medical office representative

Southwestern Colorado Ear, Nose & Throat Associates

In-Office Insurance Prior Authorization Representative (Part-Time) Location: Durango, CO &ndash; IN OFFICE ONLY (Not Remote)We are seeking an experienced Insurance Prior Authorization Representative to join our ENT practice. This is a part-time, in-office position (24&ndash;28 hours/week) and is not eligible for remote work.Pay: $26/hourRequirements (must meet all):<ul><li>Current, hands-on insurance prior authorization experience (required)</li><li>Experience with CoverMyMeds and payer authorization portals</li><li>Strong understanding of insurance verification, medical necessity, and documentation requirements</li><li>Ability to manage high-volume requests with accuracy and urgency</li></ul>Responsibilities:<ul><li>Submit and track prior authorizations for procedures, imaging, and medications</li><li>Communicate with insurance carriers, providers, and staff to obtain approvals</li><li>Ensure all required clinical documentation is complete and accurate</li></ul>We are looking for someone who can step in and contribute immediately&mdash;this is not an entry-level role.Responsibilities<ul><li>Obtain prior authorization from insurance companies for various medical procedures and treatments by accurately submitting required documentation.</li><li>Review patient medical records and ensure all necessary information is complete and compliant with HIPAA regulations.</li><li>Communicate effectively with healthcare providers, insurance representatives, and patients regarding authorization status and additional requirements.</li><li>Maintain detailed records of authorization requests, approvals, denials, and follow-up actions within the medical records system.</li><li>Verify patient insurance coverage and eligibility prior to scheduled appointments or procedures.</li><li>Collaborate with office staff to coordinate scheduling based on authorization approvals and patient needs.</li><li>Stay current with updates in managed care policies, CPT coding, ICD-9/10 coding, and relevant insurance guidelines to ensure accurate processing.</li></ul>Skills<ul><li>Strong understanding of managed care processes and insurance verification protocols.</li><li>Experience working in a medical or dental office environment with familiarity in office procedures.</li><li>Knowledge of HIPAA compliance standards related to patient privacy and data security.</li><li>Proficiency in CPT coding, ICD-9/10 coding, and ICD coding systems used for billing and documentation.</li><li>Excellent organizational skills with attention to detail when managing medical records and authorization documentation.</li><li>Effective communication skills for liaising between healthcare providers, insurance companies, and patients.</li><li>Prior experience in medical office administration or medical coding is highly desirable; dental office experience is a plus. Join our dedicated team as an In-Office Insurance Prior Authorization Representative (Part-Time) to help streamline administrative processes while supporting exceptional patient care through efficient insurance management.</li></ul>Pay: $26.00 per hourBenefits:<ul><li>401(k) matching</li><li>Flexible schedule</li></ul>Experience:<ul><li>Insurance verification: 2 years (Required)</li></ul>Ability to Commute:<ul><li>Durango, CO 81301 (Required)</li></ul>Work Location: In person

In-Office Insurance Prior Authorization Representative (Part-Time)

Cancer Specialists of North Florida

<div><div><div><div><div><div><div><div><div>Cancer Specialists of North Florida is recruiting for an experienced Patient Services Representative for our busy Southside Office. The Patient Services Representative is responsible for performing the general business office functions ie: billing and claim submissions; charge capture and payment posting; insurance verification and eligibility; obtaining pre-authorization; counseling patients and families on insurance and payment issues; and account follow-up and payment resolution. May assist patients and families with obtaining community resources including, but not limited to, housing, transportation, and financial support. Essential duties and responsibilities include the following:<ul><li>
Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the system in an accurate and timely manner. Registers patients in the system as necessary.</li><li>
Collects and reviews all patient insurance information and completes insurance forms. Collects co-pays, deductibles and other out of pocket amounts at the time of visit.</li><li>
Confirms patient insurance verification and eligibility. Obtains pre-authorization of services and/or referrals. Assesses patient financial requirements and advises patients and families on insurance benefits, co-pays and financial obligations.</li><li>
Posts line items and adjustments to patient accounts. Balances receipts, reconciles daily work batches and prepares audit trail. Prepares deposits for bank as needed.</li><li>
Reviews Explanation of Benefits (EOB) for consistency.</li><li>
Submits files and processes all claims for payment. Researches and resolves claim delay issues.</li><li>
Resolves patient questions and complaints regarding insurance billing and adjusts accounts as necessary. Resubmits claims and processes all insurance/patient correspondence. Provides all documentation to expedite payment.</li><li>
Follows-up on assigned accounts. Uses collection techniques to keep accounts current including monitoring for delinquent payments.</li><li>
Sets-up financial arrangements with patients as necessary.</li><li>
As necessary, assists patients with researching and obtaining community resources including housing, transportation, drugs and pharmaceutical supplies, and financial resources.</li><li>
All other duties as assigned.</li></ul>
Full-time position
Location Address: 7015 AC Skinner Parkway, Suite 1, Jacksonville, FL 32256
Education and/or Experience:<ul><li>
High School Diploma or equivalent required.</li><li>
Minimum two (2) years in a medical business office setting.</li></ul>
Compensation and Benefits:<ul><li>
Salary is commensurate with experience and qualifications</li></ul>
Cancer Specialists of North Florida is an &quot;EEO Employer&rdquo; and &ldquo;Drug Free Workplace&rdquo;</div></div></div></div></div></div></div></div></div>

Patient Services Representative

BJC HealthCare

<div>Come join our team as a full-time Senior Patient Service Representative with BJC Medical Group in Belleville, Illinois, this is a rare opportunity to join a great team!<ul><li>
Preferred Medical Office Experience</li><li>
40-Hours per week</li><li>
Day Shift</li><li>
Benefit Eligible</li><li>
NO CALL, NO WEEKENDS, NO HOLIDAYS</li></ul>
 
Overview 
BJC Medical Group is the multi-specialty physician organization of BJC HealthCare and includes over 600 doctors and advanced practice providers who are affiliated with the top-ranked hospitals in the area. 
Since 1994, BJC Medical Group has provided access to the world&rsquo;s best medicine through caring people and integrated systems. The providers are nationally recognized for excellent patient satisfaction and quality health care. 
BJC Medical Group physicians are trained and certified in over 25 medical specialties and serve patients in more than 125 locations in the greater St. Louis, mid-Missouri and southern Illinois areas. 

 
Preferred Qualifications 
Role Purpose
The Senior Patient Service Representative functions as a subject matter expert on administrative tasks supporting the physician office. This position maintains a strong knowledge of and trains new and/or junior level team members on work processes. This position also serves as a point of escalation on complex work situations. 
Responsibilities<ul><li>
Handles telephone calls from patients and staff; forwards calls requiring triage.</li><li>
Performs receptionist duties with close attention to detail and professionalism.</li><li>
Verifies health insurance payment information and educates patients on the applicable regulations; collects payments and records data.</li><li>
Performs data entry of service charges, to include the assignment of diagnostic codes and the entering of all physician and clinic related charges.</li><li>
Coordinates information with Central Billing Office to ensure all charges are captured and properly collected.</li><li>
Serves as a subject matter expert; answers general and technical questions from other staff members; helps make decisions and resolve complex issues.</li><li>
Provides training and support to both new &amp; existing staff.</li><li>
BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.</li></ul>
Minimum Requirements
Education<ul><li>
High School Diploma or GED</li></ul>
Experience<ul><li>
2-5 years</li></ul>
Preferred Requirements
Experience<ul><li>
5-10 years</li></ul>
 
Benefits and Legal Statement 
BJC Total Rewards
At BJC we&rsquo;re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.<ul><li>
Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date</li><li>
Disability insurance* paid for by BJC</li><li>
Annual 4% BJC Automatic Retirement Contribution</li><li>
401(k) plan with BJC match</li><li>
Tuition Assistance available on first day</li><li>
BJC Institute for Learning and Development</li><li>
Health Care and Dependent Care Flexible Spending Accounts</li><li>
Paid Time Off benefit combines vacation, sick days, holidays and personal time</li><li>
Adoption assistance</li></ul></div>

Senior Patient Service Representative Pulmonary/Sleep

Medline Industries

<div>Job Summary
Medline has an immediate need for a Medical Sales Representative supporting our Physician Offices in the Mobile, AL area.
 
 
Our primary customer base includes Doctor's Offices, Urgent Care, Dermatology, Community Health, and Women's Health. We make healthcare run better by solving problems quickly, putting customers and employees first and challenging the status quo, finding new ways to grow our business&mdash;and one another.
Job Description
Responsibilities:
<ul><li>Growing and developing a territory of residual based medical supplies in assigned territory. The team sells disposables, exam gloves, point of care tests, capital and diagnostics. Healthcare personnel contacted include but are not limited to physician&rsquo;s, nursing staff, office managers and those staff involved with purchasing.
</li><li>Building relationships and developing a customer base of alternate site physician offices as well as hospital based practices
</li><li>Making new calls on a daily basis to develop new customers
</li><li>Working with manufacturers to present products to the physician community
</li><li>Prepare and deliver quotations for product
</li><li>Develop long term relationships with customer base
</li><li>Prepare and maintain a territory plan
</li><li>Create a grow a residual base of customers in the alternate site marketplace
</li><li>Train and learn new items to present to customers and explain the medical and fiscal benefits
</li></ul>Required Experience:
<ul><li>Bachelor&rsquo;s degree and at least 3 years of quota-based sales experience demonstrating a background in cold calling, commissioned, full-cycle sales experience OR at least 5 years of quota-based sales experience demonstrating a background in cold calling, commissioned, full-cycle sales experience.
</li><li>Track record of demonstrable sales growth and quota attainment;
</li><li>Ability to present multiple product lines;
</li><li>Excellent communication and organizational skills;
</li><li>Stable work history;
</li><li>Computer proficiency especially in MS Excel, Word, and Outlook
</li><li>Due to the nature of an outside sales representative position, the ability to drive a car, travel in that car 90% of each day, and interact with healthcare providers on site is required. 
</li></ul> 
The anticipated compensation for this position includes a $100,000 guarantee ($8,333/month) and will earn 100% commission and Spiffs. This position is bonus eligible and Medline will not pay less than the applicable minimum wage or salary threshold.
Our benefit package includes health insurance, life and disability, 401(k) contributions, paid time off, etc., for employees working 30 or more hours per week on average. For roles where employees work less than 30 hours per week, benefits include 401(k) contributions as well as access to the Employee Assistance Program, Employee Resource Groups and the Employee Service Corp.
We&rsquo;re dedicated to creating a Medline where everyone feels they belong and can grow their career. We strive to do this by seeking diversity in all forms, acting inclusively, and ensuring that people have tools and resources to perform at their best. Explore our Belonging page here .
Medline Industries, LP is an equal opportunity employer. Medline evaluates qualified individuals without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, neurodivergence, protected veteran status, marital or family status, caregiver responsibilities, genetic information, or any other characteristic protected by applicable federal, state, or local laws.</div>

Medical Sales Representative - Physician Office

PeaceHealth

<div>Description
PeaceHealth is seeking a Patient Access Representative Call Center - Remote for a Full Time, 1.00 FTE, Variable position.
The salary range for this job opening at PeaceHealth is $23.16 &ndash; $31.26. Projected Shift for this position is: M-F 0800 - 1700
The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.
This role requires onsite training during the first 120-day introductory period, and occasional onsite work thereafter. Candidates must live within a 1 hour commuting distance of PeaceHealth St. Joseph's Medical Center, Bellingham WA.
Job Summary
Assists in coordinating the activities between scheduling, insurance verification, and patient flow. Acts as a clinic liaison with physician practices interacting with all scheduling needs. Schedules both new patients and follow up appointments for a variety of clinic practices and follows appropriate standard work.
Details of the Position:<ul><li>
Pre-registers/registers patients with accurate patient demographics and financial data. May register patients using varying methods depending upon location. Handles incoming calls in relation to scheduling as primary scheduling resource.</li><li>
Verifies coverage and ensures all insurance requirements are met.</li><li>
Responds to customer&rsquo;s inquiries to include scheduling/cancelling appointments, transferring to appropriate clinic or entering in-basket messages to ensure follow up is completed.</li><li>
Provides outbound calls to patients in the form of reminder calls, referrals and other necessary follow up appointments.</li><li>
Ensures all appropriate interpreter services are ordered for patient visit.</li><li>
Performs other duties as assigned.</li></ul>
What you bring:<ul><li>
High School Diploma Preferred: or equivalent</li><li>
1 year Required: Medical office or related customer service experience</li><li>
Preferred: Experience with Microsoft Office applications, including Word, Excel and Outlook</li></ul>
Skills<ul><li>
Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding (Preferred)</li><li>
Knowledge of insurance process and regulations (Preferred)</li><li>
Ability to work from home in a secure environment free of distractions with appropriate high-speed connectivity. (Required)</li><li>
Must be able to manage conflict effectively and professionally. (Required)</li><li>
Excellent time management skills, with an emphasis on meeting time sensitive deadlines. (Required)</li><li>
Good customer service skills and good interpersonal skills. (Required)</li></ul>
Department / Location Specific Notes
Care Delivery and Outpatient Clinics: Strong background in customer service may be considered in lieu of medical office or related experience.
Working Conditions<ul><li>
Consistently operates computer and other office equipment.</li><li>
Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.</li><li>
Sedentary work.</li><li>
Predominantly operates in an office environment.</li><li>
Ability to communicate and exchange accurate information.</li><li>
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.</li></ul>
For additional information or questions, please email Jen Worthington at Jworthington@peacehealth.org or call 360-448-0542.
PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.
See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.
For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.</div>

Patient Access Representative Call Center - Remote

<div>Job Summary
We have an opening within our Physician Office Sales Team for a Field Sales Rep. Our primary customer base includes Doctor's Offices, Urgent Care, Dermatology, Community Health, and Women's Health. We make healthcare run better by solving problems quickly, putting customers and employees first and challenging the status quo, finding new ways to grow our business&mdash;and one another.
Job Description
Responsibilities:
<ul><li>Growing and developing a territory of residual based medical supplies in assigned territory. The team sells disposables, exam gloves, point of care tests, capital and diagnostics. Healthcare personnel contacted include but are not limited to physician&rsquo;s, nursing staff, office managers and those staff involved with purchasing.
</li><li>Building relationships and developing a customer base of alternate site physician offices as well as hospital based practices
</li><li>Making new calls on a daily basis to develop new customers
</li><li>Working with manufacturers to present products to the physician community
</li><li>Prepare and deliver quotations for product
</li><li>Develop long term relationships with customer base
</li><li>Prepare and maintain a territory plan
</li><li>Create a grow a residual base of customers in the alternate site marketplace
</li><li>Train and learn new items to present to customers and explain the medical and fiscal benefits
</li></ul>Required Experience:
<ul><li>Bachelor&rsquo;s degree and at least 3 years of quota-based sales experience demonstrating a background in cold calling, commissioned, full-cycle sales experience OR at least 5 years of quota-based sales experience demonstrating a background in cold calling, commissioned, full-cycle sales experience.
</li><li>Track record of demonstrable sales growth and quota attainment;
</li><li>Ability to present multiple product lines;
</li><li>Excellent communication and organizational skills;
</li><li>Stable work history;
</li><li>Computer proficiency especially in MS Excel, Word, and Outlook
</li><li>Due to the nature of an outside sales representative position, the ability to drive a car, travel in that car 90% of each day, and interact with healthcare providers on site is required. 
</li></ul> 
The anticipated compensation for this position includes a $100,000 guarantee ($8,333/month) and will earn 100% commission and Spiffs. This position is bonus eligible and Medline will not pay less than the applicable minimum wage or salary threshold.
Our benefit package includes health insurance, life and disability, 401(k) contributions, paid time off, etc., for employees working 30 or more hours per week on average. For roles where employees work less than 30 hours per week, benefits include 401(k) contributions as well as access to the Employee Assistance Program, Employee Resource Groups and the Employee Service Corp.
We&rsquo;re dedicated to creating a Medline where everyone feels they belong and can grow their career. We strive to do this by seeking diversity in all forms, acting inclusively, and ensuring that people have tools and resources to perform at their best. Explore our Belonging page here .
Medline Industries, LP is an equal opportunity employer. Medline evaluates qualified individuals without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, neurodivergence, protected veteran status, marital or family status, caregiver responsibilities, genetic information, or any other characteristic protected by applicable federal, state, or local laws.</div>

Medical Sales Rep - Physician Office

Opella.

<div>Opella is the self-care challenger with the purest and third-largest portfolio in the Over-The-Counter (OTC) &amp; Vitamins, Minerals &amp; Supplements (VMS) market globally .
 
 
Our mission is to bring health in people&rsquo;s hands by making self-care as simple as it should be . For half a billion consumers worldwide &ndash; and counting.
 
 
At the core of this mission is our 100 loved brands , our 11,000-strong global team, our 13 best-in-class manufacturing sites and 4 specialized science and innovation development centers. Headquartered in France, Opella is the proud maker of many of the world&rsquo;s most loved brands, including Allegra, Buscopan, Doliprane, Dulcolax, Enterogermina, Essentiale and Mucosolvan.
 
 
As a globally certified B Corp company, we are active players in the journey towards healthier people and planet. Find out more about our mission at www.opella.com .
 
 
Join us on our mission. Health. In your hands
About the Job
Ready to push the limits of what&rsquo;s possible? Join Opella in one of our corporate functions in field and you can play a vital part in the performance of our entire business while helping to make an impact on millions of consumers around the world As a Professional Medical Representative.
<ul><li>Achieve the promotion, sales, profitability, and growth targets set for the region and products in line with the defined business strategy and company values.
</li></ul><ul><li>Establish, structure, and strengthen communication with the HCPs in the region.
</li></ul><ul><li>Additionally, assess risks within the area of responsibility and inform the manager in a timely manner.
</li></ul>Main Responsibilities
<ul><li>Promote to healthcare professionals to highlight product benefits.
</li></ul><ul><li>Achieve sales, profitability, growth, and execution KPIs in the responsible area.
</li></ul>1st and 2nd Item Activity List
<ul><li>Visit healthcare professionals regularly within a defined plan to achieve monthly and annual sales targets.
</li></ul><ul><li>Execute the assigned communication channel plan with HCPs, including physical and remote visits.
</li></ul><ul><li>Explain Opella product features and benefits to HCPs during visits, in line with marketing and medical strategies.
</li></ul><ul><li>Monitor competitor activities, report, and achieve market share targets.
</li></ul><ul><li>Conduct appropriate numbers of visits to targeted pharmacies and doctors based on segmentation and targeting criteria and ensure timely reporting into the regional management system.
</li></ul><ul><li>Conduct commercial marketing activities in assigned pharmacies for the assigned products and achieve execution KPIs.
</li></ul><ul><li>Organize meetings with healthcare professionals, input data into the electronic territory management system (ETMS), and prepare required content.
</li></ul><ul><li>Accountability &ndash; Maintain accurate and up-to-date medical knowledge on responsible products and use this information ethically, legally, and in line with customer needs; follow all adverse drug reactions and technical complaints.
</li></ul><ul><li>Ensure stock and sales-out tracking in pharmacies in the region, regularly check data, and inform the sales manager about opportunities and risks.
</li></ul><ul><li>When receiving any adverse drug reaction information from HCPs, ensure the Adverse Drug Reaction Form is completed and faxed to the Pharmacovigilance Unit within 24 hours.
</li></ul><ul><li>Prepare daily activity reports accurately and regularly, report expenses, and be organized and meticulous in all processes (apply ETMS as defined).
</li></ul>About You:
Education Level: University graduate &ndash; Newly Graduated with Medical/Pharmaceutical/Veterinary /Science background
Knowledge and Skills:
<ul><li>MS Office programs, IMS programs
</li></ul><ul><li>Industry knowledge
</li></ul><ul><li>Sales and marketing knowledge
</li></ul><ul><li>Written and verbal communication skills
</li></ul><ul><li>Product knowledge
</li></ul>WHY US? At Opella, you will enjoy doing challenging, purposeful work, empowered to develop consumer brands with passion and creativity. This is your chance to grow new skills and be part of a bold, collaborative, and inclusive culture where people can thrive and be at their best every day.
 
 
We Are Challengers. We Are Dedicated To Making Self-care As Simple As It Should Be. That Starts With Our Culture. We Are Challengers By Nature, And This Is How We Do Things
 
 
All In Together : We keep each other honest and have each other's backs.
 
 
Courageous : We break boundaries and take thoughtful risks with creativity.
 
 
Outcome-Obsessed: We are personally accountable, driving sustainable impact and results with integrity.
 
 
Radically Simple: We strive to make things simple for us and simple for consumers, as it should be.</div>

Professional Medical Representative

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