Patient Services Representative
Patient service representative job in Wakefield-Peacedale, RI
Koch Eye Associates is proud to have served the residents of Rhode Island with field-leading eye care for almost 40 years. We began our practice in 1981 out of a small office in Warwick, and now we have eight locations spanning Warwick, Cranston, North Kingstown, Wakefield, and Woonsocket. Our dedicated team of ophthalmologists and optometrists is devoted to providing top-notch, stress-free care to our patients.
Description
The Lead Patient Service Representative is the point person for the Patient Service Representative Team. The team is tasked with coordinating communication, managing patient inquiries, and ensuring positive and efficient patient experience while adhering to patient confidentiality and privacy regulations.
Duties And Responsibilities
Patient registration, scheduling, data entry and processing.
Educates patients regarding benefits and collects patient payments, at point of service.
Complete and accurate management of patient data in practice management system.
Verify health insurances and obtain referrals.
Organize and maintain medical records.
Miscellaneous administrative tasks including, but not limited to scheduling, transportation, filing, faxing, etc.
Must have a clear understanding of company policies including the company manual.
Requirements
Knowledge, Skills, and Abilities:
Exceptional Customer Experience - Understands and anticipates customer needs, takes action to meet customer's needs and strives to exceed their expectations.
Proactive- Keep others informed. Ask for help when needed, brings service challenges to supervisor.
Drive for Results - Strives for improving the delivery of services with a commitment to continuous improvement.
Focus on Efficiency - Utilizes technology, innovation, and process improvements to continuously improve efficiency and effectiveness.
Teamwork- Participates as a team member and establishes strong working relationships with teammates and across the organization.
Celebrates Change- Receptive to new ideas and responds to changes with flexibility and optimism.
Continues Learning and Improvement- Acknowledges own strengths and development needs and works to strengthen capabilities.
Must possess the physical, mental, and cognitive skills needed to complete essential tasks, including abilities such as learning, remembering, focusing, categorizing, and integrating information for comprehension, problem-solving, and timely decision-making.
Education
High School Diploma or equivalent preferred
Typical Physical Demands
Sitting, Standing, Bending, Reaching, Stooping, Walking and Lifting
Ability to see, hear, and speak with sufficient capability to perform assigned tasks
Driving independently to other facilities
Our Full-time Employment Package Offers
Medical, dental, and vision insurance begins first day of the month following date of hire
FSA and HSA
Paid long-term disability (LTD)
Paid LIFE and AD&D insurance
Paid Time Off (PTO) and holidays
401k Plan
Competitive salary
Career growth and leadership development
We are committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of our clinical groups will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation, and gender identity and/or expression, other dimensions of diversity or common human decency. We value diversity in thought and culture and welcome highly skilled, capable, competent, collegial members to our team.
Patient Service Representative-Bilingual
Patient service representative job in Boston, MA
Our client, a major hospital in Boston with a fantastic reputation, is seeking to hire multiple Bilingual Patient Care Representatives to support administrative and customer service functions.
The ideal candidate is a recent college grad or someone with 1-2 years of administrative or customer service experience looking to make an impact with a healthcare organization that is helping to save lives.
**Must be fluent in Mandarin OR Arabic
*This a hybrid position requiring 4 days onsite, 1 WFH (after the training/probationary period).
*Must be able to commute to Boston (parking is limited but very accessible via public transportation).
Key Responsibilities
Patient Services Support-Providing high-level support to international patients. Acting as the first point of contact, answering questions, and providing information via phone, email, or in person.
Administrative Tasks-Completing necessary paperwork and documentation. Obtaining records from international offices as needed.
Bilingual Communication:-Utilize bilingual fluency to communicate with patients and international offices as needed
Requirements
BA/BS Degree preferred
Bilingual/Fluent in Mandarin or Arabic
1-2 years of administrative or customer service experience ideal
Excellent verbal and written communication skills
Computer skills including the Microsoft Office Suite
Long-term interest in working in a healthcare setting
**Full Job Description will be shared prior to an interview with my client
**Apply here or email along with a copy of your resume to creid@monumentstaffing.net to be considered
Patient Service Representative
Patient service representative job in Middletown, RI
Eye Health Vision is currently expanding our team and are looking for a medical receptionist to join our busy practice. Flex hours are available. This role includes, but is not limited to the following tasks:
Duties And Responsibilities
Patient registration, scheduling, data entry and processing.
Educates patients regarding benefits and collects patient payments, at point of service.
Complete and accurate management of patient data in practice management system.
Verify health insurances and obtain referrals.
Organize and maintain medical records.
Miscellaneous administrative tasks including, but not limited to scheduling, transportation, filing, faxing, etc.
Must have a clear understanding of company policies including the company manual.
Requirements
Knowledge, Skills, and Abilities:
Exceptional Customer Experience - Understands and anticipates customer needs, takes action to meet customer's needs and strives to exceed their expectations.
Proactive- Keep others informed. Ask for help when needed, brings service challenges to supervisor.
Drive for Results - Strives for improving the delivery of services with a commitment to continuous improvement.
Focus on Efficiency - Utilizes technology, innovation, and process improvements to continuously improve efficiency and effectiveness.
Teamwork- Participates as a team member and establishes strong working relationships with teammates and across the organization.
Celebrates Change- Receptive to new ideas and responds to changes with flexibility and optimism.
Continues Learning and Improvement- Acknowledges own strengths and development needs and works to strengthen capabilities.
Must possess the physical, mental, and cognitive skills needed to complete essential tasks, including abilities such as learning, remembering, focusing, categorizing, and integrating information for comprehension, problem-solving, and timely decision-making.
Education
High School Diploma or equivalent preffered
Typical Physical Demands
Sitting, Standing, Bending, Reaching, Stooping, Walking and Lifting
Ability to see, hear, and speak with sufficient capability to perform assigned tasks
Driving independently to other facilities
We are committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of our clinical groups will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation, and gender identity and/or expression, other dimensions of diversity or common human decency. We value diversity in thought and culture and welcome highly skilled, capable, competent, collegial members to our team.
Patient Scheduling Coordinator - Joslin Diabetes Center
Patient service representative job in Boston, MA
Full Time | Hybrid eligible after onsite training
Joslin Diabetes Center | Boston, MA
Schedule: Monday-Friday, 8:30 AM - 5:00 PM (No nights or weekends!)
Make a difference-and still make it home for dinner.
At Joslin Diabetes Center, patients are at the heart of everything we do-and so are our people. As a Patient Scheduling Coordinator, you'll help others access life-changing care, all while enjoying a consistent weekday schedule and a healthy work-life balance.
Whether you're welcoming a new patient, verifying insurance, or scheduling a visit with one of our expert providers, your role helps people feel supported, prepared, and heard from the very first phone call.
What You'll Do
Schedule appointments for both in-person and virtual visits using our NextGen system
Register patients accurately by confirming demographics, insurance, and referring provider details
Walk new patients through intake, gathering key information to set them up for a successful first visit
Respond to external appointment requests promptly and professionally
Help patients understand any steps they need to take before their visit, like securing referrals or preparing for copays
Reach out to patients to fill open appointment slots and reduce waitlists
Partner closely with colleagues and care teams to ensure a smooth scheduling process
Always maintain patient confidentiality and a service-first approach
Is this you?
You have at least 2 years of experience in a healthcare, medical office, or call center setting
You're comfortable using scheduling systems and navigating insurance details
You can multitask while staying organized, calm, and kind
You care deeply about helping people-and it shows in how you work
You're dependable, detail-oriented, and ready to be part of a mission-driven team
Why Joslin?
Purpose-driven work - Help patients access the care they need, when they need it most
Supportive team - Join a collaborative group that values respect, reliability, and kindness
Room to grow - Build skills and explore future opportunities within a leading health system
Work-life balance - Enjoy a steady Monday-Friday schedule with evenings and weekends free, plus hybrid flexibility after training
Stability & reputation - Be part of a nationally recognized center and trusted healthcare system (Beth Israel Lahey Health)
The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
(Min)
USD $21.00/Hr.
(Max)
USD $27.59/Hr.
As a health care organization, we have the responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. We require that all staff be vaccinated against influenza (flu) as a condition of employment.
Customer Service Representative- Smithfield, RI
Patient service representative job in Warwick, RI
The Role Join our team of Customer Service Representatives, also know Customer Relationship Advocates (CRA). This first-of-its-kind experience supercharges your early career growth at Fidelity with personalized support, skill development and training. In this role, you are a licensed professional providing outstanding customer service while answering inbound phone calls and supporting Fidelity's valued clients. You will develop skills to assist with a broad range of client needs, including trade requests, money movement, online support and so much more!
What to expect…
As a new CRA, you'll learn about the financial services industry, apply new concepts, develop, and practice new skills, and push yourself to accomplish new goals through three major milestones:
1. Licensing Preparation
In the first months, you'll prepare to become a FINRA (Registered Representative by studying for and obtaining your SIE , Series 7, and 63 licenses, all fully sponsored by Fidelity. This includes paid study time and access to valuable resources like licensing coaches and workshops. While these exams can be challenging, rest assured that we're here to support you every step of the way! (Learn More)
2. Skill Development
In the following months, you'll handle more complex customer calls while dedicating time each week to connect with your team, meet with your leader, and expand your network.
3. Proficiency
As you gain confidence and proficiency in serving customers, you'll explore new career paths through job shadowing and our career center.
The Expertise and Skills You Bring
Aptitude and dedication to complete the FINRA SIE , Series 7 Top Off and Series 63 exams through our industry-leading licensing program.
Enthusiasm for continuous learning and dedication to studying and applying new concepts, learning quickly, and retaining information to assist with decision-making.
A passion for connection and desire to establish rapport with customers by facilitating meaningful conversations that are resolution-oriented and efficient.
Ability to handle different types of situations, emotions and conversations driving towards suitable resolutions.
A desire for growth and a mindset that generates long term success through adaptability and personal accountability.
Exceptional critical and analytical problem-solving skills and a demonstrated ability to interpret a scenario, leverage resources and find an appropriate resolution.
Comfortable learning new technology or proprietary platforms and confident navigating multiple systems simultaneously.
Note: Fidelity is not providing immigration sponsorship for this position
The Team
Our Greatest Asset is Our People
We are committed to building a diverse workforce, enduring a culture of belonging, and creating more inclusive experiences for our associates, customers, and our community.
Our benefit programs are crafted to help you and your loved ones strike the perfect balance. Here are a few featured benefits (not all benefits are listed): Maternal and Parental Leave, Tuition Reimbursement, Student Loan Assistance, 401(K) 7% match, Health Insurance, Dental Insurance, Vision Insurance, Disability Insurance, Paid Time off, Commuter Benefit Program, Backup Dependent Care, Charitable match, Concierge Services, and Wellness Program. (Learn More)
Certifications:Series 07 - FINRA, Series 63 - FINRACategory:Customer Service, Sales
Most roles at Fidelity are Hybrid, requiring associates to work onsite every other week (all business days, M-F) in a Fidelity office. This does not apply to Remote or fully Onsite roles.
Please be advised that Fidelity's business is governed by the provisions of the Securities Exchange Act of 1934, the Investment Advisers Act of 1940, the Investment Company Act of 1940, ERISA, numerous state laws governing securities, investment and retirement-related financial activities and the rules and regulations of numerous self-regulatory organizations, including FINRA, among others. Those laws and regulations may restrict Fidelity from hiring and/or associating with individuals with certain Criminal Histories.
Customer Service Representative
Patient service representative job in Beverly, MA
Customer Service temporary to hire located on North Shore.
Taking orders via phone, fax and emails.
Entering orders into manufacturing database.
Experience with quoting and expediting orders in a fast paced environment.
Proficient in RFQs, RFPs, and contract reviews.
Coordinate with internal departments (engineering, production, logistics) ensure timely fulfillment of orders.
Strong communication skills.
Experience with Microsoft office Suite and ERP systems.
2 to 5 years customer service experience.
Manufacturing environment a plus.
Team Lead Patient Access Representative
Patient service representative job in Plainville, MA
Site: The Brigham and Women's Hospital, Inc.
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
Team Lead reports directly to the Practice Manager. The Team Lead, under the direction of the Manager, is responsible for all the responsibilities of the Patient Business Representative positions.
The PBR function as a financial counselor and registrar and is responsible for the in-depth evaluation of financial history for both uninsured and underinsured patients for determining eligibility for government and pharmacy financial assistance programs.
The Team Lead will serve as the primary practice contact when patients require assistance with various billing/financial related issues, which cannot otherwise be resolved by the Practice Service Representative.
The PBR Team Lead will have a strong working knowledge of all aspects of the billing/revenue cycle, managed care requirements, coding and compliance. Utilizing a variety of available resources and contacts the counselor will assess and work towards the resolution of identified patient fiscal issues.
The PBR Team Lead will work collaboratively with BWPO Practice Management, Patient Accounts, BWH Customer Service, Patient Relations, BWPO Billing Agencies, the Office of General Counsel, and State Agencies, e.g., EOHHS, DHCFP, etc.
In addition, the Patient Business Representative Team Lead will act as a Department resource, which may include assisting in the training of new hires, or the retraining of existing hires.
The PBR Team Lead will act as lead for teams, as assigned, which can vary.
The PBR Team Lead will assist the Management team in projects as necessary and assigned.
Qualifications
Provide directions and guidance.
Organizing tasks and setting goals.
Training team members, setting strategy and monitoring performance progress towards goals.
Collaborate with manage to discover training needs and assist with coaching.
Assist with solving problems and resolving conflicts.
Works projects related to the Inpatient Accounts Department when assigned.
Assists in the review of staff denials when assigned.
Acts as a subject matter expert for the department, and may be asked to participate in meetings, as necessary.
Preform daily staff audits an assist with overseeing the day-to-day workflow operations.
Work to create an inspiring team environment with an open communication culture.
Interview patients in person and on the telephone in a professional manner that results in positive patient relations and prompt reimbursement for the hospital. Provide guidance, direction and assistance to patients.
Verifies and/or collects demographic and financial information on all scheduled visits. Enters/edits data on-line as needed, ensuring its accuracy and integrity.
Achieve and maintain mandatory ongoing department training and certification designation as Certified Application Counselor (CAC)
Contacts insurance companies, managed care plans and outside agencies to verify insurance coverage and benefits.
Respond to department email and phones call for request for services through the day. Document patient and request in FAM for tracking and follow up.
Responsible for screening patients for MassHealth, CarePlus, Connector Care, Health Safety Net and Qualified Health Plans (QHP), assisting in the application process when appropriate. Submits applications all Massachusetts applicants for health coverage via the Health Connector online using the Assistor Portal, paper by fax or by phone when required.
Maintains ongoing communication with government agencies regarding the status of claims, following up with patients as necessary to obtain required documentation to ensure that the state gets the info needed to process the applications in a timely matter.
Keep track of all cases using FAM, paper tickle file system and keep a daily productivity log sheet when necessary.
Acts as patient representative in any cases submitted via the Health Connector, paper or over the phone, assisting the patient in deciphering notices received from EOHHS. Assists patients in the redetermination process for MassHealth, Connector Care and or Health Safety Net.
Assist with choosing a plan for Medicare Part D and Low-Income Subsidy for Medicare Part D.
Assists in processing out of network Prior Authorizations, when needed.
Assists patients in applying for and/or understanding all other financial assistance programs or low-cost insurance plans such as the Insurance Partnership, Medical Security Plan, and Health Connector Plans.
Help patients apply for and or understand all other financial assistance programs such as INET's Medical Hardship, Special Circumstances or the PHS Financial Assistance application.
Submit and complete disability and long-term care Medicaid applications.
Acts as a liaison between the patients, hospital billing department and BWPO practices/billing agencies in addressing any billing related inquires and issues.
Create and provide estimates to patient, practice or insurance company. Accepts and/or arranges payment for deductibles and outstanding balances utilizing Chapter 224 Patient Estimations Policy and Procedure. Counsels and advises patients of discount options available according to Partners guidelines.
Works to resolve collection disputes, collect payments from patients and post payments in EPIC Accounts Receivable System.
Collect, Post and reconcile payment for services and secures cash drawer according to departmental procedures
Re-bill accounts when necessary for the Hospital and BWPO.
Directly interfaces with billing agencies in order to investigate patient reported issues and maintains a contact list.
Utilizes knowledge of various payer requirements and when necessary researches any billing inquiries initiated by the patient and is able to provide a comprehensive and comprehendible explanation to the patient and or practice.
Investigates MCO an ACO issues. Review visit notes/codes against what was entered in EPIC with RTE or another verification system to determine if an incorrect code was entered. Communicates with practice/physician to resolve problems regarding coding/billing issues.
Fosters a positive relationship with assigned practice management, shares relevant findings, and enhances understanding of patient concerns.
Enter billing issues in FAM for resolution.
Works on special projects, cover other services and/or locations, and other task when necessary.
Reviews and follows-up on all scheduled patient appointments within 24 hours at the latest, to identify and minimize financial risk to the institution.
Maintains patient confidentiality and privacy by accessing patient information only to the extent necessary to fulfill assigned duties. All patient information must be kept private, confidential and secure. All lists, reports, files and documents must always be properly secured and stored. Interviews and examinations should be conducted in such a manner as to afford the patient reasonable audio and visual privacy.
Maintains effective working relationships and communicates regularly with providers and other departments to update and exchange pertinent account information.
Adheres to Customer Service Standards by demonstrating professionalism, alertness, helpfulness, and receptiveness to all patients, visitors and other staff members.
Employs discretion when leaving answering machine messages or sending faxes. Supports team manager and performs management duties when manager is absent or out of office. Assists management with hiring processes and new team member training. Assist management with weekly and monthly progress reporting, tracking progress, monitoring team members' tasks, and ensuring deadlines are met also are functions of a team leader. Answers team member questions, helps with team member problems, and oversees team member work for quality and guideline compliance. Assists with the new patient registration in Epic.
QUALIFICATIONS:
(MUST be realistic, neither overstated nor understated, and related to the essential functions of the job.)
Bachelor's degree or equivalent preferred; high school diploma required.
Proven experience in like setting is acceptable in lieu of educational requirements.
3-5 years' experience in a hospital setting, experience with prior authorizations, billing and reimbursement helpful.
Certified Applications Counselor (CAC)
Familiarity with a hospital legacy system, Microsoft Office and Share Point preferred
Prior experience with patient financial assistance or Government related programs preferred
Knowledge of medical terminology helpful
Bilingual preferred
Interpersonal relationship skills necessary to communicate effectively with patient/family, physicians and their support staff, medical staff, nursing staff, other hospital personnel and many external organizations and agencies.
The technical knowledge of specific legal and regulatory requirements and an understanding of complex third party and medical assistance policies and procedures.
Knowledge of the hospital information system with emphasis on accounts receivables programs.
Ability to function independently and prioritize work within established policies.
Certified Applications Counselor (CAC)
Requires good judgment, tact, sensitivity and the ability to function in a stressful environment.
Ability to maintain confidentiality regarding the patients, their medical histories, demographic and fiscal information, etc.
Additional Job Details (if applicable)
Physical Requirements
Standing Occasionally (3-33%)
Walking Occasionally (3-33%)
Sitting Constantly (67-100%)
Lifting Occasionally (3-33%) 20lbs - 35lbs
Carrying Occasionally (3-33%) 20lbs - 35lbs
Pushing Rarely (Less than 2%)
Pulling Rarely (Less than 2%)
Climbing Rarely (Less than 2%)
Balancing Occasionally (3-33%)
Stooping Occasionally (3-33%)
Kneeling Rarely (Less than 2%)
Crouching Rarely (Less than 2%)
Crawling Rarely (Less than 2%)
Reaching Occasionally (3-33%)
Gross Manipulation (Handling) Constantly (67-100%)
Fine Manipulation (Fingering) Frequently (34-66%)
Feeling Constantly (67-100%)
Foot Use Rarely (Less than 2%)
Vision - Far Constantly (67-100%)
Vision - Near Constantly (67-100%)
Talking Constantly (67-100%)
Hearing Constantly (67-100%)
Remote Type
Hybrid
Work Location
640 Centre Street
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$21.78 - $31.08/Hourly
Grade
4
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
Auto-ApplyHealthcare Access Specialist
Patient service representative job in Middletown, RI
WHO WE ARE…
Newport Mental Health (NMH) is a progressive high-energy organization that uses state of the art person-centered recovery approach to help individuals recover from mental illness and substance use disorders. NMH extends its trauma informed evidence-based services to children, adolescents, families, and adults. Our services vary from outreach, specialized program, mental health, school-based therapy, substance use therapy, community-based therapy, and outpatient clinic.
For more information visit our website: ***************************
WHO WE ARE LOOKING FOR…
Mission- Aligned: You are excited to be a part of Newport Mental Health's mission to improve the lives of our clients living and working in Newport County by providing the highest quality of care.
Ally: You intentionally foster belonging, personal growth, and empowerment for all. You are a strong advocate for the BIPOC, LQBTQIA+, Woman, Veteran, and other underrepresented communities.
Solution Orientated: You are driven to think of different approaches to narrow the gap which leads to positive and effective changes.
Time Management: You are a conscious planner and a thoughtful decision maker who adheres to deadlines.
WHAT WE OFFER…
Excellent Health and Dental Insurance.
Vacation, Sick and Personal time accrued biweekly.
Up to 11 Paid Holidays.
Retirement program through Mutual of America.
Additional supplemental insurance programs.
Tuition reimbursement.
Mileage reimbursement.
Employer paid life insurance.
Flexible spending account (FSA) and dependent care (DCA) spending accounts.
WHAT YOU WILL BE DOING (ESSENTIAL DUTIES) …
This position will ensure that individuals who may be eligible for state, federal and local benefits are supported in the process of accessing and making application for benefits. This includes registration, insurance eligibility and enrollment/re-enrollment and access to community-based behavioral health treatment for clients. Support completion and review each application to confirm that the financial statements and other personal information are accurate. Interview the applicants and family members when necessary, and document all your findings that lead to approval or denial of the Medicaid application.
Main Duties and Responsibilities:
Prepare and submit Medicaid application, respond to any requests for additional information, prepare appeals for SSI/SSDI denials, and provide advocacy throughout the process.
Knowledge of the RI Medicaid Health Care Portal.
Knowledge of different Medicaid products such as QMB and SLMB.
Reviewing Monthly Medicaid report to ensure active Medicaid for Clients.
Assist with SNAP applications.
Screen and assist with all steps of the Medicaid and Charity Care enrollment process.
Ensure timely submission of Medicaid or Charity application based off program guidelines.
Gather, verify, evaluate, and enter necessary social, financial, and medical information into various applications.
Meet (on the phone or in person) with program participants on a monthly basis or more frequently if needed.
Outreach to individuals to determine Medicaid eligibility and continuing eligibility for income maintenance programs related to medical services.
Utilizes tools to estimate patient financial obligations, including copays, deductibles, and coinsurance and then meeting with patients to discuss payment options.
Receives and maintains Certified Application Counselor (CAC) certification, if applicable.
Requirements
WHAT WE EXPECT OF YOU…
Bachelor's degree preferably in public health, health education or related field and/or minimum of two years of benefits and insurance experience preferred.
Knowledge of public and private benefits and state resources.
Knowledge of federal/state laws, accreditation and regulatory standards governing confidentiality of health care record.
Exceptional interpersonal and communication skills with the ability to communicate professionally both verbally and in writing with a variety of individuals.
Caring and empathetic, with a strong customer service focus and the desire to help others in need.
Self-motivated and independent, with the ability to prioritize work to meet deadlines.
APPLY NOW
Submitting your application is a great way to learn more about Newport Mental Health. If you have questions about how your experience aligns with our job openings or know someone who would be a great candidate for our job openings, please contact Human Resources:
Human Resources
Newport Mental Health
42 Valley Road
Middletown, RI 02842
Tel: ************
Fax: ************
Newport Mental Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.
Scheduling Specialist
Patient service representative job in Woburn, MA
RAYUS now offers DailyPay! Work today, get paid today!
RAYUS Radiology is looking for a Scheduling Specialist 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 Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments.
This is a full-time position working the day shift.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
(85%) Scheduling
Answers phones and handles calls in a professional and timely manner
Maintains positive interactions at all times with patients, referring offices and staff
Schedules patient examinations according to existing company policy
Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately
Ensures all patient data is entered into information systems completely and accurately
Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment
Communicates to technologists any scheduling changes in order to ensure highest patient satisfaction
Maintains an up-to-date and accurate database on all current and potential referring physicians
Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices
Provides back up coverage for front office staff as requested by supervisor (i.e., rest breaks, vacations and sick leave)
Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only)
(10%) Insurance
Pre-certifies all exams with patient's insurance company as required
Verifies insurance for same day add-ons
Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment
(5%) Completes other tasks as assigned
Patient Service Coordinator Orthopedic Surgery
Patient service representative job in Danvers, MA
Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
The Patient Service Coordinator II (PSC II) position offers exposure to the clinical, operative, and administrative aspects of the Orthopedic Surgery Department. This position offers terrific opportunities to work alongside our Orthopedic surgeons, advanced practice providers, and leadership teams.
Working under general supervision from the Clinical Director, the PSC II will provide administrative support to the Orthopedic Department within an ambulatory setting. They will be responsible for supporting clinical operations within the practice. They will be expected to function with minimal supervision in a fast-paced surgical field.
The ideal candidate possesses expert knowledge in all information systems relevant to the position. Having a clinical background is preferred. The ideal candidate demonstrates excellent organizational skills, is detail oriented, and is well informed of all programs, services and procedures related to the work of the Department.
Qualifications
PRINCIPAL DUTIES AND RESPONSIBILITIES: Indicate key areas of responsibility, major job duties, special projects and key objectives for this position. These items should be evaluated throughout the year and included in the written annual evaluation.
* Utilizes ACD lines to schedule all patient appointments in an expedient and professional manner, adhering to service level standards. Provides excellent customer service. Ensures customer satisfaction and compliance with departmental and service standards.
* The PSC II will utilize the MGB Orthopedic Decision Tree to ensure the patient is scheduled with the correct provider, at the correct location within the expected timeframe.
* Daily monitoring of appointment reports for accuracy. If discrepancies, communicating with ACT leads to identify and escalate issues. Submit tickets via Digital Service Hub if indicated.
* Daily monitoring and execution of eReferral work queue for MGH Orthopedics.
* Daily monitoring and execution of the MGH Orthopedic Epic inbasket pool. Communicating with local leadership and admin teams to deliver information regarding second opinions and WC patients. Also includes sending WC fee agreements.
* Responds to all tasks in a timely fashion.
* Attends staff meetings as required and actively supports operational initiatives & changes within office setting.
* Complies with all internal & external regulatory requirements.
* Complies with the Orthopedic Services policies & procedures.
* All other duties as assigned.
Back-up Coverage and Miscellaneous Projects
* Provides information to patients, visitors and Hospital personnel, observing Hospital and Departmental policies and procedures.
* Performs all other duties that are practice specific and are appropriate to this level of position; this may include projects as assigned.
SKILLS/ABILITIES/COMPETENCIES REQUIRED: Must be realistic, objective, measurable and related to essential functions of this job.
* Ability to work independently.
* Able to work well as part of a collaborative health care team
* Excellent interpersonal skills are required for working with patients.
* Excellent oral and written communication skills.
* Analytical skills and the ability to resolve technical or research problems and issues and to interpret the acceptability of data results.
* High degree of computer literacy.
* Excellent organizational skills and ability to prioritize a variety of tasks.
* Impeccable attention to detail.
* Ability to demonstrate professionalism and respect for patient rights and individual needs.
EDUCATION: Specify minimum education and clearly indicate if preferred or required
BA/BS preferred.
EXPERIENCE: Specify minimum creditable years of experience and clearly indicate if preferred or required
Minimum of 1-2 years of related experience in ambulatory surgery
Clinical background is strongly preferred
Experience with Epic strongly preferred
WORKING CONDITIONS: Describe the conditions in which the work is performed.
The qualified candidate will work primarily at a workstation within an office environment in Danvers, Boston, or Waltham; however, travel to other clinic sites might be required. Hybrid options may be available after training has completed and quality of work reflects department standards as set by manager.
Additional Job Details (if applicable)
Physical Requirements
* Standing Occasionally (3-33%)
* Walking Occasionally (3-33%)
* Sitting Constantly (67-100%)
* Lifting Occasionally (3-33%) 20lbs - 35lbs
* Carrying Occasionally (3-33%) 20lbs - 35lbs
* Pushing Rarely (Less than 2%)
* Pulling Rarely (Less than 2%)
* Climbing Rarely (Less than 2%)
* Balancing Occasionally (3-33%)
* Stooping Occasionally (3-33%)
* Kneeling Rarely (Less than 2%)
* Crouching Rarely (Less than 2%)
* Crawling Rarely (Less than 2%)
* Reaching Occasionally (3-33%)
* Gross Manipulation (Handling) Constantly (67-100%)
* Fine Manipulation (Fingering) Frequently (34-66%)
* Feeling Constantly (67-100%)
* Foot Use Rarely (Less than 2%)
* Vision - Far Constantly (67-100%)
* Vision - Near Constantly (67-100%)
* Talking Constantly (67-100%)
* Hearing Constantly (67-100%)
Remote Type
Hybrid
Work Location
104 Endicott Street
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$18.99 - $27.17/Hourly
Grade
4
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
Auto-ApplyPatient Experience Representative I: Needham, Massachusetts
Patient service representative job in Needham, MA
Status Full-Time
Standard Hours per Week 40
Job Category Administration
Regular, Temporary, Per Diem Regular
Pay Range $19.06-$27.64 Hourly
Office/Site Location Needham
Remote Eligibility Onsite Only
Job Posting Description
At Boston Children's Hospital, the quality of our care - and our inclusive hospital working environment - lies in the diversity of our people. With patients from local communities and 160 countries around the world, we're committed to reflecting the spectrum of their cultures, while opening doors of opportunity for our team. Here, different talents pursue common goals. Voices are heard and ideas are shared. Join us, and discover how your unique contributions can change lives. Yours included.
100% onsite at Needham
Required schedule: 6:30am - 3:00pm
Position Summary:
The Patient Experience Representative I works under close supervision to provide support to the administrative operations of a clinical service and works to ensure the best possible patient experience by effectively coordinating services to patients and families. Demonstrates interest in and ability to departmental and organizational initiatives & projects with a focus on continuous process improvement. Performs various administrative functions requiring basic knowledge of programs and services.
Key Responsibilities:
Provides positive and effective customer service to patients, families, and visitors, responding to routine inquiries and involving supervisors for complex issues
Greets, screens, directs, and registers patients; enrolls patients and caregivers in the patient portal
Collaborates with referring providers and practices to manage complex patient issues; may rotate in call centers
Schedules patient encounters and procedures under supervision; monitors daily schedules and coordinates flow to optimize patient experience
Prepares for and attends shift handoffs and team huddles
Collects patient vitals (e.g., height, weight, temperature) and completes questionnaires in EMR as needed
Prepares examination rooms, assists patients, and ensures routine forms are ready for appointments
Collects and processes patient demographics, insurance/payment, referral info, and clinical documentation; obtains authorizations and verifications
Collects co-payments, reconciles deposits, and provides accurate records in hospital systems
Transcribes treatment and billing data; communicates with other departments for clinical and administrative services
Answers, screens, and routes calls; triages urgent calls and initiates emergency services when required
Maintains calendars, schedules meetings/events, and supports logistics for departmental programs and presentations
Provides general clerical support, including organizing documents, processing mail, photocopying, and handling records
Processes prescription refills, letters, and external requests
Uses office and hospital systems (e.g., Microsoft Office, scheduling, billing applications) efficiently
Participates in process improvement initiatives and supports internal changes to systems and procedures
Minimum Qualifications
Education:
High School Diploma/ GED
Experience:
No healthcare experience required - Basic customer service and computer skills.
Makes use of customer service knowledge to assist patients and families in resolving problems.
Conveys a positive demeanor when interacting with patients, families, and coworkers.
Ability to communicate in a clear, effective manner both orally and in writing and demonstrate empathy in difficult personal situations.
Ability to work with diverse internal and external constituencies.
Demonstrates the ability to pay attention to detail and accuracy.
PER positions are currently eligible for a Sign-on Bonus of $2,000 for full time positions (not eligible for internal candidates and not eligible for former BCH employees who worked here in the past 12 months)
Boston Children's Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.
Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
Boston Children's Hospital offers competitive compensation and unmatched benefits for eligible positions; including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
Boston Children's Hospital is an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, gender, sexual orientation, pregnancy, national origin, ancestry, ethnicity, age, disability, military or veteran status or any other classification protected by law in hiring, promotion, compensation and other terms and conditions of employment. Boston Children's Hospital collects and maintains information regarding gender, race, and ethnicity for equal opportunity compliance purposes. Boston Children's Hospital also is subject to various government recordkeeping and reporting requirements for the administration of civil rights laws and regulations.
Patient Care Representative
Patient service representative job in Plymouth, MA
This ia Full-Time Patient Care Representative role.
42 North Dental is committed to helping our supported practices provide quality dental care and exceptional patient care. To achieve this requires a commitment to securing and supporting the best and brightest - employees who share our vision and culture.
Become part of a team approach to providing excellence in comprehensive dental care with a focus on quality, service and patient satisfaction. The Patient Care Representative (Dental Receptionist) will provide administrative support to facilitate the relationship between our patients and dentists. With a focus on exceptional patient service, the Dental Receptionist is the front line to patient communication, assisting the patient in the necessary administrative functions of dental care.
Responsibilities
Interact with patients in a positive professional manner via telephone and in person
Schedule and confirm appointments
Review and educate patients on treatment plans and financial responsibilities
Accurately confirm insurance benefits, communicate and collect patient payment obligations.
Maintain and manage patient records from initial forms and paperwork through billing procedures with accurate data entry of all patient information
Respond to and reply to requests for information
Maintain strict compliance to HIPPA and patient privacy
Perform other related job duties as assigned
Qualifications
Excellent customer service skills
Clear speaking and telephone voice
Positive attitude and energetic personality
Comfortable in computerized environment
Ability to multitask
Auto-ApplyPatient Experience Representative (e/o weekend 7:00am-5:30pm)
Patient service representative job in Boston, MA
This position is in our Infusion and Day Treatment department located at the main campus of Boston Children's Hospital. Schedule: E/o weekend/holiday 7:00am-5:30pm Key Responsibilities: 1. Customer Service. Interacts and provides positive and effective customer service to patients and families.
b. Responds to routine inquiries about hospital protocol, policies, and procedures.
c. Greets and directs patients, families, and visitors.
d. Manages large amounts of inbound and outbound calls in a timely manner.
e. Provides accurate information, directions, and/or guidance to peers/employees and follows up promptly to ensure that needs have been met.
2. Patient Registration/Admissions/Discharge
* Create patient encounter in EHR.
* Accurately collects, verifies, and records all patient demographic and insurance information required for the admission and billing of hospital services in EHR system.
* Ensure all medical services/hospitalization requiring Prior Authorization and/or Referral are coordinated through the appropriate insurance provider and payer(s).
* May be required to document all Prior Authorizations and/or Referral in EHR (setting dependent).
* Provides the patient with the required forms and obtains appropriate signatures: General consent, Healthcare Proxy, Compliance documentation, Rights and Responsibilities, Financial Assistance policy.
* Generates patient labels and identification bracelets.
* May be required to collect, record and secure co-payments made by patients/ families (setting dependent).
* Notify unit of patient arrival.
Scheduling
* May be required to schedule/Cancel/reschedule patient appointments, including but not limited to tests or procedures for patients such as lab work or x-rays, orders, and hospital outpatient visits (setting dependent).
* May be required to assist with direct admissions to ancillary clinics (setting dependent).
Patient Flow Coordination
* Prepares for and attends shift handoffs and team huddles.
Administration
* Answer, screen, and route telephone calls. Record and forward messages and triage calls for urgent information or services. Respond to requests for routine information or assistance within scope of knowledge and authority. Initiate calls for emergency services as required.
* Open and sort mail, deliver and retrieve patient records, photocopy materials, sort, collate and distribute documents.
* Activate and announce codes (Code Triage (ED and Code Blue, Staff assist (ALL).
Minimum Qualifications Education: High-school or GED diploma
Experience: Preferred customer service experience
The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.
Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
Clinical Scheduling Specialist - Lymphoma
Patient service representative job in Boston, MA
This is a hybrid position with 2-3 days onsite. The selected candidate must live and work from one of the New England states (ME, NH, VT, MA, RI, CT) Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.
Responsibilities
* Under the direction of the clinical practice support management team, provides appointment scheduling ranging in complexity from one physician appointment to multiple care provider appointments in accordance with scheduling guidelines for established patients
* Obtains detailed clinical information by telephone or electronically.
* May provide basic information regarding the need for insurance referral(s).
* Provides general disease or program-specific information to callers/patients within the scope of knowledge and authority.
* Performs independent patient and outside provider call triaging
* Serves as a liaison between patient/family/provider.
* Resolves issues directly or ensures appropriate management of call by others.
* Recognizes emergencies and appropriately responds using standard operating procedures and critical thinking skills.
* May be required to perform other duties as required by the clinical practice support team.
* May provide general support and coordination for all aspects of patient care for established patients, including filing, data entry, telephone support, etc.
* Carries out specific processes in the patient scheduling systems so that correct special billing and revenue processes function properly.
* Participates in clinical systems training for new hires and may teach or participate in the planning of patient services refresher courses as needed.
* Prepares open and close provider schedules and handles daily schedule changes.
* Performs past-pending reconciliations.
* Enters data into patient care related databases.
Qualifications
* A Bachelor's Degree in health administration or related field is strongly preferred.
* A minimum of one year of related health care and/or customer service experience preferred.
KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:
* Ability to function as an integral member of a team
* Excellent communication, organizational, time management, and customer service skills
* Strong attention to detail
* Ability to multi-task and problem solve on the spot
* Excellent phone etiquette
* Demonstrated ability to carry out complex scheduling as required
* Demonstrated ability to draft reports, correspondence and other administrative documents pertaining to patient scheduling as needed
* PC proficiency
* Ability to work productively in a remote environment
* Knowledge of medical terminology preferred
Pay Transparency Statement
The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate's relevant experience, skills and qualifications.
For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA)
$21.88/hr - $26.15/hr
At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.
Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law.
EEOC Poster
Auto-ApplyPatient Representative - Lynn (Spanish Speaker preferred)
Patient service representative job in Lynn, MA
Who is Gather Health? Gather Health is a collective of outreach partners, care partners, clinicians and, most importantly, patient partners who work together to reshape lives and communities. We bring hands-on social and medical care to our patients and work around their needs, both within our care facilities and in their homes. We work alongside local leaders to build communities and provide tailored care experiences that serve the seniors that live within them. When we Gather, we show love, compassion, community, and care.
What is this role about? Similar roles in medical clinic settings would have titles such as “Practice Administrators” or “Practice Coordinators”. We call this role “Practice Operations Partner” because we see every member of our care team to be an equal level partner who contributes their unique sets of talents. The Practice Operations Partner will be the “face of our clinic”, since this will be the first person that our patients would interact with upon entering the facility. The individual will greet our patients as they walk in the door for their scheduled appointments, or to attend a social event. The administrative duties will include handling inbound/outbound calls, preparing insurance claims, handling the mail/faxes, coordinating transportation, etc. The Practice Operations Partner will work collaboratively with our primary care providers, patient liaisons, EMTs, and fellow clinic administrators, as part of the care-team model.
What are some of the day-to-day duties? This clinic-based role will include, but not limited to, the following responsibilities:
Welcoming patients as they enter the clinic, and communicating their arrival to the relevant care-team members
Handling incoming calls and messages and appropriately addressing or triaging the requests such as appointment scheduling, form completion, medication refills, etc.
Initiating outbound administrative requests by phone and in writing, such as medical record requests and specialty appointment booking
Sorting and triaging incoming mail and faxes including scanning and e-filing documents
Providing information and facilitating office tours for patients interested in joining our practice
Assisting the Practice Operations Manager with administrative tasks, such as ordering of supplies, scheduling, etc.
Verifying patient insurance via phone or online and collecting applicable copays for services
Assisting with scheduling follow-up appointments and referral appointments
Assisting with scheduling transportation for our patients
Preparing and submitting accurate insurance claims within the required timeframes
Resolving claims issues with third party insurance carriers and facilitating requested information in a timely fashion
Engaging with patients and their family members/caretakers to resolve claim issues and other insurance hurdles
Providing additional documentation needed for timely claims processing, by conducting research and preparing for appeals
Providing support to colleagues as needed in a team-based environment to ensure our patients receive the highest quality of service and care possible
Additional duties as assigned
Requirements
What are the requirements for this position?
· High school diploma or G.E.D.
· Minimum of two years of experience working a front desk function in a medical clinic (primary care clinic preferred)
· Strong interpersonal skills with experience working in settings requiring frequent communication via phone and in-person
· Experience with basic office tools such as email, Outlook calendar, etc.
· Strong verbal, written, and reading comprehension skills in English
· Ability to work regular office hours Monday through Friday
What are the preferred, “nice to have” requirements?
· Strong knowledge of Medicare billing and CPT coding
· Experience in a call center environment
· Experience with Athena or another Electronic Health Record software
· Experience with seniors, under-served populations, individuals with disabilities or other complex social needs
· Bilingual in Spanish
What are the traits of someone most likely to succeed in this role?
· Organized - manages time effectively and operates efficiently
· Motivated - thrives in a busy environment
· Friendly - people enjoy their company because of their joyful nature
· Compassionate - they treat people with kindness
· Patient - they are not easily frustrated or flustered
· Resourceful - they are creative when it comes to problem solving
· Positive - sees glass as is half full vs. half empty
· Reliable - takes responsibilities seriously and always shows up on time
What are the hours for this position?
Monday - Friday from 9a-6p
Why should I join Gather Health?
· We are a mission-based organization that is passionate about changing the way seniors experience primary care
· Our business model is unique and on the cutting-edge of the primary care industry
· Our leadership team is comprised of experienced individuals who are committed to creating not only the best patient experience, but also an amazing employee experience for our colleagues
· We are intentionally building a strong company culture and providing a compassionate and joyful work environment
· The organization was conceptualized, founded, and launched by experienced co-founders with a track record of success in the healthcare space
· We offer competitive pay and benefits for our Full-Time colleagues, including:
o Market-based base salaries
o Paid Time Off (total of 3 weeks per year PTO that accrues with each pay period)
o 11 Paid Holidays
o Medical insurance coverage (health, dental, vision) with no waiting period for enrollment
o Short and Long-Term disability insurance at no cost to you
o Basic life insurance coverage at no cost to you
o 401K match up to 4% of income
o Employee Assistance Program at no cost to you
o Supplemental benefits available for discounted prices (legal services, Aflac, hospital indemnity, accidental death &
dismemberment, etc.)
I'd like to know more - what's the next step?
Great! An employment relationship is a two-way street - as much as we want to make sure to hire the right person, we want YOU to feel great about us too. Let's start by first having an exploratory conversation (via Zoom or phone) and go from there.
Salary Description $18-25 per hour dependent on experience
Patient Representative
Patient service representative job in Boston, MA
Create Meaningful Patient Experiences as a Patient Representative! Are you passionate about delivering exceptional customer service to patients? Our client is searching for a Patient Representative to join their vibrant, fast-paced team, where you'll play a key role in ensuring a positive and impactful patient experience!
Location: Chestnut Hill, MA, fully onsite
Duration: Direct hire!
Hours: Monday-Friday 9am-5:30pm
Pay: $22/hour
Responsibilities:
Verify complex appointment sets for patients, ensuring adherence to scheduling guidelines
Obtain and enter lab orders from providers, maintaining accuracy and confidentiality
Perform front desk check-in functions, including patient identification verification
Create orders and import outside images from digital media into Epic
Manage patient CDs, ensuring efficient intake
Deescalate patient grievances while maintaining high customer service standards
Ensure compliance with all organizational policies, including HIPAA regulation
Qualifications:
Must have at least 2 years of medical administrative experience in a fast-paced setting
Bachelor's degree is strongly preferred
Exceptional customer service abilities, especially under pressure
Hire Partnership is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
All Hire Partnership job postings are either actual positions available at the time of posting and/or are based on positions we typically fill or expect to fill.
#INDHOT
Patient Representative
Patient service representative job in Coventry, RI
State of Location:
Rhode Island Our Patient Representatives are the backbone of our clinics and have a direct impact on patient experience. They work collaboratively with clinicians and colleagues to provide exceptional patient care and world-class customer service. Responsibilities include greeting and checking-in patients, scheduling appointments, answering incoming phone calls, verifying insurance coverage, obtaining necessary authorization, collecting payments, processing new patients, and helping the clinic maintain optimal performance. Ivy's rewarding and supportive work environment allows accelerated growth and development opportunities for all teammates.
Join Ivy Rehab's dedicated team where you're not just an employee, but a valued teammate! Together, we provide world-class care in physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. Our culture promotes authenticity, inclusion, growth, community, and a passion for exceptional care for every patient.
Job Description:
Patient Representative- Full-time
Coventry, RI
$18-22/hr
Elite Physical Therapy, part of the Ivy Rehab Network
Why Choose Ivy?
Best Employer: A prestigious honor to be recognized by Modern Healthcare, signifying excellence in our industry and providing an outstanding workplace culture.
Innovative Resources & Mentorship: Access to abundant resources, robust mentorship, and career advice for unparalleled success.
Professional Development: Endless opportunities for career advancement through training programs centered on administrative excellence and leadership development.
Exceeding Expectations: Deliver best-in-class care and witness exceptional patient outcomes.
Incentives Galore: Eligibility for full benefits package beginning within your first month of employment. Generous PTO (Paid Time Off) plans, paid holidays, and bonus incentive opportunities.
Exceptional Partnerships: Collaborate with leaders like Hospital for Special Surgery (HSS) to strive for excellence in patient care.
Empowering Values: Live by values that prioritize teamwork, growth, and serving others.
Position Qualifications:
1+ years of administrative experience in a healthcare setting is preferred.
Proficiency in Microsoft Office applications such as Excel, Word, and Outlook.
Great time management and ability to multi-task in a fast-paced environment.
Self-motivated with a drive to exceed patient expectations.
Adaptability and positive attitude with fluctuating workloads.
Self-motivated with the eagerness to learn and grow.
Dedication to exceptional patient outcomes and quality of care.
IvyAdmin
We are an equal opportunity employer, committed to diversity and inclusion in all aspects of the recruiting and employment process. Actual salaries depend on a variety of factors, including experience, specialty, education, and organizational need. Any listed salary range or contractual rate does not include bonuses/incentive, differential pay, or other forms of compensation or benefits.
ivyrehab.com
Auto-ApplyPatient Records & Intake Representative
Patient service representative job in Danvers, MA
MFM Health, a growing and innovative private medical practice, is seeking a detail-oriented and patient-focused Patient Records & Intake Representative to join our team full-time at our Danvers location. This key role ensures accurate patient record management, smooth intake processes, and exceptional first impressions for our patients.
What We Offer:
Enhanced Benefits Package: Enjoy a comprehensive benefits package that includes discretionary paid time off to ensure a healthy work-life balance and a 401(k) plan with employer match.
Professional Growth Environment: At MFM Health, we are committed to your professional development. We offer continuous opportunities for learning and career advancement in a supportive and collaborative environment.
Responsibilities:
Greet and register patients with professionalism and compassion
Collect, verify, and enter patient demographic, insurance, and medical information into the EMR system
Manage incoming and outgoing medical records, ensuring accuracy, confidentiality, and compliance with HIPAA
Process medical record requests from patients, providers, and third parties
Support providers and clinical staff with accurate documentation and timely updates to patient charts
Handle patient inquiries in person, by phone, or electronically with efficiency and care
Collaborate with the front desk, clinical teams, and billing staff to ensure smooth workflows
Perform other administrative and intake duties as assigned
Qualifications:
High school diploma or equivalent required; associate's degree preferred
Previous medical office experience strongly preferred
EMR experience preferred (Epic, Athena, eClinicalWorks, or similar systems)
Strong organizational skills and attention to detail
Excellent communication and interpersonal skills
Ability to multitask, prioritize, and work effectively in a fast-paced environment
Commitment to patient confidentiality and HIPAA compliance
Pay: $19 to $24 per hour
About MFM Health
Our mission at MFM Health is to Make Lives Meaningfully Better. We are continually expanding our practice to provide quality, comprehensive, and compassionate care to patients on the North Shore and beyond. We are committed to hiring passionate individuals who are motivated to succeed in a collaborative, patient-centric culture. We pride ourselves on our commitment to excellence, offering services 365 days a year, drive-thru healthcare, and on-site specialty teams and ancillary services.
At MFM Health, we offer excellent benefits, top-notch training, and a vibrant work environment. We believe in celebrating our employees' successes and regularly gather for company-wide parties and events to foster strong team connections. Join us as we continue to grow, investing in our people, programs, and technology to deliver legendary patient service and further our reputation as the provider, practice, and employer of choice!
Auto-ApplyPatient Service Coordinator
Patient service representative job in Saugus, MA
Job Description
Your day starts at 9:45am leaving you plenty of time for personal appointments, getting the kids to school, a nice breakfast, going to the gym or taking a walk, general errands, or just relaxing. Patients come to us needing to see and it is our responsibility to help them with just that. Our team is passionate about connecting with our patient base which has been strongly built and maintained over the last 30+ years. As a long time and dedicated part of the community, our goal is to remain committed to providing exceptional experiences to all who walk through our door. This is not just a job, it's a purpose. We would love for you to come join our rock star team and be part of the magic!
At Pearle Vision, we are committed to delivering exceptional service to our valued patients. We pride ourselves on creating a welcoming environment where patients receive personalized attention and professional advice to meet their vision needs. As a growing practice, we are looking for an intelligent and enthusiastic individual to join our dynamic team. We offer highly competitive pay based on your qualifications and experience.
You will play a pivotal role in our patient's experience with us. You will be responsible for maintaining the daily operations of the doctor's area and contributing to a positive and team based work environment while consistently providing our patients with exceptional experiences.
Key Responsibilities
Answering the phone and assisting callers
Scheduling appointments and maintaining an efficient schedule
Checking patients in and out for their appointments, ensuring accurate and complete demographic and insurance information
Abiding by all HIPAA laws and office policies and procedures
Managing patient charts, verifying insurance eligibility and coverage, and collecting appropriate co-payments.
Utilizing pre-test equipment with patients before they see the doctor, such as auto-refractor, OCT and Optomap imaging
Working collaboratively with the doctors, management, and other team members to provide a seamless and efficient experience to the patient.
Other duties as assigned by management
Qualifications
18+ with high school diploma
Reliable transportation to and from work
Proficient in general computer use and programs such as Microsoft Word
Able to communicate effectively, comfortably, and professionally while making phone calls and answering the phone
Excellent verbal and written communication skills, with the ability to explain complex information in a clear, patient-friendly manner.
Strong customer service skills with empathy and passion for helping others.
Ability to work collaboratively with co-workers and lead by a positive example.
Motivated and driven to grow and succeed and to help others grow and succeed
What We Offer
Competitive Salary: Commensurate with experience and qualifications. You will have a base hourly rate
Benefits: Vacation time, paid holidays, and medical and dental insurance available for full time staff; sick time, and retirement plan with company match available to all employees.
Professional Development: We provide ample mentoring and opportunities for growth within our business.
Supportive Work Environment: A caring and inclusive team that values your input and expertise.
We will consider both full time and part time applicants.
We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Customer Service Representative- Smithfield, RI
Patient service representative job in Killingly, CT
The Role Join our team of Customer Service Representatives, also know Customer Relationship Advocates (CRA). This first-of-its-kind experience supercharges your early career growth at Fidelity with personalized support, skill development and training. In this role, you are a licensed professional providing outstanding customer service while answering inbound phone calls and supporting Fidelity's valued clients. You will develop skills to assist with a broad range of client needs, including trade requests, money movement, online support and so much more!
What to expect
As a new CRA, you'll learn about the financial services industry, apply new concepts, develop, and practice new skills, and push yourself to accomplish new goals through three major milestones:
1. Licensing Preparation
In the first months, you'll prepare to become a FINRA (Registered Representative by studying for and obtaining your SIE , Series 7, and 63 licenses, all fully sponsored by Fidelity. This includes paid study time and access to valuable resources like licensing coaches and workshops. While these exams can be challenging, rest assured that we're here to support you every step of the way! (Learn More)
2. Skill Development
In the following months, you'll handle more complex customer calls while dedicating time each week to connect with your team, meet with your leader, and expand your network.
3. Proficiency
As you gain confidence and proficiency in serving customers, you'll explore new career paths through job shadowing and our career center.
The Expertise and Skills You Bring
Aptitude and dedication to complete the FINRA SIE , Series 7 Top Off and Series 63 exams through our industry-leading licensing program.
Enthusiasm for continuous learning and dedication to studying and applying new concepts, learning quickly, and retaining information to assist with decision-making.
A passion for connection and desire to establish rapport with customers by facilitating meaningful conversations that are resolution-oriented and efficient.
Ability to handle different types of situations, emotions and conversations driving towards suitable resolutions.
A desire for growth and a mindset that generates long term success through adaptability and personal accountability.
Exceptional critical and analytical problem-solving skills and a demonstrated ability to interpret a scenario, leverage resources and find an appropriate resolution.
Comfortable learning new technology or proprietary platforms and confident navigating multiple systems simultaneously.
Note: Fidelity is not providing immigration sponsorship for this position
The Team
Our Greatest Asset is Our People
We are committed to building a diverse workforce, enduring a culture of belonging, and creating more inclusive experiences for our associates, customers, and our community.
Our benefit programs are crafted to help you and your loved ones strike the perfect balance. Here are a few featured benefits (not all benefits are listed): Maternal and Parental Leave, Tuition Reimbursement, Student Loan Assistance, 401(K) 7% match, Health Insurance, Dental Insurance, Vision Insurance, Disability Insurance, Paid Time off, Commuter Benefit Program, Backup Dependent Care, Charitable match, Concierge Services, and Wellness Program. (Learn More)
Certifications: Series 07 - FINRA, Series 63 - FINRA Category: Customer Service, Sales
Most roles at Fidelity are Hybrid, requiring associates to work onsite every other week (all business days, M-F) in a Fidelity office. This does not apply to Remote or fully Onsite roles.
Please be advised that Fidelity's business is governed by the provisions of the Securities Exchange Act of 1934, the Investment Advisers Act of 1940, the Investment Company Act of 1940, ERISA, numerous state laws governing securities, investment and retirement-related financial activities and the rules and regulations of numerous self-regulatory organizations, including FINRA, among others. Those laws and regulations may restrict Fidelity from hiring and/or associating with individuals with certain Criminal Histories.