Patient Access Representative jobs at UnitedHealth Group

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. What Makes This Opportunity Exciting? As a Service Representative at GEICO, you'll do more than answer questions- you'll provide reassurance and solutions that make a difference in customers' lives. Whether guiding policyholders through coverage needs, addressing billing inquiries, or educating them on policy options, you'll be a trusted partner in delivering world-class service. Customer Interaction: Handle incoming calls and messages from customers, addressing billing questions, making policy changes, and providing recommendations. Problem Resolution: Investigate and resolve customer concerns promptly and efficiently, ensuring a positive customer experience. Product Knowledge: Maintain a thorough understanding of GEICO's insurance products to effectively assist customers and identify opportunities for cross-selling or up-selling. Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction. Workplace Flexibility: After completing a comprehensive 5-month in-office training and orientation, transition to a hybrid work model with the best of both worlds-spend 80% of your time in the office and 20% working remotely. Plus, take advantage of the GEICO Flex Program, which offers up to four additional weeks of remote work annually for even greater flexibility. Professional Growth: Access GEICO's industry-leading training programs and development opportunities: Licensing and continuing education at no cost to you. Leadership development programs and hundreds of eLearning courses to enhance your skills. Access to GEICO Strive Program, providing associates with tuition assistance and access to high-quality education to advance their career. Incentives and Recognition: Pay Transparency: The starting salary for a Service Representative is between $27.00 per hour/$54,405 annually and $33.07 per hour/$66,636 annually. Many associates see a base salary increase of 10% within their first year as a Service Representative. Top associates can see increases up to 15%! Sign-On Bonuses: $1,500 for active Personal Lines Insurance license holders. Jumpstart Bonus: Receive a $1,000 bonus after completing training and orientation (around five months). Evening Shift Differentials: Earn a +10% pay differential for eligible shifts. Weekend Shift Differentials: Earn a +20% pay differential for eligible shifts. Additional Perks: Health & Wellness: Comprehensive healthcare and well-being support available on Day 1. 401(k) Match: From day one, you'll be automatically enrolled in our 401(k) plan with a 6% pre-tax contribution. We match 100% of your contributions, up to 6% of your eligible earnings, with employer contributions added to your account each paycheck and vesting immediately. What We're Looking For: Education: High School Diploma required, College Degree (2-4 year) preferred. Experience: Up to 3 years of prior relevant customer facing and/or service experience. Minimum Requirements High School Diploma (or equivalent) and minimum 2 years of customer facing work experience Or Associates Degree and minimum 1 year of customer facing work experience Or Bachelor's Degree and minimum 3 months of customer-facing experience AND Active Personal Lines license or Property & Casualty license required. Skills: A passion for providing outstanding customer service. Strong interpersonal, communication, and problem-solving skills. Adaptability and attention to detail in a dynamic environment. Ability to prioritize and multi-task, while navigating through multiple business applications. Computer proficiency, including familiarity with Microsoft Office Suite. Flexibility to work evenings, weekends, and holidays as needed. #geico200 At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Customer Service Representative - Tucson, AZ Salary: $19.06 - $23.82 per hour / $38,405 - $47,997 annually *pay is commensurate to experience Onsite in office position At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Increase your earning potential! 10% evening differential for applicable shifts 20% weekend differential for applicable shifts When you grow, GEICO grows. And if you're the kind of person who likes to solve problems and help others when they need it, you could be a perfect fit to grow your career with GEICO. We're looking for Customer Service Professionals for our Tucson, AZ office. You'll support our contact center and taking incoming calls from current policyholders while providing the excellent service they want and need. Service Representatives are the first point of contact for our customers: answering billing questions, making policy changes, and providing recommendations. Join our team to deliver personalized service that demonstrates the value of being insured by GEICO. If you want a career with plenty of growth opportunities, let's talk. Qualifications & Skills: 12+ months of contact center or customer facing service experience (preferred) Experience providing outstanding customer service by showcasing expertise, active listening, fostering trust and growing customer satisfaction Ability to work and grow in a fast-paced, high-volume call center environment Willingness to learn new skills and ability to adjust to changes quickly Open to feedback to support your performance and development Solid computer and multi-tasking skills Minimum of high school diploma or equivalent Education/Certifications: An associate's degree or higher (preferred) Active Personal Lines insurance license (preferred) #geico400 At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Customer Service Representative - Virginia Beach, VA Salary: $20.65 - $25.81 per hour / $41,609.75 - $52,007.15 annually *pay is commensurate to experience* When you grow, GEICO grows. And if you're the kind of person who likes to solve problems and help others when they need it, you could be a perfect fit to grow your career with GEICO. We're looking for Customer Service Professionals for our Virginia Beach, VA office. This role is for people who want to provide our policyholders the excellent customer service they want and need. You'll be the first contact for our customers: answering billing questions, making policy changes, and providing recommendations. Join our team to deliver personalized service that demonstrates the value of being insured by GEICO. If you want a career with plenty of growth opportunities, let's talk. Salary: Salary: $20.65 - $25.81 per hour / $41,609.75 - $52,007.15 annually *pay is commensurate to experience* Increase your earning potential! 10% evening differential for applicable shifts 20% weekend differential for applicable shifts Many associates see a base salary increase of 10% within their first year as a Customer Service Representative. Top associates can see increases up to 15%! Qualifications & Skills: 12+ months of contact center or customer facing service experience required (preferred) Experience providing outstanding customer service by showcasing expertise, active listening, fostering trust and growing customer satisfaction Ability to work and grow in a fast-paced, high-volume call center environment Willingness to learn new skills and ability to adjust to changes quickly Open to feedback to support your performance and development Solid computer and multi-tasking skills Minimum of high school diploma or equivalent Education/Certifications: A bachelor's degree or higher (preferred) Active Personal Lines or P&C license (preferred) #geico400 At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

Responsible for non‐complex electronic and paper claim submissions to insurance payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy, i.e. diagnosis and procedure codes are compatible and accurate. Makes charge corrections or follows up with appropriate parties as needed to ensure billing invoice is correct. Follows up with payers on unresponded claims. Works denied claims by following correct coding and payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request guidance on more complex billing issues and cross training for other payers and tasks. Responds to a variety of questions from insurance companies, government agencies and all Guthrie Medical Group offices. Partners with CRC and other Guthrie departments to field billing inquiries. Answers all correspondence from insurance carriers including requests for supportive documentation. Education, License & Cert: High school diploma required; CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Strong organizational and customer service skills a must. Experience with office software such as Word and Excel required. Previous experience performing in a high volume and fast paced environment. Essential Functions: 1. Works pre‐AR edits, paper claims, reports and work queues as assigned to ensure accurate and timely claim submission to individual payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train on various payers and tasks to expand insurance billing knowledge and skills. 3. Follows up on rejected and/or non‐responded claims as assigned. Utilizes internal rejection protocols, coding knowledge, reimbursement policies, payer guidelines and other sources in order to research rejections to secure appropriate payment. 4. Provides back up to Central Charge Entry and Cash Applications. Manually enters charges, posts and distributes insurance and patient payments. 5. Promptly reports payer, system or billing issues. 6. Utilizes Epic system functions accurately to perform assigned tasks. Ex: charge corrections, invoice inquiry, billing edits, insurance eligibility. 7. Exports and prepares spreadsheets, manipulating data fields for project work. 8. Identifies and provides appropriate follow up for claims that require correction or appeal. 9. Provides timely resolution of credit balance as identified and/or assigned. 10. Requests adjustments on invoices that have been thoroughly researched and/or were unable to reach payment resolution. Documents support on request forms and performs adjustments within policy guidelines. Other Duties: 1. Provides feedback related to workflow processes in order to promote efficiency. 2. Answers phone calls and correspondence providing request information. Documents action taken and provides appropriate follow up. 3. Acquires and maintains knowledge of and performs within the compliance of the Guthrie Clinic's Corporate Revenue Cycle policies and insurance payer regulations and guidelines. 4. Demonstrates excellent customer service skills for both internal and external customers. 5. Maintains strict confidentiality related to patient health information in accordance with HIPAA regulations. 6. Assists with and completes projects and other duties as assigned.

**This position requires candidates to be located within reasonable commuting distance to Costa Mesa, CA. Training will be conducted on-site, with periodic visits required after training. The Patient Scheduling Specialist II builds on foundational scheduling skills and handles more complex patient interactions. This role is responsible for coordinating multi-provider schedules, verifying insurance benefits, and addressing scheduling issues with greater independence. PSS II may also mentor new hires and support daily operations. Note: This position will follow a hybrid training model during the first ninety (90) days of employment, requiring a combination of in-office and remote work. After the initial training period, the position will transition to a remote role. However, business needs may require adjustments, and team members must maintain the flexibility to report to the office when requested. Duties/Responsibilities: · Answer phones and greet patients courteously and respectfully. · Schedule and reschedule appointments for consultations, procedures, and follow-ups. · Verify and update basic patient demographic and insurance information. · Provide appointment instructions to patients in a clear and friendly manner. · Maintain accurate and confidential patient records in the scheduling system. · Communicate schedule updates with clinics and other departments as needed. · Participate in initial training and ongoing development sessions. · Meet basic productivity expectations for call handling and documentation. · Coordinate appointments across multiple physicians and departments. · Provide insurance verification and preliminary benefit information. · Create accurate price estimates and communicate them to patients. · Troubleshoot and resolve basic scheduling conflicts or escalations. · Assist with onboarding and mentoring of new staff. · Monitor schedules for efficiency and proactively address gaps or overlaps. · Contribute to process improvement by identifying workflow issues. · Meet or exceed performance benchmarks in accuracy and productivity. Qualifications: · High School Diploma or equivalent. · 2 years of scheduling experience in a medical setting. · Strong verbal and written customer service skills. · Excellent organizational and planning abilities; able to manage multiple tasks simultaneously. · Working knowledge of medical terminology, insurance plans, and authorization processes. · Proficiency in Microsoft Office Suite (Outlook, Word, Excel, PowerPoint). · Familiarity with EMR systems; NextGen and Phreesia preferred. · Strong problem-solving and communication skills. · Bilingual (English/Spanish) preferred. Physical Requirements: · Prolonged sitting at a computer workstation. · Frequent use of a telephone. · Ability to maintain focus while multitasking. · Extended periods of viewing a computer monitor and reading small print. · Ability to retrieve files from cabinets, requiring reaching, bending, or kneeling. · Capability to lift and carry light objects. Pay Range: $24.00 per hr - $26.00 per hr

Performs registration, pre-registration, scheduling and rescheduling procedures. Verifies eligibility and obtains or verifies prior authorization was obtained for service(s). Verifies patient's demographics and accurately inputs the information into the registration and/or scheduling application(s), including documenting the account thoroughly in order to maximize reimbursement and minimize denials/penalties from the payor(s). Verifies and understands insurance benefits. Performs point of service activities collecting copayments and self pay payments, in some instances will request copayments at the time of scheduling or pre-registration. Schedule: Variable Schedule

Serves as initial contact for all Patient Access Services, is responsible for registering and pre-registering patients, verifying insurance coverage and eligibility at time of registration, verifies patient demographics and accurately inputs this information in the registration application. Performs point of service activities, collecting copayments and self-pay payments. This position works the following schedule: Week 1 Sun: Off Mon: 2:30-11p Tues:Off Wed: 2:30-11 Fri: 7a-3:30p Sat: 2:30p-11:00p Week 2 Sun: 2:30p-11:00p Mon: Off Tues: 7a-3:30p Wed/Thurs: Off Fri: 2:30p-11:00p Sat: Off

Serves as initial contact for all Patient Access Services, is responsible for registering and pre-registering patients, verifying insurance coverage and eligibility at time of registration, verifies patient demographics and accurately inputs this information in the registration application. Performs point of service activities, collecting copayments and self-pay payments.

Serves as initial contact for all Patient Access Services, is responsible for registering and pre-registering patients, verifying insurance coverage and eligibility at time of registration, verifies patient demographics and accurately inputs this information in the registration application. Performs point of service activities, collecting copayments and self-pay payments. Variable Schedule - Shifts can be 8a-4:30 or 8:30-5:00 pm 32 hours per week - Monday through Thursday

Health Center Inc. (also known as The New York Hotel Trades Council and Hotel Association of NYC, Inc Employee Benefit Funds) is a NYC based healthcare organization with ambulatory care facilities staffed with a wide range of health professionals to provide extensive medical and diagnostic services. We are seeking Patient Care Clerks who perform a variety of duties, depending upon the assigned work area. These include, but are not limited to - making appointments for health care services and all aspects of initial registration and verification of eligibility and other patients' information, compiling data, preparing reports, maintenance, retrieval and distribution of medical records, filing paperwork, preparing copies, entering data into computer. Collaborates with other members of the center staff to ensure timely provision of services. Please note we have 3 roles open, one for our Harlem location, one for our Brooklyn location, and one for our Queens location. Duties and responsibilities: Schedule appointment for health care services for members. Verify member eligibility and complete all registration information manually and in the computer. Cancel and reschedule appointments, as needed. Maintain enrollment information. Handle prior authorizations Respond to member questions about services provided at the center. Answer phones. Basic data entry into computer system. Copies, mails, faxes and files relevant information related to patients as requested. Creates statistical and other reports as requested. Receives and responds to correspondence. Retrieves and distributes medical records for medical appointments. Collaborates with other center personnel. Maintains adequate supplies Works with transportation companies as needed. Participates in satisfaction survey recording. Completes reports. Completes lab requisitions and referral forms. Performs additional duties as assigned. Education and experience: 2+ years' related work experience in a healthcare setting. Proficiency with Electronic Medical Record (Cerner preferred). Excellent interpersonal, customer service, verbal and written communication skills. Knowledge of Microsoft Office and proficient typing skills. Ability to manage and effectively follow up on completion of assigned duties. Demonstrated ability to take ownership of assigned duties and responsibilities. Strong ability to maintain positive and professional relationships with peers. Positive work attitude. High School Diploma or GED. Associate's Degree preferred. Bilingual a plus (Spanish, Mandarin, Cantonese, Creole Polish Russian). Compensation/Benefits: Medical, Dental, and Vision health benefits at no cost to all benefits-eligible employees and their eligible dependents Paid Time Off (Vacation, Personal, Sick days, and 12 paid Holidays) 401(k) Plan Life Insurance Tuition Reimbursement Member's Health Assistance Program Pre-Paid Legal Services

Health Center Inc. (also known as The New York Hotel Trades Council and Hotel Association of NYC, Inc Employee Benefit Funds) is a NYC based healthcare organization with ambulatory care facilities staffed with a wide range of health professionals to provide extensive medical and diagnostic services. We are seeking Patient Care Clerks who perform a variety of duties, depending upon the assigned work area. These include, but are not limited to - making appointments for health care services and all aspects of initial registration and verification of eligibility and other patients' information, compiling data, preparing reports, maintenance, retrieval and distribution of medical records, filing paperwork, preparing copies, entering data into computer. Collaborates with other members of the center staff to ensure timely provision of services. Please note we have 3 roles open, one for our Harlem location, one for our Brooklyn location, and one for our Queens location. Duties and responsibilities: Schedule appointment for health care services for members. Verify member eligibility and complete all registration information manually and in the computer. Cancel and reschedule appointments, as needed. Maintain enrollment information. Handle prior authorizations Respond to member questions about services provided at the center. Answer phones. Basic data entry into computer system. Copies, mails, faxes and files relevant information related to patients as requested. Creates statistical and other reports as requested. Receives and responds to correspondence. Retrieves and distributes medical records for medical appointments. Collaborates with other center personnel. Maintains adequate supplies Works with transportation companies as needed. Participates in satisfaction survey recording. Completes reports. Completes lab requisitions and referral forms. Performs additional duties as assigned. Education and experience: 2+ years' related work experience in a healthcare setting. Proficiency with Electronic Medical Record (Cerner preferred). Excellent interpersonal, customer service, verbal and written communication skills. Knowledge of Microsoft Office and proficient typing skills. Ability to manage and effectively follow up on completion of assigned duties. Demonstrated ability to take ownership of assigned duties and responsibilities. Strong ability to maintain positive and professional relationships with peers. Positive work attitude. High School Diploma or GED. Associate's Degree preferred. Bilingual a plus (Spanish, Mandarin, Cantonese, Creole Polish Russian). Compensation/Benefits: Medical, Dental, and Vision health benefits at no cost to all benefits-eligible employees and their eligible dependents Paid Time Off (Vacation, Personal, Sick days, and 12 paid Holidays) 401(k) Plan Life Insurance Tuition Reimbursement Member's Health Assistance Program Pre-Paid Legal Services

Performs registration, pre-registration, scheduling and rescheduling procedures. Verifies eligibility and obtains or verifies prior authorization was obtained for service(s). Verifies patient's demographics and accurately inputs the information into the registration and/or scheduling application(s), including documenting the account thoroughly in order to maximize reimbursement and minimize denials/penalties from the payor(s). Verifies and understands insurance benefits. Performs point of service activities collecting copayments and self pay payments, in some instances will request copayments at the time of scheduling or pre-registration. Schedule: 24 hours Monday - Thursday; 8:00-2:30 pm

Reporting to the Revenue Cycle Manager and/or their designee, the Patient Access Specialist (PAS) is responsible for confirming patient demographic and insurance information to ensure accurate billing for services provided by Total Health Care (THC). To accomplish this, the PAS must enter all necessary information into Total Health Care's (THC) Electronic Medical Record (EMR) systems for all departments (i.e. dental, medical, mental health or substance abuse). The PAS identifies patients in need of financial assistance and assist them per THC policies and procedures. Bilingual in Spanish is preferred. Contacts and interactions vary and may involve multiple constituencies such as direct interaction with THC's executive management, community organizers, the general public, THC's patients, physicians, colleagues, assigned staff, vendors, Medical Insurance companies (Payers)/Managed Care Organizations (MCOs) contractors and consultants for the purpose of providing and exchanging information. Example of Essential Job Functions: * Completes insurance verification (EVS) on all patients scheduled to be seen at any THC site or department (Pediatrics, Adult Medicine, OB/GYN, Dental, infectious disease, IBH, CESH/Substance Abuse). * Confirms and enters patient's current insurance status in the Practice Management System (PMS) at the time of check in. * Communicates co-pay or payment requirements at time of service. * Collects payments, co-payments as well as deductibles at point of service and post receipts accordingly. * Completes daily self-pay log for self-pay patients and obtains appropriate sign-off * Reconciles receipts and prepare point of service collections for bank deposit. * Adheres to company procedures for keeping of cash secure * Confirms that THC is listed as the facility providing care for the patient and ensuring that the specific THC Primary Care Provider is entered in the PMS. * Confirms authorizations are secured for CESH and Substance Abuse departments for current and upcoming visits. * Obtains secondary QMB cards for qualified patients. * Completes Medicare Secondary Payer questionnaire for appropriate coordination of benefits. * Assists with meeting department goals and department KPIs measures while maintaining integrity. * Follows up with patient to clarify benefits and correct coordination of benefit issues. * Provides financial counseling and providing information about the Maryland Health Connection, including eligibility requirements for applicable federal premium subsidies and cost-sharing assistance. * Facilitate enrollment into Medicaid, MCHP, or a Qualified Health Plan. * Provides referrals to appropriate agencies including the Attorney General's Health Education and Advocacy Unit (HEAU) and the Maryland Insurance Administration (MIA), for applicants and enrollees with grievances, complaints, questions or the need for other social services. * Scans front and back of patients' insurance/identification cards so they can be uploaded to the EMR. * Completes the primary care provider change form if provider information is not valid and submits it via secure fax and obtain fax confirmation receipt on the day of the visit. * Assists patients with completion of the Intake/Consent forms and OMS * Obtains all necessary signatures and documentation required by the patients' insurance plan. * Determines the appropriate financial class and/or account type and correctly assign primary and secondary insurance billing status when two insurance plans require coordination of benefits. * Determines eligibility of patients for 30 day/6 month sliding fee scale * Monitors 6 month sliding fee patients for appropriateness and to determine insurance eligibility status. * Tracks Department of Social Services vouchers and other third party/community payer documentation as well as medical form and submit to Revenue Cycle Manager for billing. * Other duties as assigned. Minimum Education, Training and Experience Required High School diploma or equivalent (post High School education preferred) and/or any combination of education, training and experience providing understanding of the field and the ability to perform the essential functions of the job. Two years hospital or physician practice patient registration, customer service, insurance verification, financial clearance, or billing and ICD-9 medical coding experience in a healthcare environment. Certification as a Certified Healthcare Access Associate CHAA (NAHAM) Required Knowledge, Skills and Abilities Knowledge of FQHC operations, operating principles, guidelines and bylaws. Excellent leadership, customer service, organizational and presentation skills as well as the ability to effectively communicate THC's vision, and motivate others to achieve it organizationally, departmentally, and personally/professionally. Ability to communicate effectively (verbally and in writing). Ability to plan and organize work initiatives to successfully accomplish center/organizational goals and objectives. Ability to multi-task, prioritize and delegate as appropriate. Strong analytical, problem solving and interpersonal skills. Ability to identify, develop and implement short/long-term strategic goals and objectives. Ability to develop and maintain customer relationships; influence, build credibility and trust. Ability to think critically as well as apply critical thinking skills. Ability to: ensure and advocate for quality healthcare and services; and, lead and manage a diverse staff.

Reporting to the Revenue Cycle Manager and/or their designee, the Patient Access Specialist (PAS) is responsible for confirming patient demographic and insurance information to ensure accurate billing for services provided by Total Health Care (THC). To accomplish this, the PAS must enter all necessary information into Total Health Care's (THC) Electronic Medical Record (EMR) systems for all departments (i.e. dental, medical, mental health or substance abuse). The PAS identifies patients in need of financial assistance and assist them per THC policies and procedures. Bilingual in Spanish is preferred. Contacts and interactions vary and may involve multiple constituencies such as direct interaction with THC's executive management, community organizers, the general public, THC's patients, physicians, colleagues, assigned staff, vendors, Medical Insurance companies (Payers)/Managed Care Organizations (MCOs) contractors and consultants for the purpose of providing and exchanging information. Example of Essential Job Functions: Completes insurance verification (EVS) on all patients scheduled to be seen at any THC site or department (Pediatrics, Adult Medicine, OB/GYN, Dental, infectious disease, IBH, CESH/Substance Abuse). Confirms and enters patient's current insurance status in the Practice Management System (PMS) at the time of check in. Communicates co-pay or payment requirements at time of service. Collects payments, co-payments as well as deductibles at point of service and post receipts accordingly. Completes daily self-pay log for self-pay patients and obtains appropriate sign-off Reconciles receipts and prepare point of service collections for bank deposit. Adheres to company procedures for keeping of cash secure Confirms that THC is listed as the facility providing care for the patient and ensuring that the specific THC Primary Care Provider is entered in the PMS. Confirms authorizations are secured for CESH and Substance Abuse departments for current and upcoming visits. Obtains secondary QMB cards for qualified patients. Completes Medicare Secondary Payer questionnaire for appropriate coordination of benefits. Assists with meeting department goals and department KPIs measures while maintaining integrity. Follows up with patient to clarify benefits and correct coordination of benefit issues. Provides financial counseling and providing information about the Maryland Health Connection, including eligibility requirements for applicable federal premium subsidies and cost-sharing assistance. Facilitate enrollment into Medicaid, MCHP, or a Qualified Health Plan. Provides referrals to appropriate agencies including the Attorney General's Health Education and Advocacy Unit (HEAU) and the Maryland Insurance Administration (MIA), for applicants and enrollees with grievances, complaints, questions or the need for other social services. Scans front and back of patients' insurance/identification cards so they can be uploaded to the EMR. Completes the primary care provider change form if provider information is not valid and submits it via secure fax and obtain fax confirmation receipt on the day of the visit. Assists patients with completion of the Intake/Consent forms and OMS Obtains all necessary signatures and documentation required by the patients' insurance plan. Determines the appropriate financial class and/or account type and correctly assign primary and secondary insurance billing status when two insurance plans require coordination of benefits. Determines eligibility of patients for 30 day/6 month sliding fee scale Monitors 6 month sliding fee patients for appropriateness and to determine insurance eligibility status. Tracks Department of Social Services vouchers and other third party/community payer documentation as well as medical form and submit to Revenue Cycle Manager for billing. Other duties as assigned. Minimum Education, Training and Experience Required High School diploma or equivalent (post High School education preferred) and/or any combination of education, training and experience providing understanding of the field and the ability to perform the essential functions of the job. Two years hospital or physician practice patient registration, customer service, insurance verification, financial clearance, or billing and ICD-9 medical coding experience in a healthcare environment. Certification as a Certified Healthcare Access Associate CHAA (NAHAM) Required Knowledge, Skills and Abilities Knowledge of FQHC operations, operating principles, guidelines and bylaws. Excellent leadership, customer service, organizational and presentation skills as well as the ability to effectively communicate THC's vision, and motivate others to achieve it organizationally, departmentally, and personally/professionally. Ability to communicate effectively (verbally and in writing). Ability to plan and organize work initiatives to successfully accomplish center/organizational goals and objectives. Ability to multi-task, prioritize and delegate as appropriate. Strong analytical, problem solving and interpersonal skills. Ability to identify, develop and implement short/long-term strategic goals and objectives. Ability to develop and maintain customer relationships; influence, build credibility and trust. Ability to think critically as well as apply critical thinking skills. Ability to: ensure and advocate for quality healthcare and services; and, lead and manage a diverse staff.

Representative, Patient Care

Representative, Patient Care

Job Description Even in the midst of our growth, NIS has upheld the high standards and family values we started with in 1969: ethics, compassion, hard work, passion, optimism, and community altruism. Our commitment has always been and will always be to do the right thing for clients, partners, employees, and the community. Please join our Billing department in our Brookfield, WI office! At NIS, our focus is always on the well-being of clients, associates, employees, and the community. Enjoy a comprehensive benefits package, which includes: Medical, Dental, Vision, and ancillary benefits Company paid Life and Disability insurance 401(k) with a Company Match Participation in a Wellness program Eligibility for Tuition Assistance Paid Time Off Generous holiday calendar with the option for floating holidays to promote work-life balance Join us at our new Brookfield Office Location! This position offers hybrid work options following the training period and with Management approval. Compensation- $45,000 Yearly pay (this is an hourly position which is eligible for OT)+ annual bonus potential Compensation: $45,000 yearly plus annual bonus potential Responsibilities: Process enrollment applications, terminations, and changes accurately and in line with policy limitations, following up for any additional information as needed Review bill reports received to ensure precise calculation of reported lives, volume, and premium paid, and reach out to clients as necessary for monthly reconciliation Validate EE eligibility and coverage/premium data for carriers on received claims Timely and professional response to internal and external customer inquiries via phone calls and emails Strong attention to detail, accuracy, and effective time management skills Qualifications: A college degree or relevant college coursework focused on math/accounting is preferred. Previous experience in an insurance enrollment/premium billing department or knowledge of insurance industry practices is a plus Demonstrated ability to efficiently manage multiple tasks in a fast-paced environment is crucial The role highly values strong critical thinking skills and meticulous attention to detail Proficiency in MS Office applications (such as Word and Excel) and data entry is mandatory, with a willingness to adapt to new software Excellent verbal and written communication skills in English are essential qualifications for this position About Company Please visit our website to learn more about National Insurance Services! National Insurance Services: ***************************

Extensive utilization of the various system tools available to ensure accurate and timely patient financial information is in place. Collects and verifies demographic information, insurance coverage and referring physician data for the service line. Provide financial counseling services to patients. Works with insurance companies to ensure proper and timely payments for all related service line services and acts as an advocate for the patient when billing problems occur. Education and Training Associates degree in business or closely related field preferred. Two (2) years of related financial experience can substitute for degree requirement. Experience Two (2) years experience in medical insurance verification and other hospital finance areas. Knowledge of verification requirements for Medicare, Medicaid, commercial insurance, managed care plans, workers compensation and other third party payors. Experience in patient advocacy preferred. Other Skills, Competencies and Qualifications Strong analytical and financial assessment abilities as well as the ability to maintain a close attention to a variety of details required in order to perform duties efficiently. Excellent oral and written communication skills required. Ability to pass medical terminology test administered by HR. Ability to pass data entry alpha numeric test administered by HR. Knowledge of Microsoft Word and Excel Windows based PC experience and the ability to operate facsimile and other related office equipment.

Explore opportunities with Elite Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Scheduling Specialist you will managing patient referrals and visit schedules. Assigns patient assessments and other visits as ordered by the physician using an online scheduling system. Collaborate with the Team Leader to identify clinicians with the appropriate experience and skill set to match patient needs. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Utilizes an automated scheduling system to maintain a calendar of services for both episodic and per visit customers * Processes workflow for requested scheduled, missed, rescheduled, reassigned, declined, and delivered visits * Monitors pending referrals daily and assigns licensed professional and case manager for all start of care visits * Communicates daily with field staff regarding any visits unaddressed in late, pending, or incomplete status for resolution as appropriate You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in Required Qualifications: * High school education or equivalent experience Preferred Qualifications: * 1+ years of scheduling experience in a health care setting using an online scheduling system * Exceptional organizational, customer service, communication, and decision-making skills * Working knowledge of state and federal regulations governing OASIS visits, supervisory, and reassessment visits * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $14.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.