Referral Coordinator
Patient service representative job in Leesburg, FL
Aegis Medical Group is a comprehensive healthcare network offering a wide range of medical services, including primary care, internal medicine, cardiology, endocrinology, and more. Our network also includes partnerships with home health providers, skilled nursing facilities, and outpatient therapies, ensuring seamless care transitions for our patients. With a commitment to respectful, efficient, and holistic healthcare, we strive to meet all medical needs within a supportive and collaborative environment. Our goal is to become the trusted home for your healthcare needs as we continue to expand our services to better serve our patients.
Role Description
This is a full-time, on-site role for a Referral Coordinator based in Leesburg, FL. The Referral Coordinator will be responsible for verifying insurance, efficiently managing patient referrals, ensuring effective communication between patients and healthcare providers, and maintaining thorough records. Daily tasks will include working with insurance providers, scheduling appointments, providing outstanding customer service, and assisting patients with any questions or issues related to their referrals.
Qualifications
Proficiency in Insurance Verification and understanding of Medical Terminology.
Strong Communication and Phone Etiquette skills to interact effectively with patients, providers, and insurance personnel.
Demonstrated excellent Customer Service abilities in a fast-paced healthcare environment.
Organizational and problem-solving skills with attention to detail.
Experience with electronic medical record (EMR) systems is a plus.
Knowledge of healthcare operations and referral workflows is advantageous.
High school diploma or equivalent; additional education or certification in medical administration is preferred.
Customer Service Representative! $19/hr
Patient service representative job in Paisley, FL
Bilingual Spanish/ English Customer Service Representative Te gusta ayudar a los demás? Eres fluido en inglés y español? Join our dynamic team at Foundever in DeLand, FL, where every interaction is an opportunity to make a difference! We are seeking passionate individuals to join us on-site at our office located at 1398 S Woodland Blvd, DeLand, FL 32720. Please note that candidates must reside within commuting distance to our office.
About Foundever
Foundever is a global leader in the customer experience (CX) industry. With 150,000 associates across the globe, we're the team behind the best experiences for +800 of the world's leading and digital-first brands. Our innovative CX solutions, technology and expertise are designed to support operational needs for our clients and deliver a seamless experience to customers in the moments that matter.
Job Overview
As a Bilingual Spanish/ English Customer Service Representative at Foundever, you will play a vital role in supporting one of the largest insurance and banking providers in the U.S. You will assist customers with their entry-level banking and financial needs while contributing to a team-centric environment. We believe in investing in our people, which is reflected in our robust paid training program and numerous growth opportunities. Notably, 84% of our managers have been promoted from within.
Why You Should Join Us
Competitive Pay: Starting at $19/hour, with paid training at $15/hour.
Work Schedule: Minimum 40 hours per week, with weekend availability as needed.
Comprehensive Benefits: 401(k), medical, dental, vision, wellness programs, paid time off, and employee discounts.
Growth Opportunities: Clear pathways for career advancement within the company.
What We're Looking For
Bilingual Proficiency: Must speak fluent English and Spanish
Location: Must reside in DeLand, FL, or within commuting distance
Age Requirement: Must be at least 18 years old
Education: High school diploma or GED equivalent is required
Experience: Preferred 6 months to 1 year of relevant work experience
Availability: Must have flexible availability during operating hours
Customer Service Skills: A professional attitude and strong aptitude for customer service are essential
Key Skills
Tech-Savvy: Proficient in navigating system tools to search for information and answers
Customer Service Excellence: Demonstrated ability to deliver exceptional service consistently
Reliability: Dependable and responsible, with a strong commitment to your role
Critical Thinking: Capable of assessing situations and developing empathetic solutions
Service Orientation: A personal drive to serve others with compassion and professionalism
Organizational Skills: Strong organizational abilities to manage tasks effectively
Self-Motivated Learner: Ability to independently learn and successfully pass the paid training provided by Foundever.
Military Partners
We proudly support military families through partnerships with Military One Source and other veteran organizations. We value the unique skills and experiences that veterans bring to our workforce.
Equal Opportunity Employment (EEO)
Foundever is committed to selecting, developing, and rewarding the best person for the job based on the requirements of the work to be performed and without regard to race, age, color, religion, sex, creed, national origin, ancestry, citizenship, disability/handicap, marital status, protected veteran status, uniform status, sexual orientation, pregnancy, genetic information, gender identity, and expression, or any other basis protected by federal, state or local law. The Company forbids discrimination of all kinds, whether directed at Associates, applicants, vendors, customers, or visitors. This policy applies to all terms and conditions of employment, including recruitment, hiring, promotion, compensation, benefits, training, discipline, and termination.
Interested in Becoming Part of Our Team?
Visit us at and connect with us on Facebook , LinkedIn , and Twitter .
Patient Care Coordinator
Patient service representative job in Lady Lake, FL
RAYUS now offers DailyPay! Work today, get paid today!
RAYUS Radiology is looking for a Patient Coordinator to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Patient Coordinator you will provide services to patients and referring professionals by greeting customers, registering patients and scheduling/authorizing appointments. This is a full-time, working Monday thru Friday Days.
ESSENTIAL DUTIES AND RESPONSIBLITIES:
(60%) Scheduling & Insurance
Schedules patient examinations according to existing company policy
Arranges transportation and hotel accommodations for patients when appropriate
Communicates to team any scheduling changes in order to ensure highest patient satisfaction
Pre-certifies/Authorizes all exams with patient's insurance company as required
Verifies medical necessity on all exams as required
Handles release of information requests for patients, referring offices, other medical facilities, attorneys & insurance companies following company guidelines
Facilitates follow up contact with patients for scheduling future appointments etc. as appropriate
(35%) Registration
Greets and checks-in patients scheduled for Vascular services; registers demographic information and process payment plans and copays with patients
Answers phones and handles calls in a professional and timely manner
Maintains positive interactions at all times with patients, referring offices and staff
Supports Vascular team in order to ensure highest patient satisfaction
Acts as liaison between team and the patients waiting for exams
Maintains front office lobby area by straightening magazines, organizing coffee supplies, and assisting with general office clean up
Maintains the supply of patient information sheets
(5%) Performs other duties as assigned
Patient Services Coordinator, Home Health
Patient service representative job in Lake Mary, FL
Become a part of our caring community and help us put health first
The Patient Services Coordinator is directly responsible for scheduling visits and communicating with field staff, patients, physicians, etc. to maintain proper care coordination and continuity of care. The role also assists with day-to-day office and staff management
Manages schedules for all patients. Edits schedule for agents calling in sick, ensuring patients are reassigned timely. Updates agent unavailability in worker console.
Initiates infection control forms as needed, sends the HRD the completed “Employee Infection Report” to upload in the worker console.
Serves as back up during the lunch hour and other busy times including receiving calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary.
Maintains the client hospitalization log, including entering coordination notes, and sending electronic log to all office, field, and sales staff.
Completes requested schedule as task appears on the action screen. Ensures staff are scheduled for skilled nurse/injection visits unless an aide supervisory visit is scheduled in conjunction with the injection visit.
Completes requested schedules for all add-ons and applicable orders:
Schedules discharge visit / OASIS Collection or recert visit following case conference when task appears on action screen.
Schedules TIF OASIS collection visits and deletes remaining schedule.
Reschedules declined or missed (if appropriate) visits.
Processes reassigned and rescheduled visits.
Ensures supervisory visits are scheduled.
Runs all scheduling reports including Agent Summary Report and Missed Visits Done on Paper Report.
Prepares weekly Agent Schedules. Performs initial review of weekly schedule for productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff.
Verifies visit paper notes in scheduling console as needed.
Assists with internal transfer of patients between branch offices.
If clinical, receives lab reports and assesses for normality, fax a copy of lab to doctor, make a copy for the Case Manager, and route to Medical Records Department. Initiate Employee / Patient Infection Reports as necessary.
If clinical, may be required to perform patient visits and / or participate in on-call rotation.
Use your skills to make an impact
Required Experience/Skills:
Must possess excellent communication skills, the ability to interact well with a diverse group of individuals, strong organizational skills, and the ability to manage and prioritize multiple assignments.
Must have at least 1 year of home health experience.
Prior packet review / QI experience preferred.
Coding certification is preferred.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$40,000 - $52,300 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Auto-ApplyPatient Access Specialist
Patient service representative job in Maitland, FL
+ Strong accurate data entry skills + Previous work experience in Specialty Pharmacy or Customer Service preferable + Professional level skills in computer use, including but not limited to Microsoft Office, email, web-based applications and key boarding skills
**Responsibilities:**
+ Experience working with people in situations that are high-pressure and time-sensitive (either telephone or face-to-face), and that involve solving problems, making decisions, using excellent judgment and "customer service" skills. This can be obtained through a combination of work experience and post high school education, and need not be obtained in a traditional "customer service" setting
**Experience:**
+ Strong ability to multi-task and strong time management skills
+ Ability to function in a high-volume, fast-paced environment
+ Dependable and strong work ethic
+ Ability to accept and implement feedback and coaching
**Skills:**
- Experience working with databases (CRM preferable) or a tracking system; Salesforce CRM experience
- Experience working in a health care/pharmaceutical industry environment
- Understanding of challenges associated with patients' medical condition
**Education:**
+ High School or bachelor's degree in any field.
**About US Tech Solutions:**
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit *********************** (********************************** .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Insurance Verifications I
Patient service representative job in Lake Mary, FL
At Axium Healthcare Pharmacy, Inc., we believe in a better quality of life for patients and their healthcare partners when treating and managing the most complex conditions. We believe in relationships that make life easier, and where a helping hand and better clinical, economical, and overall health outcomes are always within reach, 24 x 7 x 365. Our mission is simple. We aim to partner with and guide our patients to their best possible outcomes. Our longstanding vision is to help our patients and healthcare providers reach and create a better path to treating and managing complex conditions, making their lives easier and giving them hope for a healthier future. Specialty pharmacy is not a new concept. In fact, Axium did not invent specialty pharmacy. But, we did invent a better way to do it. We do it through a combination of clinical expertise, nationwide reach and the delivery of committed, caring, unmatched service and support for everyone, every time with no excuses. And, we've been doing it for years. We invite you to ask us what we can do for you. Our answer to you will almost always be: “Yes, we do.” Established in 2000 and based in Lake Mary, Florida, Axium is a nationwide clinical specialty pharmacy that makes life easier for those managing chronic disease and complex therapies by offering a helping hand and a better path to therapy management. We are licensed and permitted to operate in all 50 states and Puerto Rico, and specialize in providing patients, physicians, nurses, health plans, and other health care providers and partners with injectable and oral brand-name products. Our focus is to “Improve outcomes one relationship at a time,” and we achieve this through an experienced patient care team of doctors of pharmacy, registered nurses, reimbursement specialists, and dedicated patient care coordinators; all of whom deliver the highest level of comprehensive care and clinical support with every prescription.
Job Description
Includes but is not limited to the following. Other duties may be assigned.
• Verify insurance for limits and parameters of policy.
• Determine if prior authorization of pre-cert is necessary and work accordingly.
• Input required patient data information into system.
• Create verification note explaining benefits and other necessary information.
• Process/reverse online claims as required.
• Gather appropriate documentation, fill out necessary forms and submit authorization requests.
• Process/reverse online claims as required
o Ability to effectively interpret AND resolve PBM rejections.
• Input required authorization information into system(s).
• Ability to collaborate with Jr. & Sr. Team members to ensure appropriateness of the prior authorization documentation, and ensure completeness of the prior authorization questionnaires.
o Ability to escalate difficult verification issues when unable to resolve timely.
• Supporting group and management efforts with a positive attitude
• Possessing “critical" and “out of the box" thinking
• Provides interdepartmental support as needed
The ideal candidate will also possess the following qualities:
• Ability to trouble shoot prior authorization issues
• Excellent internal customer service and communication skills
• Excellent external customer service and communication skills
• Understanding of how to refer patients to various assistance programs as needed based on patient's insurance coverage, or lack thereof.
• Understanding of insurance and insurance related coding to support claim processing
• Understanding of how to identify possible new contracting opportunities.
• Understanding of government payors including Share of Cost
• Understanding of how to requests vacation/lost/damage overrides from the insurance carriers when warranted
Qualifications
• Must have experience working with specialty infusion or pharmaceuticals
• 2+ years of experience with medical insurance verification, benefits and eligibility investigations required.
• Experience with submitting and obtaining prior authorizations
• Strong computer proficiency
• Knowledge of medical terminology
• Excellent communication skills
• Professional, reliable and dedicated
• Ability to work cooperatively.
• Ability to multitask.
Additional Information
All your information will be kept confidential according to EEO guidelines.
Patient Service Center Site Coordinator/Lead Phlebotomist-Tavares
Patient service representative job in Tavares, FL
At LabCorp we have a passion in helping people live happy and healthy lives. Every day we provide vital information that helps our clients and patients understand their health. If you are passionate about helping people and have a drive for service, then LabCorp could be a great next career step!
We are seeking a Patient Service Center (PSC) Site Coordinator to join our team. This position will be responsible for the coordination and oversight of activities of Patient Service Centers within an assigned area. The PSC Coordinator will work closely with the PSC staff, management, as well as the laboratory staff and clients to ensure optimal operation of the Patient Service Center. The position will also perform phlebotomy and specimen processing procedures at LabCorp Patient Service Centers under minimal supervision.
Work Schedule: Monday - Friday 7am to 4pm Rotating Saturdays
Work Location: 2730 Dora Ave. Tavares, FL
Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. For more detailed information, please click here.
PST's may be eligible for participation in the PST Incentive Plan, which pays a quarterly bonus based on performance metrics.
Job Responsibilities:
Observe and report any performance, compliance or staffing related issues to supervisors
Manage and monitor patient flow, wait times, inventory levels and information logs
Monitor monthly productivity reports and report any deviations as necessary
Address any customer service related issues in a prompt and respectful manner
Promote team work, cohesiveness and effective communication among coworkers
Perform blood collections by venipuncture and capillary techniques for all age groups
Collect specimens for drug screens, paternity tests, alcohol tests etc.
Perform data entry of patient information in an accurate and timely manner
Process billing information and collect payments when required
Prepare all collected specimens for testing and analysis
Administrative and clerical duties as necessary
Travel to additional sites when needed
Job Requirements:
High school diploma or equivalent
Minimum 1 year of experience as a phlebotomist
Prior experience is a leadership position is a plus
Phlebotomy certification from an accredited agency is preferred
In depth knowledge of phlebotomy duties, responsibilities and techniques
Proven track record in providing exceptional customer service
Strong communication skills; both written and verbal
Ability to work independently or in a team environment
Comfortable working under minimal supervision
Reliable transportation and clean driving record if applicable
Flexibility to work overtime as needed
Able to pass a standardized color blindness test
If you're looking for a career that offers opportunities for growth, continual development, professional challenge and the chance to make a real difference, apply today!
Labcorp is proud to be an Equal Opportunity Employer:
Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law.
We encourage all to apply
If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.
Auto-ApplyPharmacy Customer Associate I - Patient Care Coordinator - BioPlus Specialty Pharmacy
Patient service representative job in Lake Mary, FL
Be Part of an Extraordinary Team BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey.
Title: Pharmacy Customer Associate I
Location: FL-LAKE MARY, 3200 LAKE EMMA RD, STE 1000; the ideal candidate will reside within reasonable distance from this location.
Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Shift: We are hiring multiple shifts between the hours of 8:00am-8:00pm
The Pharmacy Customer Associate I is responsible for responding to basic customer questions via telephone and written correspondence regarding pharmacy retail and mail order prescriptions.
How you will make an impact:
* Develops and maintains positive customer relations and coordinates with functions within the company to ensure customer requests are handled and resolved appropriate and in a timely manner.
* Interacts with internal and external customers (could include subscribers, providers, group or benefit administrators, physician offices, third party representatives, and other Blue Cross Plans) to provide claims, customer service, and/or membership support.
* Completes necessary research to provide proactive, thorough solutions.
* Displays ownership of service requests ensuring high quality resolution and follow-thru.
* Supports and guides the customer with their personal options and decisions and helps the customer become knowledgeable and confident about using technology, tools and resources available to them.
Minimum Requirements:
Requires a HS diploma or equivalent and previous experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
* Specialty Pharmacy experience preferred.
* Call center experience preferred.
For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Auto-ApplyFD Patient Care Coordinator HB
Patient service representative job in Ocala, FL
Job Details OE Heath Brook 48 1000 - Ocala, FLDescription
Ocala Eye is seeking a dedicated and friendly Patient Care Coordinator to join our team. The ideal candidate will welcome patients into our practice with a warm and friendly demeanor, ensuring they
have a positive experience from check-in to check-out. The Patient Care Coordinator will manage
patient information, verify insurance eligibility, handle appointment scheduling, and embody Ocala
Eye's core values of C.A.R.E.S - Compassion, Accountability, Respect, Excellence, and Spirit.
Key Responsibilities:
Patient Check-In:
Greet and welcome patients in a pleasant and professional manner.
Track patients in the reception area and communicate with them as needed.
Ensure patient demographics are obtained, verify all information has been received,
completed, and signatures obtained on required consents.
Ensure patients' insurance cards and photo identification are on file.
Ensure proper authorization or referral is collected from payers that require it.
Place charts in the bin for the specific physician or technician.
Be proficient in using our digital check-in platform to enhance front office operations.
Patient Check-Out:
Review encounter forms to ensure all necessary codes are marked and request any missing
information from clinic technicians.
Post charges to encounters.
Collect and post payments for copays, coinsurance, and patient balances in a courteous and
professional manner.
Print itemized bills as receipts for patients.
Schedule patient return appointments as indicated on encounter forms.
Balance all payments at the end of the day, ensuring all transactions are accurate.
Patient Interaction:
Greet and welcome patients with a friendly and warm demeanor, ensuring a positive
experience.
Elevate the patient experience by providing exceptional customer service, making patients feel
valued and comfortable.
Track patients in the reception area and communicate with them as needed.
I N S P I R I N G E X C E L L E N C E ,
T O G E T H E R
Ocala Eye
C A R E S
Compassion.Accountability.Respect
Excellence.Spirit
Job Title: Patient Care Coordinator
Customer Service:
Provide excellent customer service and communication.
Address patients' needs and concerns with empathy and professionalism.
Treat patients and co-workers with respect at all times.
Insurance Verification:
Verify insurance eligibility to ensure patients have active coverage via online portals and
integrated Practice Management system.
Accurately estimate patient out-of-pocket costs for office visits and testing.
Core Values:
Exemplify Ocala Eye's core values in all interactions and duties.
Compassion: Show genuine care and concern for patients and their families.
Accountability: Take responsibility for actions and outcomes, ensuring high standards of
practice.
Respect: Treat all patients, colleagues, and partners with dignity and respect.
Excellence: Strive for excellence in all tasks and interactions, continually seeking improvement.
Spirit: Demonstrate a positive and energetic attitude, contributing to a supportive and
encouraging work environment.
Qualifications:
Experience: Previous experience in a medical office setting is preferred.
Technology: Proficiency in using digital technology for patient management.
Communication: Excellent verbal and written communication skills.
Multi-Tasking: Strong ability to manage multiple tasks simultaneously in a high-volume
environment.
Customer Service: Exceptional customer service skills with a focus on patient satisfaction.
Detail-Oriented: Strong attention to detail, particularly in managing patient information and
verifying insurance details.
Team Player: Ability to work collaboratively with the healthcare team to ensure efficient and
effective patient care.
Emotional Intelligence: High level of emotional intelligence to understand, manage, and
respond effectively to patients' and team members needs and concerns.
If you are a compassionate, detail-oriented individual with a commitment to providing exceptional
patient care, we invite you to apply for the Patient Care Coordinator position at Ocala Eye.
Patient Representative (Full-Time)
Patient service representative job in Orange City, FL
Diana Health is a high-growth network of modern women's health practices. We are on a mission to set a new standard of care that inspires, empowers, and supports women to live healthier, more fulfilling lives. We partner directly with hospitals and align incentives across stakeholders using integrated care teams, smart technology, and a designed care experience that is good for patients and good for providers. The result is an individualized, comprehensive care program that puts women in the driver's seat of their own health and provides them with the information and compassionate care they need to reach their health goals.
We are an interdisciplinary team joined together by our shared commitment to transform women's health. Come join us!
Role Description
We are looking for a Receptionist / Patient Representative driven to create an delightful customer service experience from the moment a client steps through our doors while ensuring the smooth operation of a growing women's health practice. You are warm, welcoming, attentive, outgoing, customer service and detail-oriented, organized, and eager to tackle challenges with empathy and creativity. You are eager to leave a smile on the patient's face after they interact with you and are willing to go above and beyond to create a wonderful experience.
What you'll do
You are the first person our clients see when they walk through the door. You provide a warm, welcoming face of the practice, greeting and supporting clients from our welcome desk. You:
Provide warm and friendly client interactions
Take care of client check in and out, answering questions and disseminating information to appropriate team members as necessary
Provide waiting area tours to new clients, orienting them to our space, making them feel welcome and at home
Ensure paperwork, consents, and insurance information is collected and complete
Managing the client schedule:
You know the schedule front to back / inside and out, and can work through schedule efficiencies based on the flow of the day as well as client and provider needs
You anticipate schedule needs days and weeks in advance
You schedule client appointments in real-time as well as those made through our online platform
Insurance, payment, and billing :
Perform verification of benefit checks with insurance companies
Manage and collect client copays and payment balances
Discuss and set up payment plans with client
Front of the house management:
Work with the team to ensure the office is ready, set up, and prepared for the day
Collaborate on inventory, keeping the office pristine, and other tasks as they arise
Manage phone triage as necessary, coordinating between team members
Qualifications
Customer service and hospitality experience strongly preferred and highly desirable
Bachelor's Degree preferred or High School Diploma/GED w/ 2+ years experience in a related field
Proficiency with Google Suite or Microsoft Office Products
Strong computer skills; preferred familiarity with EMRs
Tendency to organize and create structure in a fast-paced, dynamic environment
Attributes
You love interacting with people, practicing excellent communication and interpersonal skills
You enjoy being the “face” of a clinic or business and representing the brand via an extremely positive, friendly and helpful attitude
You are exceptional at managing many tasks and do not feel overwhelmed by multitasking
You focus on the details and are able to organize and prioritize them along the way
You obsess over growth and process improvement and love learning new tools, processes and systems to aid in continual improvement
You thrive in highly collaborative, fast-paced environments
Benefits
Competitive compensation
Health; dental & vision, with an HSA/FSA option
401(k) with employer match
Paid time off
Paid parental leave
Diana Health Culture
Having a growth mindset and striving for continuous learning and improvement
Positive, can do / how can I help attitude
Empathy for our team and our clients
Taking ownership and driving to results
Being scrappy and resourceful
Auto-ApplyPatient Services Coordinator
Patient service representative job in Spring Hill, FL
Monash IVF Group are leading the future of reproductive care At Monash IVF Group we're trying to change the way society thinks and acts in relation to their fertility. We're removing stigmas, empowering people to make better decisions and to take action earlier. Ultimately, we are trying to improve everyone's chance of having a family.
The reality is, we know starting a family isn't always easy. It can take real bravery by our patients, and a lot of empathy and support from our Monash IVF Team. That's why it's so important that the people we select to join our team are genuinely compassionate and caring, and truly want to make a difference. If this sounds like you, read on.
A role with unique responsibilities
You will be the first-person patients meet when they engage with our clinic. With exceptional service, underpinned by compassion and attention to detail, you will directly enhance the patient experience.
Your responsibilities include:
* Delivering exceptional admin services to all internal and external stakeholders
* Ensuring best-in-class patient experience at all times
* Providing general administrative support to the team
* Managing patient bookings and monitoring clinic appointments
* Triage incoming calls and emails
* Accurate data entry into the patient management system
* Generate financial quotes and conduct financial chats with patients
* Processing and quoting medical billing in line with clinic requirements
Are you the ideal candidate for us?
Ideally you will bring the following:
* Experience with monitoring a phone switchboard in a professional manner
* Knowledge of medical terminology (desirable)
* Excellent communication skills and consistently applied throughout all communication channels
* Ability to apply the 5E patient experience principles- empathy, entrust, engage, empower, expectation
* Exceptional computer and IT skills, Microsoft Office Suite essential
* Strong attention to detail
* Ability to work cohesively within a multi-disciplinary team
* Superior time management skills with proven ability to multitask
* A willingness to embrace the Monash IVF Group principles - Care, Collaborate, Communicate, Commitment, Create.
Why work for us?
At Monash IVF Group, we are more than just a workplace -we are a passionate and innovative community dedicated to empowering individuals and making a real difference in the world of fertility. Our state-of-the-art facilities provide an inspiring environment where cutting edge technology meets compassionate care.
We believe in fostering a culture of continuous growth and development, offering extensive learning and development opportunities to help you advance your career.
Monash IVF Group values each and every one of our employees
Leading the evolution of care means caring for our people. We ensure all employees feel included, supported and valued. Being part of the Monash IVF Group gives you access to many benefits, including the following:
* A Learning & Development Framework that supports your professional development
* Participation in an annual Mentor Program
* Ability to join our team of Peer Support Champions
* Access to a contemporary Employee Assistance Program for employee wellbeing; physical, mental, social and financial.
* Discounts on MIVFG fertility and ultrasound services
* Paid IVF Leave
* Paid Parental and Partners Leave
* Access to Fitness Passport Gym Membership
* Celebrate successes through our Internal Recognition Program.
* Benefit from our Employee Referral Program when you bring great talent onboard.
If you're ready to join the brave leaders of reproductive care, please follow the link below.
Closing Date: 2 January 2026 (if not filled prior)
Lizzy Herbert
HR Business Partner
******************************
All personal information received by us from you or about you will be stored, used and disclosed by us in accordance with our Privacy of Your Information Policy.
Easy ApplyPatient Engagement Specialist
Patient service representative job in Ocala, FL
Job DescriptionDescription:
The Patient Engagement Specialist is responsible for supporting the recruitment and pre-screening of potential clinical trial participants. This individual plays a key role in patient communication, recruitment strategies, and study-specific engagement to ensure successful enrollment and a positive participant experience. The role requires high levels of organization, professionalism, and collaboration across departments.
Responsibilities
Explain study details to prospective participants clearly and compassionately.
Conduct phone screenings using IRB-approved scripts.
Respond promptly to participant questions and escalate complex inquiries to the Recruitment Director.
Develop positive and trusting relationships with participants to encourage continued engagement.
Coordinate with the Recruitment Director on advertising and outreach plans.
Conduct thorough chart reviews to identify eligible patients per protocol criteria.
Maintain communication with coordinators regarding availability and potential challenges.
Represent Renstar positively during sponsor and CRO interactions to encourage future collaborations.
Requirements:
Skills
Excellent written and verbal communication skills.
Strong organizational and problem-solving abilities.
High attention to detail and ability to manage multiple tasks simultaneously.
Compassionate, ethical, and professional in all interactions.
Knowledge of GCP, HIPAA, and clinical trial protocol requirements.
Experience in patient recruitment or clinical research preferred.
Patient Access Specialist
Patient service representative job in Maitland, FL
# Job Description ## Data Entry / Customer Service Support Representative This role provides data entry and customer service support to assist with overflow needs across multiple teams. The position focuses on accurately creating and updating customer accounts and service cases while delivering responsive support in a fast-paced, high-volume environment. (Please see email communication for available shift schedules.)
### Key Responsibilities
- Perform accurate and timely data entry tasks, including creation of accounts and service cases.
- Update and maintain account information received from Medical Billers and related internal sources.
- Provide customer service support to assist with overflow volume from other teams.
- Ensure data accuracy and completeness across all records and documentation.
- Communicate professionally with internal teams and external stakeholders as needed.
- Support special projects and additional assignments as required.
Requirements### Required Qualifications
- Strong, accurate data entry skills with exceptional attention to detail.
- Preferred experience in Specialty Pharmacy or customer service environments.
- Professional-level computer proficiency, including:
- Microsoft Office applications
- Email and web-based platforms
- Keyboarding and general data entry skills
- Experience working with individuals in high-pressure, time-sensitive situations (via telephone or face-to-face) that require problem-solving, decision-making, sound judgment, and strong customer service capabilities.
- This experience may be obtained through a combination of professional work and post-secondary education and does not need to come exclusively from a traditional customer service role.
- Strong multitasking abilities and effective time management skills.
- Ability to perform effectively in a high-volume, fast-paced environment.
- Dependable with a strong work ethic.
- Ability to receive, implement, and respond positively to performance feedback and coaching.
### Preferred Experience
- Experience working with databases, CRM platforms, or tracking systems (Salesforce CRM preferred).
- Background in the healthcare or pharmaceutical industry.
- Understanding of the challenges faced by patients managing medical conditions.
PATIENT SERVICES COORDINATOR
Patient service representative job in Ocala, FL
Job Description
Join our team and make a difference in patient care every day!
Job Type: Full-Time Schedule: Hours vary (Monday - Friday; weekly schedule provided)
About Us Radiology Associates is a trusted leader in diagnostic imaging and proudly recognized as a
Breast Imaging Center of Excellence
by the American College of Radiology. We are committed to delivering high-quality, patient-centered care in a supportive and professional environment. Join a collaborative, purpose-driven team making a real impact across our Florida communities through innovation in healthcare.
Position Overview
We are seeking a Full-time Patient Services Coordinator to join our fast-paced outpatient imaging center in Ocala, FL. In this role, you'll be the first point of contact for patients and play a vital part in ensuring a positive and efficient experience. You will handle patient registration, verify insurance information, and provide exceptional customer service in a professional and compassionate manner.
Key Responsibilities
Greet and assist patients in a courteous and professional manner
Collect copays, deductibles, and outstanding balances
Review scheduled appointments and radiology orders for accuracy
Verify insurance information and obtain necessary authorizations
Accurately enter demographic and insurance data into the system
Answer multi-line phones and direct calls appropriately
Provide excellent customer service, addressing patient needs and questions
Qualifications
High School Diploma or GED required
Minimum 1 year of experience in a medical office or healthcare setting
Strong computer and data entry skills
Excellent communication and customer service abilities
Knowledge of medical terminology preferred
Familiarity with Medicare, Medicaid, PPOs, and HMOs a plus
Benefits
Radiology Associates offers a comprehensive benefits package, including:
Medical, Dental, and Vision Insurance
Paid Time Off (PTO) and Paid Holidays
Company-Paid Life and AD&D Insurance
Employee Assistance Program (EAP)
Travel and Identity Theft Protection
Employee Recognition Programs
401(k) Retirement Program
Employee Referral Bonus Program
Additional Information
Equal Opportunity Employer - We comply with all applicable federal, state, and local laws.
Drug-Free & Tobacco-Free Workplace - We are committed to a safe and healthy environment.
E-Verify Participant - We participate in E-Verify to confirm work eligibility in the U.S.
Patient Services Specialist II (Primary Care, Sanford)
Patient service representative job in Sanford, FL
Nemours is seeking a Patient Services Specialist II (Primary Care, Sanford), FULL-TIME, to join our Primary Care team in Sanford, Florida. Nemours primary care practices provide a kid-friendly, family-centered pediatric primary care experience for families in Central Florida. With 20 primary care and three urgent care practices conveniently located throughout the region, we provide quality, professional pediatric services with special attention on preventive care and whole-child wellness.
This position is responsible for: To perform as a customer service representative for assigned divisions accurately obtaining and entering all essential information needed to complete registration and scheduling processes following standard business practices. Provide service to internal and external customers as a member of the clinic team.
Customer service: answer phone lines in a prompt and courteous manner, triage call and handle appropriately.
Registration: collect, maintain and ensure accuracy of information through the use of standard business practices.
Coordinate all necessary paperwork for registration, scheduling, and appointment.
Financial: collect, verify and maintain patient insurance information, including authorizations and referrals.
Collect co- pays, deductible, co-insurance and balances on accounts. End of day balancing.
Scheduling: understanding visit types, templates and fundamentals of how to efficiently schedule an office visit. Manage no-show and cancelation process. Confirm appointments with patient/guardian. Prepare charts with the appropriate paperwork for the physician visit.
Communication: triage and manage electronic communication daily. Scan all new paperwork into EMR or place in patient chart. Scan incoming mailed and faxed patient results into EMR and task the physician responsible for reviewing OR place information with patient chart and for provider to review. Check in and checkout patients in office.
Coordinates the release of information and medical record process. Process all incoming and outgoing medical record requests.
Ensures coding information is complete on billing documents.
All other duties as assigned by supervisor.
Job Requirements
High School Diploma required.
Specialized (1 year of training beyond high school).
Minimum of one (1) to three (3) years' experience preferred.
Customer Service and Healthcare experience preferred.
Medical Office/Call Center experience preferred.
Travel to other primary care locations as needed for coverage is required.
What We Offer
Competitive base compensation in the top quartile of the market
Annual incentive compensation that values clinical activity, academic accomplishments and quality improvement
Comprehensive benefits: health, life, dental, vision
Mortgage assistance, relocation packages and 403B with employer match, 457 retirement savings plans
Licensure, CME and dues allowance
Not-for-profit status; eligibility for Public Service Loan Forgiveness
For those living and working in Florida, enjoy the benefit of no state income tax. Those based in Delaware benefit from the state's moderate tax structure.
Located in Orlando, Fla., Nemours Children's Hospital is the newest addition to the Nemours integrated healthcare system. Our 100-bed pediatric hospital also features the area's only 24-hour Emergency Department designed just for kids as well as outpatient pediatric clinics including several specialties previously unavailable in the region. A hospital designed by families for families, Nemours Children's Hospital blends the healing power of nature with the latest in healthcare innovation to deliver world-class care to the children of Central Florida and beyond. In keeping with our goal of bringing Nemours care
#LI-MW1
Auto-ApplyPatient Care Coordinator
Patient service representative job in Apopka, FL
Job Description
Join RadX Inc. in as a Patient Care Coordinator and immerse yourself in a role that emphasizes the human connection in healthcare. Experience the fulfillment of making a direct impact on patients' lives by coordinating their care journey in a dynamic, onsite environment.
Here, you will collaborate with a dedicated team that values empathy and safety, reinforcing a culture of high performance and professionalism. Your contributions will play a pivotal role in enhancing patient experiences and ensuring care quality. You will have the opportunity to engage directly with patients, addressing their needs and making their healthcare journey smoother.
This is more than just a position; it's an opportunity to be a part of a mission-driven organization that prioritizes compassionate care. As a full time team member you'll be able to enjoy benefits such as Medical, Dental, Vision, 401(k), Paid Time Off, and Employee Discounts. If you are passionate about fostering positive patient interactions and are ready for a challenging yet rewarding role, we encourage you to apply.
Your day as a Patient Care Coordinator
As a Patient Care Coordinator at RadX Inc., you will be responsible for managing daily patient interactions with empathy and professionalism. Your day-to-day tasks will include greeting patients, scheduling appointments, and ensuring that all necessary documentation is in order. You will serve as the primary point of contact, addressing patient inquiries and coordinating with healthcare providers to facilitate seamless care.
Additionally, you will handle insurance verification and assist patients in navigating their healthcare options. Regular communication with the clinical team will be essential to streamline patient flow and address any emerging issues. You will also be expected to maintain accurate records and contribute to continuous improvement in patient satisfaction.
As you settle into your role, embracing a proactive approach and a high-performance mindset will be key to your success in this position.
Would you be a great Patient Care Coordinator?
To excel as a Patient Care Coordinator at RadX Inc. Apopka, you will need:
2+ years in medical office or radiology setting is
REQUIRED
Knowledge of medical terminology is required
Strong interpersonal skills and a compassionate approach to patient care.
Effective communication is crucial, as you'll be interacting with patients, their families, and healthcare professionals daily.
The ability to actively listen and empathize will help you address patient concerns with sensitivity.
Organizational skills are vital for managing appointments, documentation, and follow-ups efficiently.
Attention to detail will ensure that patient information is accurate and that care coordination runs smoothly.
Problem-solving abilities will allow you to navigate any challenges that arise, facilitating a seamless patient experience.
Time management skills will be essential in prioritizing tasks and maintaining a steady workflow in a fast-paced environment.
A willingness to adapt and learn will empower you to thrive in this role, contributing to RadX Inc.'s commitment to high-quality, patient-centered care.
Are you ready for an exciting opportunity?
So, what do you think? If you feel this is the right job for you, go ahead and apply! We look forward to meeting you!
A job offer is contingent upon a successful background check and drug screen.
Dermatology Billing Assistant
Patient service representative job in Leesburg, FL
Job DescriptionBenefits:
401(k)
Dental insurance
Flexible schedule
Health insurance
Opportunity for advancement
Paid time off
Profit sharing
Vision insurance
We are seeking a detail-oriented and motivated Dermatology Billing Assistant to join our team. This role supports our billing department with insurance verification, charge entry, claims follow-up, payments, and answering patient calls. The ideal candidate is organized, professional, and experienced with medical billingpreferably in dermatology or a specialty practice.
Key Responsibilities
Can assist when needed for Verifying insurance eligibility, benefits, and authorization requirements for dermatology services.
Enter charges into the billing system with accurate CPT, ICD-10, and modifier usage when needed.
Review provider documentation for completeness and compliance.
Follow up on unpaid or denied claims; correct and resubmit as needed.
Assist in preparing appeal letters and supporting documentation when needed..
Generate and send patient statements; answer billing-related questions.
Communicate effectively with providers, clinical staff, and insurance representatives.
Support daily, weekly, and monthly billing tasks as assigned from billers
Qualifications
Required: At least 1 year of medical billing experience (Dermatology preferred). but willing to train to right candidate
Strong understanding of insurance verification, CPT/ICD-10 coding, modifiers, and claim submission.
Experience with EMRs and billing software. Modernizing Medicine experience a plus
Ability to multitask, prioritize, and meet deadlines.
Excellent communication skills and attention to detail.
Knowledge of HIPAA and billing compliance standards.
Preferred Skills
Dermatology billing experience (biopsies, excisions, destructions, Mohs surgery).
Experience with appeals, prior authorizations, and patient collections.
What We Offer
Competitive pay based on experience
Health and Dental Benefits
401k with profit sharing
Paid time off and holidays
Supportive work environment and training opportunities
Room for advancement within the billing department
Patient Care Coordinator True Eye Experts Crystal River
Patient service representative job in Crystal River, FL
Position:Full-Time Total Rewards: Benefits/Incentive Information True Eye Experts has provided superior patient care in our community and we are committed to hiring team members who are dedicated to ensuring excellent vision care is provided to every patient. Our practice fosters a work culture which supports teamwork and builds upon the skills and talents of our employees. We value individuals of integrity who are positive, dependable, and flexible in their work. In return we provide a positive and supportive work culture, offer tremendous incentive opportunities, and support professional development.
Our Practice strives to improve quality of life for our patients each day by providing the finest in eye care, expert optical professionals, and an inviting environment. We provide a wide range of vision care services including full-scope optometric patient care, ocular disease management, routine comprehensive eye exams, refractive services, Vision Therapy, and more. Our Optometrists utilize their knowledge, efficiency, and the most modern technology to provide the best vision for everyone.
Our Practice is a part of TeamVision, a Management Service Organization within EssilorLuxottica, a global leader in the design, manufacturing, and distribution of ophthalmic lenses, frames, and sunglasses. Together, we provide operational excellence to eyecare professionals with an aim to be the leading eye care provider in our community.
GENERAL FUNCTION
This role supports the practice by coordinating the daily administration of doctors, visitors, and patients within the local practice. This position ensures an unsurpassed patient experience by seamlessly linking the doctor and other practice functions together. This role supports establishing the practice as the premier destination for all vision needs within the community.
MAJOR DUTIES & RESPONSIBILITIES
Greets patients without delay.
Promptly answers the telephone in a friendly and courteous manner.
Optimizes patients' satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by phone.
Keeps patient appointments on schedule by notifying doctor/provider of patient's arrival, reviewing service delivery compared to schedule, and reminding providers of service delays.
Facilitates reminder calls to patients for appointment confirmation and order pickup notification.
Records and updates financial information, collects patient charges, and files, collects, and expedites third-party claims.
Maintains business office inventory and equipment by checking stock to determine inventory level, anticipating needed supplies, partners with Practice Manager to order office supplies, and verifies receipt of supplies.
Protects patients' rights by maintaining confidentiality of medical, personal, and financial information in accordance with HIPAA.
Determines both medical and vision insurance eligibilty in accordance with patients current plan coverage.
Ensures all office systems are maintained.
Maintains a safe working environment for all team members and patients.
Maintains operations by following policies and procedures, reporting needed changes.
Contributes to team effort by accomplishing related tasks as needed.
Works weekends and evenings in support of the business needs (varies by location).
Adheres to attendance and daily time keeping requirements.
Adheres to all company policies and procedures.
Consistently maintains proper dress code.
Performs other administrative responsibilities as assinged by Practice Manager or as business needs.
BASIC QUALIFICATIONS
High School graduate or equivalent
2+ years of office experience in a healthcare setting
Strong customer service skills (internal and external)
Strong communicator and listener
Problem solving ability
Organization skills
PREFERRED QUALIFICATIONS
Familiarity with in-store technology, such as point-of-sale, patient record systems, and other software applications
Basic knowledge of services, products, vision insurance plans/coverage and office operations
Strong interpersonal skills
Employee pay is determined by multiple factors, including geography, experience, qualifications, skills and local minimum wage requirements. In addition, you may also be offered a competitive bonus and/or commission plan, which complements a first-class total rewards package. Benefits may include health care, retirement savings, paid time off/vacation, and various employee discounts.
Upon request and consistent with applicable laws, EssilorLuxottica will provide reasonable accommodations to individuals with disabilities who need assistance in the application and hiring process. To request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at ************ (be sure to provide your name and contact information so that we may follow up in a timely manner) or email ********************************.
We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, social origin, social condition, being perceived as a victim of domestic violence, sexual aggression or stalking, religion, age, disability, sexual orientation, gender identity or expression, citizenship, ancestry, veteran or military status, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave), genetic information or any other characteristics protected by law. Native Americans in the US receive preference in accordance with Tribal Law.
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Insurance Verification Specialist
Patient service representative job in Maitland, FL
AssistRx has engineered the perfect blend of technology and talent (you) to provide life sciences companies with an efficient solution to improve patient uptake, visibility and outcomes. Our talented team members provide therapy and healthcare system expertise to help patients achieve better results from care.
A growing organization, AssistRx views our people as our strongest asset. Join us as we continue to make a difference....
The purpose of this position is to help patients get access to the medications and therapies that they need.
This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's insurance and the coverage provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications.
Ensure cases move through the process as required in compliance with company requirements and the organization's defined standards and procedures; in a manner that provides the best level of service and quality
Conduct benefit investigations for patients by making outbound phone call to payers to verify patient insurance benefit information, navigate complex reimbursement barriers and seek resources to overcome the barriers
Verify patient specific benefits and document specifics including coverage, cost share and access/provider options
Identify any coverage restrictions and details on how to expedite patient access
Document and initiate prior authorization process and claims appeals
Report any reimbursement trends or delays in coverage to management
Requirements
In-depth understanding and experience with Buy & Bill, Major Medical & Pharmacy Benefit Coverage.
2 to 5 years of benefit investigation involving the analysis and interpretation of insurance coverage
3 to 5 years of experience interacting with healthcare providers in regard to health insurance plan requirements
Excellent verbal communication skills and grammar
Computer literacy/competence
Salesforce system experience preferred
Benefits
Supportive, progressive, fast-paced environment
Competitive pay structure
Matching 401(k) with immediate vesting
Medical, dental, vision, life, & short-term disability insurance
AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws.
All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check.
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position.
AssistRx does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid in the event of a hire
Auto-ApplyPATIENT SERVICES COORDINATOR
Patient service representative job in Ocala, FL
Job Description
Job Title: Patient Services Coordinator Job Type: Part Time (Monday, Friday and Saturday) Company: Radiology Associates of Ocala
About Us Radiology Associates of Ocala is a leader in diagnostic imaging and proudly recognized as a Breast Imaging Center of Excellence by the American College of Radiology. We are committed to delivering high-quality, patient-centered care in a supportive, professional environment. Join a collaborative, purpose-driven team making a real impact in the Ocala community through innovation in healthcare.
Position Overview
We are seeking a part-time Patient Services Coordinator to join our fast-paced outpatient imaging center. In this role, you will be the first point of contact for patients and play a vital part in ensuring a smooth and positive patient experience. You'll be responsible for accurately collecting and entering patient demographic and insurance information, verifying insurance details, and providing exceptional customer service.
Key Responsibilities
• Greet patients and collect copays, deductibles, and any outstanding balances
• Review scheduled appointments and radiology orders for accuracy
• Answer multi-line phone system and direct calls appropriately
• Verify insurance information and ensure all necessary authorizations are obtained
• Accurately enter demographic and insurance data into the system
• Provide excellent customer service to patients, addressing questions or concerns professionally
Qualifications
• High School Diploma or GED required
• Minimum of 1 year experience in a medical office or healthcare setting
• Strong computer and data entry skills
• Excellent customer service and communication skills
• Knowledge of medical terminology preferred
• Understanding of Medicare, Medicaid, PPOs, and HMOs is a plus
Benefits
Radiology Associates of Ocala offers a competitive and comprehensive benefits package, including:
• Affordable Medical, Dental, and Vision Insurance
• Paid Time Off (PTO) and Paid Holidays
• Paid Life and AD&D Insurance
• Employee Assistance Program (EAP)
• Travel Assistance and Identity Theft Protection
• Employee Recognition Programs
• 401(k) Retirement Program
• Employee Referral Bonus Program
Additional Information
Equal Opportunity Employer - We comply with all applicable federal, state, and local laws.
Drug-Free & Tobacco-Free Workplace - We are committed to a safe and healthy environment.
E-Verify Participant - We participate in E-Verify to confirm work eligibility in the U.S.