Pharmacy or Customer Service preferable
+ 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
**Specific type of experience preferred:**
+ **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
**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.
Patient Care Coordinator
Patient service representative job in Kissimmee, FL
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
Patient Care Coordinator/ Engager
Patient service representative job in Orlando, FL
Our Mission: "Helping People Hear Better" Lucid Hearing is a leading innovator in the field of assistive listening and hearing solutions, and it has established itself as a premier manufacturer and retailer of hearing solutions with its state-of-the-art hearing aids, testing equipment, and a vast network of locations within large retail chains. As a fast-growing business in an expanding industry, Lucid Hearing is constantly searching for passionate people to work within our amazing organization.
Club:
Sam's Club in Orlando, FL
Hours:
Full time/ Tuesday-Saturday 9am-6pm
Pay:
$18+/hr
What you will be doing:
•
Share our passion of giving the gift of hearing by locating people who need hearing help
• Directing members to our hearing aid center inside the store
• Interacting with Patients to set them up for hearing tests and hearing aid purchases
• Secure a minimum of 4 immediate or scheduled full hearing tests daily for the hearing aid specialist or audiologist that works in the center
• 30-50 outbound calls daily.
• Promote all Lucid Hearing products to members with whom they engage.
• Educate members on all of products (non hearing aid and hearing aid) when interacting with them
• Assist Providers when necessary, calling past tested Members, medical referrals to schedule return, etc.
What are the perks and benefits of working with Lucid Hearing:
Medical, Dental, Vision, & Supplemental Insurance Benefits
Company Paid Life Insurance
Paid Time Off and Company Paid Holidays
401(k) Plan and Employer Matching
Continual Professional Development
Career Growth Opportunities to Become a LEADER
Associate Product Discounts
Qualifications
Who you are:
Willingness to learn and grow within our organization
Sales experience preferred
Stellar Communication skills
Business Development savvy
Appointment scheduling experience preferred
A passion for educating patients with hearing loss
Must be highly energetic and outgoing (a real people person)
Be comfortable standing multiple hours
Additional Information
We are an Equal Employment Opportunity Employer.
Patient Access Specialist - Specialty Pharmacy
Patient service representative job in Orlando, FL
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.
Auto-ApplyPatient Services Specialist II (Primary Care, Sanford)
Patient service representative job in Sanford, FL
Nemours is seeking a Patient Services Specialist II (Primary Care, Sanford), FULL-TIME, to join our Primary Care team in Sanford, Florida. Nemours primary care practices provide a kid-friendly, family-centered pediatric primary care experience for families in Central Florida. With 20 primary care and three urgent care practices conveniently located throughout the region, we provide quality, professional pediatric services with special attention on preventive care and whole-child wellness.
This position is responsible for: To perform as a customer service representative for assigned divisions accurately obtaining and entering all essential information needed to complete registration and scheduling processes following standard business practices. Provide service to internal and external customers as a member of the clinic team.
Customer service: answer phone lines in a prompt and courteous manner, triage call and handle appropriately.
Registration: collect, maintain and ensure accuracy of information through the use of standard business practices.
Coordinate all necessary paperwork for registration, scheduling, and appointment.
Financial: collect, verify and maintain patient insurance information, including authorizations and referrals.
Collect co- pays, deductible, co-insurance and balances on accounts. End of day balancing.
Scheduling: understanding visit types, templates and fundamentals of how to efficiently schedule an office visit. Manage no-show and cancelation process. Confirm appointments with patient/guardian. Prepare charts with the appropriate paperwork for the physician visit.
Communication: triage and manage electronic communication daily. Scan all new paperwork into EMR or place in patient chart. Scan incoming mailed and faxed patient results into EMR and task the physician responsible for reviewing OR place information with patient chart and for provider to review. Check in and checkout patients in office.
Coordinates the release of information and medical record process. Process all incoming and outgoing medical record requests.
Ensures coding information is complete on billing documents.
All other duties as assigned by supervisor.
Job Requirements
High School Diploma required.
Specialized (1 year of training beyond high school).
Minimum of one (1) to three (3) years' experience preferred.
Customer Service and Healthcare experience preferred.
Medical Office/Call Center experience preferred.
Travel to other primary care locations as needed for coverage is required.
What We Offer
Competitive base compensation in the top quartile of the market
Annual incentive compensation that values clinical activity, academic accomplishments and quality improvement
Comprehensive benefits: health, life, dental, vision
Mortgage assistance, relocation packages and 403B with employer match, 457 retirement savings plans
Licensure, CME and dues allowance
Not-for-profit status; eligibility for Public Service Loan Forgiveness
For those living and working in Florida, enjoy the benefit of no state income tax. Those based in Delaware benefit from the state's moderate tax structure.
Located in Orlando, Fla., Nemours Children's Hospital is the newest addition to the Nemours integrated healthcare system. Our 100-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
#LI-MW1
Auto-ApplyPatient Service Center Site Coordinator/Lead Phlebotomist-Tavares
Patient service representative job in Tavares, FL
At LabCorp we have a passion in helping people live happy and healthy lives. Every day we provide vital information that helps our clients and patients understand their health. If you are passionate about helping people and have a drive for service, then LabCorp could be a great next career step!
We are seeking a Patient Service Center (PSC) Site Coordinator to join our team. This position will be responsible for the coordination and oversight of activities of Patient Service Centers within an assigned area. The PSC Coordinator will work closely with the PSC staff, management, as well as the laboratory staff and clients to ensure optimal operation of the Patient Service Center. The position will also perform phlebotomy and specimen processing procedures at LabCorp Patient Service Centers under minimal supervision.
Work Schedule: Monday - Friday 7am to 4pm Rotating Saturdays
Work Location: 2730 Dora Ave. Tavares, FL
Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. For more detailed information, please click here.
PST's may be eligible for participation in the PST Incentive Plan, which pays a quarterly bonus based on performance metrics.
Job Responsibilities:
Observe and report any performance, compliance or staffing related issues to supervisors
Manage and monitor patient flow, wait times, inventory levels and information logs
Monitor monthly productivity reports and report any deviations as necessary
Address any customer service related issues in a prompt and respectful manner
Promote team work, cohesiveness and effective communication among coworkers
Perform blood collections by venipuncture and capillary techniques for all age groups
Collect specimens for drug screens, paternity tests, alcohol tests etc.
Perform data entry of patient information in an accurate and timely manner
Process billing information and collect payments when required
Prepare all collected specimens for testing and analysis
Administrative and clerical duties as necessary
Travel to additional sites when needed
Job Requirements:
High school diploma or equivalent
Minimum 1 year of experience as a phlebotomist
Prior experience is a leadership position is a plus
Phlebotomy certification from an accredited agency is preferred
In depth knowledge of phlebotomy duties, responsibilities and techniques
Proven track record in providing exceptional customer service
Strong communication skills; both written and verbal
Ability to work independently or in a team environment
Comfortable working under minimal supervision
Reliable transportation and clean driving record if applicable
Flexibility to work overtime as needed
Able to pass a standardized color blindness test
If you're looking for a career that offers opportunities for growth, continual development, professional challenge and the chance to make a real difference, apply today!
Labcorp is proud to be an Equal Opportunity Employer:
Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law.
We encourage all to apply
If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.
Auto-ApplyPatient Service Coordinator
Patient service representative job in Orlando, FL
NOW HIRING PATIENT SERVICE COORDINATOR ABOUT US Blue Cloud is the largest pediatric Ambulatory Surgery Center (ASC) company in the country, specializing in dental restorative and exodontia surgery for pediatric and special needs patients delivered under general anesthesia. We are a mission-driven company with an emphasis on providing safe, quality, and accessible care, at reduced costs to families and payors.
As our network of ASCs continues to grow, we are actively recruiting a new Patient Service Coordinator to join our talented and passionate care teams.
Our ASC based model provides an excellent working environment with a close-knit clinical team of Dentists, Anesthesiologists, Registered Nurses, Registered Dental Assistants and more. We'd love to discuss these opportunities in greater detail, and how Blue Cloud can become your new home!
OUR VISION & VALUES
At Blue Cloud, it's our vision to be the leader in safety and quality for
pediatric dental patients treated in a surgery center environment. Our core values drive the decisions of our talented team every day and serve as a guiding direction toward that vision.
* We cheerfully work hard
* We are individually empathetic
* We keep our commitments
ABOUT YOU
You have an exceptional work ethic, positive attitude, and strong commitment to providing excellent care to our patients. You enjoy working in a fast-paced, dynamic environment, and you desire to contribute to a strong culture where the entire team works together for the good of each patient.
YOU WILL
* Greet and register patients and family members
* Manage appointments and daily schedule
* Manage and provide patients and their families with appropriate forms and informational documents
* Provide Customer service
* Escalate any issues, questions, or calls to the appropriate parties
YOU HAVE
Requirements + Qualifications
* High School Diploma or equivalent
* 2 to 3 years of customer service experience in high-volume dental or medical office setting.
* Strong critical thinking and analytical skills along with the ability to communicate clearly and effectively.
* Computer skills to include word processing and spreadsheet.
Preferred
* Strong background in patient care environment
* Bilingual (English/Spanish)
BENEFITS
* We offer medical, vision and dental insurance, Flexible Spending and Health Savings Accounts, PTO (paid time off), short and long-term disability and 401K.
* No on call, no holidays, no weekends
* Bonus eligible
Blue Cloud is an equal opportunity employer. Consistent with applicable law, all qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship, color, family or medical care leave, gender identity or expression, genetic information, immigration status, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran or military status, race, ethnicity, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable local laws, regulations and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application process, read more about requesting accommodations.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Assc Patient Care Coord
Patient service representative job in Kissimmee, FL
Job Description
Patient Care Coordinator * Kissimmee, FL * Contract to HIRE
Job Title: Associate Patient Care Coordinator Schedule: Monday-Friday, 8:00 AM-5:00 PM Contract Type: Contract-to-Hire
Education Requirement: High School Diploma/GED
Experience Required: Minimum 2+ years (customer service and medical office)
Job Overview
The Associate Patient Care Coordinator plays a key role in ensuring a positive first impression for patients and supporting daily front office operations. This position works onsite at the Optum Kissimmee clinic, which includes 27 team members and 6 providers, with a reception team of 4. The coordinator will handle patient interactions, administrative duties, and support clinic workflows to maintain an efficient and welcoming environment.
Key Responsibilities
Welcome and greet patients, providing exceptional customer service.
Manage incoming and outgoing phone calls, emails, and mail.
Schedule appointments and assist patients with forms and documentation.
Support billing inquiries, payment processing, and general office tasks.
Maintain lobby cleanliness and follow all safety protocols.
Provide timely and effective solutions to patient needs.
Assist providers and clinic staff with daily administrative support.
Preferred Skills & Qualifications
2+ years of experience in customer service and medical office settings.
Strong communication and organizational skills.
Ability to multitask in a fast-paced environment.
Bilingual skills are a plus.
No certifications or professional licenses required.
In-person interviews preferred.
Patient Services Specialist/Front Desk
Patient service representative job in Orlando, FL
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.)
Patient Services Specialist II (Primary Care, Lake Nona)
Patient service representative job in Orlando, FL
Nemours is seeking a Patient Services Specialist II (Primary Care, Lake Nona), FULL-TIME, to join our Primary Care team in Lake Nona, Florida. Nemours primary care practices provide a kid-friendly, family-centered pediatric primary care experience for families in Central Florida. With 19 primary care and three urgent care practices conveniently located throughout the region, we provide quality, professional pediatric services with special attention on preventive care and whole-child wellness.
This position is responsible for: To perform as a customer service representative for assigned divisions accurately obtaining and entering all essential information needed to complete registration and scheduling processes following standard business practices. Provide service to internal and external customers as a member of the clinic team.
* Customer service: answer phone lines in a prompt and courteous manner, triage call and handle appropriately.
* Registration: collect, maintain and ensure accuracy of information through the use of standard business practices.
* Coordinate all necessary paperwork for registration, scheduling, and appointment.
* Financial: collect, verify and maintain patient insurance information, including authorizations and referrals.
* Collect co- pays, deductible, co-insurance and balances on accounts. End of day balancing.
* Scheduling: understanding visit types, templates and fundamentals of how to efficiently schedule an office visit. Manage no-show and cancelation process. Confirm appointments with patient/guardian. Prepare charts with the appropriate paperwork for the physician visit.
* Communication: triage and manage electronic communication daily. Scan all new paperwork into EMR or place in patient chart. Scan incoming mailed and faxed patient results into EMR and task the physician responsible for reviewing OR place information with patient chart and for provider to review. Check in and checkout patients in office.
* Coordinates the release of information and medical record process. Process all incoming and outgoing medical record requests.
* Ensures coding information is complete on billing documents.
* All other duties as assigned by supervisor.
Job Requirements
* High School Diploma required.
* Specialized (1 year of training beyond high school).
* Minimum of one (1) to three (3) years' experience preferred.
* Customer Service and Healthcare experience preferred.
* Medical Office/Call Center experience preferred.
* Travel to other primary care locations as needed for coverage is required.
#LI-MW1
Auto-ApplyPatient Services Specialist II (Primary Care, Vero Beach)
Patient service representative job in Orlando, FL
Nemours is seeking a Patient Services Specialist II (Primary Care - Vero Beach), FULL-TIME, to join our Primary Care team in Vero Beach, Florida. Nemours primary care practices provide a kid-friendly, family-centered pediatric primary care experience for families in Central Florida. With 20 primary care and 3 urgent care practices conveniently located throughout the region, we provide quality, professional pediatric services with special attention on preventive care and whole-child wellness.
This position is responsible for: To perform as a customer service representative for assigned divisions accurately obtaining and entering all essential information needed to complete registration and scheduling processes following standard business practices. Provide service to internal and external customers as a member of the clinic team.
Customer service: answer phone lines in a prompt and courteous manner, triage call and handle appropriately.
Registration: collect, maintain and ensure accuracy of information through the use of standard business practices.
Coordinate all necessary paperwork for registration, scheduling, and appointment.
Financial: collect, verify and maintain patient insurance information, including authorizations and referrals.
Collect co- pays, deductible, co-insurance and balances on accounts. End of day balancing.
Scheduling: understanding visit types, templates and fundamentals of how to efficiently schedule an office visit. Manage no-show and cancelation process. Confirm appointments with patient/guardian. Prepare charts with the appropriate paperwork for the physician visit.
Communication: triage and manage electronic communication daily. Scan all new paperwork into EMR or place in patient chart. Scan incoming mailed and faxed patient results into EMR and task the physician responsible for reviewing OR place information with patient chart and for provider to review. Check in and checkout patients in office.
Coordinates the release of information and medical record process. Process all incoming and outgoing medical record requests.
Ensures coding information is complete on billing documents.
All other duties as assigned by supervisor.
Job Requirements
High School Diploma required.
Specialized (1 year of training beyond high school).
Minimum of one (1) to three (3) years' experience preferred.
Customer Service and Healthcare experience preferred.
Medical Office/Call Center experience preferred.
Travel to other primary care locations as needed for coverage is required.
What We Offer
Competitive base compensation in the top quartile of the market
Annual incentive compensation that values clinical activity, academic accomplishments and quality improvement
Comprehensive benefits: health, life, dental, vision
Mortgage assistance, relocation packages and 403B with employer match
Licensure, CME and dues allowance
Not-for-profit status; eligibility for Public Service Loan Forgiveness
For those living and working in Florida, enjoy the benefit of no state income tax. Those based in Delaware benefit from the state's moderate tax structure.
Located in Orlando, Fla., Nemours Children's Hospital is the newest addition to the Nemours integrated healthcare system. Our 100-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.
#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 *************** .
Patient Access Specialist
Patient service representative job in Orlando, FL
**Duration: 3 months contract** **Shifts available:** + M-F 10am-7pm. + M-F 10:30am-7:30pm. + M-F 11am-8pm. **Length of assignment:** + This is considered Temp to hire. If performance & attendance are met they could be offered a perm role. **Description:** + **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.
**Responsibilities:**
+ Strong accurate data entry skills.
+ Previous work experience in **Specialty Pharmacy or Customer Service** preferable.
+ 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.
**Specific type of experience preferred:**
+ Experience working with databases ( **CRM** preferable) or a tracking system; **Salesforce CRM** experience.
+ Experience working in a **healthcare/pharmaceutical industry** environment.
+ Understanding of challenges associated with patients' medical condition.
**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.
Patient Care Coordinator/ Engager
Patient service representative job in Orlando, FL
Job Description
Our Mission: "Helping People Hear Better"
Lucid Hearing is a leading innovator in the field of assistive listening and hearing solutions, and it has established itself as a premier manufacturer and retailer of hearing solutions with its state-of-the-art hearing aids, testing equipment, and a vast network of locations within large retail chains. As a fast-growing business in an expanding industry, Lucid Hearing is constantly searching for passionate people to work within our amazing organization.
Club: Sam's Club in Orlando, FL
Hours: Full time/ Tuesday-Saturday 9am-6pm
Pay: $18+/hr
What you will be doing:
• Share our passion of giving the gift of hearing by locating people who need hearing help
• Directing members to our hearing aid center inside the store
• Interacting with Patients to set them up for hearing tests and hearing aid purchases
• Secure a minimum of 4 immediate or scheduled full hearing tests daily for the hearing aid specialist or audiologist that works in the center
• 30-50 outbound calls daily.
• Promote all Lucid Hearing products to members with whom they engage.
• Educate members on all of products (non hearing aid and hearing aid) when interacting with them
• Assist Providers when necessary, calling past tested Members, medical referrals to schedule return, etc.
What are the perks and benefits of working with Lucid Hearing:
Medical, Dental, Vision, & Supplemental Insurance Benefits
Company Paid Life Insurance
Paid Time Off and Company Paid Holidays
401(k) Plan and Employer Matching
Continual Professional Development
Career Growth Opportunities to Become a LEADER
Associate Product Discounts
Qualifications
Who you are:
Willingness to learn and grow within our organization
Sales experience preferred
Stellar Communication skills
Business Development savvy
Appointment scheduling experience preferred
A passion for educating patients with hearing loss
Must be highly energetic and outgoing (a real people person)
Be comfortable standing multiple hours
Additional Information
We are an Equal Employment Opportunity Employer.
Bilingual Patient Access Specialist (English/Spanish)
Patient service representative job in Orlando, FL
Job Description: The purpose of this position is to help patients get access to the medications and therapies that they need.
A Day in the Life as a Bilingual Patient Access Specialist:
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 Bilingual 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
About AssistRx: 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.
Why Choose AssistRx:
Work Hard, Play Hard: Preloaded PTO: 100 hours (12.5 days) PTO upon employment, increasing to 140 hours (17.5 days) upon anniversary. Tenure vacation bonus: $1,000 upon 3-year anniversary and $2,500 upon 5-year anniversary.
Impactful Work: Join a team that is at the forefront of revolutionizing healthcare by improving patient access to essential medications.
Flexible Culture: Many associates earn the opportunity to work a hybrid schedule after 120 days after training. Enjoy a flexible and inclusive work culture that values work-life balance and diverse perspectives.
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.
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!
Requirements
Qualifications to be a Bilingual Patient Access Specialist:
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
Bilingual in both English and Spanish
Excellent verbal communication skills and grammar
Salesforce system experience preferred
Benefits
Want to learn more about what employee benefits AssistRx offers? Here are some additional benefits that our employees enjoy!
Medical, dental, vision, life, & short-term disability insurance
Teledoc services for those enrolled in medical insurance
Supportive, progressive, fast-paced environment
Competitive pay structure
Matching 401(k) with immediate vesting
Legal insurance
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.
Auto-ApplyInsurance Verification Specialist
Patient service representative job in Kissimmee, FL
Job Description
Job Purpose: Provides support to the medical office between the Credentialing, Front Desk, and Call Center Departments as needed. Serves staff and patients by helping them in a professional and courteous manner.
Job Duties:
Anticipate patients' concerns, answer questions, and maintain an organized office area at all times.
Protect patients' rights by maintaining confidentiality of personal and financial information.
Maintain accurate patient records by obtaining, recording, and updating patient information.
Obtain revenue by charging and collecting payments from patients, then recording and posting financial information to patient charts.
Maintain operations by following office policies and procedures.
Contribute to department effort and assist in additional tasks, as needed.
Answer daily telephone calls in a professional manner/make daily phone calls if needed.
Perform other related duties as assigned by the immediate supervisor or their designee.
Reports to the Billing or Office Manager
Confirm patient insurance benefits and account balances
Respond to insurance inquiries from internal departments, patients, or insurance companies.
Follow processes or procedures.
Responsible for the pre-verification of insurance benefits for patients. The insurance verification process includes copays, deductibles, OOP, policy status, referral requirements, pre-existing clause, plan exclusions, authorizations.
Ensures insurance coverage by telephone or web portal, resolves any issues with coverage, and escalates complicated issues to a supervisor or manager. Follows up on accounts that require further evaluation.
Skills/Qualifications: Multi-tasking, Flexibility, Telephone Skills, Customer Service, Time Management, Organization, Attention to Detail, Scheduling, Word Processing, Professionalism, Quality Focus. Must have a High School diploma and at least 4 years of experience in clerical/administrative duties in a medical office setting. Prolong Sitting.
Job Type: Full-time
Benefits:
401(k)
401(k) matching
Dental Insurance
Disability insurance
Flexible schedule
Health insurance
Life insurance
Paid time off
Paid training
Vision insurance
Schedule:
8-hour shift
Monday to Friday
Experience:
Insurance Verification: 3 year (Preferred)
Customer service: 1 year (Preferred)
Work Location: In person
This position requires the individual to undergo and pass an L2 Background check through AHCA (Florida Agency for Healthcare Administration) before their first day of employment. This process includes fingerprinting.
If you do not possess an active/eligible L2 background check, we are unable to offer the job. Please note that the individual may be charged $89.15 to complete the fingerprinting process through DTIS (Digital Trusted Identity Services).