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Provider Services Representative jobs at RadNet

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  • Patient Service Representative

    Radnet 4.6company rating

    Provider services representative job at RadNet

    Job Description Responsibilities Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Leading Radiology Forward . With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people with the commitment to a better healthcare experience. When you join us as a Patient Service Representative , you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes. You Will: Greet and register patients in a friendly and service-oriented manner. Obtain or verify proper insurance and patient information, collect signatures and ensure accuracy and completion of necessary documentation. Collect and log all co-pays and fees Answer/transfer incoming phone calls. Schedule, reschedule or cancel new or current patients, confirm appointments and notify staff of changes when necessary. Give patients appropriate orientation for preparatory and safety protocols, and provide directions to facilities if needed. Coordinate with the back-office staff for timely and effective care of patients Demonstrates competency regarding the need to safeguard patient property and Patient Health Information. Safeguards any on site medications in accordance with Company policies, procedures and any legal requirements. Demonstrates respect for company property, including any cash and patient financial information on site or on patient portals. Is responsive to the needs of others by exhibiting and maintaining professional behavior toward patients and coworkers. Demonstrates respect for patient boundaries and cultural sensitivities during all interactions. Demonstrates ability to interact diplomatically and sympathetically with patients, their families, and the public in a clinical setting. Demonstrates ability to establish, nurture, and maintain cooperative working relationships. You Are: Genuinely passionate about customer service and exercise sound judgement and an ability to remain professional in all situations Able to demonstrate effective and professional communication, interpersonal skills and respect with patients, guests & colleagues Able to thrive in a fast-paced environment, have a knack for prioritizing work with a structured approach, and enjoy providing world-class customer service To Ensure Success In This Role, You Must Have: High School Diploma or GED Intermediate to advanced computer skills Strong multitasking and communication skills Experience providing exceptional customer service Medical terminology knowledge and recent medical/radiology office experience is preferred. We Offer: Comprehensive Medical, Dental and Vision coverages. Health Savings Accounts with employer funding. Wellness dollars 401(k) Employer Match Free services at any of our imaging centers for you and your immediate family.
    $31k-36k yearly est. 26d ago
  • Patient Experience Representative II-Ambulatory (Needham)

    Boston Children's Hospital 4.8company rating

    Needham, MA jobs

    Under general supervision, provides support to the administrative operations of a clinical service and works to ensure the best possible patient experience by effectively coordinating services to patients and families. Actively participates in and contributes to departmental and organizational initiatives & projects with a focus on continuous process improvement. Performs various administrative functions requiring in-depth knowledge of programs and services. Provides positive and effective customer service that supports departmental and hospital operations. Recognizes opportunities and recommends process improvement opportunities to enhance operational efficiency while maintaining accuracy. Key Responsibilities: ·Customer Service: Greets, screens, and directs patients, families, and visitors, and provides effective customer service in person and on the phone. ·Registration: Registers new patients, verifies insurance information, and collects co-payments. ·Patient Coordination: Monitors clinic activity, schedules appointments, and assists with patient flow to ensure a positive experience. ·Administrative Tasks: Answers calls, manages calendars, schedules meetings and events, and provides clerical support. ·Records Management: Collects and organizes patient medical records, processes letters, and handles prescription refill requests. ·Technology Use: Utilizes office technology, including phone systems and various software applications, and enrolls patients in the patient portal. ·Process Improvement: Contributes to departmental projects aimed at improving processes and systems. Minimum Qualifications Education: High School Diploma / GED Experience: Internal: Minimum 6 months as a PER; External: Minimum of 6 months relevant healthcare experience This role is eligible for a $2,000 sign on bonus (not eligible for internal candidates and not eligible for former BCH employees who worked here in the past 12 months) Boston Children's Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork. The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting. Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
    $41k-49k yearly est. 5d ago
  • Patient Financial Rep - Per Diem

    Mohawk Valley Health System 4.6company rating

    Utica, NY jobs

    The Patient Financial Representative is responsible for the accurate and timely verification of insurance and benefit information for patients receiving inpatient medical, inpatient psychiatric, observation, ambulatory surgery and/or outpatient procedure related services. Plays a key role in the organization's financial health by obtaining or ensuring that insurance authorizations or pre-authorizations are on file and accurate prior to the service being rendered. This position must also ensure patient demographic and insurance information is correct, resulting in accurate claims for reimbursement. Position provides excellent customer service during all interactions. Core Job Responsibilities For designated services, this position is responsible for ensuring that each patient account has accurate insurance information entered in the correct billing order and that each insurance listed has been verified as eligible for the designated date of service range. For each insurance, benefit information is obtained and documented. Verification and benefit information can be obtained via electronic or verbal method but must be completed prior to services being rendered. Position must have or develop excellent working rapport with surgeons' office staff, as well as hospital nursing staff. For pre-scheduled services, this position is responsible for verifying that authorization is on file with each of the appropriate insurance companies and that authorization is accurate based upon location, CPT code, service type, surgeon, date range and any or all other necessary elements to secure payment for services rendered. For emergent or urgent services, this position is responsible for accurately and timely requesting that each verified insurance company has been notified of patient services being rendered and also request authorization for requested services. Position must have or develop excellent working rapport with insurance company representatives, surgeons' office staff, as well as hospital nursing staff. Ensures each patient account has accurate insurance information entered in the correct billing order and that each insurance company listed has been verified as eligible for the designated date of service range. Secures and documents any and all authorization requirements in appropriate computer systems with relevant information to capture authorization timely. Enters pertinent information in all necessary systems. Retains any written documents received. Performs related duties as assigned. Education/Experience Requirements REQUIRED: High school diploma or equivalent. Minimum 3 years of pre-authorization and/or insurance verification experience. Demonstrated computer proficiency and ability to learn new applications rapidly. Strong documentation skills. Strong follow up skills, accuracy and attention to detail. Excellent customer service and interpersonal skills. Ability to work under restrictive time. PREFERRED: Associate's degree in healthcare related field. 4 years or more of hospital, medical office, coding or billing experience; or 6 years of experience in other healthcare related field. Proficient with EMR, QES, MIDAS, SIS and related computer programs. Licensure/Certification Requirements PREFERRED: Medical terminology certification. Disclaimer Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability. Successful candidates might be required to undergo a background verification with an external vendor. Job Details Req Id 95876 Department PATIENT ACCESS SVCS Shift Days Shift Hours Worked 8.00 FTE 0.19 Work Schedule HRLY NON-UNION Employee Status A7 - Occasional Union Non-Union Pay Range $19 - $25/Hourly #Evergreen
    $19-25 hourly 5d ago
  • Ambulatory Service Representative - Ambulatory Surgery Center

    Christus Health 4.6company rating

    San Antonio, TX jobs

    In order to make an application, simply read through the following job description and make sure to attach relevant documents. Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns Schedules urgent care appointments as needed and directed by physician Greets patients for scheduled and/or urgent care appointments and procedures Confirms and verifies patient demographic and insurance information Collect co-payments from patients upon arrival when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for xevrcyc treatment are obtained prior to patient visits Reviews and audits billing discrepancy reports and researches errors for resolution Verifies eligibility for procedures or tests from various health care institutions Maintains accurate and timely records, logs, charges, files, and other related information as required Requirements: High School Diploma Work Schedule: PRN Work Type: Per Diem As Needed
    $32k-35k yearly est. 1d ago
  • Care Coordinator PRN

    University Health 4.6company rating

    Pleasanton, CA jobs

    /RESPONSIBILITIES Perform expert leadership skills in the management of staff and coordination of patient care activities. Work collaboratively with all healthcare providers and non-health care providers. Serves as a mentor and role model for all staff. Reports to a Nursing Director or Executive Director. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas. BSN is required. National certification (e.g., CCRN, RNC, CEN, CNOR, OCN, ANCC, CAN, CPAN, CFRN, etc.) in related fields is required. Three (3) years of recent, full-time hospital or clinic experience are required. Verification of course completion in accordance with all American Heart Association Basic Cardiac Life Support and Health Care Provider guidelines is required. External applicants must have at least two (2) years in an equivalent management capacity. LICENSURE/CERTIFICATION A current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.
    $37k-46k yearly est. 4d ago
  • Patient Experience Representative II-Ambulatory (Needham)

    Boston Children's Hospital 4.8company rating

    Needham, MA jobs

    Under general supervision, provides support to the administrative operations of a clinical service and works to ensure the best possible patient experience by effectively coordinating services to patients and families. Actively participates in and contributes to departmental and organizational initiatives & projects with a focus on continuous process improvement. Performs various administrative functions requiring in-depth knowledge of programs and services. Provides positive and effective customer service that supports departmental and hospital operations. Recognizes opportunities and recommends process improvement opportunities to enhance operational efficiency while maintaining accuracy. Key Responsibilities: ·Customer Service: Greets, screens, and directs patients, families, and visitors, and provides effective customer service in person and on the phone. ·Registration: Registers new patients, verifies insurance information, and collects co-payments. ·Patient Coordination: Monitors clinic activity, schedules appointments, and assists with patient flow to ensure a positive experience. ·Administrative Tasks: Answers calls, manages calendars, schedules meetings and events, and provides clerical support. ·Records Management: Collects and organizes patient medical records, processes letters, and handles prescription refill requests. ·Technology Use: Utilizes office technology, including phone systems and various software applications, and enrolls patients in the patient portal. ·Process Improvement: Contributes to departmental projects aimed at improving processes and systems. Minimum Qualifications Education: High School Diploma / GED Experience: Internal: Minimum 6 months as a PER; External: Minimum of 6 months relevant healthcare experience This role is eligible for a $2,000 sign on bonus (not eligible for internal candidates and not eligible for former BCH employees who worked here in the past 12 months) Boston Children's Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork. The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting. Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
    $41k-49k yearly est. 9d ago
  • Ambulatory Service Representative - Specialty Neurosurgery

    Christus Health 4.6company rating

    San Antonio, TX jobs

    Applying for this role is straight forward Scroll down and click on Apply to be considered for this position. Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs. CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns Schedules urgent care appointments as needed and directed by physician Greets patients for scheduled and/or urgent care appointments and procedures Confirms and verifies patient demographic and insurance information Collect co-payments from patients upon arrival when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc Verifies eligibility for procedures or tests from various health care institutions Reviews and audits billing discrepancy reports and research errors for resolution Maintains accurate and timely records, logs, charges, files, and other related information as required Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff Prepares special reports or spreadsheets for physicians as requested Complies with established departmental policies, procedures and objectives Complies with all health and safety regulations and requirements Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors Performs other duties as required. Requirements: Education/Skills High School Diploma or GED Proficient in software and computer systems Knowledgeable of business office terminology / procedures Ability to multi task and work under stressful situation Effective written and verbal communication skills Experience 1+ year of customer service experience required Experience with medical office terminology preferred Licenses, Registrations, or Certifications None Work Schedule: 8AM - 5PM Monday-Friday Work Type: Full Time
    $31k-35k yearly est. 1d ago
  • Ambulatory Service Representative - Cardiovascular Surgery

    Christus Health 4.6company rating

    Lake Jackson, TX jobs

    Below covers everything you need to know about what this opportunity entails, as well as what is expected from applicants. Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns Schedules urgent care appointments as needed and directed by physician Greets patients for scheduled and/or urgent care appointments and procedures Confirms and verifies patient demographic and insurance information Collect co-payments from patients upon arrival when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc Verifies eligibility for procedures or tests from various health care institutions Reviews and audits billing discrepancy reports and researches errors for resolution Maintains accurate and timely records, logs, charges, files, and other related information as required Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff Prepares special reports or spreadsheets for physicians as requested Complies with established departmental policies, procedures and objectives Complies with all health and safety regulations and requirements Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors Performs other duties as required. Requirements: High School Diploma or GED Proficient in software and computer systems Knowledgeable of business office terminology / procedures Ability to multi task and work under stressful situation Effective written and verbal communication skills 1+ year of customer service experience required Experience with medical office terminology preferred Work Schedule: 5 Days - 8 Hours Work Type: Full Time
    $30k-35k yearly est. 1d ago
  • Ambulatory Service Representative - Neurosurgery

    Christus Health 4.6company rating

    Helotes, TX jobs

    Ensure all your application information is up to date and in order before applying for this opportunity. CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Summary: Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns Schedules urgent care appointments as needed and directed by physician Greets patients for scheduled and/or urgent care appointments and procedures Confirms and verifies patient demographic and insurance information Collect co-payments from patients upon arrival when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc Verifies eligibility for procedures or tests from various health care institutions Reviews and audits billing discrepancy reports and researches errors for resolution Maintains accurate and timely records, logs, charges, files, and other related information as required Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff Prepares special reports or spreadsheets for physicians as requested Complies with established departmental policies, procedures and objectives Complies with all health and safety regulations and requirements Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors Performs other duties as required. Requirements: High School Diploma or GED Proficient in software and computer systems Knowledgeable of business office terminology / procedures Ability to multi task and work under stressful situation Effective written and verbal communication skills 1+ year of customer service experience required Experience with medical office terminology preferred Work Schedule: 5 Days - 8 Hours Work Type: Full Time
    $31k-35k yearly est. 1d ago
  • Ambulatory Service Representative - Cardiovascular Surgery

    Christus Health 4.6company rating

    New Braunfels, TX jobs

    Below covers everything you need to know about what this opportunity entails, as well as what is expected from applicants. Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns Schedules urgent care appointments as needed and directed by physician Greets patients for scheduled and/or urgent care appointments and procedures Confirms and verifies patient demographic and insurance information Collect co-payments from patients upon arrival when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc Verifies eligibility for procedures or tests from various health care institutions Reviews and audits billing discrepancy reports and researches errors for resolution Maintains accurate and timely records, logs, charges, files, and other related information as required Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff Prepares special reports or spreadsheets for physicians as requested Complies with established departmental policies, procedures and objectives Complies with all health and safety regulations and requirements Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors Performs other duties as required. Requirements: High School Diploma or GED Proficient in software and computer systems Knowledgeable of business office terminology / procedures Ability to multi task and work under stressful situation Effective written and verbal communication skills 1+ year of customer service experience required Experience with medical office terminology preferred Work Schedule: 5 Days - 8 Hours Work Type: Full Time
    $31k-35k yearly est. 1d ago
  • Ambulatory Service Representative - Neurosurgery

    Christus Health 4.6company rating

    Randolph Air Force Base, TX jobs

    Ensure all your application information is up to date and in order before applying for this opportunity. CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Summary: Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns Schedules urgent care appointments as needed and directed by physician Greets patients for scheduled and/or urgent care appointments and procedures Confirms and verifies patient demographic and insurance information Collect co-payments from patients upon arrival when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc Verifies eligibility for procedures or tests from various health care institutions Reviews and audits billing discrepancy reports and researches errors for resolution Maintains accurate and timely records, logs, charges, files, and other related information as required Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff Prepares special reports or spreadsheets for physicians as requested Complies with established departmental policies, procedures and objectives Complies with all health and safety regulations and requirements Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors Performs other duties as required. Requirements: High School Diploma or GED Proficient in software and computer systems Knowledgeable of business office terminology / procedures Ability to multi task and work under stressful situation Effective written and verbal communication skills 1+ year of customer service experience required Experience with medical office terminology preferred Work Schedule: 5 Days - 8 Hours Work Type: Full Time
    $31k-35k yearly est. 1d ago
  • Member Services Specialist

    Christus Health 4.6company rating

    Irving, TX jobs

    Job Title: Member Services Specialist Shift: 9am to 5pm, Monday to Friday Schedule: 5 days a week - 40 hours Roles and Responsibilities: 2 years of customer service experience in healthcare, insurance, and call center environment. Must have excellent understanding of benefits, products, & other health care and/or insurance issues as they pertain to our customers (internal/external). Facilitates member & provider understand of the plan coverage and benefits by thoroughly researching inquiries in an efficient and professional manner Records all contact with customers, both verbal & written in the current MIS system Required to assist in training/re-training new and current employees Maintains accurate documentation of all telephone contact, walk-in customers, any mail inquiries by documenting to ensure a clear audit trail for reporting purposes Responsible for handling all incoming calls and the making of outgoing calls as needed in order to resolve any issues or questions Triage phone request to other areas such as Utilization Management and Provider Relations Handles incoming written correspondence in a timely and professional manner
    $30k-34k yearly est. 1d ago
  • Payer Relations Specialist (Remote)

    Envision Radiology Careers 4.0company rating

    Colorado Springs, CO jobs

    Envision Radiology is adding a Remote Payer Relations Specialist to the team! Pay Range $20.10 - $24.20 Open to AL, AZ, CO, FL, ID, LA, MO, NE, NC, OK, TX, UT, VA, & WI Markets. Summary/Objective Responsible for credentialing of all centers, Radiologists, and Technologists for contracting purposes and government requirements. Responsible for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care. Responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals and patient care facilities. Maintain up-to-date data for each provider in credentialing databases and online systems. Ensure timely renewal of licenses and certifications. Essential Functions 1. Completes and submits accurate information to update/maintain commercial and Medicaid contracts. 2. Updates equipment information with commercial carriers who require this data and work with centers to submit certifications as needed. 3. Manages licenses and other required information for Radiologists and Technologists. 4. Works closely with management with regards to new contracts to provide all needed documentation. 5. Develops a strong understanding of the IDTF rules and requirements. 6. Compiles and maintains current and accurate data for all providers. 7. Completes provider and facility credentialing and re-credentialing applications. Monitors applications and follows-up as needed. 8. Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers. 9. Maintains knowledge of current health plan and agency requirements for credentialing providers. 10. Assists in the maintenance of provider information in online credentialing databases and systems. 11. Tracks license and certification expirations for all providers to ensure timely renewals. Works closely with contracted groups to ensure documents are received timely. 12. Audits health plan directories for current and accurate provider information. 13. Other duties as assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Competencies 1. Ethical Conduct. 2. Thoroughness. 3. Collaboration Skills. 4. Time Management. 5. Organization Skills. 6. Project Management. 7. Personal Effectiveness/Credibility. Supervisory Responsibility This position has no supervision responsibilities. 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. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to use hands and fingers to handle, feel or operate objects, tools or controls, and reach with hands and arms. The employee is frequently required to talk and hear. Position Type/Expected Hours of Work This is a full-time position. Standard days and hours of work are Monday through Friday, 8:00 a.m. through 5:00 p.m. Travel No travel is expected for this position. Job Qualifications Minimum Qualifications / Experience: Attention to detail is a must. Ability to learn new software quickly and efficiently. Must be organized, with the ability to track many different items at once. Education / Certifications: High school diploma or equivalent Two years of relevant credentialing experience Additional Eligibility Qualifications None required for this position. 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. Other duties may be assigned as needed by supervision. Compliance Adheres to Envision's Code of Conduct and Compliance Policies and attends annual Compliance training as set forth by the Company. Company Benefits Below is a list of benefits that are offered to employees, once eligibility is met. Health Benefits: Medical/Dental/Vision/Life Insurance Company Matched 401k Plan Employee Stock Ownership Plan Paid Time Off + Paid Holidays Employee Assistance Program OSHA Exposure Rating: 1 It is reasonably anticipated NO employees in this job classification will have occupational exposure to blood and other potentially infectious body fluids. Envision Radiology is an equal opportunity employer (M/F/D/V). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law. Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
    $20.1-24.2 hourly 50d ago
  • Client Retention

    Alliant Group 4.4company rating

    Houston, TX jobs

    As a Client Retention Associate, you will gain a strong foundation in specific industries and tax, in addition to developing your critical thinking skills. You will also develop a strong understanding about our firm's mission and purpose, the professional services industry, our unique client-centric culture, and how we serve and engage our CPA partners, clients, and industry partners. You will participate in client engagement discussions and learn about a wide variety of industries, our various service lines, and business methodologies with the goal of managing current clients and re-engaging with inactive clients. You will develop service line-specific and industry-specific skills and work directly with C-level executives and CPA firms in various markets as part of a high-performance team. As a national premier consulting firm, alliant is focused on providing solutions to help businesses transform and thrive. alliant offers six different service lines to our clients and this role manages and re-engages with clients for all service lines. Responsibilities • Account management of existing clients • Proactively reach out to inactive clients to rekindle relationships and encourage their return • Communicate our services and educate business owners and executives on the value we can bring to their organization in the form of credits and incentives as well as other services we provide • Schedule client meetings, conference calls and follow-up appointments with great attention to detail • Track outstanding proposals and follow-up with clients until proposal is signed • Maintain client relationship management (CRM) database Qualifications • Bachelor's degree required • Preferred 1+ year of experience in a fast-paced, consultative sales role • Results-oriented, competitive, and driven to achieve activity and revenue goals • Dynamic verbal communication, robust active listening, and excellent presentation and writing skills • High sense of urgency with the ability to meet deadlines and changing priorities • Collaborative and team focused • Receptiveness to performance feedback within a team environment is essential • Proficiency with Microsoft Office Suite and other relevant software applications • Candidate must reside or relocate to Houston, TX alliant offers a comprehensive compensation and benefits package including 100% employer paid medical/dental premiums for single coverage, 401(k) matching, PTO, company provided life insurance and disability, onsite gym and group fitness classes, paid covered parking, daily allowance for onsite café and Starbucks, and more! Do Work That Matters. Alliant ***************************
    $36k-65k yearly est. Auto-Apply 60d ago
  • Ambulatory Service Representative - Neurosurgery

    Christus Health 4.6company rating

    Leon Valley, TX jobs

    CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular carefrom diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Summary: Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns Schedules urgent care appointments as needed and directed by physician Greets patients for scheduled and/or urgent care appointments and procedures Confirms and verifies patient demographic and insurance information Collect co-payments from patients upon arrival when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. Verifies eligibility for procedures or tests from various health care institutions Reviews and audits billing discrepancy reports and researches errors for resolution Maintains accurate and timely records, logs, charges, files, and other related information as required Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff Prepares special reports or spreadsheets for physicians as requested Complies with established departmental policies, procedures and objectives Complies with all health and safety regulations and requirements Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors Performs other duties as required. Requirements: High School Diploma or GED Proficient in software and computer systems Knowledgeable of business office terminology / procedures Ability to multi task and work under stressful situation Effective written and verbal communication skills 1+ year of customer service experience required Experience with medical office terminology preferred Work Schedule: 5 Days - 8 Hours Work Type: Full Time
    $31k-35k yearly est. 5d ago
  • Provider Relations Specialist, Orlando Outpatient, Full-time

    Brooks Rehabilitation 4.6company rating

    Orlando, FL jobs

    As a member of our Provider Relations Specialist (PRS) team, you have an important role - developing and fostering deep relationships with referral sources in this growing community. You will collaborate with physicians, physician office staff, healthcare facilities and other sources and help them navigate the Outpatient referral process. As their key liaison, you will educate them about our exceptional programs and services. You will serve as a Brooks ambassador by marketing and representing the organization in the community. By understanding all Brooks has to offer through its unique system of care, you will cross sell our programs and services and help to drive business outcomes and results. Through collaboration with other PRS colleagues and leadership, you will navigate your territory and document and report your success and outcomes in our customer relationship management system. Location: Orlando Region Responsibilities: * Develop and foster strong relationships with referral sources and office staff to help them select Brooks as the place for their patients for exceptional Outpatient service and care. * Provide referral sources education on the array of outpatient service offerings available for patients and the referral process, overall. * Act as liaison for referral sources to troubleshoot and /or resolve any issues that relate to the Brooks System of Care. * Establishes and executes external marketing activities to promote programs/services to community agencies, insurance companies, hospitals, physicians, private rehabilitation providers and prospective patients/families. * Use technology to document field activity and effectively manage territory and daily activities. Leverage available tools to provide and document field intelligence about our referral sources. * Collaborate with key stakeholders in the Outpatient division to align field activity with divisional and territory goals and objectives. * Collaborate with other departments and sales functions within Brooks to increase opportunities for cross-selling and system reinforcement with referral sources and the community. * Participate and organize physician-related community projects, as assigned. * May perform other duties as assigned. Qualifications: * College diploma or university degree in a sales, marketing or health-care related field. * Three years of sales and marketing experience, preferably in health-care related field. * Excellent communication and interpersonal skills * High level of multi-tasking abilities * Strong public speaking and presentation skills * Organizational skills, and ability to route and pre-call plan effectively * Ability to collaborate with key stakeholders and teams to achieve common goal * Demonstrated flexibility and independence * Ability to take initiative as a resource for the referral source community * Ability to influence diverse population, including internal and external constituents * Strong level of technical skills to leverage CRM tool and competency in Microsoft Office. Hours: Monday - Friday, 40 hours per week. Compensation: Experience, education and tenure may be considered along with internal equity when job offers are extended. Thriving in a culture that you can be proud of, you will also receive many employee benefits such as the following: * Competitive Pay * Comprehensive Benefits package * Vacation/Paid Time Off * Retirement Plan * Employee Discounts * Clinical Education and Professional Development Programs
    $36k-55k yearly est. Auto-Apply 40d ago
  • Marketing & Provider Relations

    United Medical Imaging Healthcare 3.5company rating

    Los Angeles, CA jobs

    United Medical Imaging We are large Imaging group, with 30 locations in Southern California, proud leading providers of quality healthcare to the community. Our centers are equipped to treat diagnostics, traumatic, and life-threatening injuries, with caring and innovative team of healthcare professionals dedicated to enthusiastically improving the health and quality of life of the people we serve.We are looking for a Marketing and Provider Relations to join our growing team on a full- time basis. You will be working a majority of your day off-site and build relationships with referring physicians and medical offices in your assigned area. Your primary responsibility is to offer superior customer service to existing clients/ contracts (including managed care organizations), physicians, medical offices, IPA's, and other contracted accounts.In the position you will:- Identify and resolve service issues relating to referring physicians, their staff and patients.- Provide turnkey services to referring physician offices by acting as liaison between operations management- Corporate management and billing departments, to ensure timely turnaround of service issues and/or concerns- Keep sales, operations and radiologists updated on account issues and resolution (status)- Maintain special assignment accounts as directed by OperationsYou will assist the VP of Business Development to coordinate effective office visits. The purpose of these visits will be to: * Educate referring and new offices on enhancements, new studies, and advances -- essentially target market* Increase referral percentages/volume and word of mouth* Increase referral percentages/volume from currently non-referring offices* Maintain image in the community as cutting-edge experts* Bring our level of service to the offices* Effectively manage territory The right candidate must have: - Strong written and verbal communications skills- Professional customer service skills- Good overall clerical skills- Must be detail oriented and organized- Must be able to interact effectively and professionally with doctors, referring doctors, patients, vendors, peers, staff and management- Should posses current California driver's license and good driving record Qualifications: - Preferred 1 year experience in healthcare- Knowledge of preparing, and interpreting spreadsheets and reports- Managed care contracting experience is highly desirable- Good selling skills is highly desirable- Bilingual is a PLUS!
    $41k-63k yearly est. Auto-Apply 14d ago
  • IDD Provider Specialist-RT

    Lakes Regional Community Center 3.7company rating

    Greenville, TX jobs

    The IDD Provider Specialist position is responsible for group and individualized activities at the Individualized Skills and Socialization (ISS) and/or residential settings program, and also provides direct care services to persons with developmental disabilities. Responsibilities include: Implementation and evaluation of therapeutic programs for individuals with intellectual and developmental disabilities, planning individual activities Liaison with individual's Provider Care Coordinators, and family members. Daily completion of documentation of services, complying with safety procedures and assist with monitoring facility and vehicle maintenance. Serves as a member of the interdisciplinary team, as requested. Provides direct care services to include assistance and training with personal hygiene, food preparation, feeding, mobility, community access, recreation, leisure activities, and maintenance of basic health care needs. Provision of training and assistance with all activities of daily living, including administration and monitoring of medications, housekeeping, transportation, and other individualized goals. Implements behavior management programs, and provides emergency behavior or health-related interventions, as necessary. Fosters a productive, clean, comfortable, and safe environment for individuals; and serves as a positive role model for those we serve. Other Requirements: Must be able to assess and evaluate classroom effectiveness and implement changes as indicated. Must be knowledgeable of therapeutic techniques and modalities of working with individuals with intellectual and developmental disabilities. Exercise independent judgment, be able to work with minimal supervision and communicate effectively with individuals and co-workers. Prefer working computer skills including MS Word and Excel. Work Schedule: Sat/Sun from 11:00am to 11:00pm (24 hours weekly)
    $28k-36k yearly est. 60d+ ago
  • Dental Network Provider Relations Specialist

    Careington 4.2company rating

    Frisco, TX jobs

    Careington International is a solutions-oriented company. An established leader, we have been a trailblazer in the field of discount health care since 1979. Over the years, our mission has remained the same, to create discount health programs that are marketable to the employer, profitable to the provider and economical for the member. In response to a growing demand for our products and services in recent years, our growth means that we continuously strive to recruit innovators to join our fast-paced, forward-thinking team. We are based in Frisco, TX and employ prospective candidates that are able to work in a Hybrid work arrangement, 3 days in the office per week, Tuesday through Thursday, from 8:00 a.m. to 5:00 p.m. If you are looking for a great company culture filled with rewarding career advancement opportunities, this is the place for you. The Dental Network Provider Relations team is the primary liaison between Careington and our individual dental offices, and a key component to educating and assisting our providers on a day-to-day basis. This role also involves working with network development's other core divisions like credentialing and recruitment, as well as working externally with Careington's clients and their provider relations departments. Individuals who have prior experience within the dental or medical insurance industry are strongly encouraged to apply. Duties & Responsibilities: Act as liaison between providers, members, and act as the dedicated liaison for assigned clients Answer phone calls from providers and handle inquiries in real time Resolve provider calls effectively and efficiently, with the intent for one-call-resolutions when possible Contact provider offices to resolve member billing and quality of care grievances Negotiate refunds from provider offices on behalf of the member if overbilling has occurred Professionally write resolution letters due to member billing or quality of care inquiries Educate provider offices on plan administration, plan participation, and other facets of Careington's network by phone Work with marketing and team to create education materials and distribute them to the network Audit offices for participation and plan administration Work with compliance on addressing escalated issues Willing to perform all other responsibilities as assigned and assist in other department projects as needed Maintain a thorough working knowledge of Careington's Network Development department and functions Knowledge, Skills, and Abilities: Must be a self-motivator with a high desire to add value to the day to day operations of the department Possess high level problem solving and analytical thinking skills that will assist in making independent judgment decisions to provider/member inquiries Strong conflict resolution skills to de-escalate Have a strong sense of time management and organizational skills with the ability to effectively manage various daily tasks Must be able to retain and apply learned information to all request presented A strong knowledge of basic mathematical calculations is required Impeccable communication skills - both written and verbal Must have professional phone demeanor and superb listening skills for callers Minimum Qualifications and Requirements: Proficient within MS Office Suite products: Word, Adobe, Excel, Outlook Phone experience; engaging with inbound callers Dental or medical insurance industry knowledge is a plus
    $38k-57k yearly est. 60d+ ago
  • IDD Provider Specialist-RT

    Lakes Regional Community Center 3.7company rating

    Waxahachie, TX jobs

    The IDD Provider Specialist position is responsible for group and individualized activities at the Individualized Skills and Socialization (ISS) and/or residential settings program, and also provides direct care services to persons with developmental disabilities. Responsibilities include: Implementation and evaluation of therapeutic programs for individuals with intellectual and developmental disabilities, planning individual activities Liaison with individual's Provider Care Coordinators, and family members. Daily completion of documentation of services, complying with safety procedures and assist with monitoring facility and vehicle maintenance. Serves as a member of the interdisciplinary team, as requested. Provides direct care services to include assistance and training with personal hygiene, food preparation, feeding, mobility, community access, recreation, leisure activities, and maintenance of basic health care needs. Provision of training and assistance with all activities of daily living, including administration and monitoring of medications, housekeeping, transportation, and other individualized goals. Implements behavior management programs, and provides emergency behavior or health-related interventions, as necessary. Fosters a productive, clean, comfortable, and safe environment for individuals; and serves as a positive role model for those we serve. Work Schedule: 7am-3pm (Mon-Fri) Full-Time Other Requirements: Must be able to assess and evaluate classroom effectiveness and implement changes as indicated. Must be knowledgeable of therapeutic techniques and modalities of working with individuals with intellectual and developmental disabilities. Exercise independent judgment, be able to work with minimal supervision and communicate effectively with individuals and co-workers. Prefer working computer skills including MS Word and Excel. Benefits: Employer-Cost Sharing of Health (Include 50% of Elected Dependent Coverage) Employer-Paid Short-Term Disability Insurance Loan Forgiveness Program Employee Assistance Program Pet Insurance Employer-Paid Term Life Insurance Employer-Match Retirement Contributions (Up to 5% of Base Salary) Optional Dental, Vision, Life and Long-Term Disability Insurance Wellness Program 12 Paid Holidays per Year 2 Weeks Paid Vacation Leave per Year with Graduating Accrual Rate 2+ Weeks Paid Sick Leave per Year
    $28k-36k yearly est. 60d+ ago

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