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Patient service representative jobs in Kenner, LA - 307 jobs

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  • Insurance Customer Service Representative

    Insight Global

    Patient service representative job in New Orleans, LA

    Must Haves: • 2-5 years of Customer Service/Client services experience • 1 year of Personal Insurance experience is mandatory • Associate degree or equivalent education, or one to three years of related experience/training in sales, insurance, or customer service. • Proficiency in Microsoft Office with applied knowledge of Policy Management System (s) i.e. TAMS.Epic etc. and insurance quoting websites preferred. • Ability to travel, as needed, to support client relationships, sales initiatives, or business requirements. Plusses: • EPIC experience preferred. • Property & Casualty (P&C) Licensed. • Active Property & Casualty Agent's license Day-to-Day: Insight Global is seeking a Personal Lines Insurance Processor to manage all aspects of new and renewal personal insurance business while delivering exceptional customer service. You will maintain accurate recordkeeping of all policy information, quote and write new business, and support the retention of the existing book of business. In this role, you will ensure clients' insurance needs are handled with accuracy and care, helping protect what matters most to them. Your responsibilities as the Personal Lines Insurance Processor will include: • Review daily carrier reports, monitor policy status, and resolve discrepancies to ensure continuous and accurate coverage. • Serve as the primary liaison with clients, mortgage companies, and carriers to coordinate documents, payments, and policy updates. • Prepare and send renewal quotes and invoices, process client payments, and maintain accurate bookkeeping records. • Assist clients with coverage options, basic claims inquiries, and quote comparisons while providing responsive customer service. • Maintain organized records, support office operations, and contribute to process improvements and team initiatives • Process payments; Process late-payment and cancellation notices, as well as payment-received notices into EPIC.
    $24k-32k yearly est. 2d ago
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  • Patient Representative

    Tulane University 4.8company rating

    Patient service representative job in New Orleans, LA

    The Patient Representative is part of the Tulane University Campus Health team of committed professionals dedicated to supporting and promoting student health and wellbeing as a core institutional value through a multidisciplinary, comprehensive approach. This patient representative position resides within the Health Center for Student Care and reports to the Director of Operations and Auxiliary Services. The individual serving in this role is responsible for front desk operations. The patient representative greats patients and visitors upon arrival, enters and verifies insurance information, answers phones, schedules appointments, checks out patients after their visit, and provides excellent customer service. Works closely with the Senior Patient Representative to coordinate patient care with nurses and providers to maintain a consistently high standard of care. This position contributes substantially to the ongoing integrity of clinic operations. Located in the unique and iconic city of New Orleans, Tulane is a highly regarded and selective independent research university, a member of the prestigious Association of American Universities (AAU), and offers undergraduate, graduate, and professional degrees in the liberal arts, science and engineering, architecture, business, law, social work, medicine, and public health. Tulane University Campus Health is fully accredited by the Accreditation Association for Ambulatory Health Care (AAAHC) and serves a student body of over 13,500. 1. Excellent verbal and written communication skills. 2. Excellent customer service skills; ability to work well with others. 3. Great organizational and time management skills. 4. Proficient data entry skills; familiarity with electronic database management and reporting. 5. Proficient keyboard sills and a working knowledge of Microsoft Office Word and Excel software applications. 6. Basics skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately. 7. Ability to maintain confidentiality in all work performed. 1. High School diploma or equivalent AND 2. Two (2) years of office experience to include one (1) year of customer service 1. Three years' experience in a medical setting. 2. Experience with third party billing and insurance. 3. Certified as a CNA, Pharmacy Technician, Laboratory Technician, or Medical Services Coder.
    $25k-28k yearly est. 60d+ ago
  • Receptionist Medical $16/HR

    Nirvana Healthcare 3.7company rating

    Patient service representative job in Gretna, LA

    Receptionist Medical $16/HR - $20/HR, Gretna, LA Private Family Practice Full Time Position We Are Open: Monday - Friday 8 am - 6 pm, Sat 8 am - 12 Noon Plus Paid Overtime **** MUST Be Close By/ Local Person To Gretna, LA 70057 Medical Receptionist/Front Desk Full Time Position Benefit Package: Paid Health Insurance, Paid Holidays and Paid Vacation, Bonuses Plus Paid Over Time Sorry Must Be a Medical Receptionist NO New Grads Please Apply By CV or Resume
    $16 hourly 60d+ ago
  • Patient Access Specialist - Pre-Access Center

    Stph

    Patient service representative job in Madisonville, LA

    At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system. We believe the pristine beauty of St. Tammany Parish adds to our attractive compensation package. The health system is nestled in the heart of Covington on the north shore of Lake Pontchartrain. It is a peaceful, scenic, community-oriented area with an abundance of amenities to suit every taste. JOB DESCRIPTION AND POSITION REQUIREMENTS Scheduled Weekly Hours: 40 Hours: Monday - Friday; 8:30 am - 5:00 pm Summary of the Job: The Patient Access Specialist is responsible for completing efficient and organized processes in the areas of registration, check-in/check-out, admission, insurance initiation and verification and benefit research for inpatients/outpatients and scheduling of appointments. Excellent customer service skills are crucial in these roles as well as flexibility in work shifts. The Patient Access Specialist must ensure that accurate information is collected, that they are always sensitive to the confidentiality of this information, and that patients are aware of their rights as determined by HIPAA regulations and company policy, and that they are a consistent proponent of patient throughput and volume growth. The Patient Access Specialist responsibilities include duties such as verifying insurance coverage, benefits, obtaining and initiating authorizations, completing registration pathways in the HIS systems, receiving, maintaining, clarifying, entering and/or validating physician orders, scheduling appointments, determining third party payer liability for organizational billing, checking medical necessity, handling daily batching and posting of point of service payments and having conversations with patients to resolve previous and current balances. Maintains a positive relationship with healthcare team and is a resource to physicians, staff and patients for information regarding orders, insurance and referrals, as well as any other issues that might impact the relationship/experience of these stakeholders .The Specialist is also responsible for training and mentoring other Patient Access Representatives and Specialists in the more technical aspects of job. Minimum Qualifications: High school diploma or equivalent. Some college preferred. At least 1 year of previous customer service experience in an office / medical office environment including scheduling, admitting, and/or financial counseling. Preferred Qualifications: Excellent written and verbal communication skills demonstrating the ability to communicate effectively and courteously with physician office staff, patients, and/or insurance carriers. Ability to work in a fast-paced professional environment. Demonstrated competency to successfully perform Patient Access Representative duties, which would typically be obtained through 12 months direct experience. Ability to understand and solve complex problems dealing with governmental entitlement programs, commercial insurance requirements, contractual obligations, and reporting requirements. Ability to apply the use and terminology associated with CPT and ICD-9 coding, as well as basic anatomy/physiology, and out-patient diagnostic testing medical terminology, Medicare guidelines, HMO and PPO contracts and other insurance billing processes. Excellent organizational skills and maintains a professional and neat work environment. Please note - some of these positions are essential personnel during disaster situations (like Hurricane evacuations/threats). These essential positions include ER Patient Access Specialists and some Lead level positions. Please inquire during the hiring process to ensure you are aware of the requirement for your position. Depending on location, process and system knowledge will differ. Examples include order entry at the outpatient locations and scheduling in some satellite locations. While not required, education or certifications in the following areas are helpful in acquiring a position in the area - as well as for advancement opportunities: Certified Healthcare Access Associate (CHAA) through the National Association of Healthcare Access Management (NAHAM) Completion of a medical terminology course. Bilingual - preferably Spanish. Physical Demands: Must possess good physical health. Some requirements include but are not limited to standing, sitting or walking for long periods of time. Lifting at least 50 pounds is required. Must be able to work with a moderate level of noise. Physical Effort required: Constant (67%-100%) - handling/feeling, talking, hearing, seeing Frequently (34%-66%)- reaching Occasionally (1%-33%)- lifting, carrying, pushing/pulling, climbing (stairs, ladders, etc.), balancing, stooping, crouching EMPLOYMENT Each St. Tammany Health System staff member is expected to conduct himself or herself according to our mission, vision and values. Please take time to review those expectations, which can be found by clicking here, before applying for employment. If you feel you are unable to demonstrate those characteristics, we respectfully request that you do not proceed with the application process. EQUAL OPPORTUNITY EMPLOYER St. Tammany Health System is an Equal Opportunity Employer. St. Tammany Health System is committed to equal employment opportunity for all employees and applicants without regard to race, color, religion, sex, age, national origin or ancestry, citizenship, sexual orientation, gender identity, veteran status, disability status, genetic information or any other protected characteristic under applicable law.
    $22k-28k yearly est. Auto-Apply 11d ago
  • Patient Care Coordinator - Heitmeier Eyecare

    Keplr Vision

    Patient service representative job in New Orleans, LA

    Are you passionate about providing exceptional customer service and making a difference in the lives of patients? We're looking for a friendly, professional, and detail-oriented individual to join our team as a Patient Care Coordinator. In this dynamic, customer-facing role, you'll be the first point of contact for patients, offering a welcoming atmosphere and top-tier care every step of the way. What You'll Do: Be the friendly voice on the phone, assisting patients with scheduling and inquiries Greet and check in patients with a warm smile and professional demeanor Manage a variety of front desk tasks with efficiency and attention to detail Ensure smooth patient flow through excellent time management and multitasking skills What We're Looking For: 1+ year of customer service experience (healthcare experience a plus, but not required!) Strong communication skills with the ability to interact professionally and courteously with patients Tech-savvy with basic computer skills and the ability to learn new systems quickly A positive, can-do attitude and the ability to stay organized under pressure Why You'll Love Working Here: Career growth opportunities - We believe in promoting from within, offering a path for advancement as you gain experience and develop your skills. Upward mobility - Take your career to the next level! Whether you're looking to grow into leadership roles or specialize in other areas of healthcare, the opportunities are endless. Supportive, team-oriented environment where your contributions are valued and your growth is encouraged. Ready to jumpstart your career in healthcare? We're willing to train the right person-if you're passionate about providing outstanding patient care, creating an unforgettable first impression, and building a rewarding career, we want to meet you! Apply today and take the first step toward an exciting future with us! #LI-Onsite
    $22k-34k yearly est. 60d+ ago
  • Patient Care Coordinator

    Comprehensive Physical Therapy

    Patient service representative job in Mandeville, LA

    Job DescriptionDescription: Patient Care Coordinator Do you want a rewarding career where you will make a difference in the lives of hundreds of people getting better with physical therapy? As a Patient Care Coordinator at Comprehensive Physical Therapy, you play an essential role in streamlining the healthcare experience for both patients and medical professionals. Your managerial skills help maintain an efficient clinic, ensure timely care, and contribute to high patient satisfaction. - Job Responsibilities: Coordinating and scheduling appointments to optimize patient care and clinic workflow. Verifying insurance details and assisting in billing processes. Acting as a liaison between patients, healthcare providers, and insurance companies. Managing patient records, including the secure storage and retrieval of confidential information. Overseeing patient check-in and check-out while ensuring a smooth flow in the clinic. Your role as a Patient Care Coordinator not only helps in the functional aspects of our clinic but also greatly influences the patient's experience. Your ability to juggle various responsibilities while maintaining a friendly, welcoming demeanor is crucial. - If you are detail-oriented, have a knack for organization, and enjoy making a real difference in a healthcare setting, we would be delighted for you to join our team at Comprehensive Physical Therapy in Mandeville and Metairie, Louisiana. Requirements: Skills and Requirements: Excellent organizational and multitasking abilities. Strong communication skills, both written and verbal. Prior experience in healthcare administration or a similar role. Familiarity with electronic health records and medical office software. Problem-solving skills and the ability to work under pressure.
    $22k-34k yearly est. 10d ago
  • Patient Advocate

    Acadia External 3.7company rating

    Patient service representative job in Laplace, LA

    ESSENTIAL FUNCTIONS: Facilitate patient/family grievance process to include processing the complaint, forwarding to the appropriate manager and communicating the resolution to the complainant for resolution purposes. Collaborate with appropriate staff to develop acceptable resolutions to potential complaints. Identify process deficiencies that result in possible threats to patient rights or patient safety. Maintain the complaint and grievance logs up to date. Collaborate with risk department and department managers to ensure patient concerns are dealt with in a timely and appropriate manner. May participate in new hire orientation on educating staff on patient safety and advocacy Identify critical needs with regard to customer service and discuss with supervisor and medical staff. OTHER FUNCTIONS: Perform other functions and tasks as assigned. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: High school diploma or equivalent required. Associate or Bachelor's degree in a clinical field preferred. Experience in customer service or risk management preferred. Experience with behavioral health patients preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: CPR and de-escalation/restraint certification required (training available upon hire and offered by facility). First aid may be required based on state or facility.
    $27k-34k yearly est. 42d ago
  • Patient Access Representative - Full-Time - APN - RO15

    Avala 3.3company rating

    Patient service representative job in Mandeville, LA

    Under the supervision of the Practice Manager, the Patient Access Representative is responsible for obtaining accurate patient demographics and insurance information during the patient interview process; the process includes in-person, and phone interviews, corrects information as needed. Processes the registration including obtaining the patients signature on the Authorization for Treatment, Advanced Beneficiary Notice (ABN) and completing the Medicare Secondary Payer (MSP) questionnaire. Scans all necessary documentation into SRS. Collects co-payments, estimated co-insurance and deductibles, which includes phone calls to patients to discuss financial responsibility prior to service as well as collecting at time of service. Answers incoming phone calls and assist caller as needed. And any other duties assigned by the Practice Manager. Essential Duties and Responsibilities Registration Front Desk Able to handle heavy phone volumes, ensures that callers are transferred to the appropriate department and/or person. Answers calls in a timely manner; identifies department and self when answering the telephone. Able to handle all codes and stat calls proficiently. Verifies that patient demographic information is accurate and ensures that insurance cards, consents and other admission documents are complete and in order. Ability to explain required forms to the patient in detail (i.e.: Authorization for Treatment, Advanced Beneficiary Notice (ABN), Medicare Secondary Payer (MSP) questionnaire). Obtains required signatures as needed. As part of the pre-registration process, contacts patient to verify demographic information, insurance information, and MSP questionnaire. Informs patients of estimated balance due and collects monies due at time of service. Demonstrates knowledge of all features and functions of the Patient Accounting areas. Notifies appropriate staff regarding any issues or concerns in a timely manner. Balances daily receipts list to cash, checks, and credit card payments received at the end of each day. Other Duties Functions as back up to concierge. Other duties as assigned. Core Competencies Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions. Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information. Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation. Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability. Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs. Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others. Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals. Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams. Professional Requirements Meets dress code standards and adheres to policies. Completes annual education requirements. Maintains patient confidentiality at all times. Reports to work on time and as scheduled, completes work within designated time. Wears identification while on duty, uses computerized punch time system correctly. Completes in-services and returns in a timely fashion. Attends annual review and department in-services, as scheduled. Attends staff meetings annually, reads and returns all monthly staff meeting minutes. Represents the organization in a positive and professional manner. Actively participates in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department. Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment. Assists other staff members in performing any duty that enhances the delivery of patient care. Regulatory Requirements High school diploma. Two (2) or more years' experience. Skills Ability to communicate effectively in English, both verbally and in writing. Basic computer knowledge. 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 talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 20 pounds. View all jobs at this company
    $22k-27k yearly est. 60d+ ago
  • Assistant, Ops, Billing

    Gategroup

    Patient service representative job in New Orleans, LA

    We're looking for motivated, engaged people to help make everyone's journeys better. • Responsible for ensuring the accuracy of billing information and bill airlines/non-airlines for services rendered Hourly Rate: • $17 - $21 Per Hour Benefits: · Paid time off · 401k, with company match · Company sponsored life insurance · Medical, dental, vision plans · Voluntary short-term/long-term disability insurance · Voluntary life, accident, and hospital plans · Employee Assistance Program · Commuter benefits · Employee Discounts · Free hot healthy meals for unit operations roles Main Duties and Responsibilities: Daily review of flight service tickets for accuracy, input corrections into CxP Portal Perform SAP back-flushing Manually create billings for charters (101C) and off-scheduled flight activity Audit flight tickets prior to cycle change assuring accuracy of menus and billing codes Research billing discrepancies, assist with resolution due to price, quantity and service discrepancies Escalate to Account Services Group any billing, pricing and cycle related issues Assist dispatcher with processing of flights, communication with internal and external customers Assist with other tasks and special projects as needed Qualifications Education: High school diploma or GED Work Experience: Minimum of 1 year of experience in an administrative role is required Technical Skills: (Certification, Licenses and Registration) None Language / Communication Skills: Ability to communicate well with internal and external customers verbally and in writing Job Dimensions Geographic Responsibility: USA Type of Employment: Full-time Travel %: None Exemption Classification: non-exempt Internal Relationships: employees at all levels of the organization External Relationships: Customers and vendors Work Environment / Requirements of the Job: Excellent Microsoft Windows, Excel and Word skills. 2 years of experience in Microsoft Office Suite. Detailed oriented Good basic math, analytical, follow-up, problem solving and organizational skills Familiar with ERP software and SAP experience a plus. Airline and food manufacturing industry experience helpful Ability to adapt well to change and change management Must be able to understand and apply basic knowledge of an ERP system Must have a solid working knowledge of MS Excel and MS Office Must have excellent attention to detail Must thrive in a team-based environment Must have the ability and desire to meet required timelines, and be proactive in problem solving Budget / Revenue Responsibility: (Local Currency) Organization Structure Direct Line Manager (Title): Varies by unit: General Manager, Operations Manager, Finance Managers Operations, Billing Administrative Supervisor, Director of Assembly, Operations Manager Multi Process Estimated Total Size of Team: 2 gategroup Competencies Required to be Successful in the Job: Thinking - Information Search and analysis & problem resolution skills Engaging - Understanding others, Team Leadership and Developing People Inspiring - Influencing and building relationships, Motivating and Inspiring, Communicating effectively Achieving - Delivering business results under pressure, Championing Performance Improvement and Customer Focus Demonstrated Values to be Successful in the Position Employees at gategroup are expected to live our Values of Excellence, Passion, Responsibility and Respect. To demonstrate these Values, we expect to observe the following from everyone: Excellence · We put the customer at the forefront of everything we do, taking time to understand their needs, wishes and desires. · We constantly learn by giving and receiving feedback, improving from our mistakes and bettering ourselves. Passion · Hospitality, in its purest form, comes down to a single, core principle: care. We do everything with thoughtfulness, attention, and care. · We have a growth mindset, a resilience that makes us determined to bounce back from failures and setbacks. Responsibility · We care about what we do, and we understand the impact we have on others and the planet. · We always look out for each other -creating a safe workplace environment is everyone's responsibility. Respect · Every job matters. We each do our part to ensure our colleagues and our customers succeed in their goals. · We respect each other's voices and foster a workplace that supports inclusion and belonging. We are all one gategroup. Application Closure Statement • To be considered for this position, please submit your application by 01/19/2026 The above statements are intended to describe the general nature and level of work being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. Management reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. gategroup is an equal opportunity employer committed to workforce diversity. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status or other category under applicable law. For further information regarding Equal Employment Opportunity, copy and paste the following URL into your web browser: **************************************************************** We anticipate that this job will close on: 01/19/2026 For California Residents, please clic k here to view our California privacy notice. If you want to be part of a team that helps make travel and culinary memories, join us!
    $17-21 hourly Auto-Apply 31d ago
  • Patient Access Representative 1 - ED (Part Time)

    FMOL Health System 3.6company rating

    Patient service representative job in Napoleonville, LA

    The Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Registration includes validating patient identity, collecting ED-specific screening information, coordinating with ED nurses to ensure patients are triaged in a timely manner, verification of insurance coverage, calculation of and collection of patient co-insurance/deductibles/co-pays, determination of in-network and out-of-network status post-stabilization, and balancing of cash. In this fast-paced, high-stress environment, the PAR1 demonstrates professional/effective communication skills with patients and families, physicians, and nurses. They manage patient and visitor concerns during traumas and disasters. The PAR1 is knowledgeable of and compliant with federal and state regulations related to acute-care patient registration, with special emphasis on EMTALA regulations and the No Surprises Act. Team members in the ED must be flexible to change and have an ability to adapt and adjust to a constantly changing environment. Must be able to respond to disaster activation with plans to work on-site until conclusion of activation. * Registration * Effectively meets customer needs, builds productive customer relationships, and takes responsibility for customer satisfaction and loyalty. Represents the Patient Access department in a professional, courteous manner at ALL times. Asks patients if they may have special needs. Calls patients by name, Greets patients in a courteous and professional manner. Prioritizes and completes registration in a consistent, courteous, professional, accurate and timely manner. * Accurately identify patients that present to the ER without proof of legal identification (Identification card, Driver's license, Passport, etc.) due to EMTALA regulations * Obtains necessary information from patient, including demographic information, insurance, guarantor, and correctly inputs it into registration software. If patient is already in the system, finds correct patient record and verifies information in the system. * Uses critical thinking skills to evaluate each registration situation to ensure customized registration experience based on individual patient circumstances. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker's compensation regulations, victims of sexually oriented criminal offenses regulation, 2 midnight rules, ABN's, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration * Managing the special needs of patients/ family members and visitors during active traumatic situations and disaster events * Coordinate registration intake of trauma, stroke and heart alerts to ensure timely triage * Ensures each patient is assigned only one medical record number. * Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents such as Hospital consent forms, assignment of benefits, patient rights, etc. * Extensively documents each encounter in account notes to ensure successful cross-function communication. * Ensures orders are received and are consistent with tests/procedures. * Monitors the waiting room, facilitates patient flow, and resolves issues regarding orders or missing/conflicting information, to ensure timely and accurate patient registration. * Effectively communicate with patient, family, visitors, EMS, RNs and providers simultaneously * Insurance and Benefits Knowledge * Demonstrates knowledge of insurance plans, including understanding of varying payer rules and requirements related to insurance coverage * Verifies eligibility (utilizing online eligibility software tools whenever possible) and obtains necessary authorizations for services rendered. * Selects correct insurance plans in the registration software, in the correct order (primary versus secondary). * Has understanding of required forms (including Medicare Secondary Payer Questionnaire) and has ability to explain them to the patient. * Utilizes payment estimator software to calculate patient financial responsibility. Uses critical thinking skills to determine correct data input during the estimate process and to verify accuracy of output. * Determines when patients may be eligible for financial assistance and directs patients to appropriate resources. * Financial Collections * Uses proven customer service techniques and scripting to collect the patient financial obligation, at or before the time of service. Negotiates with patient to ensure a deposit is collected, in accordance with corporate policy and procedure. * Understands and explains the details of the out-of-pocket calculation. * Expectation to collect out-of-pocket responsibility at patient bedside without prior benefit information prior to service while navigating around patient care team * Analyzes documentation/notes on current and previous accounts in order to explain balances to the patient. * Demonstrates knowledge and ability to complete account acknowledgement forms when appropriate. * Collects cash, prints receipts, and balances cash drawers. * Other Duties as Assigned * Performs all other duties as assigned. Experience: 1 year customer service experience or related certification (e.g. Certified Coder, Certified Medical Assistant) Education: High School diploma or equivalent Special Skills: Advanced clerical and computer skills, critical thinking skills, ability to work in high-stress situations, professional appearance and behavior, good communication skills, dependability, flexibility, teamwork.
    $23k-28k yearly est. 6d ago
  • Patient Access Representative 1 - ED (Part Time)

    Fmolhs Career Portal

    Patient service representative job in Napoleonville, LA

    The Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Registration includes validating patient identity, collecting ED-specific screening information, coordinating with ED nurses to ensure patients are triaged in a timely manner, verification of insurance coverage, calculation of and collection of patient co-insurance/deductibles/co-pays, determination of in-network and out-of-network status post-stabilization, and balancing of cash. In this fast-paced, high-stress environment, the PAR1 demonstrates professional/effective communication skills with patients and families, physicians, and nurses. They manage patient and visitor concerns during traumas and disasters. The PAR1 is knowledgeable of and compliant with federal and state regulations related to acute-care patient registration, with special emphasis on EMTALA regulations and the No Surprises Act. Team members in the ED must be flexible to change and have an ability to adapt and adjust to a constantly changing environment. Must be able to respond to disaster activation with plans to work on-site until conclusion of activation. Experience: 1 year customer service experience or related certification (e.g. Certified Coder, Certified Medical Assistant) Education: High School diploma or equivalent Special Skills: Advanced clerical and computer skills, critical thinking skills, ability to work in high-stress situations, professional appearance and behavior, good communication skills, dependability, flexibility, teamwork. Registration Effectively meets customer needs, builds productive customer relationships, and takes responsibility for customer satisfaction and loyalty. Represents the Patient Access department in a professional, courteous manner at ALL times. Asks patients if they may have special needs. Calls patients by name, Greets patients in a courteous and professional manner. Prioritizes and completes registration in a consistent, courteous, professional, accurate and timely manner. Accurately identify patients that present to the ER without proof of legal identification (Identification card, Driver's license, Passport, etc.) due to EMTALA regulations Obtains necessary information from patient, including demographic information, insurance, guarantor, and correctly inputs it into registration software. If patient is already in the system, finds correct patient record and verifies information in the system. Uses critical thinking skills to evaluate each registration situation to ensure customized registration experience based on individual patient circumstances. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker's compensation regulations, victims of sexually oriented criminal offenses regulation, 2 midnight rules, ABN's, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration Managing the special needs of patients/ family members and visitors during active traumatic situations and disaster events Coordinate registration intake of trauma, stroke and heart alerts to ensure timely triage Ensures each patient is assigned only one medical record number. Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents such as Hospital consent forms, assignment of benefits, patient rights, etc. Extensively documents each encounter in account notes to ensure successful cross-function communication. Ensures orders are received and are consistent with tests/procedures. Monitors the waiting room, facilitates patient flow, and resolves issues regarding orders or missing/conflicting information, to ensure timely and accurate patient registration. Effectively communicate with patient, family, visitors, EMS, RNs and providers simultaneously Insurance and Benefits Knowledge Demonstrates knowledge of insurance plans, including understanding of varying payer rules and requirements related to insurance coverage Verifies eligibility (utilizing online eligibility software tools whenever possible) and obtains necessary authorizations for services rendered. Selects correct insurance plans in the registration software, in the correct order (primary versus secondary). Has understanding of required forms (including Medicare Secondary Payer Questionnaire) and has ability to explain them to the patient. Utilizes payment estimator software to calculate patient financial responsibility. Uses critical thinking skills to determine correct data input during the estimate process and to verify accuracy of output. Determines when patients may be eligible for financial assistance and directs patients to appropriate resources. Financial Collections Uses proven customer service techniques and scripting to collect the patient financial obligation, at or before the time of service. Negotiates with patient to ensure a deposit is collected, in accordance with corporate policy and procedure. Understands and explains the details of the out-of-pocket calculation. Expectation to collect out-of-pocket responsibility at patient bedside without prior benefit information prior to service while navigating around patient care team Analyzes documentation/notes on current and previous accounts in order to explain balances to the patient. Demonstrates knowledge and ability to complete account acknowledgement forms when appropriate. Collects cash, prints receipts, and balances cash drawers. Other Duties as Assigned Performs all other duties as assigned.
    $22k-28k yearly est. Auto-Apply 6d ago
  • Patient Access Representative 1 - ED (Part Time)

    Fmolhs

    Patient service representative job in Napoleonville, LA

    The Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Registration includes validating patient identity, collecting ED-specific screening information, coordinating with ED nurses to ensure patients are triaged in a timely manner, verification of insurance coverage, calculation of and collection of patient co-insurance/deductibles/co-pays, determination of in-network and out-of-network status post-stabilization, and balancing of cash. In this fast-paced, high-stress environment, the PAR1 demonstrates professional/effective communication skills with patients and families, physicians, and nurses. They manage patient and visitor concerns during traumas and disasters. The PAR1 is knowledgeable of and compliant with federal and state regulations related to acute-care patient registration, with special emphasis on EMTALA regulations and the No Surprises Act. Team members in the ED must be flexible to change and have an ability to adapt and adjust to a constantly changing environment. Must be able to respond to disaster activation with plans to work on-site until conclusion of activation. Experience: 1 year customer service experience or related certification (e.g. Certified Coder, Certified Medical Assistant) Education: High School diploma or equivalent Special Skills: Advanced clerical and computer skills, critical thinking skills, ability to work in high-stress situations, professional appearance and behavior, good communication skills, dependability, flexibility, teamwork. Registration Effectively meets customer needs, builds productive customer relationships, and takes responsibility for customer satisfaction and loyalty. Represents the Patient Access department in a professional, courteous manner at ALL times. Asks patients if they may have special needs. Calls patients by name, Greets patients in a courteous and professional manner. Prioritizes and completes registration in a consistent, courteous, professional, accurate and timely manner. Accurately identify patients that present to the ER without proof of legal identification (Identification card, Driver's license, Passport, etc.) due to EMTALA regulations Obtains necessary information from patient, including demographic information, insurance, guarantor, and correctly inputs it into registration software. If patient is already in the system, finds correct patient record and verifies information in the system. Uses critical thinking skills to evaluate each registration situation to ensure customized registration experience based on individual patient circumstances. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker's compensation regulations, victims of sexually oriented criminal offenses regulation, 2 midnight rules, ABN's, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration Managing the special needs of patients/ family members and visitors during active traumatic situations and disaster events Coordinate registration intake of trauma, stroke and heart alerts to ensure timely triage Ensures each patient is assigned only one medical record number. Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents such as Hospital consent forms, assignment of benefits, patient rights, etc. Extensively documents each encounter in account notes to ensure successful cross-function communication. Ensures orders are received and are consistent with tests/procedures. Monitors the waiting room, facilitates patient flow, and resolves issues regarding orders or missing/conflicting information, to ensure timely and accurate patient registration. Effectively communicate with patient, family, visitors, EMS, RNs and providers simultaneously Insurance and Benefits Knowledge Demonstrates knowledge of insurance plans, including understanding of varying payer rules and requirements related to insurance coverage Verifies eligibility (utilizing online eligibility software tools whenever possible) and obtains necessary authorizations for services rendered. Selects correct insurance plans in the registration software, in the correct order (primary versus secondary). Has understanding of required forms (including Medicare Secondary Payer Questionnaire) and has ability to explain them to the patient. Utilizes payment estimator software to calculate patient financial responsibility. Uses critical thinking skills to determine correct data input during the estimate process and to verify accuracy of output. Determines when patients may be eligible for financial assistance and directs patients to appropriate resources. Financial Collections Uses proven customer service techniques and scripting to collect the patient financial obligation, at or before the time of service. Negotiates with patient to ensure a deposit is collected, in accordance with corporate policy and procedure. Understands and explains the details of the out-of-pocket calculation. Expectation to collect out-of-pocket responsibility at patient bedside without prior benefit information prior to service while navigating around patient care team Analyzes documentation/notes on current and previous accounts in order to explain balances to the patient. Demonstrates knowledge and ability to complete account acknowledgement forms when appropriate. Collects cash, prints receipts, and balances cash drawers. Other Duties as Assigned Performs all other duties as assigned.
    $22k-28k yearly est. Auto-Apply 6d ago
  • Patient Access Representative 1 - ED (Part Time)

    Franciscan Missionaries of Our Lady University 4.0company rating

    Patient service representative job in Napoleonville, LA

    The Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners. Registration includes validating patient identity, collecting ED-specific screening information, coordinating with ED nurses to ensure patients are triaged in a timely manner, verification of insurance coverage, calculation of and collection of patient co-insurance/deductibles/co-pays, determination of in-network and out-of-network status post-stabilization, and balancing of cash. In this fast-paced, high-stress environment, the PAR1 demonstrates professional/effective communication skills with patients and families, physicians, and nurses. They manage patient and visitor concerns during traumas and disasters. The PAR1 is knowledgeable of and compliant with federal and state regulations related to acute-care patient registration, with special emphasis on EMTALA regulations and the No Surprises Act. Team members in the ED must be flexible to change and have an ability to adapt and adjust to a constantly changing environment. Must be able to respond to disaster activation with plans to work on-site until conclusion of activation. Responsibilities * Registration * Effectively meets customer needs, builds productive customer relationships, and takes responsibility for customer satisfaction and loyalty. Represents the Patient Access department in a professional, courteous manner at ALL times. Asks patients if they may have special needs. Calls patients by name, Greets patients in a courteous and professional manner. Prioritizes and completes registration in a consistent, courteous, professional, accurate and timely manner. * Accurately identify patients that present to the ER without proof of legal identification (Identification card, Driver's license, Passport, etc.) due to EMTALA regulations * Obtains necessary information from patient, including demographic information, insurance, guarantor, and correctly inputs it into registration software. If patient is already in the system, finds correct patient record and verifies information in the system. * Uses critical thinking skills to evaluate each registration situation to ensure customized registration experience based on individual patient circumstances. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker's compensation regulations, victims of sexually oriented criminal offenses regulation, 2 midnight rules, ABN's, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration * Managing the special needs of patients/ family members and visitors during active traumatic situations and disaster events * Coordinate registration intake of trauma, stroke and heart alerts to ensure timely triage * Ensures each patient is assigned only one medical record number. * Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents such as Hospital consent forms, assignment of benefits, patient rights, etc. * Extensively documents each encounter in account notes to ensure successful cross-function communication. * Ensures orders are received and are consistent with tests/procedures. * Monitors the waiting room, facilitates patient flow, and resolves issues regarding orders or missing/conflicting information, to ensure timely and accurate patient registration. * Effectively communicate with patient, family, visitors, EMS, RNs and providers simultaneously * Insurance and Benefits Knowledge * Demonstrates knowledge of insurance plans, including understanding of varying payer rules and requirements related to insurance coverage * Verifies eligibility (utilizing online eligibility software tools whenever possible) and obtains necessary authorizations for services rendered. * Selects correct insurance plans in the registration software, in the correct order (primary versus secondary). * Has understanding of required forms (including Medicare Secondary Payer Questionnaire) and has ability to explain them to the patient. * Utilizes payment estimator software to calculate patient financial responsibility. Uses critical thinking skills to determine correct data input during the estimate process and to verify accuracy of output. * Determines when patients may be eligible for financial assistance and directs patients to appropriate resources. * Financial Collections * Uses proven customer service techniques and scripting to collect the patient financial obligation, at or before the time of service. Negotiates with patient to ensure a deposit is collected, in accordance with corporate policy and procedure. * Understands and explains the details of the out-of-pocket calculation. * Expectation to collect out-of-pocket responsibility at patient bedside without prior benefit information prior to service while navigating around patient care team * Analyzes documentation/notes on current and previous accounts in order to explain balances to the patient. * Demonstrates knowledge and ability to complete account acknowledgement forms when appropriate. * Collects cash, prints receipts, and balances cash drawers. * Other Duties as Assigned * Performs all other duties as assigned. Qualifications Experience: 1 year customer service experience or related certification (e.g. Certified Coder, Certified Medical Assistant) Education: High School diploma or equivalent Special Skills: Advanced clerical and computer skills, critical thinking skills, ability to work in high-stress situations, professional appearance and behavior, good communication skills, dependability, flexibility, teamwork.
    $24k-28k yearly est. 6d ago
  • Accessibility Coordinator

    Loyola University New Orleans 4.5company rating

    Patient service representative job in New Orleans, LA

    The Accessibility Coordinator serves as academic support personnel in the Student Success Center. This position provides guidance and process to University partners for compliance with the ADA Amendment Act, Section 504, and other federal and state laws. In addition, this person may also assist with programs and events to support the goals of the Office for Accessible Education and the Student Success Center. This position is part of a dynamic, student-centric team that supports Loyola students. The Coordinator will interact with the SSC staff and reports to the Director of the Office for Accessible Education. Examples of Duties * Strong knowledge of ADA and Section 504 compliance laws with emphasis on students with disabilities in higher education including best and common practices for academic needs including eligibility processes; medical documentation; educational technology; effective communication; and student housing. * Determines reasonable accommodations and provides direct support services to students with disabilities. * Monitors progress of students in support of retention efforts; makes referrals as needed. * Works with SSC team members and other relevant individuals on campus to coordinate and implement accommodations/services. * Serves as a resource to the campus community regarding disability-related matters as directed. * Develops and implements disability related programming for faculty, staff, students. * Provides training and access to students regarding assistive technology. * Coordinates the acquisition of texts and course materials for students who need alternate format course materials. * Assists the office in proctoring exams for students with testing accommodations. * Maintains current knowledge of best practices and legal mandates and for all areas of disability * Prepares and delivers disability-related communications and updates to campus community * Works collaboratively with students and Faculty Liaison under direction of Director * Develops policies, procedures, and departmental objectives under direction of Director * In absence of Director, oversees departmental operations, makes eligibility decisions, and works towards resolution of problems and concerns * Purposefully shapes the dialogue for collaborative engagement to advance accessibility efforts with all stakeholders * Develops and coordinates trainings including online educational opportunities * Represents the Director and/or the office at meetings, as necessary * Represent the Office for Accessible Education on university-wide committees as appropriate * Other duties as assigned Additional Responsibilities: * Serve on the OAE / SSC planning committee to formulate the strategic plans and annual reports. * Assist the Director in activities to recruit students to the university. * Assist the Director with the professional writing demands of the office. * Assist the Office Manager in overseeing and recording the hours for work study and student assistants who tutor SSC students. Typical Qualifications * Bachelor's degree required. Master's degree in special education, disability services, psychology, vocational rehabilitation, or other related field preferred. * Ability to interpret disability-related documentation/psychoeducational assessment reports * Experience and sensitivity in working with people with disabilities; ability to tactfully handle sensitive situations with discretion * Possess excellent interpersonal, communication, time-management, problem solving, and multitasking skills * Ability to manage competing priorities and timelines while bringing initiatives to completion Additional Desirable Qualifications * Minimum 1 year of ADA and disability services experience in higher education preferred. * Spanish fluency (desired, not required) PHYSICAL REQUIREMENTS: * Ability to speak and listen effectively in individual or small group settings with or without accommodations. * Ability to perform job duties with or without reasonable accommodations.
    $23k-28k yearly est. 41d ago
  • Patient Care Representative

    The Urgent Care 4.7company rating

    Patient service representative job in Gretna, LA

    Job DescriptionSalary: $10-$15 DOE Looking for a highly motivated and positive individual to add to our team. Must have a professional, friendly, and enthusiastic phone presence and ability to interact with patients with a positive CARING impact. Your responsibilities include but are not limited to checking patients in, validating insurance, managing the waiting room, answering phone calls, making check-in times, triage patients, and making sure our patients have a 5-star experience. Ability to provide patients with outstanding patient care by applying best practices and quality service to aid in the health and well-being of our patients, while also standing by the mission and values of The Urgent Care. Candidate must be able to get along well with others and be able to work in a fast-paced environment. Must have availability on weekends, afternoon/night shift (3 pm - 9 pm), and holidays. Great job opportunity for entry-level. Patient Care Representative Duties and Responsibilities: Greet patients in a friendly and professional manner Answer incoming phone calls and respond to patient questions, providing information about services, pricing, and scheduling Schedule patient check-in times for all locations Verify patient insurance data and collect payments when necessary Maintain patient records and ensure accurate data entry Communicate effectively with patients, providers, and other healthcare professionals Provide support to clinical staff as needed Triage patients Assist with patient check-in and check-out processes, including providing necessary paperwork and ensuring accurate billing information Maintain a clean and organized work environment, including patient waiting areas and exam rooms Adhere to all HIPAA and patient privacy regulations Participate in training and continuing education to stay up-to-date on healthcare industry developments and best practices Patient Care Representative Requirements: High School Diploma or Equivalent Pass periodic testing triaging patients (ex. taking blood pressure) Possess a strong desire to help others Compassionate and sensitive to patients' needs and concerns BLS certified within 90 days of employment Bilingual in Spanish and English a PLUS* Open and flexible availability (with a minimum of 20-30 hours per week) Ability to commute between two of our five clinics (*if necessary. Locations are in Gretna, Harvey, Mid-City, Uptown, and LaPlace) We will train you on everything you need to know but we will prioritize candidates who have: Medical Assistant Certificate or Associates degree in related field Minimum 2 years customer service experience Previous experience in medical environment, EMR systems, working with patients Ability to work in a fast-paced, high-patient volume environment Benefits: Health Insurance (BCBS) Dental Insurance (BCBS) Vision Insurance (BCBS) Retirement 401k Life Insurance Short/Long term disability Medical stipend at clinic (includes family after 90 days) Holiday Pay Job Types: Full-time, Part-time
    $10-15 hourly 14d ago
  • Medical Office Assistant.Non-Certified

    Tulane University 4.8company rating

    Patient service representative job in New Orleans, LA

    The Medical Office Assistant functions as the Patient Liaison, performing a variety of clinical, clerical, and administrative functions. The Medical Office Assistant ensures timely response to phone calls from patients, patient families and referring physicians; serves to prioritize nature of phone calls and assesses insurance status; arranges for reminder calls for patients and coordinates patient scheduling for the physicians at the clinic inclusive of medical diagnostic tests; provides necessary office files and requests outside medical records; ensures emergency phone calls are directed to the appropriate physician immediately; participates in patient satisfaction, quality of care and marketing surveys; and interfaces the office staff in terms of cross-coverage when someone is away. The Medical Office Assistant is also responsible for collecting co-pays, ensuring completion of physician referrals, verifying insurance eligibility and benefits, obtaining authorizations for office procedures, medications, and diagnostic imaging. Clinical duties include, but are not limited to, triaging patients, collecting medical information, recording vital signs (blood pressure, pulse, and weight), and assisting providers during procedures. Additional responsibilities will include maintaining the stock room and the physical environment of the exam and procedure rooms. • Working knowledge of insurance pre-certification, reimbursement, and denial processes * Familiarity with Medicare, Medicaid, and commercial payers * Understands how the referral team integrates with others to accomplish team objectives * Acts as an informal resource for referral team members with less experience * Work impacts the quality and timeliness and effectiveness of the referral team; uses discretion to modify work practices and processes to achieve results or improve efficiency * General knowledge of office equipment: fax, copier, multi-line phone system, voicemail * Knowledge of Microsoft Word and Excel * Strong customer service/patient relation skills * Ability to establish priorities and interact professionally with individuals * In depth knowledge of good clinical practices as set forth by federal regulations. * Ability to work in a fast-paced environment and patient-centered atmosphere. SPECIAL REQUIRED ABILITY FOR INCUMBENTS WHO HAVE CONTACT OR EXPOSURE TO ANIMALS OR ANIMAL TISSUES: Ability to complete and pass successfully the required occupational health screening referenced in the University's Animal Handler Health Surveillance Program on an annual basis. REQUIRED BACKGROUND CHECK, PHYSICAL, AND DRUG SCREENING FOR INCUMBENTS WHO HAVE CONTACT OR EXPOSURE TO ANIMALS OR ANIMAL TISSUES: Selected candidates must complete and pass a background check and an occupational health screening as a condition of employment. For identified jobs, a drug screening will also be required. The background investigation required occupational health screening, and any required drug screening will be conducted after a conditional employment offer has been extended. * High School Diploma or equivalent * Two years of clerical/administrative medical office experience * Working knowledge of Microsoft Office * Familiarity with electronic medical records * Some knowledge of medical terminology * Prior experience in an Orthopaedic or Physical Therapy practice
    $27k-32k yearly est. 6d ago
  • Patient Representative

    Comprehensive Physical Therapy

    Patient service representative job in Mandeville, LA

    Job DescriptionDescription: Patient Representative At Comprehensive Physical Therapy we put patient care first and are looking for someone who has a strong interest in helping others and has a strong sense of community. Qualities that are important for this position include: a friendly, outgoing personality, ability to multitask, great organizational skills, and the ability to work well on a team. As a Patient Representative, you will play a crucial role in ensuring positive patient experiences and efficient administrative support within our facility. - Responsibilities: Greet and assist patients in a friendly and professional manner Schedule appointments and manage patient registration processes Answer phone calls, respond to inquiries, and provide information to patients Maintain patient records accurately and ensure confidentiality Collaborate with medical staff to coordinate patient care services Assist with administrative tasks such as filing, data entry, and office organization Handle weekly reports Manage call log Handling the sales process to help patients get fully signed up for care Walking around the gym actively communicating with patients Ensuring all patients have a positive experience at every visit Getting consent and taking photos for social media platforms Candidates need to have a pleasant demeanor, a positive forward-thinking outlook, the willingness and ability to work with others as a team member, great organization and multi-tasking skills and a desire to have a long-term position with our company while growing with us. Most importantly you will need to have the willingness and ability to work hard. Requirements: Skills: We are looking for candidates with the following skills: Proficiency in medical terminology preferred Experience in a medical or dental office setting Strong office administration skills Ability to provide excellent medical administrative support Excellent communication and interpersonal abilities Attention to detail and accuracy in work tasks Proficient in multitasking and prioritizing responsibilities
    $22k-27k yearly est. 12d ago
  • Billing/Collections Specialist - Full-Time - APN- Physical Therapy - RO22

    Avala 3.3company rating

    Patient service representative job in Covington, LA

    Summary Under the direct supervision of the Director of Outpatient Therapy, the Billing/Collections Specialist is responsible for a broad range of billing processes related to managing the unbilled revenue. Processes claims electronically in addition to hard copy as required by insurance carrier. Works to resolve all billing edits and communicates issues to appropriate department personnel in a timely manner. Reviews late charges and submits adjustments as required. Communicates and works closely with the Business Manager of APN for all patient accounting and financial concerns regarding therapy billing in all therapy offices. Essential Duties and Responsibilities Billing Verifies patient billing information is correct prior to every claim submission. Works to resolve all identified insurance requirement edits through the electronic billing system; ensures submitted claims meet payer's guidelines. Balances daily receipts list to cash, checks, and credit card payments received at the end of each day. Communicates issues to Director of Outpatient Therapy and Business Manager regarding problems with patient access and facility departments. Monitors daily transmissions of all electronic claims to the clearing house and submits claims monthly. Works on electronic insurance rejects in order to retransmit with correct insurance information. Works on rebill request from collection team. Verifies that all electronic acknowledgements were received by the insurance carriers. Submits required paper billing to insurance carriers with required documentation, including secondary claims. Attaches I-bills to paper billing when required. Reviews late charges based on specific insurance payer requirements. Submits adjustments as required. Enters notes in the patient accounting system on action taken. Adheres to state and federal billing guidelines and applies regulations in day-to-day billing practice. Adheres to HIPAA and PHI guidelines. Assists with all aspects of the Therapy Office including, registration, billing, collections, and cash posting. Assists with AR reviews on a weekly basis to identify problems/issues specific to payers and offer direction and resolution avenues to resolve reasons for non-payment or payment delays. Works with Patient Access Reps for all Therapy Offices ensuring that all patients with third party insurance coverage are verified, notified of any insurance limits, required deductibles, co-insurance amounts and their overall patient responsibility and monitors this is being done correctly. Interacts with HIM department as needed to ensure coding is completed timely. Notifies Director of Outpatient Therapy and/or Business Manager of any patient complaints in a timely manner. Assists with other duties as assigned by the Director of Outpatient Therapy or Business Manager. Insurance Denials Assist with working insurance denials and refiles denied claims as necessary. Answering phones Courteous to visitors, patients, and physicians' offices Responsible for discussing patient accounts/bills over the telephone if a patient calls regarding their statements. Core Competencies Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions. Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information. Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation. Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability. Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs. Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others. Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals. Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams. Professional Requirements Meets dress code standards and adheres to policies. Completes annual education requirements. Maintains regulatory requirements. Maintains patient confidentiality at all times. Reports to work on time and as scheduled, completes work within designated time. Wears identification while on duty, uses computerized punch time system correctly. Completes in-services and returns in a timely fashion. Attends annual review and department in-services, as scheduled. Attends staff meetings or reads and returns all monthly staff meeting minutes. Represents the organization in a positive and professional manner. Actively participates in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department. Assists other staff members in performing any duty that enhances the delivery of patient care. Regulatory Requirements High school diploma. Medical Billing and Coding Degree Two (2) or more years' experience with Medical Coding and Billing required. Preferred Two (2) or more years' experience with Inpatient and Outpatient Therapy Billing Skills Ability to communicate effectively in English, both verbally and in writing. Basic computer knowledge. Physical DemandsThe 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 talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 20 pounds. View all jobs at this company
    $28k-33k yearly est. 60d+ ago
  • Patient Care Representative

    The Urgent Care 4.7company rating

    Patient service representative job in Harvey, LA

    Job DescriptionSalary: $10-$15 DOE Looking for a highly motivated and positive individual to add to our team. Must have a professional, friendly, and enthusiastic phone presence and ability to interact with patients with a positive CARING impact. Your responsibilities include but are not limited to checking patients in, validating insurance, managing the waiting room, answering phone calls, making check-in times, triage patients, and making sure our patients have a 5-star experience. Ability to provide patients with outstanding patient care by applying best practices and quality service to aid in the health and well-being of our patients, while also standing by the mission and values of The Urgent Care. Candidate must be able to get along well with others and be able to work in a fast-paced environment. Must have availability on weekends, afternoon/night shift (3 pm - 9 pm), and holidays. Great job opportunity for entry-level. Patient Care Representative Duties and Responsibilities: Greet patients in a friendly and professional manner Answer incoming phone calls and respond to patient questions, providing information about services, pricing, and scheduling Schedule patient check-in times for all locations Verify patient insurance data and collect payments when necessary Maintain patient records and ensure accurate data entry Communicate effectively with patients, providers, and other healthcare professionals Provide support to clinical staff as needed Triage patients Assist with patient check-in and check-out processes, including providing necessary paperwork and ensuring accurate billing information Maintain a clean and organized work environment, including patient waiting areas and exam rooms Adhere to all HIPAA and patient privacy regulations Participate in training and continuing education to stay up-to-date on healthcare industry developments and best practices Patient Care Representative Requirements: High School Diploma or Equivalent Pass periodic testing triaging patients (ex. taking blood pressure) Possess a strong desire to help others Compassionate and sensitive to patients' needs and concerns BLS certified within 90 days of employment Bilingual in Spanish and English a PLUS* Open and flexible availability (with a minimum of 20-30 hours per week) Ability to commute between two of our five clinics (*if necessary. Locations are in Gretna, Harvey, Mid-City, Uptown, and LaPlace) We will train you on everything you need to know but we will prioritize candidates who have: Medical Assistant Certificate or Associates degree in related field Minimum 2 years customer service experience Previous experience in medical environment, EMR systems, working with patients Ability to work in a fast-paced, high-patient volume environment Benefits: Health Insurance (BCBS) Dental Insurance (BCBS) Vision Insurance (BCBS) Retirement 401k Life Insurance Short/Long term disability Medical stipend at clinic (includes family after 90 days) Holiday Pay Job Types: Full-time, Part-time
    $10-15 hourly 14d ago
  • Patient Care Representative

    The Urgent Care 4.7company rating

    Patient service representative job in Laplace, LA

    Job DescriptionSalary: $10-$15 DOE Looking for a highly motivated and positive individual to add to our team. Must have a professional, friendly, and enthusiastic phone presence and ability to interact with patients with a positive CARING impact. Your responsibilities include but are not limited to checking patients in, validating insurance, managing the waiting room, answering phone calls, making check-in times, triage patients, and making sure our patients have a 5-star experience. Ability to provide patients with outstanding patient care by applying best practices and quality service to aid in the health and well-being of our patients, while also standing by the mission and values of The Urgent Care. Candidate must be able to get along well with others and be able to work in a fast-paced environment. Must have availability on weekends, afternoon/night shift (3 pm - 9 pm), and holidays. Great job opportunity for entry-level. Patient Care Representative Duties and Responsibilities: Greet patients in a friendly and professional manner Answer incoming phone calls and respond to patient questions, providing information about services, pricing, and scheduling Schedule patient check-in times for all locations Verify patient insurance data and collect payments when necessary Maintain patient records and ensure accurate data entry Communicate effectively with patients, providers, and other healthcare professionals Provide support to clinical staff as needed Triage patients Assist with patient check-in and check-out processes, including providing necessary paperwork and ensuring accurate billing information Maintain a clean and organized work environment, including patient waiting areas and exam rooms Adhere to all HIPAA and patient privacy regulations Participate in training and continuing education to stay up-to-date on healthcare industry developments and best practices Patient Care Representative Requirements: High School Diploma or Equivalent Pass periodic testing triaging patients (ex. taking blood pressure) Possess a strong desire to help others Compassionate and sensitive to patients' needs and concerns BLS certified within 90 days of employment Bilingual in Spanish and English a PLUS* Open and flexible availability (with a minimum of 20-30 hours per week) Ability to commute between two of our five clinics (*if necessary. Locations are in Gretna, Harvey, Mid-City, Uptown, and LaPlace) We will train you on everything you need to know but we will prioritize candidates who have: Medical Assistant Certificate or Associates degree in related field Minimum 2 years customer service experience Previous experience in medical environment, EMR systems, working with patients Ability to work in a fast-paced, high-patient volume environment Benefits: Health Insurance (BCBS) Dental Insurance (BCBS) Vision Insurance (BCBS) Retirement 401k Life Insurance Short/Long term disability Medical stipend at clinic (includes family after 90 days) Holiday Pay Job Types: Full-time, Part-time
    $10-15 hourly 14d ago

Learn more about patient service representative jobs

How much does a patient service representative earn in Kenner, LA?

The average patient service representative in Kenner, LA earns between $25,000 and $37,000 annually. This compares to the national average patient service representative range of $27,000 to $38,000.

Average patient service representative salary in Kenner, LA

$30,000
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