healthcare customer service

Conduent

<div><p>Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.</p><div><br>
<div><p><b>Remote Call Center Representative</b></p>
</div><div><div>Would you enjoy being part of a team that makes a difference in people&rsquo;s lives? Do you love helping people solve complex problems and deliver solutions? We are looking for people with a passion for helping others, naturally empathy, and are determined to deliver a comprehensive solution to healthcare-related calls. To be successful customer service experience is a plus, but not a requirement.</div></div><br>
<div></div><div><div><b>Conduent has plenty of growth opportunities within the healthcare team.</b></div></div><br>
<div></div><div><ul><li><div>The pay rate is $16 per hour, which may be below your state&rsquo;s minimum wage. Please take this into consideration when applying.</div></li>
</ul></div><div><ul><li><div>Training is 5 weeks classroom and 2 weeks nesting.</div></li>
</ul></div><div><ul><li><div>Successfully complete a mandatory paid training program with 100% attendance.</div></li>
</ul></div><div><ul><li><div>Hours of operation: Monday &ndash; Sunday 7:30am &ndash; 11:00pm EST</div></li>
</ul></div><div><ul><li><div>Medical, dental and vision benefits are available on the 1st day of employment.</div></li>
</ul></div><div><ul><li><div>Paid time off is accrued after 180 days (about 6 months) of employment.</div></li>
</ul></div><div><ul><li><div>Successfully navigate 6 systems and average 32 calls per day.</div></li><br>
</ul></div><div></div><div><div><b>Responsibilities for Remote Call Center Representative:</b></div></div><br>
<div></div><div><ul><li><div>Respond to inbound inquiries regarding dental benefits, eligibility, claims, appeals, grievances, and provider searches for both Commercial and Medicare plans.</div></li>
</ul></div><div><ul><li><div>Provide uniform interpretation and clarification of dental benefits, policies, and procedures to members, providers, and employer groups.</div></li>
</ul></div><div><ul><li><div>Actively attempt to resolve member or provider concerns by investigating issues, contacting appropriate parties, and documenting all interactions accurately within the billing system.</div></li>
</ul></div><div><ul><li><div>Investigate verbal complaints regarding billing, claims, or services rendered; escalate service failures to appropriate internal departments for follow-up and resolution.</div></li>
</ul></div></div><div><div><ul><li><div>Retrieve and send written correspondence, including plan brochures, provider directories, and other printed materials as needed.</div></li>
</ul></div><div><ul><li><div>Meet or exceed established ACD (Automated Call Distribution) system call volume and quality performance goals.</div></li>
</ul></div><div><ul><li><div>Achieve all assigned individual monthly performance metrics.</div></li>
</ul></div><div><ul><li><div>Maintain current and thorough knowledge of all Member Services policies, procedures, and dental plan updates.</div></li>
</ul></div><div><ul><li><div>Perform additional duties and responsibilities as assigned by management.</div></li><br>
</ul></div><p></p><div><div><b>Requirement for Remote Call Center Representative:</b></div>
</div><div><ul><li><div>Successfully complete customer service assessment &amp; typing test.</div></li>
</ul></div><div><ul><li><div>High school diploma, GED, or college degree</div></li>
</ul></div><div><ul><li><div>At least 1 year of Call Center experience preferred.</div></li>
</ul></div><div><ul><li><div>1 year of face-to-face customer service experience.</div></li>
</ul></div><div><ul><li><div>Knowledge of and prior experience in the Dental, Medical or Managed Care industry is preferred.</div></li>
</ul></div><div><ul><li><div>Must possess the following characteristics: self-motivation, resourceful, detail-oriented, sense of accountability and must be a team player.</div></li>
</ul></div><div><ul><li><div>Must possess strong skills in the following areas: organizational, time management, written and verbal communication, analytical, and problem solving.</div></li>
</ul></div><div><ul><li><div>Proficiency in Microsoft Word, Microsoft Outlook, and Internet Explorer.</div></li>
</ul></div><div><ul><li><div>Effective communication skills over the phone.</div></li>
</ul></div><div><ul><li><div>Ability to deal with problems involving several concrete variables in standardized situations.</div></li>
</ul></div><div><ul><li><div>Successful completion of background check is required for this position.</div></li><br>
</ul></div><div></div><div><div><b>Equipment and workspace requirements</b>:</div>
</div></div><div><div><ul><li><div>We provide all equipment. (Computer, Monitor, Mouse, Keyboard, Headset, Ethernet Cord, Power Cables)</div></li>
</ul></div><div><ul><li><div>You must have a home internet connection of 10 Download and 3 Upload Speed (you may do a quick check through https://www.speedtest.net/</div></li>
</ul></div><div><ul><li><div>Must be able to hardwire your work computer directly to your home modem via ethernet. Ensure the available connection meets the minimum bandwidth requirements to perform your job function. <b>Satellite internet and wireless internet are not acceptable.</b></div></li>
</ul></div><div><ul><li><div>Must have a <b>distraction</b><b> free</b> and secure work environment. (Workspace must be clutter free, free of distraction, no one is allowed in workspace during working hours, no writing utensils, or unauthorized electronics in the work area).</div></li><br>
</ul></div><p></p><div><div><b>The application process will take less than 20 minutes and includes everything required to be considered</b>.</div></div><br>
<div></div><div><div><ul><li><div>Apply to the role and provide your basic profile information (2 minutes)</div></li></ul>
</div></div><div><div><ul><li><div>Answer prescreens questions to be sure you meet the minimum requirements for the role (3 minutes)</div></li></ul>
</div></div><div><div><ul><li><div>Complete a typing test (1 minute) <b>You will need a keyboard.</b></div></li></ul>
</div></div><div><div><ul><li><div>Take a short assessment to determine your fit for the role and set everyone up for success (10 minutes).</div></li></ul></div><br>
</div><div></div><div><div><b>Important</b></div>
</div><div><ul><li><div>It is important that you complete the application in a timely manner to be considered for the role.</div></li>
</ul></div><div><ul><li><div>Your local library, shipping store or search, &lsquo;public computers near me&rsquo; if you do not have a computer.</div></li></ul><br>
</div><div></div><div><p><b>Important:</b></p>
</div><div><p>Due to varying state and local minimum wage laws, we are currently only able to hire candidates residing in states where our compensation structure complies with applicable wage regulations. As a result, we may be unable to consider applicants from certain states or municipalities at this time.</p>
</div><div><p><i>We are currently NOT hiring in the following geographies, including but not limited to:</i></p>
</div></div><div><p><i>States: AK, CA, CT, HI, IL, MA, MD, MT, NJ, NY, OR, WA</i><br>
<i>Metro Areas: Minneapolis - MN, Washington, DC, Denver/County of Boulder/Edgewater County - CO</i></p></div><div><br>
</div><div></div><div><div><b>Be part of the future</b></div>
</div>
<div><div>Are you seeking an opportunity to make a real impact in a company that appreciates ideas and new ways of thinking? Come join us and grow with a team of people who will challenge and inspire you to be the best!</div></div><div><br>
</div><div></div><div><div>Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $16.00/hour.</div></div><p><br>
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.</p>
<p>
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to FTADAAA@conduent.com. You may also click here to access Conduent's ADAAA Accommodation Policy.</p></div>

Remote Healthcare Customer Service Representative

Alorica

<div><div><h2 class="jobSectionHeader"><b>JOB DESCRIPTION</b></h2>
<p><b>
Customer Service Representative</b></p>
<p><b>
Location</b>: &ldquo;United States&rdquo;</p>
<p><b>
Employment Type: </b>&ldquo; Temporary Full-time&rdquo;</p>
<p><b>
Supporting: </b>&ldquo;Healthcare&rdquo;</p><br>
<p></p>
<p><b>
About Us</b></p>
<p>
We're the largest minority-owned CX provider, delivering digital-first, people-centered experiences for some of the world's most respected brands. For over 25 years, we've been helping businesses solve their toughest customer experience challenges&mdash;and we do it better than anyone else.</p>
<p>
As a Top Place to Work, we're serious about creating an environment where people show up as their genuine selves. Which means when you succeed, we all do.</p><br>
<p></p>
<p><b>
Here's What the Job Really Looks Like</b></p>
<p>
You're a natural problem-solver who's good with people. You know how to listen to what someone's really asking for (not just what they're saying), and you can explain solutions in a way that makes sense. You stay calm under pressure, you're detail-oriented enough to keep information accurate, and you genuinely care about leaving customers better off than when they reached out. If that sounds like you, this role is a great fit.</p><br>
<p></p>
<p><b>
How You'll Make an Impact</b></p><br>
<p></p>
<ul>
<li>Guide customers through questions, concerns, or challenges they encounter while using the product or service</li>
<li>Listen actively to understand the root of the issue and provide clear, effective solutions</li>
<li>Record detailed call information for auditing, reporting, and follow-up purposes</li>
<li>Maintain and update customer records to ensure accurate and current information</li>
<li>Identify opportunities to introduce customers to new or enhanced services that meet their needs</li>
<li>Provide recommendations and guidance in a way that adds value and enhances the overall customer experience</li></ul><p></p><div><br>
</div></div><div><h2 class="jobSectionHeader"><b>QUALIFICATIONS</b></h2>
<div><div><b>What'll Set You Up for Success</b></div><br>
<div>
<br>
</div><div></div><br>
<div><b>Required:</b>
</div><div><ul><li>High school diploma or GED</li>
<li>6+ months of customer service or sales experience preferred</li>
<li>Work at home environment is in a private residence and matches the address listed on file</li>
<li>Comfortable working with company-issued equipment such as a webcam if applicable.</li>
<li>An Internet/Broadband Internet Connection such as DSL or Cable only. We do not accept Satellite, Dial-up or Wireless Internet connections (5G).</li>
<li>Your workstation must be connected directly to the Internet with proof that your ISP meets a minimum download speed of 10 Mbps and minimum upload speed of 3 Mbps.</li><br>
</ul></div><div></div><br>
<div><b>For Internal Candidates:</b>
</div><div><ul><li>Must not be on any corrective action or performance plans</li>
<li>Must have held your current position for 6+ months</li>
<li>Must have relevant industry/program experience</li><br>
</ul></div><div></div><br>
<div><b>Location Note:</b> We're currently hiring for this position in &ldquo;Remotely&rdquo;.</div><br>
<div>
<br>
</div><div></div><br>
<div><b>Why Alorica?</b><br>
</div>
<div></div><br>
<div>Our culture shows up in how we work together, support each other, and show up for our clients. We're bold enough to challenge how things have always been done, committed to delivering results that matter, and passionate about making customer experiences that actually work.</div><br>
<div>
<br>
</div><div></div><br>
<div><b>TIDE </b>is our connection group built around real conversations, shared experiences, and genuine belonging. <b>MLBA (Making Lives Better at Alorica)</b> is our employee-led nonprofit where local teams raise funds and support colleagues and communities when it matters most. We don't just talk about culture&mdash;we build it, live it, and keep making lives better every day.</div><br>
<div>
<br>
</div><div></div><br>
<div><b>What We Offer:</b>
</div><div><ul><li>Health, dental, and vision coverage with HSA options</li>
<li>Flexible pay options: daily or weekly pay</li>
<li>401(k) retirement plan</li>
<li>Leadership development programs that really grow your career</li>
<li>Open access courses through Alorica Academy</li>
<li>Paid training and tuition reimbursement</li>
<li>Employee discounts on groceries, travel, insurance, phone plans, health &amp; wellness, pet supplies, and more</li>
<li>Employee assistance program for personal and professional support</li>
<li>Additional voluntary benefits to meet your individual needs</li><br>
</ul></div><div></div><br>
<div><b>Our Values</b><br>
</div>
<div></div><br>
<div><b>Bold</b> &ndash; We challenge conventions and take smart risks
</div><div><b>Relentless</b> &ndash; We deliver results, no matter what it takes
</div><div><b>Connected</b> &ndash; We work as One Alorica because we're stronger together
</div><div><b>True</b> &ndash; We show up as our authentic selves, every single day<br>
</div>
<div></div><br>
<div><b>Ready to Join Us?</b><br>
</div>
<div></div><br>
<div>If you're looking for a place where your work matters, your voice is heard, and you can build a real career, let's talk.<br>
</div>
<div></div><br>
<div>Apply Today!<br>
</div>
<div></div><br>
<div><b>Equal Opportunity Employer &ndash; Veterans/Disabled</b><br>
</div>
<div></div><br>
<div>DISCLAIMER: The above information has been designed to indicate the general nature and level of work performed by employees in this classification.<br>
</div>
<div></div><br>
<div>#AloricaJobs #CallCenter #CustomerServiceJobs</div></div></div></div>

Temporary Remote Healthcare Customer Service Representative

Ivy Rehab Network

<div>
 <strong>
  State of Location:
  <br/>
  <br/>
 </strong>
 Georgia
 <br/>
 <br/>
 <strong>
  Position Summary
  <br/>
  <br/>
 </strong>
 At Ivy Rehab, we're "All About the People"! As a Patient Engagement Advocate (Healthcare Customer Service Representative), you will play a crucial role in our mission to help enable people to live their lives to the fullest.
 <br/>
 <br/>
 Join Ivy Rehab&rsquo;s dedicated team where you&rsquo;re not just an employee, but a valued teammate! Together, we provide world-class care in physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. Our culture promotes authenticity, inclusion, growth, community, and a passion for exceptional care for every patient.
 <br/>
 <br/>
 <strong>
  Job Description
  <br/>
  <br/>
 </strong>
 <strong>
  Assignment:
 </strong>
 Temporary (90-Day Assignment) with Opportunity to Become Permanent
 <br/>
 <br/>
 <strong>
  Schedule:
 </strong>
 Full-Time Hours (40 hours per week); must be available Mon-Fri 7am-7pm EST
 <br/>
 <br/>
 We are currently seeking a talented individual for a temporary position, with the potential for permanent placement based on performance and business needs. This role offers the chance to prove your skills and make a lasting impact within our team.
 <br/>
 <br/>
 The
 <strong>
  Patient Engagement Advocate
 </strong>
 (Healthcare Customer Service Representative) works within a Patient Engagement Center that helps promote overall health and well-being. In this multi-channel (IB/OB phone, email, chat) contact center, position interacts with physical therapy patients to help them get access to the care they need. Supports geographically distributed physical therapy clinics by delivering a &ldquo;local&rdquo; patient experience. Ability to interact efficiently and put patients at ease will be key to maximizing relationships and help accelerate patient growth on behalf of our physical therapy clinics. Identify, create and adhere to processes and protocols which serve to optimize our relationships with the clinic staffs including front desk and clinicians.
 <br/>
 <br/>
 <strong>
  Your Responsibilities Will Include
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Effectively listen and address patient needs to convert an inquiry to a booked appointment, while also achieving high patient satisfaction scores.
  </li>
  <li>
   Engage with patients in an empathetic and caring way that puts their needs first. This is particularly important if someone is in pain or frightened. Demonstrating a caring attitude will go a long way towards providing reassurance and comfort to ensure the patient&rsquo;s needs are handled with care.
  </li>
  <li>
   Leverage technology and knowledge base content modules to provide an experience that &ldquo;feels local&rdquo; from giving pinpoint directions, to sharing information about a specific provider or clinic. Avoid &ldquo;us vs them&rdquo; approach and demonstrate an inclusive &ldquo;we&rdquo; mentality.
  </li>
  <li>
   Collaborate and provide feedback to the marketing, operations, and technical teams as well as clinic staff to implement ongoing improvements which revolve around enhancing the patient experience.
  </li>
  <li>
   Collaborate with your supervisors and peers to identify and quickly resolve issues, recommend new approaches to strive for best practices.
  </li>
  <li>
   Work with patients if a clinic does not have enough near-term availability to offer them alternatives at other nearby clinics.
  </li>
  <li>
   Effectively inform and educate patients on insurance and about our financing/payment plan options.
  </li>
  <li>
   Properly set expectations with our patients in terms of what they can expect at their appointment and any other details that will facilitate a positive experience.
  </li>
  <li>
   Follow protocols for information capture and effectively categorize and disposition interactions in an accurate manner. This will enable accurate data analysis and result in feedback to our clinics or support services staff that is designed to improve the patient experience and accelerate growth.
  </li>
  <li>
   Achieve Key Performance Indicators: efficient handle time, productivity in terms of number of calls handled, conversion rates, patient satisfaction scores, accurate info capture, schedule adherence, etc.
  </li>
  <li>
   May work in other channels such as outbound, email, chat, etc.
  </li>
  <li>
   Perform other duties as assigned.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  To Excel In This Role, You Should Possess
  <br/>
  <br/>
 </strong>
 <li>
  High School/GED or equivalent; College degree is preferable
 </li>
 <li>
  Minimum 2-3 years customer support experience and at least 1 year inbound contact center experience required including experience multi-tasking across multiple systems/apps
 </li>
 <li>
  Minimum of 1-2 years in a sales-oriented role, with a preference for candidates with experience in a call center or telesales environment.
 </li>
 Minimum Internet speeds of 10 Mbps upload and150 Mbps download; Latency &lt;30 ms; and Packet Loss &lt;2%
 <li>
  Preferred typing aptitude of 50-70 WPM.
 </li>
 <li>
  Experience working in positions where success is measured by meeting Key Performance Indicators (KPIs)
 </li>
 <li>
  Demonstrated tenure in previous positions of at least 2-3 years
 </li>
 <li>
  Must have a dedicated, quiet workspace at home (with a door) to work without distractions
 </li>
 <li>
  Must be able to provide a reliable high-speed internet connection for remote work
 </li>
 <li>
  Excellent verbal and written communication skills and the ability to effectively engage with patients
 </li>
 <li>
  Strong verbal communicator (very clear enunciation, ability to influence/persuade/engage, embody passionate spirit of helping people get the care they need)
 </li>
 <li>
  Attention to detail
 </li>
 <li>
  Ability to work in a fast-paced environment
 </li>
 <li>
  Must be technically savvy, with demonstrated experience working with multiple systems and apps
  <br/>
  <br/>
 </li>
 <strong>
  We welcome you to apply if you hold the following attributes:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Good listener
  </li>
  <li>
   Collaborative and team player
  </li>
  <li>
   Ability to display caring attitude and be empathetic
  </li>
  <li>
   Multi-task-carry on engaging conversation while following proper protocols for information capture
  </li>
  <li>
   Receptivity to coaching as well as understanding your strengths and opportunities for development
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Why choose Ivy?
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Best Employer: A prestigious honor to be recognized by Modern Healthcare, signifying excellence in our industry and providing an outstanding workplace culture.
  </li>
  <li>
   Exceeding Expectations: Deliver best-in-class care and witness exceptional patient outcomes.
  </li>
  <li>
   Exceptional Partnerships: Collaborate with leaders like Hospital for Special Surgery (HSS) and educational partners for continuous learning.
  </li>
  <li>
   Empowering Values: Live by values that prioritize teamwork, growth, and serving others.
   <br/>
   <br/>
  </li>
 </ul>
 <em>
  We are an equal opportunity employer, committed to diversity and inclusion in all aspects of the recruiting and employment process. Actual salaries depend on a variety of factors, including experience, specialty, education, and organizational need. Any listed salary range or contractual rate does not include bonuses/incentive, differential pay, or other forms of compensation or benefits.
  <br/>
  <br/>
 </em>
 ivyrehab.com
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 <br/>
</div>


Healthcare Customer Service Representative (Temp-to-Perm)

BHM Health Solutions

<p><b>About BHM Healthcare Solutions, Inc.</b></p><p>BHM Healthcare Solutions, Inc. is a dynamic healthcare company providing behavioral health and medical review services to health plans, health systems, hospitals, and other insurers nationally for over 18 years. Daily, we &quot;live&quot; our core values of:</p><ul><li>Never stop improving</li><li>Customer inspired evolution</li><li>Culture of excellence</li><li>Data driven decision making</li><li>Open, honest communications</li></ul><p>By joining our team, you will become part of a collaborative and engaged team committed to achieving exemplary results. At BHM, we invest in training our employees and providing an opportunity to grow in your career. BHM is located conveniently in the Westshore area, right off Highway 275 and Veterans Highway.</p><p><b>Schedule:</b></p><p>Regular schedule is Monday-Friday in office (Tampa, Fl).</p><p>Looking to fill position quickly. Local candidates only</p><p><b>Responsibilities:</b></p><ul><li>Provide exemplary, responsive customer service by answering questions (verbally or written), providing information, and assuring appropriate follow-through and/or resolution.</li><li>Answer incoming phone calls and coordinate client needs</li><li>Evaluate all orders and ensure accuracy of all data entry, inform management for all incomplete orders, and verify all client information on order.</li><li>Process orders expediently by assessing availability of peer reviewers, assigning to appropriate reviewers for the order based on meeting pre-determined requirements</li><li>Schedule, coordinate, and transcribe peer-to-peer consults with peer reviewer and client's contact</li><li>Provide continuous monitoring, working with peer reviewers through order fulfillment journey to ensure efficient, quick turnaround time processing</li><li>Complete overflow tasks during down time assigned by department leads: Compliance, Sales, and Contracting</li></ul><p><b>Qualifications:</b></p><ul><li>Education - HS Diploma</li><li>Detail Oriented</li><li>Strong communication skills (Verbally and in writing)</li><li>Team Oriented</li><li>Background in Customer Service or Healthcare administration preferred</li></ul><p><b>Competitive Benefits Include:</b></p><ul><li>Health Insurance</li><li>Dental Insurance</li><li>Vision Insurance</li><li>Paid Time Off</li><li>401K Match Program</li></ul><p>For more information about BHM, visit www.bhmpc.com.</p><p>Job Type: Full-time</p><p>Pay: $18.00 - $22.00 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Work Location: In person</p>

Operations Coordinator

Explosion Services

<p>We are looking for a dedicated and empathetic Experienced Customer Service Representative (CSR) to join our Durable Medical Equipment (DME) campaign. The CSR will handle inbound and outbound calls, verify insurance details, assist patients with equipment orders, and ensure top-tier service in accordance with HIPAA regulations and DME compliance standards.</p><p><b>Key Responsibilities:</b></p><p>Verify insurance eligibility, benefits, and coverage for DME items.</p><p>Educate patients on proper use and maintenance of DME.</p><p>Explain patient responsibility and out-of-pocket costs clearly and professionally.</p><p>Coordinate with healthcare providers, insurance companies, and internal departments.</p><p>Handle sensitive patient information with confidentiality and compliance (HIPAA).</p><p>Escalate issues to supervisors when necessary for resolution.</p><p><b>Qualifications:</b></p><p>Minimum of 6 months of experience in a healthcare/DME customer service role.</p><p>Familiarity with insurance verification and prior authorization processes.</p><p>Excellent communication skills.</p><p>Comfortable working in a fast-paced, target-driven environment.</p><p>Must be HIPAA compliant and aware of medical privacy regulations.</p><p><b>Preferred Skills:</b></p><p>BPO or call center experience in a US healthcare campaign.</p><p>Ability to multitask and manage high call volumes.</p><p>Empathetic, patient-focused, and detail-oriented.</p><p>Job Type: Full-time</p><p>Job Types: Full-time, Part-time, Fresher</p><p>Work Location: In person</p><p>Job Type: Full-time</p><p>Pay: Rs30,000.00 - Rs45,000.00 per month</p><p>Work Location: In person</p>

Calling agent(Experience only)

Ensemble Health Partners

<div><p><b>Thank you for considering a career at Ensemble!</b></p><p></p><p>
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.</p><p></p><p>
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!</p><p></p><p>
O.N.E Purpose:</p><ul><li><p><b>
Customer Obsession:</b> Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.</p></li><li><p><b>
Embracing New Ideas:</b> Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.</p></li><li><p><b>
Striving for Excellence:</b> Execute at a high level by demonstrating our &ldquo;Best in KLAS&rdquo; Ensemble Difference Principles and consistently delivering outstanding results.</p></li></ul><p></p><p><b>
The Opportunity:
</b></p><p></p><div><div><div><div><div><div><div><div><div><p><b>ENTRY LEVEL CAREER OPPORTUNITY OFFERING:</b></p><ul><li><p>
Bonus Incentives</p></li><li><p>
Paid Certifications</p></li><li><p>
Tuition Reimbursement</p></li><li><p>
Comprehensive Benefits</p></li><li><p>
Career Advancement</p></li><li><p>
This position pays between $17.00 - $18.65/hr based on experience</p></li></ul><p></p><p><b>
***The hours available are PRN - Per Diem***</b></p><p></p><p><b>
***This position is an onsite role and candidates must be able to work on-site ****</b></p><p>
We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for performing these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.</p><p></p><p><b>
Job Responsibilities:</b></p><ul><li><p>
The Patient Access Representative is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for performing these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.</p></li><li><p>
Responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey.</p></li><li><p>
Operates the telephone switchboard to relay incoming, out-going and inter-office calls as applicable. They are to adhere to policies, and provide excellent customer service in these interactions with the appropriate level of compassion. Patient Access staff will be held accountable for point of service goals as assigned.</p></li><li><p>
Responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities. Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership.</p></li><li><p>
Responsible for the pre-registration of patient accounts prior to patient visits. This may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options.</p></li><li><p>
Explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witnesses name.</p></li><li><p>
Explains and distributes patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.</p></li><li><p>
Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.</p></li><li><p>
Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.</p></li></ul><p></p><p>
Experience:</p><ul><li><p>
1+ years of customer service experience</p></li><li><p>
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.</p></li></ul><p></p><p>
Required Education:</p><ul><li><p>
High School Diploma/GED Required</p></li></ul><p></p><p>
Certification:</p><ul><li><p>
CRCR Required within 6 months of hire (Company Paid)</p></li></ul></div></div></div></div></div></div></div></div></div><p></p><p><b>
Join an award-winning company</b></p><p></p><p>
Five-time winner of &ldquo;Best in KLAS&rdquo; 2020-2022, 2024-2025</p><p>
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024</p><p>
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024</p><p>
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024</p><p>
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023</p><p>
Energage Top Workplaces USA 2022-2024</p><p>
Fortune Media Best Workplaces in Healthcare 2024</p><p>
Monster Top Workplace for Remote Work 2024</p><p>
Great Place to Work certified 2023-2024</p><ul><li><p>
Innovation</p></li><li><p>
Work-Life Flexibility</p></li><li><p>
Leadership</p></li><li><p>
Purpose + Values</p></li></ul><p></p><p>
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:</p><ul><li><p><b>
Associate Benefits &ndash; </b>We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.</p></li><li><p><b>
Our Culture</b> &ndash; Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
</p></li><li><p><b>Growth &ndash; </b>We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.</p></li><li><p><b>
Recognition &ndash; </b>We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.</p></li></ul><p></p><p>
Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.</p><p></p><p>
Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.</p><p></p><p>
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role&rsquo;s range.</p><p></p><p>
Employment Disclaimers &ndash; Ensemble</p></div>

Patient Access Specialist - PRN

AmeriHealth Caritas

<div><p><i>For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.</i></p><p>
Your career starts now. We&rsquo;re looking for the next generation of health care leaders.</p><p>
At AmeriHealth Caritas, we&rsquo;re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we&rsquo;d like to hear from you.</p><p>
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.</p><p>
Discover more about us at www.amerihealthcaritas.com.</p><p>
The Care Connector is responsible for supporting the daily operations of integrated care management and utilization management program interventions. The Care Connector performs in a contact center environment, effectively processing calls from Members, Providers, and other areas, internal and external to the company. Under the direction of Clinical staff, the Care Connector will provide members with educational materials and carry out strategies to increase healthcare adherence and reduce barriers to care.</p><p><b>
Education/Experience:</b></p><ul><li>
High School Diploma or equivalent required</li><li>
Minimum of <b>two (2) years</b> of work experience in a <b>healthcare environment required</b></li><li>
Minimum of <b>one (1) year</b> of <b>telephonic customer service experience required</b>, preferably within a healthcare setting</li><li>
Managed care experience preferred</li><li>
Medical terminology, ICD, CPT, and/or coding experience preferred</li><li>
Strongly prefer Medical Assistant, Home Health Aide, Nursing Assistant, or other similar health care para-professional training or certification</li><li>
Prior member service or customer service telephone experience desired</li><li>
Prior behavioral health experience is a plus</li><li>
Excellent interpersonal and verbal communication skills and the ability to write clear and concise reports</li><li>
Attention to detail and confidentiality with strong organizational skills</li></ul><p><b>
Skills &amp; Abilities:</b></p><ul><li>
Proficient PC skills in a Windows-based environment, MS Office products, including word processing, spreadsheets, and database programs</li></ul><p><b>
Our Comprehensive Benefits Package</b></p><p>
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.</p></div>

Care Connector

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