Utilization Management Representative I
Patient service representative job in Winston-Salem, NC
Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review.
How you will make an impact:
Managing incoming calls or incoming post services claims work.
Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests.
Refers cases requiring clinical review to a Nurse reviewer.
Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate.
Responds to telephone and written inquiries from clients, providers and in-house departments.
Conducts clinical screening process.
Authorizes initial set of sessions to provider.
Checks benefits for facility based treatment.
Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers.
Additional expectations to include but not limited to: Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment; strong verbal and written communication skills, both with virtual and in-person interactions; attentive to details, critical thinker, and a problem-solver; demonstrates empathy and persistence to resolve caller issues completely; comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts.
Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary.
Performs other duties as assigned.
Minimum Requirements:
Requires HS diploma or GED and a minimum of 1 year of customer service or call-center experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
Medical terminology training and experience in medical or insurance field preferred.
Behavioral health medical terminology strongly preferred.
For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Job Level:
Non-Management Non-Exempt
Workshift:
Job Family:
CUS > Care Support
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-ApplyPatient Care Coordinator
Patient service representative job in High Point, NC
Our office, Asheboro Oral Surgery - High Point, is seeking a Patient Care Coordinator to join our busy specialty practice.
Our office is looking for a talented and pleasant patient care coordinator to take on all administrative and front office duties to provide an exceptional experience to all patients and visitors. Here is what you need to know about the role, our team and why we could be the right next step in your career.
Your Responsibilities
You will be responsible for making a positive and lasting first impression. The ideal candidate should bridge the gap between customer obsession and clerical management. You should be able to deal with complaints and give accurate information. The goal is to make guests and visitors feel comfortable and valued while during their visit which means the following:
Welcoming patients to the dental office
Maintaining accurate patient records
Answering all incoming calls and redirecting them or keeping messages
Check, sort and forward emails
Keep updates records and files
Keep front desk tidy and presentable with all necessary material (pens, forms, paper ect.)
Ability to work 40 hours a week
As an essential member of our office, you will also help to facilitate/coordinate other office responsibilities as needed.
Your Background
You are a resourceful Patient Care Coordinator that strives to ensure patients receive the experience they deserve. You're a team player that is adaptable to new and challenging tasks. You're an enthusiastic, passionate and collaborative problem-solver who is always proactively striving for excellence. You also have the following:
3 years of proven experience in a dental front office role
Oral Surgery insurance experience required
Familiarity with office machines (e.g fax, printer ect.)
Strong communication and people skills
Good organizational and multi-tasking abilities
Problem-solving skills
Customer service orientation
A high school diploma
Desires to help your patients
If this sounds like you, you will fit right in with the team!
Why You Should Join Our Team
A career with us is a chance to work with everyone involved in the future of Specialty dental care. Dental Assistants, Sterilization Technicians, Office Managers, Patient Care Coordinators and many more all work together to improve the patient care experience and great clinical results.
We strive to build and maintain an environment where employees from all backgrounds are valued, respected, and have the opportunity to succeed. You will also find a culture of continuous learning and a commitment to supporting our team members in all aspects of their lives-at home, at work and everywhere in between.
Your Benefits & Perks:
BCBS High Deductible & PPO Medical insurance Options
VSP Vision Coverage
Principal PPO Dental Insurance
Complimentary Life Insurance Policy
Short-term & Long-Term Disability
Pet Insurance Coverage
401(k)
HSA / FSA Account Access
Identity Theft Protection
Legal Services Package
Hospital/Accident/Critical Care Coverage
Paid Time Off
Diverse and Inclusive Work Environment
Strong culture of honesty and teamwork
We believe in transparency through the talent acquisition process; we support our team members, past, future, and present, to make the best decision for themselves and their families. Starting off on the right foot with pay transparency is just one way that we are supporting this mission.
Position Base Pay Range
$16 - $28.50 USD
Specialty1 Partners is the direct employer of non-clinical employees only. For clinical employees, the applicable practice entity listed above in the job posting is the employer. Specialty1 Partners generates job postings and offer letters to assist with human resources and payroll support provided to the applicable practice. Clinical employees include dental assistants and staff assisting with actual direct treatment of patients. Non-clinical employees include the office manager, front desk staff, marketing staff, and any other staff providing administrative duties.
Specialty1 Partners and its affiliates are equal-opportunity employers who recognize the value of a diverse workforce. All suitably qualified applicants will receive consideration for employment based on objective criteria and without regard to the following (which is a non-exhaustive list): race, color, age, religion, gender, national origin, disability, sexual orientation, gender identity, protected veteran status, or other characteristics in accordance with the relevant governing laws. Specialty1 Partners' Privacy Policy and CCPA statement are available for view and download at **************************************************
Specialty1 Partners and all its affiliates participate in the federal government's E-Verify program. Specialty1 further participates in the E-Verify Program on behalf of the clinical practice entities which are supported by Specialty1. E-Verify is used to confirm the employment authorization of all newly hired employees through an electronic database maintained by the Social Security Administration and Department of Homeland Security. The E-Verify process is completed in conjunction with a new hire's completion of Form I-9, Employment Eligibility Verification upon commencement of employment. E-Verify is not used as a tool to pre-screen candidates. For up-to-date information on E-Verify, go to **************** and click on the Employees Link to learn more.
Specialty1 Partners and its affiliates uses mobile messages in relation to your job application. Message frequency varies. Message and data rates may apply. Reply STOP to opt-out of future messaging. Reply HELP for help. View our Privacy & SMS Policy here. By submitting your application you agree to receive text messages from Specialty1 and its affiliates as outlined above.
Auto-ApplyFloating Patient Service Representative
Patient service representative job in Winston-Salem, NC
Job Summary:Optimizes patient satisfaction, patient flow, medical revenue and practice operations by demonstrating flexibility in front office functions including, but not limited to, providing superior customer service, facilitating the registration process, recording patient charges, scheduling appointments, collecting patient fees and recordkeeping/data entry.
This position is a Floating Position that will travel between our Winston-Salem, Mount Airy, Elkin, Clemmons and Kernersville offices.
Essential Functions:
Presents a positive first impression of the practice by answering inbound telephone calls, greeting patients in a warm and friendly manner, and maintaining neat and attractive reception, waiting/children's areas . Assisting new patients with completing medical history and information forms , Registering patients' efficiently. Keeping patients informed about wait times; maintaining a neat work area; projecting a professional image.
Facilitates smooth patient flow by cross covering in all areas; while making optimal use of patient and provider time. Generating encounter forms/routing slips for each visit. Notifying clinical staff of patients' readiness for appointments and monitoring wait times; advising clinical staff and offering patients options when wait times exceed practice standards. Document late, cancel or no show appointments.
Ensures complete, accurate and up-to-date records needed to submit clean claims by obtaining demographic and insurance information from new and existing patients. Scanning photo ID's and insurance cards into patients' computerized record
Supports practice revenue goals by collecting and posting co-pays, deductibles and outstanding balances at time of service using script(s) provided; ensuring referrals have been received if required. Recording and posting payments received into patient's computerized account as well as in other record keeping systems per practice protocols. Obtaining clarification from the provider for any omissions/questionable charges; reviewing patients' insurance coverage.
Supports patient compliance with treatment plans by scheduling return appointments in accordance with scheduling guidelines and provider orders; maintains a list of patients who did not keep scheduled appointments for provider review; scheduling/ placing appointment reminder calls accordingly into patients' electronic medical health record.
Supports sound fiscal operations by posting quick pay receipts for all cash, checks and credit card payments. Notating all quick pay receipts on patients encounter form. Count and log cash drawer daily. Assists with segregation of accounting duties as requested; etc.
Protects patient confidentiality and privacy by complying with HIPAA provisions and practice policy when using or disclosing medical records; screening anyone entering the practice and requiring visitors and vendors to sign a HIPAA log; positioning monitor and documents so that only authorized persons can view PHI; etc.
Complies with OSHA requirements and minimizes risk to patient, co-workers and self by maintaining a working knowledge regarding the safe and proper use and operation of equipment, checking equipment for safety before using and otherwise observing all safety precautions when performing job duties; demonstrating knowledge of emergency procedures; etc.
Organizes the flow of practice information by routing calls to the appropriate staff person/position or provider; taking complete and accurate messages; sorting and distributing mail; providing clerical assistance as workflow permits.
Contributes to teamwork environment by expanding job knowledge through relevant workshops and continuing education; becoming cross-trained in the duties of other staff as directed; obtaining and maintaining all certifications required for her/his position and other positions in which s/he has been cross-trained; filling in for other staff as directed by her/his supervisor.
Requirements
Minimum Requirements:
High school diploma or equivalent; completion of a medical office assisting curriculum preferred
Prior customer service/business office experience; preferable in a medical facility; EHR experience helpful
Must be willing to travel to satellite offices
Key Competencies:
Customer service orientation
Ability to handle multiple tasks simultaneously
Verbal/written communication skills (spelling)
Detail-oriented
Data entry (45 WPM minimum)
Organizational skills
Computer skills (especially practice PMS, EHR)
Coding (CPT, ICD-9, HCPCS, etc.) knowledge
Teamwork/team participation
Work ethic
Patient Service Representative
Patient service representative job in High Point, NC
Provides exceptional customer service by answering phone calls and ensuring patient needs are met with care and efficiency. Handles variety of call types while representing the company's commitment to quality, compassion, and support.
Essential Functions and Job Responsibilities:
LEVEL 1 - Patient Service Representative
* Answers calls and emails in timely manner, meeting performance goals
* Handles standard call types: tank requests, ETA inquiries, pick-up requests, location assistance, order status, pricing inquiries
* Documents call information per standard operating procedures
* Answers questions about products, services, retail stores, and general service information
* Verifies insurance carriers in database system
* Resolves customer complaints with problem-solving approach
* Maintains working knowledge of current products and services
* Adheres to HIPAA guidelines and maintains patient confidentiality
LEVEL 2 - Patient Service Representative
All Level 1 duties plus:
* Handles advanced call types: oxygen (O2) services, DME, insurance verification/clarification
* Processes payments, orders, and returns
* Troubleshoots equipment issues and provides advanced care solutions
* Resolves escalated issues or hands off with clear documentation
* Serves as resource to Level 1 representatives for knowledge sharing and skill development
LEVEL 3 - Lead, Patient Service Representative
All Level 1 and 2 duties plus:
* Serves as subject matter expert and primary resource for team
* Conducts new hire training and mentors team members
* Handles escalated calls and complex issues with appropriate follow-up
* Identifies root causes of service issues and collaborates on process improvements
* Prepares reports for leadership and other departments
* Supports departmental standards and Patient Experience initiatives
* Assists with task coordination and ensures adherence to workflows
* Collaborates with supervisor on performance metrics and service excellence
Competency, Skills and Abilities:
Customer Service & Communication
* Deliver exceptional customer service with empathy, patience, and professionalism
* Demonstrate active listening and clear verbal/written communication skills
* Effectively address patient needs, concerns, and inquiries
Technical Proficiency
* Strong problem-solving and analytical thinking abilities
* High attention to detail in documentation and data verification
* Proficient in computers, Microsoft Office, and database systems
* Excellent multitasking and prioritization in fast-paced environments
Professional Attributes
* High emotional intelligence to handle stressful situations with compassion
* Adaptable and flexible with changing processes and technologies
* Self-motivated with ability to work independently and take initiative
* Strong team collaboration and cooperative work style
* Commitment to continuous learning and professional development
Healthcare Knowledge
* Familiarity with Medicare, Medicaid, and commercial insurance processes (preferred)
* Understanding of healthcare documentation requirements
Compliance & Confidentiality
* Strict adherence to HIPAA regulations and patient confidentiality
* Full compliance with company policies and referral guidelines
Requirements
Education and Experience Requirements:
* High school diploma or equivalent required
* Associate's degree in healthcare administration, Business Administration, or related field preferred
* Previous experience in healthcare, insurance, medical billing, or patient services preferred.
* Knowledge of respiratory therapy or DME services preferred.
* Level I: (Entry Level):
One (1) year of work-related experience
* Level II:
One (1) year of work-related experience plus
Two (2) years exact job experience
* Lead Level:
One (1) year of work-related experience plus
Four (4) years exact job experience
Physical Demands and Work Environment:
Physical Requirements
* Ability to sit for extended periods with prolonged computer screen exposure
* Must be able to bend, stoop, stretch, stand, and move between sitting/standing positions
* Perform repetitive hand, wrist, and finger motions due to extensive computer and phone use
* Occasional lifting of 5-10 pounds as needed
* Clear speech, hearing ability, and manual dexterity required
Work Environment
* High-volume call center environment with fluctuating stress levels
* Extended computer and telephone use throughout workday
* Potential exposure to angry or upset customers/patients
* Possible exposure to hazardous materials, loud noise, temperature extremes
* Risk of contact with airborne, bloodborne, or other infectious pathogens
Mental and Communication Demands
* Maintain mental alertness to perform essential job functions
* Demonstrate empathy, compassion, courtesy, and respect for patient privacy
* Effective verbal and written communication skills required
Schedule Requirements
* Flexible scheduling to support business hours and after-hours programs as needed
* Adaptability to varying work levels and office activity fluctuations
Patient Representative - Greensboro
Patient service representative job in Greensboro, NC
We are searching for
compassionate and energetic
individuals to join our team! We are seeking a Full-time Patient Representative for our Greensboro office. Come play a part in changing the lives of patients every day and work for an organization that has consistently been named one of the area's Top Workplaces. The ideal candidate has at least 1 year of healthcare front desk experience. Candidates without front desk experience should have some medical office education and knowledge of medical terminology and insurance. Prior experience in a busy medical practice is highly favored. Must have the ability to multi-task in fast paced environment while ensuring excellent patient care.
Checks in patients; collects payments; verifies and/or updates insurance.
Obtains proper insurance documentation and demographic information following HIPAA standards.
Processes new patient paperwork and/or updated paperwork.
Follows established procedures to prepare for upcoming appointments.
Explains insurance authorization to patients as necessary.
Counts petty cash and documents on log.
Applies our values in decision-making and interactions with all individuals.
Promotes a positive work environment through effective teamwork
Other duties as assigned by changing needs, patient flow, or physician request.
This posting is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities of this position. CNSA retains the discretion to add to or change the job responsibilities of any position at any time with or without notice.
Hours: Weekly Rotating Schedule with flexibility to meet business needs Monday - Friday: 8:30am - 5pm Monday - Friday: 7:30am - 4pm Company Culture Expectations:
Reflects CNSA Core Values in all job responsibilities and interactions
Compassion: Treats others with compassion and empathy
Teamwork: Collaborates with all team members
Communication: Communicates effectively and with positivity
Integrity: Acts with integrity and accountability
Innovation: Remains open-minded to new ideas and continual improvement
Community: Treats every patient and team member as a part of the CNSA community
Participates in department or system wide improvement plans
Performs high quality work that is neat, accurate, complete, and on time
Offers assistance to all patients by promptly responding to requests and needs
Asks questions to gain full understanding of assignments
Adapts to changing assignments and responsibilities
Apply Today!
Providing Compassionate, Quality Care - Together
Patient Care Coordinator
Patient service representative job in Winston-Salem, NC
Benchmark Physical Therapy, a brand partner of Upstream Rehabilitation, is looking for a Patient Care Coordinator to join our team in Winston Salem, NC! Are you looking for a position in a growing organization where you can make a significant impact on the lives of others?
What is a Patient Care Coordinator?
* A Patient Care Coordinator is an entry-level office role that is responsible for maintaining pleasant and consistent daily operations of the clinic.
* Our Patient Care Coordinators have excellent customer service skills.
* Patient Care Coordinators learn new things - a lot! The Patient Care Coordinator multitasks in multiple computer programs each day.
A day in the life of a Patient Care Coordinator:
* Greets everyone who enters the clinic in a friendly and welcoming manner.
* Schedules new referrals received by fax or by telephone from patients, physician offices.
* Verifies insurance coverage for patients.
* Collects patient payments.
* Maintains an orderly and organized front office workspace.
* Other duties as assigned.
Fulltime positions include:
* Annual paid Charity Day to give back to a cause meaningful to you
* Medical, Dental, Vision, Life, Short-Term and Long-Term Disability Insurance
* 3-week Paid Time Off plus paid holidays
* 401K + company match
Position Summary:
The Patient Care Coordinator - I (PCC-I) supports clinic growth through excellence in execution of the practice management role and patient intake processes. This individual will work in collaboration with the Clinic Director (CD) to carry out efficient clinic procedures. The PCC-I position is responsible for supporting the mission, vision, and values of Upstream Rehabilitation.
Responsibilities:
* Core responsibilities
* Collect all money due at the time of service
* Convert referrals into evaluations
* Schedule patient visits
* Customer Service
* Create an inviting clinic atmosphere.
* Make all welcome calls
* Monitor and influence arrival rate through creation of a great customer experience
* Practice Management
* Manage schedule efficiently
* Manage document routing
* Manage personal overtime
* Manage non-clinical documentation
* Manage deposits
* Manage caseload, D/C candidate, progress note, and insurance reporting
* Monitor clinic inventory
* Training
* o Attend any required training with the Territory Field Trainers (TFT) for Raintree and other business process updates.
* Complete quarterly compliance training.
Qualifications:
* High School Diploma or equivalent
* Communication skills - must be able to relate well to Business Office and Field leadership
* Ability to multitask, organizational detail, ability to meet deadlines, work with little to no supervision
* As a member of a team, must possess efficient time management and presentation skills
Physical Requirements:
* This position is subject to inside environmental conditions: protections from weather conditions but not necessarily from temperature changes; exposed to noise consistent with indoor environment.
* This is a full-time position operating within normal business hours Monday through Friday, with an expectation of minimum of 40 hours per week; May be required to attend special events some evenings and weekends, or work additional hours as needed.
* This position is subject to sedentary work.
* Constantly sits, with ability to interchange with standing as needed.
* Constantly communicates with associates, must be able to hear and speak to accurately exchange information in these situations.
* Frequently operates a computer and other office equipment such as printers, phone, keyboard, mouse and copy machines using gross and fine manipulation.
* Constantly uses repetitive motions to type.
* Must be able to constantly view computer screen (near acuity) and read items on screen.
* Must have ability to comprehend information provided, use judgement to appropriately respond in various situations.
* Occasionally walks, stands, pushes or pulls 0-20 lbs., lifts 0-20 lbs. from floor to waist; carries, pushes, and pulls 0-20 lbs.
* Rarely crawls, crouches, kneels, stoops, climbs stairs or ladders, reaches above shoulder height, lifts under 10 lbs. from waist to shoulder.
This job description is not an all-inclusive list of all duties that may be required of the incumbent and is subject to change at any time with or without notice. Incumbents must be able to perform the essential functions of the position satisfactorily and that, if requested, reasonable accommodations may be made to enable associates with disabilities to perform the essential functions of their job, absent undue hardship.
Please do not contact the clinic directly.
Follow @Lifeatupstream on Instagram, and check out our LinkedIn company page to learn more about what it's like to be part of the #upstreamfamily.
CLICK HERE TO LEARN EVEN MORE ABOUT UPSTREAM
Upstream Rehabilitation is an Equal Opportunity Employer that strives to provide an inclusive work environment where our differences are celebrated for the value they bring to our communities, our patients and our teammates. Upstream Rehabilitation does not discriminate on the basis of race, color, national origin, religion, gender (including pregnancy), sexual orientation, age, disability, veteran status, or other status protected under applicable law.
Patient Services Technician Specialist/ Phlebotomist
Patient service representative job in Graham, NC
Exhibit proficiency in all of the following: blood collection by venipuncture and capillary technique from patients of all age groups, urine drug screen collections, paternity collections, breath/saliva alcohol testing, LCM/Cyber Tools, TestCup, pediatric blood collections, difficult draws (patients in mental retardation facilities, long-term care facilities, drug rehabilitation facilities, prisons, psychiatric facilities, or similar facilities).
Additional Information
For any queries please call me back @ ************
Thank you,
Patient Services Coordinator Scheduler Home Health LPN
Patient service representative job in Lexington, NC
Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We're committed to expanding what's possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative.
At Enhabit, the best of what's next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients.
Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include:
* 30 days PDO - Up to 6 weeks (PDO includes company observed holidays)
* Continuing education opportunities
* Scholarship program for employees
* Matching 401(k) plan for all employees
* Comprehensive insurance plans for medical, dental and vision coverage for full-time employees
* Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees
* Flexible spending account plans for full-time employees
* Minimum essential coverage health insurance plan for all employees
* Electronic medical records and mobile devices for all clinicians
* Incentivized bonus plan
Responsibilities
Schedule patients to branch field clinicians. Communicate with field staff, patients, physicians, referral sources, caregivers, and other service providers in order to maintain proper care coordination and continuity of care. Manage the on-call notebook and hospitalization logs to enhance communication among stakeholders.
Qualifications
* Licensed Practical Nurse LPN required, licensed in the state of operation
* One year of clinical experience in a healthcare setting or one year of home health, hospice, or pediatric experience within the last 24 months.
* Demonstrated understanding of staffing and scheduling requirements related to home care services.
* Must have basic demonstrated technology skills, including operation of a mobile device.
Requirements*
* Must possess a valid state driver license
* Must maintain automobile liability insurance as required by law
* Must maintain dependable transportation in good working condition
* Must be able to safely drive an automobile in all types of weather conditions* For employees located in Oregon, requirements related to driving are not applicable unless employee has a clinical license
Additional Information
Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.
Auto-ApplyPatient Care Coordinator
Patient service representative job in China Grove, NC
Patient Care Coordinators are responsible for providing exceptional service by welcoming our patients and ensuring all check-in and checkout processes are completed.
Acknowledge and greets patients, customer, and vendors as they walk into the practice, in a friendly and welcoming manner
Answers and responds to telephone inquiries in a professional and timely manner
Schedules appointments
Gathers patients and insurance information
Verifies and enters patient demographics into EMR ensuring all fields are complete
Verifies vision and medical insurance information and enters EMR
Maintains a clear understanding of insurance plans and is able to communicate insurance information to the patients
Pulls schedules to ensure insurance eligibility prior to patient appointment and ensures files are complete
Prepare insurance claims and run reports to ensure all charges are billed and filed
Print and prepare forms for patients visit
Collects and documents all charges, co-pays, and payments into EMR
Allocates balances to insurance as needed
Always maintains a clean workspace
Practices economy in the use of _me, equipment, and supplies
Performs other duties as needed and as assigned by manager
Front Desk Coordinator - Greensboro, NC
Patient service representative job in Greensboro, NC
Front Desk Coordinator - Full Time to Part Time A better way to deliver care starts here! The Joint Chiropractic is revolutionizing access to care by delivering high-quality, affordable chiropractic services in a convenient retail setting. As the largest operator, manager, and franchisor of chiropractic clinics in the U.S., The Joint delivers more than 12 million patient visits annually across nearly 1,000 locations. Recognized by Forbes, Fortune, and Franchise Times, we are leading a movement to make wellness care more accessible to all.
Position Summary
We are seeking a goal-oriented, proactive, and service-minded Wellness Coordinator to join our team. This customer-facing role plays a key part in patient experience, front office operations, and clinic growth. If you're passionate about health and wellness, love helping people, and thrive in a fast-paced retail healthcare setting, this is the opportunity for you.
Key Responsibilities
* Greet and check in patients, providing a friendly and professional first impression
* Manage the flow of patients through the clinic in a timely, organized manner
* Present and sell wellness plans and membership packages confidently and accurately
* Support the clinic's sales goals by converting new and returning patients into members
* Answer phone calls and assist with appointment scheduling and patient inquiries
* Re-engage inactive members and maintain up-to-date patient records using POS software
* Assist with clinic marketing efforts and community outreach
* Maintain a clean, organized front desk and clinic environment
* Collaborate with team members and chiropractors to ensure a positive patient experience
Qualifications
* High school diploma or equivalent required
* Minimum one year of customer service and sales experience preferred
* Strong phone, computer, and multitasking skills
* Energetic, motivated, and confident in a goal-driven environment
* Positive attitude with a team-oriented mindset
* Must be able to stand/sit for long periods and lift up to 50 pounds
* Office management or marketing experience is a plus
Schedule
This role requires availability part-time to full-time with weekends as needed.
Compensation and Benefits
* Starting pay: $17.50 - $18.50 per hour + Bonus
* Medical, PTO, and holiday pay available for full-time
* Opportunities for career growth within The Joint network
Why Join Us
When you join The Joint, you're not just starting a new job-you're joining a movement. Our innovative model removes the barriers to care so that you can focus on what matters: helping patients feel better every day. You'll enjoy the stability of a full-time role, the freedom to grow your skills, and the support of a values-driven company where Trust, Respect, Accountability, Integrity, and Excellence shape every decision.
Business Structure
You are applying to work with a franchisee of The Joint Corp. If hired, the franchisee will be your only employer. Franchisees are independent business owners who set their own terms of employment, including wage and benefit programs, which may vary.
Ready to Join the Movement?
Apply today and start moving your career in the direction you want. For more information, visit ***************** or follow the brand on Facebook, Instagram, Twitter, YouTube and LinkedIn.
Patient Care Coordinator
Patient service representative job in Statesville, NC
We are seeking an experienced Patient Care Coordinator in the Statesville, NC area to join this brand-new office. This is a key role supporting the daily operations of the clinic, assisting patients, and ensuring smooth workflow. The ideal candidate must have prior hearing industry experience and be comfortable working independently with minimal supervision.
Key Responsibilities
Greet and check in patients, ensuring a professional and welcoming experience
Manage scheduling, appointments, and follow-up communications
Answer and make phone calls, handle patient inquiries, and respond to support requests
Assist clinical staff with daily operations and patient care logistics
Maintain accurate patient records and coordinate with providers as needed
Use CYCLE software for scheduling, patient management, and documentation
Support inventory management, ordering, and other administrative tasks as needed
Qualifications
Prior experience in a hearing healthcare or audiology setting
Strong proficiency with CYCLE software
Excellent communication, organizational, and multitasking skills
Ability to work independently and manage multiple responsibilities in a fast-paced environment
Professional, personable, and patient-focused demeanor
Compensation & Benefits
Hourly Rate: $20-$25 per hour, depending on experience
Opportunities to grow with a new practice and advance within the franchise network
Why This Opportunity is Unique
This role offers the chance to be part of a brand-new practice with significant autonomy and influence over daily operations. The ideal PCC will work alongside an experienced clinical provider to help launch and grow the office while delivering top-quality care to patients.
If you think this role could be a good fit, we'd love to chat!
Apply today!
HHR will disclose details in further conversation.
Contact us today!
Our service comes to you at no charge and your confidentiality is 100% protected.
Hearing Healthcare Recruiters is a professional job placement and recruiting firm that focuses exclusively on the hearing industry. We work with Academia, Audiologists, ENTs, Hearing Industry Manufacturers, Hearing Instrument Specialists, Hospitals, Manufacturer Representatives, Private Practices, and Retail Dispensaries.
Let's start a conversation -
Hearing Healthcare Recruiters: ************ (Pacific Time Zone)
HearingHealthcareRecruiters.com
Auto-ApplyMedical Referral/Authorization Clerk at Salem Solutions
Patient service representative job in Winston-Salem, NC
Job Description
Salem Solutions in Winston Salem, NC is looking for one medical referral/authorization clerk
Winston-Salem Medical Group is seeking an experienced Medical Insurance Referral and Authorization clerk. Must be available to work Monday through Friday 7:45am until 4:45pm.
Duties:
Handle all incoming new patient referrals and outgoing procedural referrals
Obtain pre-certifications/pre-determinations for procedures, treatment, medication, etc.
Provide backup for research of denied claims
Update insurance information, demographics and additional billing information
Prior experience working with EPIC or EMR related systems
This is a great opportunity to work with a well established practice. Those interested in being considered must submit a current resume to ************************. All resumes are held in the strictest of confidence. Only those meeting the above criteria will be contacted for an interview. Interviews will start immediately….
We are looking forward to reading your application.
Easy ApplyPatient Services Tech Specialist
Patient service representative job in Kernersville, NC
Blood collection by venipuncture and capillary technique from patients of all age groups Urine drug screen collections Paternity collections Breath/saliva alcohol testing LCM/Cyber Tools TestCup Pediatric Blood Collections Difficult draws (patients in various facilities)
Must have comprehensive understanding of compliance and safety, and is able to effectively communicate the importance of compliance and safety to other employees
Possess the ability and skills necessary to provide orientation and training
Administrative: Answer telephones, maintain logs/records, organizational skills, proficiency with numbers, research information, time management, train employees, use computerized databases, written and verbal communications.
Operate personal computer
Qualifications
Requires a High School Diploma or equivalent with 2+ yrs Experience
Phlebotomy Certification with 2+ yrs Experience
Requires a Valid Driver's License, along with a clean driving record
Legal Authorization to Work in the US
Additional Information
Shift: Mon-Fri,8am-5pm
3 Month Contract +/-
Pay: DOE
**Looking for candidates with good work history, good attendance record, a positive attitude, and willingness to learn. Must be able to pass a background check and drug screen.
Patient Access Specialist - Front Desk
Patient service representative job in Winston-Salem, NC
Job Details Entry DHS Winston Salem - Winston Salem, NC Undisclosed N/A Full Time High School Undisclosed Undisclosed Day Admin - ClericalDescription
Please visit *********************************** to complete our full application
Digestive Health Specialists, P.A., a leading gastroenterology group based in Winston Salem, is currently recruiting for a Patient Access Specialist (Front Desk) to join our team in Winston Salem. We are a well-established and growing practice; founded originally in 1979 and have grown to serve our patients now in 5 locations. Patients choose our practice for our experienced providers and staff who provide friendly, compassionate, high-quality and affordable care. No weekends, nights or call would apply for this position.
Summary
A front office team member is expected to greet everyone with a friendly and welcoming demeanor. Ensures patient check-in and check-out process is completed effectively and efficiently. DHS expects front office team members to provide excellent customer service to all patients, visitors and vendors that come to our offices. This position will travel to satellite locations as needed.
Qualifications
Skills Needed:
Typing skills with minimum of 40 WPM, Word and Excel experience/proficiency, Professional Communication, Detail Oriented, Patient Focused, Frequent Interaction With Others, Diplomacy and Tact, Dependable, Team Oriented, Ability to take direction, Ability to maintain Confidentiality
Requirements Include:
Must have transportation, current NC Driver's License without restrictions and vehicle insurance.
Flexibility and the ability to work check-in and check-out or scheduling at any time and in any location as needed.
Team work is required!
Patient Care Coordinator
Patient service representative job in Burlington, NC
Job Description
Piedmont Health Services, Inc. (PHS) is a 501(c)(3) nonprofit and Federally Qualified Health Center (FQHC) in North Carolina. Dedicated to delivering top-tier, accessible, and inclusive primary healthcare, PHS has proudly served for 55 years and remains the largest community health center in central NC. Operating 11 Community Health Centers, two PACE (Program of All-Inclusive Care for the Elderly) SeniorCare facilities, and 2 Mobile Health Units, PHS extends its services to residents across many counties, including Alamance, Caswell, Chatham, Orange, and Lee.
What's an FQHC?
Federally Qualified Health Centers (FQHC) are community-based healthcare providers that receive funds from the Health Resources and Services Administration (HRSA) Health Center Program to provide primary care services in under-served areas.
Job Title - Patient Care Coordinator
Department - Admin
Reports to - Center Manager
Benefits -
Medical, Dental, Vision, Life Insurance (Short & Long Term Disability)
403(b) Plan
Paid Holidays
CME (Continuing Medical Education)
About Position: Performs the following functions for the patient: Check-in, registration, completes EMR documentation, collects payments, qualifies patient for sliding fee, collects patient demographics, and provides in-person and telephonic customer service. Additionally, supports the clinical team by assisting with clinical documents.
Work Location: 5270 Union Ridge Road, Burlington, NC 27217
Schedule: Monday, Wednesday, Thursday, 8:00am - 5:00pm ; Tuesday 8:00am - 8:00pm ; Friday 8:00am - 1:00pm
Travel: As needed
Qualifications
Education: Diploma, High school diploma
Required: Excellent communication skills required.
Preferred Experience: One to two years of customer service in health care setting. Bilingual, Spanish-speaking applicants preferred
Immunizations: Be medically cleared for communicable diseases and have all immunizations up-to-date prior to beginning employment.
Pay Range: $16.43/Hourly - $22.08/Hourly
EEO STATEMENT
Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
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Patient Service Representative I- Atrium Health Cleveland Pain Management PT al
Patient service representative job in Cleveland, NC
Department:
37200 Atrium Health Cleveland - Pain Management
Status:
Part time
Benefits Eligible:
Yes
Hours Per Week:
24
Schedule Details/Additional Information:
Tuesday, Wednesday, and Thursday
Pay Range
$20.40 - $30.60
Part Time- Tues, Wed & Thurs 7:30a-4p
Major Responsibilities:
Responsible for performing all job duties in a way that conforms to our customer service philosophy and consistent with our "AIDET" standards
1) Greet and Acknowledge all patients and family members in a welcoming and prompt manner.
2) Introduce the patient to our services, what they can expect while under our care. Utlize appropriate etiquette in all communications.
3) Provide the patient with information on the likely time spent in the service area (duration) including time in registration and time in clinical service.
4) Explain the nature of our work, why we ask for demographic, socio-economic, and financial information. Explain how we safeguard their information and use it to provide better care for them.
5) Hand-patients off to the next area with a clear "thank you."
When creating new registrations for walk-in patients, responsible for the identifying insurance coverage, the benefits available, patient out-of-pocket expenses, and collecting co-insurance and co-payments.
4) Collecting appropriate out of pocket expenses in accordance with policy.
1) Uses electronic systems to confirm coverage while patient is present and discussing the findings with the patient. Follow established department policies to resolve issues related to patient's eligiblity for coverage or issues in in-network status for the patient using Advocate's network.
2) When working uninsured patients, screen for urgent status cases and follow charity procedure. Refer as appropriate for additional financial counseling. Engage leaders to resolve questions on urgent versus non-urgent/elective care.
3) When assisting walk-in patients, screen orders for compliance with policy. Work with physicians, Care Coordinators, and clinical department leaders to communicate and resolve issues related to order quality and acceptable standards.
Responsible for security authorization and precertification of inpatient and outpatient services.
5) Notify Financial Counseling, physicians, Care Coordinators, and Utilization Management on cases were patients are found to be uninsured, or where the only insurance is Third Party Liability or Workers Compensation
1) Maintains knowledge of all stand-alone computer software programs to verify eligibility.
6) Identify at risk balances related to Medicare co-days, lifetime reserve days and other Medicare coverage limits and communicate to Financial Counseling, UM and physicians
7) Identify at risk balances relate to Medicaid eligibility rules and communicate to Financial Counseling, UM and physicians
8) Initiates communication to patient when authorization is not obtained and explain the potential financial impact and the patient responsibility for unauthorized services
9) Accurately collects and analyzes clinical data in support of prior authorization, and precertification as required by payor guidelines
10) Acquires and maintains current knowledge of all insurance requirements as it relates to patient/hospital responsibility and hospital billing.
2) Stays current of all Federal and State regulations regarding billing.
3) Ensures completion of all established policies and procedures for identification and notification of the Primary Care Physician in the case of HMO coverage plans.
4) Informs Financial counseling, physicians, Care Coordinators and Utilization Management of out of network or noncovered service limitations of managed care/commercial insurance where benefits are at risk
Responsible the pre-registration and registration accuracy.
6) Maintains knowledge of State & Federal regulations governing Medicare, Medicaid and Mental Health registrations.
1) Ensure accurate entry of patient demographic, insurance information in the ADT system with special attention to carrier code assignment, complete benefit, eligibility record and authorization data
2) Pre-registers and registers patients using established procedures for computer entry for all ancillary and nursing units, keeping current with their specialized needs and preparing necessary documents/records when necessary.
3) During the pre-registration or registration encounter, provide detailed education to the patient the contents of documents and forms requiring patient signature.
4) Manage incoming and outgoing calls in order to complete pre-registrations with patients
5) Generates, assembles and processes all required documents for completion of each registration.
Participates in departmental team building activities and in-services and other miscellaneous duties as assigned by leader.
1) Contributes to the quality initiatives and mission by participating in team projects.
2) Attends all required departmental in-services to stay current of all job changes and responsibilities.
3) Assist leader in special assignments as may be needed to fulfill the mission of the department and the organization.
Education/Experience Required:
High School Diploma with 2 years of experience in either Patient Access or any of the following related experience; general physician office support or billing office, insurance office, hospitality, or call center (any industry) Intermediate math skills acquired through classroom work or through work experience
Knowledge, Skills & Abilities Required:
Typing 25 WPM Basic understanding of web-based systems, proficiency in data entry
N/A
Physical Requirements and Working Conditions:
Ability to prioritize and organize workload Sophisticated interviewing, communication and negotiation skills Independent decision making Ability to work hours that verify based on needs of the organization including evenings, weekends and holidays. Ability to work as a team member
Must be able to sit, stand, walk, lift, carry, squat, and bend frequently as well as twist, rotate, and kneel occasionally throughout the workday.
Frequently lifts up to 10 lbs. and occasionally lifts between 20 lbs. or more. This occurs when moving equipment and supplies and when transporting patients and/or charts.
Must be able to push/pull up to 50 lbs. with assistance.
Must have functional speech and hearing.
Must be able to use hands with fine motor skills for keyboard data entry.
Exposed to a normal office environment.
Operates all equipment necessary to perform the job.
Must be able to work a flexible schedule to support the needs of the department.
Addendum: In addition to the Accountabilities and Job Activities outlined in Sects. I. A. - I. D. of the Position Description for Patient Access Registrar the following accountabilities and job activities are applicable for registrars staffed at offsite imaging centers: E. Performs additional activities that facilitate patient flow and transition from registration to the clinical testing area including: 1. Performs Computerized Provider Order Entry (CPOE) for exams accurately and completely to transcribe written physician orders. Seeks clarification from technician and physician if needed. 2. Performs light duty cleaning of changing areas as needed. 3. Prints patient's results CDs when required and distributes finished exam results CD to patient while complying with application HIPAA considerations. 4. Escorts patients to changing areas as needed.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Auto-ApplyMedical Receptionist
Patient service representative job in Statesville, NC
Benefits:
401(k) matching
Dental insurance
Flexible schedule
Free uniforms
Health insurance
Opportunity for advancement
Paid time off
Training & development
Vision insurance
Benefits/Perks
Great small business work environment
Flexible scheduling
Paid time off, health insurance, dental insurance, retirement benefit, and more!
Company OverviewAmerican Family Care (AFC) is one of the largest primary and urgent care companies in the U.S. providing services seven days a week on a walk-in basis. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' compensation, and occupational medicine. Each location is equipped with an onsite lab and in-house x-ray capability.AFC is the parent company of AFC Franchising, LLC (AFCF). This position works directly with a franchised business location. The specific job duties and benefits can vary between franchises. Job SummaryTo accurately check patients in and out by verifying insurance, collecting payments, and maintaining patient records and accounts. Maintain patient flow. Provide positive patient relations. Responsibilities
Prepare the clinic for opening each day by reviewing the facility, opening all systems applications, and preparing new patient registration packets and required documents
Greet patients, provide patients with initial paperwork and obtain copies of insurance and identification cards
Register patients, update patient records, verify insurance accurately and timely, and check patients out
Determine, collect, and process patient payments and address collection and billing issues
Respond promptly to customer needs, provide excellent customer service, assist patients with follow-up appointments, and fulfill medical documentation requests
Balance daily patient charges (cash, check, credit cards) against system reports
Complete closing procedures by preparing closing documentation and submitting required reports
Complete cash control procedures and secure financial assets
Maintain complete and accurate documentation
Other duties and responsibilities as assigned
QualificationsHigh School graduate or equivalent. Previous medical clerical experience preferred. Basic computer knowledge, e.g., Microsoft Office. Accuracy and detail orientation. Positive customer service skills. Well-groomed appearance. Clear and articulate phone mannerisms. Compensation: $15.50 - $17.00 per hour
PS: It's All About You!
American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine. Ranked by Inc. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient.
If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides.
Please note that a position may be for a company-owned or franchise location. Each franchise-owned and operated location recruits, hires, trains, and manages their own employees, sets their own employment policies and procedures, and provides compensation and benefits determined by that franchise owner. Company-owned locations provide a comprehensive benefits package including medical, dental, vision, disability, life insurance, matching 401(k), and more.
We are an Equal Opportunity Employer.
Auto-ApplyPatient Services Coordinator/Receptionist
Patient service representative job in Collinsville, VA
We're Looking For A Front Desk Receptionist To Join Our Team
Are you dependable, self motivated, highly detail-orientated, have great leadership skills and a passion for creating an exceptional patient experience? If you are looking for career satisfaction with a dynamic company, we have the opportunity for you!
At Atlantic Vision Partners, you'll find an amazing culture because we want our employees to love coming to work and do what they love - helping our patients see more clearly. We provide you with support, unlimited career growth opportunities and unmatched resources to do amazing work.
Come where you can flourish!
The ideal candidate will have at least 2 years of medical office/administrative experience and be able to perform multiple tasks such as welcoming clients to the clinis, handling calls, and checking our patients in and out. This team member will be instrumental in ensuring patients have the most memorable, positive experience at our clinic.
We offer an incredible benefit package that includes medical, dental, employer paid life insurance, 401k with an employer match, 2 weeks paid time off, paid holidays (plus many more).
Atlantic Vision Partners is an equal opportunity employer and strictly prohibits unlawful discrimination based upon an individual's race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, mental/physical disability, medical condition, marital status, veteran status, or any other characteristic protected by law.
Auto-ApplyMedical Office Insurance Specialist
Patient service representative job in Mooresville, NC
Job Description
About Us: We are a growing, busy and patient-focused medical office dedicated to providing top-quality healthcare in a supportive and compassionate environment. We are seeking an experienced and detail-oriented Insurance Specialist to join our administrative team and help ensure efficient and accurate insurance processing.
Job Summary:
The Medical Office Insurance Specialist plays a crucial role in our billing office operations. This individual is responsible for verifying insurance coverage, obtaining prior authorizations, assisting with claim submissions, contacting insurance companies regarding unpaid claims, filing appeals, A/R follow up, patient collections and serving as a liaison between patients, providers, and insurance companies.
Key Responsibilities:
Verify accurate insurance information has been inputted into the practice management system on all patients
Review insurance claims for accuracy and submit to insurance carriers in a timely manner
Appeal claims that are processed incorrectly for resolution in a timely manner
Contact insurance companies regarding claims that need to be adjudicated timely
Follow up on unpaid or denied claims and work toward resolution
Communicate with patients regarding their insurance coverage, co-pays, and billing questions
Collaborate with clinical and administrative staff to ensure smooth patient flow and accurate documentation
Stay current on insurance policies, coding changes, and regulatory updates
Qualifications:
High school diploma or equivalent required; associate degree or certification in medical billing/insurance preferred
Minimum of 2 years' experience in a medical office insurance or billing role
Strong understanding of medical insurance plans, coding, and billing processes (ICD-10, CPT, HCPCS)
Familiarity with electronic medical records (EMR) and billing software (e.g., NextGen, Epic, etc.)
Excellent attention to detail, problem-solving skills, and organizational abilities
Strong interpersonal and communication skills
Ability to work independently and as part of a team in a fast-paced environment
Patient Services Technician Specialist/ Phlebotomist
Patient service representative job in Hays, NC
Exhibit proficiency in all of the following: blood collection by venipuncture and capillary technique from patients of all age groups, urine drug screen collections, paternity collections, breath/saliva alcohol testing, LCM/Cyber Tools, TestCup, pediatric blood collections, difficult draws (patients in mental retardation facilities, long-term care facilities, drug rehabilitation facilities, prisons, psychiatric facilities, or similar facilities).
Additional Information
This job is with one of my Financial Client.