healthcare customer service specialist

GIG Gulf

<div>
 <p>
  <strong>
   Who we are
  </strong>
 </p>
 <p>
  GIG Gulf is part of the Gulf Insurance Group (GIG), the #1 largest regional composite insurer in the Middle East and North Africa, with presence in 13 markets including the United Arab Emirates, Bahrain, Oman, Qatar, Saudi Arabia, Algeria, Egypt, Iraq, Jordan, Kuwait, Lebanon, and Turkey. GIG Group reported consolidated assets of US$ 3.83 billion and $69 million net profit for the year 2023. The majority shareholder of GIG Group is Toronto based Fairfax Financial Holding, a global leader in insurance and reinsurance with a presence in 40 markets.
 </p>
 <p>
  <br/>
 </p>
 <p>
  GIG Gulf is an &lsquo;A&rsquo; rated regional insurer with a top 5 position in each of its markets (UAE, Oman, Qatar, Bahrain). GIG Gulf has been present in the region for over 70 years with a strategic focus on both growth and investments and is a one stop shop offering a wide range of insurance products and services that cater to a broad variety of needs for corporates, SMEs and individual customers throughout UAE, Oman, Bahrain, and Qatar. GIG Gulf also owns a 50% stake in GIG Saudi. Our strategic objectives and guiding principles are focused on Regional Growth, Customer Experience and Digital Transformation.
 </p>
 <p>
  <br/>
 </p>
 <p>
  GIG Gulf has created a diverse and inclusive working environment and culture with a workforce of over 800 employees, with over 60 nationalities, across 15 branches and retail shops region-wide and over 1 million customers. GIG Gulf is a caring partner that encourages customers to achieve their goals and live an inspiring and fulfilling life. We are obsessed with customer feedback and continuously evolving to become the region&rsquo;s digital insurer of reference, committed to running our operations in a responsible, sustainable way
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Job purpose:
  </strong>
 </p>
 <p>
  To ensure healthcare providers and GIG GULF valued members are dealt with effectively and efficiently across touchpoint and access channels. We are looking for a Customer Center executive who combines excellent customer service and problem-solving skills, with the ability to work both independently and as a part of a team. He/she should also have the time-management and organizational skills necessary to effectively manage multiple expectations in a fast-paced environment. It is also vital that he/she displays exceptional verbal and written communication, interpersonal and active-listening skills, as well as the ability to prioritize issues and respond accordingly.
 </p>
 <p>
  <br/>
 </p>
 <p>
  This is a diverse and skilled customer facing role where you will be responsible for resolving all customer queries to the customer's complete satisfaction without the need to refer the customer on. This will include resolving complex and challenging situations from all customer groups - individual, corporate and intermediaries.
 </p>
 <p>
  <br/>
 </p>
 <p>
  You will be a Customer Service Champion, putting the customer at the center of everything you do and putting forward ideas for the continual improvement of the customer experience.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Key Responsibilities:
  </strong>
 </p>
 <ul>
  <li>
   Provide extraordinary service to our customers via phone, email, and other access channels
  </li>
  <li>
   Taking end to end ownership for the resolution of all customer enquiries and contacts. Manage all queries through to resolution
  </li>
  <li>
   Accurately maintaining and updating customer records on the customer management system. Ensure that records are accurately updated whenever a customer makes contact
  </li>
  <li>
   Achieving all targets for contact handling, turnaround times, quality, productivity, and many others as established by the management
  </li>
  <li>
   Being a role model for the team demonstrating outstanding personal behaviors and performance
  </li>
  <li>
   Being a Customer Service Champion. Contribute to the continuous improvement process by putting forward ideas for improvement and contributing to focus groups
  </li>
  <li>
   Handling patients, referral sources, and administrative department inquires
  </li>
  <li>
   Receiving and responding to telephone and written inquiries relating to healthcare policy benefits and claims from either private or corporate clients/policyholders.
  </li>
  <li>
   Communicating with insurance companies and prior authorization requests
  </li>
  <li>
   Developing the knowledge of customer needs and trends to improve customer satisfaction and loyalty
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Essential Requirements:
  </strong>
 </p>
 <ul>
  <li>
   Excellent team player, independent, diligent, and responsible, with a positive attitude under pressure
  </li>
  <li>
   Previous experience in healthcare customer service / contact center operations
  </li>
  <li>
   Previous experience of a complex and multi skilled customer facing roles within a contact center setting
  </li>
  <li>
   Excellent verbal and written communication skills
  </li>
  <li>
   Computer literate
  </li>
  <li>
   The job holder should understand the different aspects of the Healthcare Platform to be able to direct queries to the relevant parties where necessary.
  </li>
  <li>
   The job holder requires a good understanding of all medical policies and the claims and reimbursement process
  </li>
  <li>
   The job holder requires a general understanding of the reasons for inclusion / exclusion of certain treatments or conditions.
  </li>
  <li>
   Language skills are an advantage in this position. The job requires proficiency in English and Arabic (written and spoken)
  </li>
 </ul>
</div>


Customer Services Executive - Healthcare ***ONLY Emiratis with family book***

Tenet Healthcare

<div><div>Embark on a rewarding career with <b>Detroit Medical Center Shared Services</b>. If you are a compassionate healthcare professional eager to contribute to patient care, this is your opportunity where your skills make a difference every day. Join us in delivering exceptional healthcare with a personal touch.</div><div><b><br>
Benefits Statement</b></div><div>
At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals. That&rsquo;s why we offer more than a job &ndash; we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
<br>
<ul><li>Medical, dental, vision, and life insurance</li><li>401(k) retirement savings plan with employer match</li><li>Generous paid time off (PTO)
</li><li>Career development and continuing education opportunities
</li><li>Health savings accounts, healthcare &amp; dependent flexible spending accounts</li><li>Employee Assistance program, Employee discount program</li><li>Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder &amp; childcare, auto &amp; home insurance.
</li></ul></div><p>Note: Eligibility for benefits may vary by location and is determined by employment status
</p><p><b>Job Summary</b></p><p>
Under general direction and according to established policies and procedures, answers incoming calls and initiates outbound calling for the assigned department to include physician/program/patient satisfaction surveys and pre-appointment/scheduling reminders.
</p><p><b>Responsibilities</b></p><p>
Provides tele-health services including, but not limited to, physician, diagnostic, program appointment scheduling, physician specialty consult line requests and educational classes/seminar schedules.</p><p>
Responds to inquiries and/or refers the caller to the appropriate physician, department or program based on information provided by the caller.
</p><p>Identifies calls of a serious/urgent nature and directs them to an urgent/emergent care environment or Triage function as appropriate. Interprets customer needs and utilizes a computerized database to assist in arranging for resources to achieve customer satisfaction.</p><p>
Utilizes existing database marketing identifiers as a tool to aid the patient in more effectively achieving quality of life through enhanced/managed care assistance by properly identifying related support programs and treatment options.</p><p>
Collects and verifies all necessary demographic insurance and related data. Verifies insurance coverage and benefit levels, obtains and analyzes necessary authorizations and referrals, and calculates estimated patient liability for call transactions.</p><p>
Explains how to complete appropriate forms to patient and/or family to ensure the necessary consent forms and patient signatures are obtained. Provides financial counseling services to assist patients in identifying and obtaining payment sources. Completes charge entry, reviews, monitors and reconciles patient accounts to ensure accurate billing production.
</p><p>Ensures compliance with third party payor requirements. Reconciles and corrects user specific reports.
</p><p>Establishes and maintains contacts with DMC representatives and physicians office staff in order to become familiar with their needs and concerns through the Physician Liaison Program.
</p><p>Generates database, word processing and spreadsheet marketing reports. Maintains patient service records and conducts routine database profile updates, data management/accuracy audits, and inter-departmental synchronizing of frequently changing information.
</p><p>Participates with other members of the department in continuous quality improvements that lead to achieving and sustaining high levels of customer satisfaction.
</p><p>Acts as a community liaison through participation in DMC sponsored health initiatives.<br>
</p><br>
<br>
<b>Qualifications:</b><p><br>
1. High school diploma or equivalent. Two to five years of college level course work and/or related experience in health care field preferred.</p><p>
2. Two years of experience with direct patient and/or physician contact in a clinical or administrative setting, or at least one year of experience with direct patient and/or physician contact in a clinical or administrative setting working with the same software program and customer base as the DMC Call Center.</p><p>
3. Two to five progressive years of work experience in insurance, medical record, billing or related area preferred.
</p><p><b>Facility Description</b></p><div>
The <b>Detroit Medical Center (DMC)</b> is a nationally recognized health care system that serves patients and families throughout Michigan and beyond. A premier healthcare resource, our mission is to help people live happier, healthier lives. The hospitals of the Detroit Medical Center are the Children's Hospital of Michigan, Detroit Receiving Hospital, Harper University Hospital, Hutzel Women's Hospital, the DMC Heart Hospital, Huron Valley-Sinai Hospital, the Rehabilitation Institute of Michigan and Sinai-Grace Hospital.</div><div>
</div><div>DMC's 150-year legacy of medical excellence and service provides patients and families world-class care in cardiovascular health, women's services, neurosciences, stroke treatment, orthopedics, pediatrics, rehabilitation, organ transplant and other general and specialty services.</div><div>
DMC is a key partner in Detroit's resurgence, which continues to draw national and international attention. A dedicated corporate citizen with strong community ties, DMC is one of the largest and most diverse employers in Southeast Michigan.<br>
</div><p><b>EEO Statement</b></p><p>
Employment practices will not be influenced or affected by an applicant&rsquo;s or employee&rsquo;s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.
</p><p>Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.</p><p>
Tenet participates in the E-Verify program. Follow the link below for additional information.</p><p>
E-Verify: http://www.uscis.gov/e-verify</p><p>
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations</p><div>
<div><b>
JOB: </b></div>Clerical/Office Support
</div><div><div><b>PRIMARY LOCATION: </b></div>Detroit, Michigan
</div><div><div><b>FACILITY: </b></div>Detroit Medical Center Shared Services
</div><div><div><b>JOB TYPE: </b></div>Full Time
</div><div><div><b>SHIFT TYPE: </b></div>Day
</div>
<p>Employment practices will not be influenced or affected by an applicant&rsquo;s or employee&rsquo;s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.<br>
Tenet participates in the E-Verify program. Follow the link below for additional information.<br>
E-Verify: http://www.uscis.gov/e-verify<br>
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
</p>
2606000788</div>

Call Center Advisor - Health Acess Center

HARBIN CLINIC

<div></div><div><div><div><div><div><div><div><div><p>NC, United States<br>
Job ID: R211995
<br>
Shift: Various
<br>
Job Type: Regular
</p></div><div><div><div><div>Share: mail</div></div></div></div><div></div><div><br>
</div></div><p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>Department:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>
12705 Enterprise Corporate - Patient Access &amp; Care Team: NC/GA Operations<p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Status:</b>
</p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>Full time<p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Benefits Eligible:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>
Yes<p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Hou</b><b>rs Per Week:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>
40<p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Schedule Details/Additional Information:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><p>
Monday-Friday 10a-7p</p><p></p><p><b>
Pay Range</b></p>
$21.85 - $32.80<p></p><p><b>
Major Responsibilities:</b></p><ul><li>
Uses facility/provider information and established policies and procedures to seamlessly link the patient experience between PACT and the practice site.
</li><li>Uses resources and critical thinking skills to assist inbound callers. Makes outbound calls when required or when follow up is deemed necessary.
</li><li>Has the ability to recognize complex problems and questions and escalates for resolution when needed. Performs basic technical troubleshooting in connection to online applications, systems, or access as requested to resolve issues.</li><li>
Responsibilities include scheduling patient appointments and coordinating cancellations, reschedules, and additions to schedules. Obtains demographic and insurance information and verifies insurance coverage. Ensures insurance and patient information obtained is complete and accurate, updating information if necessary, applying acquired knowledge of government and third-party payer requirements.
</li><li>Completes all essential forms, obtains necessary information, such as patient demographic and insurance information. Verifies and updates the medical record with patient information.
</li><li>Identifies emergent calls based on information provided by caller and department procedures. Follows the process for immediate transfer to Registered Nurse for triaging. Responsible for competency in and adherence to guidelines for emergency situations and critical call handling.
</li><li>Determines the needs of patients calling the call center which results in routing patients for triage, scheduling, rescheduling, and canceling appointments, submitting medication refill requests for evaluation, and paging providers and facilities as appropriate.
</li><li>Provides customer service per established departmental standards as measured by patients on post call survey. Asks clarifying questions, presents options or solutions, and understands the level of complexity of the call, escalating only those situations necessary for resolution.
</li><li>Assists with organizational marketing efforts by providing associated information and referral to customer, while maintaining appropriate records for documentation. Conducts regular reporting and updating of the provider and marketing databases.
</li><li>Performs additional duties based on department needs.
</li><li>Maintains knowledge and efficient utilization of all information systems utilized by the department.
</li></ul><p></p><p><b>Licensure, Registration, and/or Certification Required:</b></p><ul><li>
None</li></ul><p><b>
Education Required:</b></p><ul><li>
High School Graduate</li></ul><p><b>
Experience Required:</b></p><ul><li>
Typically requires 0 -1 year experience in a call center, healthcare or other applicable customer service-related area</li></ul><p></p><p><b>
Knowledge, Skills &amp; Abilities Required:</b></p><ul><li>
Knowledge of customer service and ability to work with a variety of patients and patient situations. Ability to follow workflows while operating in a structured environment
</li><li>Basic knowledge of medical terminology is helpful but not required.
</li><li>Basic understanding of computers and desktop software packages.
</li><li>Ability to work in a fast-paced environment, handling a variety of customer/patient needs.
</li><li>Basic multitasking and problem-solving skills, as well as organization and prioritization skills.
</li><li>Ability to use/manage a multiple-line telephone system.
</li><li>Demonstrated ability for analysis, logical thinking, accuracy and concern for detail.
</li><li>Strong verbal communication skills and ability to interact with a diverse customer population.
</li><li>Ability to provide excellent customer service and follow up. Ability to communicate with customers/patients while researching and documenting the interaction on multiple systems.
</li><li>Ability to work with a variety of customers and actively listen to successfully determine the customer's needs. Ability to resolve customer issues.
</li><li>Ability to work a variety of hours based on departmental business needs.
</li></ul><p><b>Physical Requirements and Working Conditions:</b></p><ul><li>
Must have functional vision, touch, speech, and hearing.
</li><li>Required to sit most of the workday.
</li><li>Operates all equipment necessary to perform the job.
</li><li>Exposed to normal office environment and/or remote work environments
</li><li>This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
</li></ul><p></p><p><i>This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.</i></p><p></p><p><b>
Our </b><b>Commitment to You:</b></p><p></p><p>
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more &ndash; so you can live fully at and away from work, including:</p><p></p><p><b>
Compensation</b></p><ul><li>
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training</li><li>
Premium pay such as shift, on call, and more based on a teammate's job</li><li>
Incentive pay for select positions</li><li>
Opportunity for annual increases based on performance</li></ul><p></p><p><b>
Benefits and more</b></p><ul><li>
Paid Time Off programs</li><li>
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability</li><li>
Flexible Spending Accounts for eligible health care and dependent care expenses</li><li>
Family benefits such as adoption assistance and paid parental leave</li><li>
Defined contribution retirement plans with employer match and other financial wellness programs</li><li>
Educational Assistance Program</li></ul><p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
About Advocate Health</b></p><p></p><p>
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation&rsquo;s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.</p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><p>
</p>Acts as the first point of contact for customers reaching out to Advocate Health through established Patient Access &amp; Care Team (PACT) services for both internal and external partnerships. Supports base PACT initiatives and services accurately documenting each interaction using the electronic medical record. Able to provide wayfinding and/or resolve customer inquiries including but not limited to providing general information, paging providers, front ending symptomatic patients call for nurse triage, updating customer information/demographics, verifying medical records, entering medication refill requests, and scheduling patient appointments.</div></div></div></div></div></div></div><div></div>

PACT Representative I

Highmark Health

<div><h2 class="jobSectionHeader"><b>Company :
</b></h2>Highmark Inc.
<h2 class="jobSectionHeader"><b>Job Description :
</b></h2><p><b>JOB SUMMARY
</b></p><p></p><p>This job is responsible for completing all Prior Authorization outbound call tasks and/or inbound triage case creations. In compliance with regulatory guidelines (e.g., NCQA, CMS), the incumbent informs the member and/or provider of the approval and/or denial of the requested authorization.
<br>
<br>
<b>ESSENTIAL RESPONSIBILITIES
</b></p><ul><li>Obtain call task from Utilization Management platform, perform verbal outbound call task requirement following a detailed script and desk level procedure, and appropriately log result within the platform.
</li><li>Obtain triage task from Utilization Management platform and follow a detailed desk level procedure to enter the required fields to set up the case build (data entry) and set the urgency of the case creation for the Intake Coordinator.
</li><li>Other duties as assigned or requested.
</li></ul><p></p><p><b>EXPERIENCE<br>
</b></p><p><br>
<b>Required
</b></p><ul><li>None
</li></ul><p></p><p><b>Preferred
</b></p><ul><li>1 year of Customer Service experience
</li><li>1 year of Call Center experience
</li>1 year of Healthcare experience<br>
<li>
</li></ul><p><br>
<b>SKILLS
</b></p><ul><li>Possess good written and oral telephonic communication skills
</li><li>Ability to navigate through multiple systems simultaneously
</li><li>Knowledge of administrative and clerical procedures and systems such as word processing, managing files and digital fax
</li>Ability to interact well with peers, supervisors, and customers<br>
<li>
</li></ul><p><br>
<b>EDUCATION<br>
</b></p><p><br>
<b>Required
</b></p>High School Diploma<br>
<ul><li>
</li></ul><p><br>
<b>Preferred
</b></p>None<br>
<ul><li>
</li></ul><p><br>
<b>LICENSES or CERTIFICATIONS<br>
</b></p><p><br>
<b>Required
</b></p>None<br>
<ul><li>
</li></ul><p><br>
<b>Preferred
</b></p>None<br>
<ul><li>
</li></ul><p><br>
<b>Language (Other than English):
</b></p><p>None
</p><p></p><p><b>Travel Requirement:
</b></p><p>0% - 25%
</p><p></p><p><b>PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
</b></p><p></p><p><b>Position Type
</b></p><p>Office- or Remote-based
</p><p></p><p>Physical work site required
</p><p>Constantly
</p><p></p><p>Travel Required
</p><p>0% - 25%
</p><p></p><p>Audible Speech
</p><p>Frequently
</p><p></p><p>Hear
</p><p>Frequently
</p><p></p><p>Position self or move lower on ground, under tables/desk, etc.
</p><p>Occasionally
</p><p></p><p>Climb
</p><p>Occasionally
</p><p></p><p>Drive
</p><p>Never
</p><p></p><p>Reach
</p><p>Occasionally
</p><p></p><p>Sedentary Position
</p><p>Constantly
</p><p></p><p>Move
</p><p>Occasionally
</p><p></p><p>Repetitive Motion
</p><p>Constantly
</p><p></p><p>Use Hands/Fingers to Handle or Feel (beyond data entry)
</p><p>Occasionally
</p><p></p><p>Vision - Distinguish Color
</p><p>Occasionally
</p><p></p><p>Vision - Far, near, Depth Perception
</p><p>Occasionally
</p><p></p><p>Lifting: up to 10 pounds
</p><p>Constantly
</p><p></p><p>Lifting: up to 20 pounds
</p><p>Occasionally
</p><p></p><p>Lifting: up to 50 pounds
</p><p>Never
</p><p></p><p>Lifting in excess of 50 pounds
</p><p>Never
</p><p></p><p><b><i>Disclaimer: </i></b><i>The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
</i><br>
<br>
<b><i>Compliance Requirement </i></b><i>: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
</i><br>
<br>
<i>As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company&rsquo;s Handbook of Privacy Policies and Practices and Information Security Policy.
</i><br>
<br>
<i>Furthermore, it is every employee&rsquo;s responsibility to comply with the company&rsquo;s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
</i></p><p><b>Pay Range Minimum:
</b></p>$19.39
<p></p><p><b>Pay Range Maximum:
</b></p>$24.19
<p></p><p><i>Base pay is determined by a variety of factors including a candidate&rsquo;s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
</i></p><p></p><p>Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
</p><p></p><p>We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
</p><p></p><p>For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
</p><p></p><p>California Consumer Privacy Act Employees, Contractors, and Applicants Notice</p></div>

Associate Intake Coordinator

Simpson General Hospital

<div><p><b>Join Our Team at Simpson General Hospital!</b></p><p><b>
Position:</b> Medical Billing Specialist<br>
<b>Location:</b> Business Office Financial Services<br>
<b>Schedule:</b> MondayFriday | 8:00 AM 4:30 PM | Full-Time<br>
<b>Reports to:</b> Business Office Director</p><p>
At Simpson General Hospital (SGH), we pride ourselves on delivering high-quality healthcare in a warm, hometown environment. We're currently seeking a Medical Billing Specialist to join our Financial Services team. If you're detail-oriented, experienced in healthcare billing, and passionate about supporting patient care behind the scenes, we'd love to hear from you!</p><h3 class="jobSectionHeader"><b>
Position Summary:</b></h3><p>
The Medical Billing Specialist is responsible for preparing insurance claims, following up on denials, and ensuring accurate billing through patient demographic and insurance updates. This role involves regular communication with patients, families, insurance companies, and internal departments.</p><h3 class="jobSectionHeader"><b>
Essential DutiesResponsibilities:</b></h3><ul><li>
Edit and submit UB and 1500 claim forms</li><li>
File insurance claims and follow up on billing work queues</li><li>
Correct and rebill claims as needed</li><li>
Assist with claims data for audits</li><li>
Provide excellent customer service</li><li>
Demonstrate professionalism aligned with SGH's mission and values</li><li>
Comply with HIPAA, infection control, and safety guidelines</li><li>
Perform other duties as assigned</li></ul><h3 class="jobSectionHeader"><b>
Qualifications:</b></h3><ul><li><b>
Education:</b> High School Diploma or GED (Required); Associate degree (Preferred)</li><li><b>
Experience:</b><br>
<ul><li>
35 years in a healthcare billing/business office setting (Preferred)</li><li>
Proficiency in Microsoft Word, Excel, and customer service</li></ul></li><li>
Strong communication and interpersonal skills</li><li>
Knowledge of claims submission for Medicare, Medicaid, and major insurers</li><li>
Efficient data entry and reconciliation skills</li><li>
Ability to work independently and meet deadlines under pressure</li><li>
Familiarity with healthcare laws and regulations</li></ul><h3 class="jobSectionHeader"><b>
Physical Requirements:</b></h3><ul><li>
Clear speech and hearing for effective communication</li><li>
Visual acuity for close and distant tasks</li><li>
Occasionally lift up to 25 lbs.</li></ul><h3 class="jobSectionHeader"><b>
Benefits Include:</b></h3><ul><li>
Health Insurance</li><li>
Dental Insurance</li><li>
Vision Insurance</li><li>
Company-paid Life and AD&amp;D Insurance</li><li>
Supplemental Insurance Options</li><li>
403(b) Retirement Plan</li><li>
Paid Time Off (PTO)</li><li>
Sick Time Off (STO)</li><li>
Discounted In-House Services at SGH ClinicsHospital</li></ul><h3 class="jobSectionHeader"><b>
Ready to Apply?</b></h3><p>
Be part of a team that values accuracy, compassion, and community care. Apply today and help us continue providing exceptional service to our patients and families!</p></div>

Billing Specialist

East Alabama Medical Center

<div><ul><li><div><p><b>EAMC MISSION</b></p>
</div><ul><li><div><div>At East Alabama Medical Center, our mission is high quality, compassionate health care, and that statement guides everything we do. We set high standards for customer service, quality, and keeping costs under control.</div>
</div></li></ul></li><li><div><b>POSITION SUMMARY</b></div>
<ul><li><div><div>The Patient Processing Pre-certification Scheduling Specialist functions in a high volume, fast-paced environment. The Specialist provides courteous and efficient service to patients and physician offices while scheduling requested appointments across multiple locations. Concise communication skills and excellent customer service are a must for this position. The Specialist should be a driven, self-motivated individual who is able to move between tasks quickly, making the most of their time.</div>
</div></li></ul></li><li><div><b>POSITION QUALIFICATIONS</b></div>
<ul><li><div><div><b>Minimum Education
</b></div><ul><li><div>High School Diploma or equivalent</div>
</li></ul></div></li><li><div><div><br>
<b>Minimum Experience
</b></div><ul><li><div>1-2 years customer service experience, including working on a computer.</div>
</li></ul></div></li><li><div><div><br>
<b>Required Registration/License/Certification
</b></div><ul><li><div>N/A</div>
</li></ul></div></li><li><div><div><br>
<b>Preferred Education
</b></div><ul><li><div>Associate Degree in Business or Health related field, Knowledge of Medical Terminology Preferred, Knowledge of ICD-10 and CPT coding preferred</div>
</li></ul></div></li><li><div><div><br>
<b>Preferred Experience
</b></div><ul><li><div>1-2 years healthcare/hospital experience and/or customer service experience.</div>
</li><li><div>1-year computer experience and the ability to type and spell accurately.</div>
</li></ul></div></li><li><div><div><br>
<b>Preferred Registration/License/Certification</b></div>
<ul><li><div>Certification of Patient Accounts preferred.</div>
</li></ul></div></li><li><div><div><br>
<b>Other Requirements</b></div>
<ul><li><div>N/A</div>
</li></ul></div></li></ul></li></ul><br>
Location: EAMC &middot; RAD SUPP<br>
Schedule: FT, First Shift</div>

PATIENT PROCESSING PRE CERT SCHEDULING SPECIALIST - OIFED

Emmis Executive Recruiting, Inc.

<p><b>Job Overview</b><br/>We are seeking a dynamic and driven Regenerative Surgical Sales Specialist to join our innovative healthcare team. In this role, you will be at the forefront of promoting cutting-edge regenerative surgical products that transform patient outcomes. Your energetic approach will help build strong relationships with healthcare professionals, educate them on product benefits, and drive sales growth. This position offers an exciting opportunity to make a meaningful impact in the field of regenerative medicine while developing your expertise in medical and pharmaceutical sales.</p><p><b>Duties</b></p><ul><li>Develop and execute strategic sales plans to promote regenerative surgical products to hospitals, surgical centers, and orthopedic clinics.</li><li>Conduct engaging product demonstrations and technical presentations to surgeons, physicians, and healthcare staff.</li><li>Manage key accounts by building lasting relationships, understanding client needs, and providing tailored solutions.</li><li>Negotiate contracts and pricing terms to secure sales agreements that benefit both clients and the company.</li><li>Provide exceptional customer service by addressing inquiries, offering technical support, and ensuring client satisfaction.</li><li>Analyze market trends, competitor activities, and customer feedback to identify new business opportunities.</li><li>Collaborate with cross-functional teams including marketing, clinical specialists, and product development to enhance product offerings and sales strategies.</li></ul><p><b>Experience</b></p><ul><li>Proven success in B2B sales within medical device, pharmaceutical, or healthcare industries, particularly in surgical or regenerative medicine sectors.</li><li>Strong negotiation skills with the ability to close deals effectively while maintaining positive client relationships.</li><li>Demonstrated expertise in account management and outside sales environments.</li><li>Experience delivering product demos and technical sales presentations confidently to diverse audiences.</li><li>Excellent communication skills with the ability to explain complex medical concepts clearly and persuasively.</li><li>Proficiency in analysis skills for market research, sales forecasting, and performance tracking using tools like Microsoft Office (Word, PowerPoint).</li><li>Leadership qualities that inspire team collaboration and motivate others toward shared goals.</li><li>Knowledge of medical sales regulations, pharmaceutical sales practices, and customer service principles is highly desirable. Join us as a Regenerative Surgical Sales Specialist if you&rsquo;re passionate about advancing healthcare through innovative solutions! Bring your energy, expertise, and enthusiasm to a role where every interaction can improve lives &mdash; your career growth starts here!</li></ul><p>Pay: $90,000.00 - $300,000.00 per year</p><p>Benefits:</p><ul><li>401(k)</li><li>Dental insurance</li><li>Disability insurance</li><li>Flexible spending account</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Travel reimbursement</li><li>Tuition reimbursement</li><li>Vision insurance</li></ul><p>Work Location: Remote</p>

Regenerative Surgical Sales Specialist

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