Prior authorization representative jobs near me - 837 jobs

You must be able to work in the U.S. without sponsorship. No C2C or 3rd parties, please. Schedule: Full-time | On-site presence required Industry: Industrial/Power/Data Center Construction We're looking for an experienced Construction & Commissioning Scheduler to support large-scale, complex projects from the ground up. This is a hands-on, on-site role where you'll collaborate with project management, engineering, and field teams to develop and maintain detailed schedules that drive successful project delivery. What You'll Do: Build and manage comprehensive Primavera P6 schedules across engineering, procurement, construction, and commissioning phases. Partner with project managers, superintendents, and subcontractors to keep timelines accurate and achievable. Track progress, analyze variances, and recommend adjustments to keep projects on target. Generate look-ahead schedules, performance reports, and updates for leadership and client reviews. Support forecasting, resource loading, and earned value analysis to ensure clear visibility into project health. Align construction and commissioning activities for smooth transitions and seamless project closeouts. What You Bring: Bachelor's degree in Engineering, Construction Management, or a related field (or equivalent experience). 5+ years of experience scheduling large-scale industrial, data center, or power generation projects. Strong command of Primavera P6. Proven track record supporting both construction and commissioning phases. Excellent communication, organizational, and analytical skills. Ability to work on-site in New Albany, Ohio. Preferred Experience: EPC or large-scale construction background. Knowledge of commissioning processes and turnover documentation. Familiarity with cost control, earned value management, and integration with project systems like Excel, Power BI, or CMMS tools. If you thrive in a fast-paced, collaborative environment and enjoy bringing structure to complex projects, this could be the perfect next step for you.

THIS IS NOT A REMOTE ROLE. YOU MUST RESIDE IN THE COLUMBUS AREA TO BE ON-SITE DAILY The Construction Scheduler will work with the Project Manager to create timetables to manage both time and resources to ensure work is completed on time. Job Duties and Responsibilities: The Scheduler will manage the workload distribution and monitor the customer delivery and job installation progress. The Scheduler will coordinate with Project Management and Leads/Superintendents to create and maintain calendar for project implementation to completion. The Scheduler will identify and anticipate schedule disparities and correct or report to Project Management. The Scheduler will provide to the Project Manager all needed elements to issue Weekly/Monthly Reports The Scheduler performs other responsibilities as assigned. Physical and Mental Requirements: MUST have 2+ years experience with Primavera P6 The Scheduler must be self-motivated, positive in approach, professional and lead others to create, develop and implement project process improvement(s). The Scheduler must promote the Company culture and mission to all employees, vendors, clients and business partners. The Scheduler must have proven problem solving skills, critical thinking skills and the ability to effectively read, write and give oral presentation(s). The Scheduler must have proven high skill level to interpret blueprints and other project documents, including but not limited to, specifications, reporting and quality requirements. The Scheduler must have the ability to learn Company project management systems. Education, Certification, License, and Skill Requirements: Must possess at least a High School diploma or GED equivalency. Must have a working knowledge of Oracle Primavera and Microsoft Project Must have experience in customer interface, such as liaison between the customer and the Company. Must have a minimum of three (3) years of experience scheduling in telecommunications or a related technical or construction field. Must be proficient with Microsoft Office (Word, Excel and MS Project). Must meet Company minimum driving standards. Must be able to manage multiple tasks/projects simultaneously.

One of our top clients is looking for a team of Patient Access Representatives within a call center environment in Beverly Hills, CA! This person will be responsible for handling about 50+ calls per day for multiple specialty offices across Southern California. This position is fully on-site for 2 - 4 months, then fully remote. Required Skills & Experience HS Diploma 2+ years healthcare call center experience (with an average call time of 5 minutes or less on calls) Proficient with scheduling appointments through an EHR software 2+ years experience scheduling patient appointments for multiple physicians in one practice 40+ WPM typing speed Experience handling multiple phone lines Nice to Have Skills & Experience Proficient in EPIC Experience verifying insurances Basic experience with Excel and standard workbooks Experience in either pain management, dermatology, Neurology, Endocrinology, Rheumatology, or Nephrology. Responsibilities Include: Answering phones, triaging patients, providing directions/parking instructions, contacting clinic facility to notify if a patient is running late, scheduling and rescheduling patients' appointments, verifying insurances, and assisting with referrals/follow up care. This position is on-site until fully trained and passing multiple assessments (typically around 2-4 months of working on-site - depending on performance) where it will then go remote.

Medical Support Assistant Duration: 1 year contract (strong possibility of extension!) Onsite: Denver, CO Full Time: M-F, Day Shift Overview: We are seeking reliable and mission-driven Medical Support Assistants to support Veterans served by a large healthcare system. MSAs provide critical front-line administration support across outpatient clinics and virtual care services. Responsibilities: • Customer service, appointment scheduling, and records management • Answer phones, greet Veteran patients, schedule appointments and consults • Help determine a clinic's daily needs, and verify and update insurance information Required Qualifications: • Minimum 6+ months of customer service experience • 1+ year of clerical, call center, or healthcare administrative experience • High school diploma or GED required • Proficient with medical terminology • Typing speed of 50 words per minute or more • Ability to pass a federal background check • Reliable internet for a remote work environment

*Pharmacy Patient Care Coordinator (Remote- USA)* * *Minimum 2 years of healthcare-related customer service experience* * *At least 2 years of call center experience* * *Placement Type:* 4month contract * *Training Period:* 8 weeks, Monday to Friday * Please note: PTO is not permitted during training * *Pay Rate: $21/hr* *About Neovance* Neovance is dedicated to transforming the patient experience through compassionate, technology-enabled pharmacy and patient access services. With more than 30 years of experience supporting the biopharmaceutical industry, we help patients start and stay on therapy by removing barriers to care and ensuring seamless access. * * *Role Summary* *As a Pharmacy Patient Care Coordinator*, you will support patients throughout their treatment journey by managing inbound/outbound calls, coordinating medication refills and shipments, gathering patient information, and ensuring continuity of therapy. This role blends customer service excellence with meaningful impact in the healthcare space. *What You'll Do* * Manage inbound calls regarding refills, shipment status, and patient inquiries * Conduct outbound calls for refill reminders, adherence checkins, and information updates * Accurately collect and enter patient demographic and medication information * Coordinate medication deliveries and escalate delays or issues * Support smooth communication between patients, prescribers, and internal pharmacy teams * Document all interactions with accuracy and compliance * Ensure timely processing of prescriptions and continuity of therapy *What You'll Bring* * Strong communication and customer service skills * Experience handling highvolume calls in a healthcare-related environment * Proficiency with pharmacy systems, CRM tools, and Microsoft Office * Ability to work independently in a remote environment * Knowledge of HIPAA and pharmacy operations preferred * Strong attention to detail and data entry accuracy *Work Environment* * Fully remote role-requires quiet workspace and reliable highspeed internet * Heavy phone and computer use daily * Occasional extended hours during high-volume periods *Job Type & Location* This is a Contract position based out of Raleigh, NC. *Pay and Benefits*The pay range for this position is $21.00 - $21.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) *Workplace Type*This is a fully remote position. *Application Deadline*This position is anticipated to close on Jan 20, 2026. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Department: AccessibleNU Salary/Grade: EXS/6 The Access Coordinator position serves as a subject matter expert on the academic and on-campus housing ADA reasonable accommodation request process for students. The Access Coordinator role is a remote position. Utilizing a thorough and timely process, daily functions include meeting with students with disabilities, reviewing medical and supplemental documentation, evaluating and determining requests for accommodations, and creating and maintaining case notes. The role collaborates with other ANU staff, coordinates with faculty, academic department leaders, and other campus liaisons, and leads campus trainings and outreach events. The Access Coordinator position ensures institutional compliance with federal, state, and local disability regulations. Pay Range: The salary range for the AccessibleNU Access Coordinator position is $68,500 - $70,000 depending on experience, skills, and internal equity. About AccessibleNU: AccessibleNU (ANU) is responsible for the academic and on-campus housing accommodation determination and coordination process for students with disabilities. Northwestern University recognizes disability as an essential aspect of our campus, and as such, we actively collaborate with faculty, staff, and students to achieve access goals. Mission: AccessibleNU supports and empowers students with disabilities by collaborating with the Northwestern community to ensure full participation in the academic learning environment. Principal Accountabilities: * Maintains a full caseload of students and provides ongoing support for undergraduate, graduate, professional, and online students. * Reviews and processes incoming accommodation requests, ensuring a prompt, thorough, and equitable response to each request: * Interprets disability documentation including medical, educational, and/or psychological assessments. Conducts accommodation meetings to gather additional information. Cross-analysis to determine reasonable accommodations. * Ensures accommodation determinations align with ANU process and procedures, the Americans with Disabilities Act (as amended), Sections 504 and 508 of the Rehabilitation Act, state and local disability regulations, the Fair Housing Act, relevant caselaw and legal guidance, and University policies and procedures. * Generates creative and practical solutions to address current and emerging needs, including accommodations for students in off-site placements such as clinical settings, internships, practicums, and experiential learning environments. * Uses office database (AIM) to maintain student files including: sending accommodation emails, maintaining confidential documentation, scheduling appointments, case noting, and documenting communications with students and university personnel regarding the accommodation process. * Engages with faculty, academic department leaders, and staff to facilitate difficult conversations and coordinate and implement complex accommodations (e.g. flexibility with attendance and deadlines, classroom relocation, furniture placement, clinical arrangements, qualifying exam accommodations, adjustments to program requirements, etc.) while upholding essential course and programmatic requirements and/or technical standards. * Provides consultation services, information meetings, presentations, trainings, outreach events, and programming with respect to University disability accommodation processes, definitions, perspectives, implications, applications of professional research, and local, state, and federal laws as requested. * Participates in developing and implementing strategic planning goals, objectives, and assessments as requested. * Participates, leads, and attends AccessibleNU or University based working groups, committees, events, or other division-wide activities as requested. * Performs back-up functions such as front desk duties and test proctoring/coordinating. * Assists ANU leadership team with overall unit functional areas. * Will perform other duties as assigned. Minimum Qualifications: Education and Experience: * Bachelor's degree in higher education administration, rehabilitation counseling, social work, psychology, or related field * Minimum of one (1) year related experience in the postsecondary environment, working directly with students with various disabilities; similar experience with students outside the postsecondary setting and/or a combination of training and experience may be considered * Knowledge of the ADAAA, Section 504, Section 508 and its application to accommodation determination * Familiarity with the complexities of medical documentation and its alignment with accommodation determination, including the interpretation of test results such as the WAIS, Woodcock Johnson, and other diagnostics within the DSM-V. Skills: * Ability to problem solve, collaborate, mediate conflict, and negotiate in challenging situations * Highly developed facilitation skills to foster a welcoming environment for students * Highly developed communication skills to build and promote collaborative partnerships with faculty and administration * Ability to adapt to and openness to change * Ability to independently manage time in a fast-paced environment * Ability to exercise independent judgement related to the impact of the disability, how it relates to classroom and housing access, and the legal aspects involved * Ability to work both independently and in team settings Preferred Qualifications: * Master's degree in higher education administration, rehabilitation counseling, social work, psychology, or related field * Prior case management work with undergraduate, graduate, professional, and online students with disabilities * Proficiency with a range of assistive technologies and adaptive equipment and their application * Demonstrated experience determining clinical and/or offsite accommodations using programmatic technical standards * Working Conditions: The Access Coordinator role is a remote position. Employees must have access to reliable internet. Note: Access Coordinators who are local to the Chicagoland area are required to come to the Evanston or Chicago campus on occasion for division and office events and meetings, on-boarding and trainings, presentations, and accommodation coordination. Will require limited evening and weekend availability. Benefits: At Northwestern, we are proud to provide meaningful, competitive, high-quality health care plans, retirement benefits, tuition discounts and more! Visit us at *************************************************** to learn more. Work-Life and Wellness: Northwestern offers comprehensive programs and services to help you and your family navigate life's challenges and opportunities, and adopt and maintain healthy lifestyles. We support flexible work arrangements where possible and programs to help you locate and pay for quality, affordable childcare and senior/adult care. Visit us at ************************************************************* to learn more. Professional Growth and Development: Northwestern supports employee career development in all circumstances whether your workspace is on campus or at home. If you're interested in developing your professional potential or continuing your formal education, we offer a variety of tools and resources. Visit us at *************************************************** to learn more. Northwestern University is an Equal Opportunity Employer and does not discriminate on the basis of protected characteristics, including disability and veteran status. View Northwestern's non-discrimination statement. Job applicants who wish to request an accommodation in the application or hiring process should contact the Office of Civil Rights and Title IX Compliance. View additional information on the accommodations process. #LI-GY1

About the Role The Patient Access Representative position is responsible for greeting and assisting patients in a prompt, courteous, and professional manner and receiving/answering incoming telephone calls in the same manner, as applicable. The Patient Access Representative is to be cross-trained in all aspects of reception to supply sufficient coverage. Certain duties may vary based on office location and department structure. What You'll Be Doing Greets patients and visitors in a prompt, courteous, and helpful manner. Effectively handles the patient check-in/checkout process. Answers calls addressing appointment times, patient requests and general inquiries within the scope of their position. Reviews patient's chart for accuracy prior to upcoming appointment and ensures all required information is included for the physician to see the patient. Performs scanning and sorting within EMR system Verifies and updates current insurance information with the Patient Collects Patient payments Performs all other duties as assigned. What We Expect from You High School Diploma Interact professionally and positively with all patients, colleagues, managers and executive team Exhibit a high degree of maturity, integrity, loyalty, creativity, and strict confidentiality with HIPPA compliance in all daily tasks. One year of experience working in a medical practice or in a health insurance organization Excellent verbal and written communication skills Prior use of EMR systems preferred Travel to other clinics as needed Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Computer Skills To perform this job successfully, an individual should have thorough knowledge in computer information systems. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl and talk or hear. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Work Environment This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Travel Travel is primarily local during the business day. What We are Offer You At U.S. Urology Partners, we are guided by four core values. Every associate living the core values makes our company an amazing place to work. Here “Every Family Matters” Compassion Make Someone's Day Collaboration Achieve Possibilities Together Respect Treat people with dignity Accountability Do the right thing Beyond competitive compensation, our well-rounded benefits package includes a range of comprehensive medical, dental and vision plans, HSA / FSA, 401(k) matching, an Employee Assistance Program (EAP) and more. About US Urology Partners U.S. Urology Partners is one of the nation's largest independent providers of urology and related specialty services, including general urology, surgical procedures, advanced cancer treatment, and other ancillary services. Through Central Ohio Urology Group, Associated Medical Professionals of NY, Urology of Indiana, and Florida Urology Center, the U.S. Urology Partners clinical network now consists of more than 50 offices throughout the East Coast and Midwest, including a state-of-the-art, urology-specific ambulatory surgery center that is one of the first in the country to offer robotic surgery. U.S. Urology Partners was formed to support urology practices through an experienced team of healthcare executives and resources, while serving as a platform upon which NMS Capital is building a leading provider of urological services through an acquisition strategy. U.S. Urology Partners is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

**Join our dynamic team as a frontline patient care representative who interacts with our patients to provide exceptional and compassionate patient care! The patient care representative may have the option to work remotely after an introductory training period. General Job Summary: Vital to the success of our organization with providing OrthoCincy patients and all other callers a premier Ortho experience while focusing on their individual needs. Essential Job Functions: Schedules appointments for patients either by phone when they call in, through the company website or when requested from the clinic via computerized message system. Uses computerized system to match physician/clinician availability with patients' preferences in terms of date and time. Ability to handle a high volume of incoming calls, while maintaining a high standard of productivity, efficiency and accuracy while working under pressure. Must be able to respond to various inquiries made by patients, hospitals, insurance companies, as well as other medical entities. Engaging in active listening with all callers, while acting as a contact point person between patients, providers and staff. Maintains scheduling system so records are accurate and complete and can be used to analyze patient/staffing patterns. Updates physicians/clinicians or medical assistants. Ensures that updates (e.g. cancellations or additions) are input daily into master schedule. Send requests to clinic for prescription refills and follow up with patients on messages from clinic via computerized message system. Establish and maintain effective working relationships with patients, providers, co-workers, and the public. Maintaining a calm, pleasant and compassionate tone while being able to diffuse tense situations. Follows HIPAA regulations. Perform other duties necessary or in the best interest of the department/organization. Requirements Education/Experience: High school diploma. Minimum one year experience in a medical practice and/or position encouraged. Experience in a high volume call center a plus. Other Requirements: Schedules will change as department needs change. Performance Requirements: Knowledge: Knowledge of OrthoCincy's Mission, Vision and Values. Knowledge of medical practice protocols related to scheduling appointments. Knowledge of anatomy and medical terminology. Knowledge of computerized scheduling systems. Knowledge of customer service principles and techniques. Knowledge of OSHA and safety standards. Skills: Skill in communicating effectively with providers, employees, customers and patients. Skill in maintaining appointment schedule via computerized means. Effective in critical thinking skills. Strong communication skills in a professional manner during stressful and sensitive situations with patients of all ages. Abilities: Ability to multi-task effectively Ability to communicate calmly and clearly Ability to analyze situations and respond appropriately. Ability to alternate between multiple computer systems in a timely manner. Equipment Operated: Standard office equipment. Work Environment: Standard call center workstation. Mental/Physical Requirements: Involves sitting and viewing a computer monitor 90% of the work day. Must be able to remain focused and attentive without distractions (i.e. personal devices).

Job Title: Account Management Representative - Hawaii Market (Applicants must currently reside in Hawaii to be considered) Wage Range: $24 - $31/hour Help Hawaii's Local Businesses Grow with Trust at the Center At Better Business Bureau , we help businesses grow with confidence-offering tools, partnerships, and guidance that make trust a lasting advantage. In Hawaii, that work is deeply personal. Businesses thrive through connection, community, and cultural alignment. We're looking for a Customer Success Partner based on Oʻahu who understands the local business landscape, is eager to represent BBB in the community, and thrives on building meaningful, long-term relationships. This is a role for a trusted guide-not just a support rep. If you're energized by one-on-one connections, proactive strategy, and local impact, we want to meet you. What We're Looking For This is not a transactional support role. We're looking for someone who can partner strategically, build rapport with business leaders, and represent BBB with integrity in the community. As the main point of contact for a portfolio of Accredited Businesses, your goal will be to help them leverage the right tools, guidance, and resources to grow their business. You'll excel in this role if you: • Live on Oʻahu and are familiar with Hawaii's local business culture • Are a natural relationship builder, proactive communicator, and strategic thinker • Have experience in customer success, client services, or account management • Are confident attending business events, leading conversations, and presenting in person • Enjoy helping businesses grow by identifying opportunities and providing solutions that matter • Can effectively onboard new Accredited Businesses, guiding them through their tools and helping them realize value quickly • Are resourceful and confident with technology, using digital tools to support your portfolio and streamline processes • Are detail-oriented, organized, and comfortable documenting interactions and insights • Can collaborate with teammates, sharing best practices and supporting high-volume periods Bilingual candidates are encouraged to apply. Language skills help us better serve our diverse Accredited Business community. Qualifications • High school diploma or college degree • 1-3 years of experience in Customer Success, Account Management, or equivalent client-facing role • CRM experience required; comfort with Microsoft and/or HubSpot tools preferred Why You'll Love Working at BBB We show up every day ready to help businesses and consumers succeed. Our work is driven by integrity, collaboration, and a belief in the power of trust to drive progress. What we offer: • Mission-driven, supportive team culture • Medical, Dental, and Vision Insurance Plans (Dental and Vision base plans with premiums 100% paid by BBB) • 100% employer-paid life and long-term disability insurance • Optional insurance plans (short-term disability, additional life, accident, etc.) • Paid Time Off (PTO) as of your date of hire • Paid holidays, plus your birthday off with pay • Safe Harbor (immediate vesting) 401(k) plan with up to 6% company match • Local work model with flexibility to work remotely and attend in-person events across Oʻahu and occasionally neighbor islands At BBB, we embrace diversity and strive to create an inclusive environment that allows all team members to thrive. We foster a culture in which our differences are celebrated; our differences are what makes us a Better Business! We are proud to be an Equal Employment Opportunity. We will not discriminate based on race, color, gender, gender identity, religion, sexual orientation, national origin, age, marital status, disability status, citizenship status, veteran status, or any other characteristic prohibited by Local, State, or Federal law. Discrimination, retaliation, or harassment based upon any of these factors is inconsistent with our core values and will not be tolerated. Ready to join the team and show off your skills? Please apply now to join BBB's team, and let's create workplace magic together!

The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands, and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization. TITLE: Patient Resource Representative JOB OVERVIEW: The Patient Resource Representative position is responsible for scheduling, pre-registration, insurance verification, estimates, collecting payments over the phone, and inbound and outbound call handling for Primary and Specialty Clinics supported by the Patient Resource Center. This includes call handling for specialized access programs: Accountable Care Network Contracts Hotline Call Handling, MyChart Scheduling, and Outbound dialing for Referral Epic Workqueues. DEPARTMNT: Patient Resource Center WORK HOURS: As assigned REPORTSTO: Supervisor, Patient Resource Center PREREQUISITES: * High School Graduate or equivalent (G.E.D.) preferred. * Minimum of 2 years of experience in a call center, or 1 year in a physician's office; with experience using multi-line phone systems, Electronic Medical Record systems, and working with several software programs at the same time. * Demonstrates basic skills in keyboarding (35 wpm) * Computer experience in a windows-based environment. * Excellent communication skills including verbal, written, and listening. * Excellent customer service skills. * Knowledge of medical terminology and abbreviations. Ability to spell and understand commonly used terms, preferred. QUALIFICATIONS: * Ability to function effectively and interact positively with patients, peers and providers at all times. * Ability to access, analyze, apply and adhere to departmental protocols, policies and guidelines. * Ability to provide verbal and written instructions. * Demonstrates understanding and adherence to compliance standards. * Demonstrates excellent customer service skills throughout every interaction with patients, customers, and staff: * Ability to communicate effectively in verbal and written form. * Ability to actively listen to callers, analyze their needs and determine the appropriate action based on the caller's needs. * Ability to maintain a calm and professional demeanor during every interaction. * Ability to interact tactfully and show empathy. * Ability to communicate and work effectively with the physical and emotional development of all age groups. * Ability to analyze and solve complex problems that may require research and creative solutions with patient on the telephone line. * Ability to document per template requirements, gather pertinent information and enter data into computer while talking with callers. * Ability to utilize third party payer/insurance portals to identify insurance coverage and eligibility. * Ability to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent * Ability to organize and prioritize work. * Ability to multitask while successfully utilizing varying computer tools and software packages, including: * Utilize multiple monitors in facilitation of workflow management. * Scanning and electronic faxing capabilities * Electronic Medical Records * Telephone software systems * Microsoft Office Programs * Ability to successfully navigate and utilize the Microsoft office suite programs. * Ability to work in a fast-paced environment while handling a high volume of inbound calls. * Ability to meet or exceed department performance standards for Quality, Accuracy, Volume and Pace. * Ability to speak, spell and utilize appropriate grammar and sentence structure. UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT AND WORKING CONDITIONS: See Generic for Administrative Partner. PERFORMANCE RESPONSIBILITIES: * Generic Job Functions: See Generic Job Description for Administrative Partner. * Essential Responsibilities and Competencies: * In-depth knowledge of VMC's mission, vision, and service offerings. * Demonstrates all expectations outlined in the VMC Caregiver Commitment throughout every interaction with patients, customers, and staff. * Delivers excellent customer service throughout each interaction: * Provides first call resolution, whenever possible. * Acknowledge if patient is upset and de-escalate using key words and providing options for resolution. * Identify and assess patients' needs to determine the best action for each patient. This is done through active listening and asking questions to determine the best path forward. * A knowledgeable resource for patient/customers that works to build confidence and trust in the VMC health care system. * Schedules appointments in Epic by following scheduling guidelines and utilizing tools and resources to accurately appoint patient. * Generates patient estimates and follows Point of Service (POS) Collection Guidelines to determine patient liability on or before time of service. Accepts payment on accounts with Patient Financial Responsibility (PFR) as well as any outstanding balances, documents information in HIS and provides a receipt for the amount paid. * Strives to meet patients access needs for timeliness and provider, whenever possible. * Applies VMC registration standards to ensure patient records are accurate and up to date. * Ensures accurate and complete insurance registration through the scheduling process, including verifies insurance eligibility or updates that may be needed. * Reviews registration work queue for incomplete work and resolves errors prior to patient arrival at the clinic. * Utilizes protocols to identify when clinical escalation is needed based on the symptoms that patients report when calling. * Takes accurate and complete messages for clinic providers, staff, and management. * Relays information in alignment with protocols and provides guidance in alignment with patient's needs. * Routes calls to appropriate clinics, support services, or community resource when needed. * Coordinates resources when needed for patients, such as interpreter services, transportation or connecting with other resources needed for our patient to be successful in obtaining the care they need. * Identifies, researches, and resolves patient questions and inquiries about their care and VMC. * Inbound call handling for our specialized access programs * A.C.N. Hotline Call handling * Knowledge of contractual requirements for VMC's Accountable Care Network contracts and facilitates care in a way that meets contractual obligations. * Applies all workflows and protocols when scheduling for patients that call the A.C.N. Hotline * Completes scheduling patients for all departments the PRC supports. * Facilitates scheduling for all clinics not supported by the PRC. * Completes registration and transfer call to clinic staff to schedule. * Completes the MyChart Scheduling process for appointment requests and direct scheduled appointments. * Utilizes and applies protocols as outlined for MyChart scheduling * Meet defined targets for MyChart message turnaround time. * Outbound dialing for patient worklists * Utilizes patient worklists to identify patients that require outbound dialing. * Outbound dialing for referral work queues. * Utilizes referral work queue to identify patients that have an active/authorized referral in the system and reaches out to complete scheduling process. * Schedules per department protocols * Updates the referral in alignment with the defined workflow. * Receives, distributes, and responds to mail for work area. * Monitor office supplies and equipment, keeping person responsible for ordering updated. * Other duties as assigned. Created: 1/25 Grade: OPEIUC FLSA: NE CC: 8318 #LI-Remote Job Qualifications: PREREQUISITES: 1. High School Graduate or equivalent (G.E.D.) preferred. 2. Minimum of 2 years of experience in a call center, or 1 year in a physician's office; with experience using multi-line phone systems, Electronic Medical Record systems, and working with several software programs at the same time. 3. Demonstrates basic skills in keyboarding (35 wpm) 4. Computer experience in a windows-based environment. 5. Excellent communication skills including verbal, written, and listening. 6. Excellent customer service skills. 7. Knowledge of medical terminology and abbreviations. Ability to spell and understand commonly used terms, preferred. QUALIFICATIONS: 1. Ability to function effectively and interact positively with patients, peers and providers at all times. 2. Ability to access, analyze, apply and adhere to departmental protocols, policies and guidelines. 3. Ability to provide verbal and written instructions. 4. Demonstrates understanding and adherence to compliance standards. 5. Demonstrates excellent customer service skills throughout every interaction with patients, customers, and staff: a. Ability to communicate effectively in verbal and written form. b. Ability to actively listen to callers, analyze their needs and determine the appropriate action based on the caller's needs. c. Ability to maintain a calm and professional demeanor during every interaction. d. Ability to interact tactfully and show empathy. e. Ability to communicate and work effectively with the physical and emotional development of all age groups. 6. Ability to analyze and solve complex problems that may require research and creative solutions with patient on the telephone line. 7. Ability to document per template requirements, gather pertinent information and enter data into computer while talking with callers. 8. Ability to utilize third party payer/insurance portals to identify insurance coverage and eligibility. 9. Ability to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent 10. Ability to organize and prioritize work. 11. Ability to multitask while successfully utilizing varying computer tools and software packages, including: a. Utilize multiple monitors in facilitation of workflow management. b. Scanning and electronic faxing capabilities c. Electronic Medical Records d. Telephone software systems e. Microsoft Office Programs 12. Ability to successfully navigate and utilize the Microsoft office suite programs. 13. Ability to work in a fast-paced environment while handling a high volume of inbound calls. 14. Ability to meet or exceed department performance standards for Quality, Accuracy, Volume and Pace. 15. Ability to speak, spell and utilize appropriate grammar and sentence structure.

We are recruiting 100 entry level Remote Insurance Verification Representatives in FL, NV, SD, TX, and WY. If you are looking for steady work from home with consistent pay then this is the opportunity for you. To make sure this is a fit for you, please understand: You will be on the phone the entire shift. You will need to overcome simple objections and maintain a positive attitude. You will need to purchase a USB Headset (if you don't already have one). True W2 pay check and direct deposit company (not gimmick 1099 pay) No phone line needed No cellphone needed No driving required No people to meet No packaging materials No shipping No ebay accounts No phone experience needed (but a serious advantage) Company Culture This compant prides itself on empowering their team to be responsible, "show up" on time for their shift(s), and stay focused on their task(s) the whole time. Working from home is a blessing, but it can also be the biggest distraction. That's why they their staff with the utmost respect and expect the same from them. This is a serious opportunity from one of the most modern work from home companies on the planet. They are literally a bunch of people spread out around the country with a common goal of helping select customers complete their car insurance quotes. They skype together all day and everyone supports eachother as a team even though 95% all work from REMOTE locations. This company has been in the online and insurance marketing business for over 3 years now, and the founder has been in this industry for over 10 years now. Compensation $8.25/hr starting or 3$ per lead depending on which is more. Focused and aggressive verifiers make $15-$19 an hour. Scheduling The shifts that are available are 9am-1pm / 1pm-5pm / 5pm-9pm M-F. (Eastern Time). Depending on your location and availability you will be assigned (1) of these shifts temporarily until you are well trained and established. You will start as PART TIME. Once you are established Full time is possible and many reps choose full time. Full on-going success training is provided. (You are NOT required to purchase training materials or anything from them or us.) Again all you need is your own computer, high speed internet, 5 MBPS Download Speeds and 1 MBPS Upload Speeds USB headset.

Job Address: 10270 Blacklick - Eastern Road NW Pickerington, OH 43147 Patient Access Representative We encourage our team members to take an active part in improving the care and service we provide. If you have a superior level of customer service, the ability to greet our patients with a smile whether on the phone or face-to-face, and a passion for taking care for people, this is the position for you! Responsibilities: The Patient Access Representative is most often the first point of contact for our patients and therefore must represent New Vista Behavioral Health with the highest standard of customer service, compassion and perform all duties in a manner consistent with our mission, values and service standards. The Patient Access Representative will facilitate all components of the patient's entrance in to any New Vista facility. This may include scheduling, registration, benefit verification, pre-certification and financial clearance including pre-visit collection. The Patient Access Representative will be responsible for ensuring that the most accurate patient data is obtained and populated into the patient record. This team member must have an exceptional attention to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal, state and accreditation agencies. Essential Functions Documenting insurance information, personal information, payment methods and other important patient information Contacting insurance companies regarding coverage, preapprovals, billing and other issues Processing and collecting out of pocket payments from patients, including deductibles, co-pays, and co-insurance Handling billing issues between patients and insurance companies Answering the phone to address patient billing inquiries and Communicating information and important details to other medical care staff Managing various types of paperwork and other clerical duties Experience and Education Requirements: Minimum: High School Diploma / GED Associates Degree in Healthcare, Financial or related area preferred. Equivalent combination of education and relevant experience may be accepted Proven skills in Microsoft Office, specifically Excel and Word, Windows based applications, and 10 key calculator with high level of quality outcomes One year experience in hospital or clinic financial, registration, scheduling or insurance authorizations areas Preferred: Working knowledge of CPT, HCPCS, ICD-10, medical terminology, anatomy, and insurance plans Minimum skills, knowledge and ability requirements: Ability to communicate effectively both orally and in writing, excellent telephone etiquette required. Ability to establish and maintain positive working relationships with patients, physicians, clinical and non-clinical hospital staff and insurance companies. Strong organizational skills; attention to detail. Work independently in a self-directed, non-confrontational, collaborative manner. Customer focus: promotes positive internal and external relationships by actively seeking and being responsive to customer feedback. Ability to support and participate in continuous quality improvement projects. Ability to work under stress, meet deadlines and perform all daily assignments with a high level of accuracy. Knowledgeable and experienced with various computers systems; Ability to use a 10-key calculator and computer keyboard.

Are you looking to join a team that upholds a culture of excellence and delivers top-tier managed product offerings across diverse platforms and clients? As a Trade Support Associate, you will play a vital role in supporting our diverse partners-including third-party portfolio managers, Financial Advisors, Business, Operations, and Technology-by providing essential front-line support related to trade booking and settlement. Key Responsibilities: * Partner with third-party portfolio managers to support daily trade lifecycle activities. * Address phone and email inquiries related to trading, data quality, application usage, and other topics, ensuring clear and supportive communication. * Collaborate with Product Owners to resolve system issues and drive improvements. * Gather, analyze, and interpret large sets of data and information to draw insights and recommend process enhancements. * Serve as the first point of contact for internal and external partners, building strong relationships and trust. * Identify and mitigate business risks to contribute to a safe and effective work environment. * Support audit, regulatory, and compliance deliverables with attention to detail and integrity. * Contribute to ongoing procedure and process analysis to help shape and improve workflows. Required Qualifications, Skills, and Capabilities: * Demonstrate 3+ years of experience in wealth management, asset management, or a support role. * Exhibit proficiency with Microsoft Office Suite (Word, Excel, PowerPoint) and a willingness to learn new software. * Show self-motivation and discipline, with the ability to work independently and take initiative. * Collaborate effectively as a team player, demonstrating a strong work ethic and professionalism. * Apply excellent attention to detail, with strong written, verbal, and problem-solving skills. * Display outstanding organizational and time management abilities. * Adapt and thrive in a fast-paced, dynamic environment where creative and strategic thinking are valued. Preferred Qualifications, Skills, and Capabilities: * Demonstrate experience supporting trade booking and settlement processes. * Apply knowledge of audit, regulatory, and compliance requirements within financial services. * Utilize advanced data analysis skills to drive process improvements. * Exhibit experience building relationships with diverse partners, including Financial Advisors, Business, Operations, and Technology teams. * Embrace opportunities to contribute to change management and workflow optimization initiatives.

Functions as a liaison between patients and health care providers or agencies in assisting, organizing, coordinating, and providing Outreach and Enrollment Assistance to the uninsured which includes what's available in the Marketplace and Medicaid Expansion. Interpreting a foreign language into English and English into a foreign language to facilitate the health care service (if applicable). Reports to : Operations Supervisor Supervises : No Dress Requirement : Business casual or scrubs in accordance with Heart of Ohio Family Health Center's dress code policy Work Schedule : F/T Monday through Friday during standard business hours but will include some evenings and weekends as well. Times are subject to change due to business necessity Non-Exempt Job Duties : Essentials considered to the successful performance of this position: Collects and evaluates information about a patient regarding opportunities to assist in achieving patient/family healthcare coverage needs Conduct public education activities to raise awareness about Ohio's Healthcare Marketplace, health insurance coverage options, and Medicaid Expansion Contact and secure community presentation locations and recruitment of participants Provide information in a fair, accurate and impartial manner that is culturally appropriate Educates patient's regarding what is offered based on the needs of the patient Researches, and informs and patients about the health care options available Accurately and ethically interprets spoken foreign languages into English and English into a foreign language (if applicable) Accurately translates written foreign languages into English and English into a foreign language, as assigned (if applicable) Accurately, clearly and efficiently documents actions taken and activities performed Other related duties as assigned Job Qualifications (Experience, Knowledge, Skills and Abilities) Willingness to work with all cultural and socioeconomic groups without judgment or bias Demonstrates ability to cooperatively work/mediate with all age groups and family groups Compliance with the HIPAA law and regulation; ability to confidentially retain information, passing only necessary information to those needed to perform their duty Demonstrated ability to accurately and clearly translate, verbal and written, a foreign language into English and English into a foreign language Ability to work with minimal supervision and exercise sound independent judgment Strong verbal and written communication skills Preferred holder of interpreting certificate (if applicable) Some experience in community relations/education and public presentation preferred Experience in or with community healthcare a plus Must be able to work independently as well as with a team Reliable transportation a must Demonstrates competency in working sensitively and respectfully with people of various cultures and social status Knowledge of federal, state and local laws and regulations about health care. Ability to communicate (orally and in writing) in a professional manner Ability to maintain an established work schedule to ensure dependability and accuracy of work quality Equipment Operated : Telephone & Fax Computer & Printer Scanner Calculator Other office and medical equipment as assigned Facility Environment : Heart of Ohio Family Health operates in multiple locations, in the Columbus, OH area. All facilities have a medical office environment with front-desk reception area, separate patient examination rooms, nursing stations, pharmacy stock room, business offices, hallways and private toilet facilities. All clinical facilities are ADA compliant. Physical Demands and Requirements : these may be modified to accurately perform the essential functions of the position: Mobility = ability to easily move without assistance Bending = occasional bending from the waist and knees Reaching = occasional reaching no higher than normal arm stretch Lifting/Carry = ability to lift and carry a normal stack of documents and/or files Pushing/Pulling = ability to push or pull a normal office environment Dexterity = ability to handle and/or grasp, use a keyboard, calculator, and other office equipment accurately and quickly Hearing = ability to accurately hear and react to the normal tone of a person's voice Visual = ability to safely and accurately see and react to factors and objects in a normal setting Speaking = ability to pronounce words clearly to be understood by another individual

Patient Care Representative - ARM Team Hybrid/Remote Join a Best Places to Work Winner - 18 Years Running! Do you have experience with medical systems and a passion for helping others? Looking for full-time work with a company known for its award-winning culture? KeyBridge Medical Revenue Care is seeking a compassionate, detail-oriented Patient Care Representative to join our ARM team. About KeyBridge At KeyBridge, we believe exceptional patient care starts with supporting exceptional people. As an 18-time Best Places to Work winner, we're committed to compassion, integrity, and excellence. Our mission is simple: bridge the gap between healthcare providers and their patients by delivering respectful, empathetic financial care in a call-center environment. Position Overview As an ARM Patient Care Representative, you'll serve as the trusted voice of our healthcare clients-guiding patients through billing questions, assisting with payments, and helping resolve account balances. This role is the perfect blend of customer service, problem-solving, and meaningful human connection. What You'll Do Deliver exceptional service: Manage inbound and outbound calls with professionalism and empathy, assisting patients with billing questions, payment options, and account concerns. Resolve issues efficiently: Apply strong problem-solving and analytical skills to provide accurate, timely solutions while maintaining compliance and meeting performance standards. Navigate multiple systems: Work across various medical and internal systems to locate information and support patients with complex inquiries. Collaborate & communicate: Maintain clear, thorough documentation of all interactions, support team members, and help mentor new representatives when needed. Live our values: Foster trust, teamwork, and integrity with patients, clients, and colleagues every day. Requirements What We're Looking For: Strong written and verbal communication skills, with excellent active listening Ability to multitask and work efficiently across multiple systems Experience using medical systems (billing systems such as Epic, Cerner, etc.) Proficiency with Microsoft Office (Outlook, Teams) Positive, professional attitude with a drive to succeed Ability to understand and follow written, oral, and visual instructions Prior remote-work experience Ability to pass ACA certification tests when eligible Spanish-speaking skills a plus Salary Description $16-$20

**We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. ** Summary:** This position begins the Revenue Cycle process by collecting accurate demographic and financial information to produce a clean claim necessary to receive timely reimbursement. In addition, this position provides exceptional customer service during encounters with patients, families, visitors and Ohio Health Physicians and Associates. **Responsibilities And Duties:** Accurately identifies patient in EMR system. Obtains and enters accurate patient demographic and financial information through a standard work process (via phone, virtual, face to face and/or bedside location) to complete registration all while maintaining patient confidentiality and providing exceptional customer service. Provides exceptional customer service during every encounter with patients, families, visitors, and OhioHealth physicians and associates. Performs registration functions in any of the Patient Access areas. Uses critical thinking skills to make decisions, resolve issues, and/or escalate concerns when they arise. Uses various computer programs to enter and retrieve information. Verifies insurance eligibility using online eligibility system, payer websites or by phone call. Secures and tracks insurance authorizations and processed BXC patients. Transcribes ancillary orders. Scheduled outpatients. Generates, prints and provides patient estimates utilizing price estimator products. Collects patient's Out of Pocket expenses and past balances to meet individual and departmental goals. Attempts to collect residual balances from previous visits. Answers questions or concerns regarding insurance residuals and self-pay accounts. Uses knowledges of CPT codes to accurately select codes from clinical descriptions. Generates appropriate regulatory documents and obtains consent signatures. Identifies and/or determines patient Out of Network acceptance into the organization. Reviews insurance information and speaks to patients regarding available financial aid. Explains billing procedures, hospital policies and provides appropriate literature and documentation. Scans required documents used for claim submission into patient's medical record. Escorts or transports patients in a safe and efficient manner to and from various destinations. Assists clinical staff in administrative duties as needed. Complies with policies and procedures that are unique to each access area. Assists with training new associates. Oversees functions of reception desks and lobbies including, but not limited to, cleanliness and order of lobbies and surrounding work areas. Goes to the Nursing Units to register or obtain consents. Uses multi-line phone system, transferring callers to appropriate patient rooms or other locations. Makes reminder phone calls to patient. Processes offsite registrations; processes offsite paper registrations; processes pre-registered paper accounts. Maintains patient logs for statistical purposes. Reviewed insurance information and determines need for referrals and/or financial counseling. Educations patients on MyChart, including its activation. Based on Care Site, may also have responsibility for Visitor Management which includes credentialing visitors and providing wayfinding assistance to their destination. **Minimum Qualifications:** High School or GED (Required) **Additional Job Description:** Excellent communication, organization, and customer service skills, basic computer skills. One to two years previous Experience in a medical office setting. **Work Shift:** Day **Scheduled Weekly Hours :** 40 **Department** Patient Contact Center Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

As a Patient Care Representative, you will handle inbound and outbound calls for healthcare clients, schedule and reschedule appointments, verify patient information, and provide assistance based on client protocols. You will play a key role in supporting patients while ensuring HIPAA compliance and maintaining a high standard of customer service. Key Responsibilities Answer and process all inbound calls in a courteous and professional manner. Schedule, confirm, or reschedule patient appointments according to client protocols. Verify patient demographics, insurance, and other key information accurately in the system. Handle patient inquiries, take and relay complete messages, and escalate urgent calls to appropriate clinical or administrative staff. Follow account‑specific scripting and protocols; provide clear, compassionate information to patients and clients. Maintain confidentiality and comply with HIPAA and other healthcare regulations. Document all call activity accurately and completely in the designated system(s). Meet or exceed performance metrics such as call quality, average handle time (AHT), adherence, and patient satisfaction/CSAT. Identify and report trends, potential issues, and opportunities for process improvement to leadership. Qualifications High school diploma or equivalent. 1+ years of call center or customer service experience (healthcare experience a plus). Strong verbal and written communication; active listening and empathy under pressure. Ability to multitask, stay organized, and work in a fast‑paced environment. Proficiency with telephony systems; experience with Genesys Cloud CX (Web Agent) strongly preferred. Familiarity with call center technologies, EHR/EMR software, and Microsoft Office/Google Workspace. Bilingual (Spanish/English or other languages) preferred. Knowledge of medical terminology or insurance verification is a plus. Reliable attendance, accountability, and openness to feedback and coaching. Tools & Equipment Computer with reliable high‑speed internet, headset, and access to telephony/ACD, EHR/EMR, CRM, QA, and workforce tools; standard office applications (email, spreadsheets, word processing). Remote Work Expectations Maintain a distraction‑free, noise‑controlled work environment; professional conduct on calls at all times. Camera‑on participation for training and meetings, as requested by leadership. Adhere to dress code expectations (e.g., scrubs for agents; business casual for leaders) when applicable. Follow security and privacy standards when accessing systems and handling PHI. Performance & Development Achieve quality assurance and KPI goals (e.g., QA score, AHT, adherence, CSAT). Participate in training, booster sessions, and cross‑training as assigned. Contribute to a positive, team‑oriented culture; support peers and accept coaching. Physical Requirements Prolonged periods of sitting and computer use; frequent talking and listening on the phone. Occasional standing, bending, or reaching. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Work Environment Professional remote work environment requiring flexibility, adaptability to change, and the ability to manage stress while maintaining excellent patient service. Schedule Requirements: Part-Time: 10-20 hours per week Schedule: Saturday & Sunday Hours: 6:00 AM - 12:00 AM EST Language Requirement: Bilingual (English/Spanish) Equal Opportunity & Disclaimer We are an equal opportunity employer. This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required; duties may change at any time with or without notice.

Location: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. This position may require up to 100% travel within the designated regions in Puerto Rico. The ideal candidate will live within the assigned region. 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. MMM Holdings, LLC is a company that provides Medicare Advantage and Medicaid plans in Puerto Rico. Currently, MMM Holdings, LLC operates in Puerto Rico under Elevance Health, Inc. a leading health company dedicated to improving the quality of life of communities in the United States. Through its affiliated companies, they serve more than 118 million people. Schedule: This position will work an 8-hour shift Monday through Friday within the operational hours of 6:00 am - 11:00 pm. Alternate Saturdays may be required. Additional hours, including weekends or holidays, may be required based on operational needs. The Patient Transportation Representative is responsible for providing transportation services for members. How You Will Make an Impact Primary duties may include, but are not limited to: Drives members/patients back and forth to their health service centers. Contacts the affiliate to confirm the coordinated service. Contacts the member to report they are near the pickup location. Follows up on the service provided, making changes in the status of services in the platform, to ensure effective monitoring and compliance, and guarantee quality service. Associates in this role are expected to be able to work independently, be punctual, have attention to details, be empathetic to the situations of others and have strong communication and customer service skills. Drive long distances more than 3 days a week. Minimum Requirements: Requires Authorization for Medical Care certification issued by the Bureau of Transportation and Other Public Services. Category 4 Driver's License (Chauffer's license) in good standing. Certificate of Law 300. Current National CPR Foundation Cardiopulmonary Resuscitation (CPR) certification or obtained within 15 days of hire. Preferred Skills, Capabilities and Experiences: High school diploma/GED preferred. Associate degree in an area related to health is preferred. 1 year of related customer service experience is strongly preferred. Experience working with geriatric population is preferred. Experience handling electronic equipment such as mobile phones and applications are preferred. Job Level: Non-Management Non-Exempt Workshift: Job Family: FAC > Transport & Fleet Mgmt 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.

The Patient Access Representative assists patients, clinic staff or other clinical staff to schedule, pre-register, register for all services at Adena Health System. Patient Access Representatives use established interviewing techniques to gather information in person, by accessing EPIC or by phone. Information gathered includes demographic information, insurance, financial, ensuring correct precert/authorization and other information from patients or their representatives required for billing and collecting patient accounts. This position uses various electronic tools to ensure the patient's insurance coverage is active. This position will be required to run an estimate on each patient at each visit or over the phone when pre-registering. Required signatures and documents are obtained by this position at the time of registration and scanned into document imaging. This position enters diagnosis, tests and checks orders for completeness and medical necessity. This position interacts with clinicians in the ER, outpatient and clinics to ensure patient care is delivered in a timely manner. The Patient Access Representative must be self-driven and able to multi-task and prioritize their work. They must have strong communication skills and be able to deal effectively with others. This position is team oriented and contributes to achieving department goals. In addition, Patient Access Representatives at AGMC answer all incoming calls on the hospital switchboard and transfer as appropriate. The caregiver in this role will need to be comfortable with collecting at time of service, copay and deductibles, etc. Required Educational Degree: Completed 3 years of high school; High School Diploma or GED Preferred Education: Business or Healthcare education desired Required Experience: 0-2 years hospital clerical, general clerical or customer service related position; Must be able to type 40 words per minute Preferred Experience: Other healthcare, hospital or physician experience Benefits for Eligible Caregivers: Paid Time Off Retirement Plan Medical Insurance Tuition Reimbursement Work-Life Balance About Adena Health: Adena Health is an independent, not-for-profit and locally governed health organization that has been “called to serve our communities” for more than 125 years. With hospitals in Chillicothe, Greenfield, Washington Court House, and Waverly, Adena serves more than 400,000 residents in south central and southern Ohio through its network of more than 40 locations, composed of 4,500 employees - including more than 200 physician partners and 150 advanced practice provider partners - regional health centers, emergency and urgent care, and primary and specialty care practices. A regional economic catalyst, Adena's specialty services include orthopedics and sports medicine, heart and vascular care, pediatric and women's health, oncology services, and various other specialties. Adena Health is made up of 341 beds, including 266-bed Adena Regional Medical Center in Chillicothe and three 25-bed critical access hospitals-Adena Fayette Medical Center in Washington Court House; Adena Greenfield Medical Center in Greenfield; and Adena Pike Medical Center in Waverly.