We are looking for a detail-oriented Medical Claims Representative to join our team in Voorhees, New Jersey. In this long-term contract role, you will play a key part in ensuring the accuracy and timeliness of medical claims processing and administration. This position offers an excellent opportunity to contribute your expertise in billing, claims, and insurance verification.<br><br>Responsibilities:<br>• Process and manage medical claims with a focus on accuracy and compliance.<br>• Ensure that all required authorizations are current and meet payor requirements.<br>• Verify patient insurance details to confirm coverage and eligibility.<br>• Collaborate with billing teams to resolve discrepancies and ensure timely submissions.<br>• Handle payor accounts, including follow-up on outstanding claims and payments.<br>• Investigate and resolve claim denials or rejections in a timely manner.<br>• Maintain detailed and organized records of claims and billing activities.<br>• Communicate effectively with insurance providers, patients, and internal teams.<br>• Stay updated on changes in medical billing regulations and insurance policies.
<p>We are looking for a detail oriented Entry-level Claims Representative to join our clients' team in Ontario, California. In this role, you will provide critical support in managing claims-related tasks, ensuring accuracy and efficiency in processing, reconciling, and auditing claims. This is a long-term contract position ideal for professionals with strong organizational skills and a background in medical office operations.</p><p><br></p><p>Responsibilities:</p><p>• Match checks with remittance advice, prepare and insert them into envelopes for mailing.</p><p>• Reconcile processed batches within the audit database to ensure accuracy.</p><p>• Create and mail denial trailers and letters to providers.</p><p>• Print and send out claim requirement letters for Covered California members.</p><p>• Forward claims to the appropriate health plan when necessary.</p><p>• Process and mail claims deemed unable to process, including generating the necessary correspondence.</p><p>• Batch trailers created by various departments and ensure proper documentation.</p><p>• Audit the batch log key to confirm claims have been assigned and logged correctly.</p><p>• Verify member information to determine line of business and coordination of benefits in the system.</p><p>• Collaborate on process adjustments and work independently or as part of a team.</p>
We are looking for a detail-oriented Medical Billing - Denials Processor to join our team in Olathe, Kansas. In this long-term contract position, you will play a crucial role in managing accounts receivable and working on insurance claim denials. If you have expertise in medical billing and a strong background in resolving claim denials, this opportunity is perfect for you.<br><br>Responsibilities:<br>• Process and manage accounts receivable activities to ensure accurate and timely billing.<br>• Review and analyze denied insurance claims, identifying reasons for denials and taking corrective actions.<br>• Collaborate with insurance companies to resolve claim disputes and secure payments.<br>• Apply cash receipts to appropriate accounts and maintain detailed records of transactions.<br>• Investigate and address discrepancies in accounts, ensuring all billing errors are corrected.<br>• Communicate effectively with clients and internal teams to resolve payment issues and provide updates.<br>• Ensure compliance with medical billing regulations and insurance policies.<br>• Monitor and report on cash activity to maintain accurate financial records.<br>• Support the collections process by following up on outstanding payments and overdue accounts.<br>• Utilize your knowledge of medical billing processes to improve efficiency and accuracy in claim management.
We are looking for a detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina. This long-term contract position is ideal for someone with extensive experience in medical claims processing and a strong ability to manage repetitive clerical tasks effectively. The role requires a collaborative team player who is dependable, punctual, and committed to delivering high-quality results.<br><br>Responsibilities:<br>• Process and reconcile medical claims efficiently, ensuring all records are accurate and up-to-date.<br>• Resubmit denied or rejected claims, following proper protocols to secure approvals.<br>• Post payments accurately into multiple systems, maintaining consistency and precision.<br>• Utilize payer portals to manage claims and track progress effectively.<br>• Perform clerical tasks such as data entry and filing with a focus on accuracy and attention to detail.<br>• Collaborate with a team of professionals to ensure smooth workflows and timely completion of tasks.<br>• Monitor claim statuses to identify and resolve discrepancies proactively.<br>• Maintain compliance with relevant policies and regulations in the healthcare industry.<br>• Provide support in behavioral health payment posting processes.<br>• Communicate effectively with team members and external parties regarding claim-related issues.
We are looking for a dedicated Claims Adjustor to join our team on a contract basis in Des Moines, Iowa. In this role, you will handle medical-only workers' compensation claims, ensuring accuracy and prompt processing. This position requires excellent customer service skills and attention to detail to effectively manage a low volume of daily calls and claims.<br><br>Responsibilities:<br>• Review workers' compensation claims to ensure compliance with medical and insurance standards.<br>• Process medical-only claims accurately and in a timely manner.<br>• Communicate with customers to address inquiries and provide exceptional service.<br>• Collaborate with team members to maintain organized and efficient claim workflows.<br>• Handle medical billing and insurance claim documentation with precision.<br>• Monitor and manage medical denials and appeals to resolve issues.<br>• Support hospital billing processes and ensure proper claim handling.<br>• Maintain detailed records for claims and related communications.<br>• Identify discrepancies in claim submissions and take corrective actions.<br>• Provide regular updates and reports on claim processing activities.
<p>We are looking for a skilled Claims Specialist to join our team in Los Angeles, California. . The ideal candidate will bring expertise in managing workers' compensation claims and ensuring seamless communication between all parties involved.</p><p><br></p><p>Responsibilities:</p><p>• Manage a portfolio of modified duty and lost time claims with efficiency and accuracy.</p><p>• Forward medical records related to workplace injuries to the appropriate insurance adjuster.</p><p>• Input data from medical records into the system while maintaining attention to detail.</p><p>• Notify supervisors of initial diagnoses and work status for injured employees.</p><p>• Support the Hospital Manager and injured employees in implementing early return-to-work programs.</p><p>• Schedule and track follow-up doctor appointments, ensuring medical statuses are documented within 24 hours of each visit.</p><p>• Communicate appointment outcomes to insurance adjusters and supervisors promptly.</p><p>• Monitor lost time and modified work data, updating the system regularly.</p><p>• Maintain regular communication with insurance adjusters, providing updates at least every 60 days until claims are resolved.</p><p>• Conduct audits of claim data and related records consistently to ensure accuracy</p>
<p>We are looking for a Patient Service Representative to join our team. In this role, you will be the primary point of contact for patients, helping them understand and resolve their account balances. We're looking for someone with excellent communication skills who can provide a positive and empathetic experience for every patient.</p><p><br></p><p>Hours: Monday - Friday 8am - 5pm</p><p><br></p><p>Responsibilities for the position include the following:</p><ul><li>Answer customer calls with a positive and professional attitude.</li><li>Provide accurate and helpful information.</li><li>Efficiently resolve customer issues and concerns.</li><li>Document customer interactions and update account records.</li><li>Maintain an energetic and upbeat demeanor throughout the workday</li><li>Uphold a positive, self-motivated attitude while complying with all regulations and agreements.</li><li>Utilize strong organizational, communication, and computer skills, including expertise in Microsoft Office.</li><li>Build and maintain positive relationships with clients, colleagues, and management to protect the company's reputation.</li></ul>
<p>We are looking for a dedicated Customer Service Representative to join our team in San Antonio, Texas. This is a contract position where you will play a critical role in scheduling patients for preventative health care screenings. The ideal candidate will thrive in a fast-paced environment and demonstrate exceptional communication skills while working independently after training.</p><p><br></p><p>Responsibilities:</p><p>• Schedule patients for preventative health care screenings, ensuring accuracy and efficiency.</p><p>• Handle a minimum of 70-80 calls per day to maintain productivity standards.</p><p>• Utilize computer systems to track and manage scheduling data effectively.</p><p>• Collaborate with experienced employees during training and transition to working independently.</p><p>• Maintain professionalism while managing interruptions and prioritizing tasks.</p><p>• Apply medical knowledge to assist patients and enhance scheduling processes.</p><p>• Demonstrate familiarity with healthcare systems, including EMR and TRICARE.</p><p>• Ensure adherence to business casual dress code while engaging with patients and team members.</p><p>• Provide excellent customer service to address patient inquiries and concerns.</p><p>• Follow established protocols and guidelines to meet organizational goals.</p>
<p>VACATION COVERAGE 11/23-12/3</p><p><br></p><p>Responsibilities:</p><p>• Welcome patients and visitors with professionalism, providing assistance and guidance as needed.</p><p>• Manage appointment scheduling, confirmations, and rescheduling while maintaining accurate records of cancellations or missed appointments.</p><p>• Verify insurance coverage and gather required information to support billing processes.</p><p>• Input and maintain precise patient data within electronic medical record systems such as Epic or Cerner.</p><p>• Handle billing tasks by collecting copays, managing forms, and ensuring accurate account reconciliation.</p><p>• Respond to inbound calls, addressing patient inquiries and redirecting them to appropriate departments.</p><p>• Assist with patient check-ins, ensuring all necessary documentation is completed.</p><p>• Support administrative tasks, including maintaining charts, graphs, and other patient-related records.</p><p>• Collaborate with healthcare staff to ensure seamless communication and workflow.</p><p>• Uphold confidentiality and compliance with medical regulations in all interactions.</p>
<p>Robert Half is partnering with a reputable healthcare organization in Lewes, DE, and the surrounding areas to offer <strong>entry-level opportunities</strong> for motivated and career-driven individuals. If you are looking to get a foot in the door in the medical field and gain hands-on professional experience, this is the perfect opportunity for you! These contract-to-hire roles will provide hours and the potential for long-term growth in a dynamic healthcare environment. Schedules include first and mid shifts, with some requiring availability for one or two Saturdays a month.</p><p> </p><p><strong>What’s in it for you?</strong></p><ul><li><strong>Bonus Incentives</strong></li><li><strong>Paid Certifications</strong> to enhance your skills and value in the field</li><li><strong>Tuition Reimbursement</strong> to support your continued education</li><li><strong>Comprehensive Benefits Package</strong>, including healthcare, retirement options, and more</li><li><strong>Career Advancement Opportunities</strong> in a company committed to your professional development</li></ul><p><strong>What We’re Looking For</strong>:</p><p>Candidates with proven success in a customer service capacity are encouraged to apply, even without direct healthcare experience. Transferable skills such as effective communication, strong organizational abilities, and a passion for helping others will position you for success in this role.</p><p>We are offering a contract-to-hire employment opportunity in the healthcare industry for a Customer Service Representative. The role is located in Lewes, Delaware, United States. As a Patient Service Representative, you will be tasked with managing patient data, handling insurance details, and providing excellent customer service.</p><p><br></p><p>Responsibilities:</p><p>• Maintain precise records of customer credit information.</p><p>• Take necessary action by monitoring customer accounts.</p><p>• Handle both inbound and outbound calls to gather patient's demographic, insurance, and other relevant details.</p>
We are looking for a dedicated Customer Service Representative to join our team in San Antonio, Texas. This is a contract position where you will play a critical role in scheduling patients for preventative health care screenings. The ideal candidate will thrive in a fast-paced environment and demonstrate exceptional communication skills while working independently after training.<br><br>Responsibilities:<br>• Schedule patients for preventative health care screenings, ensuring accuracy and efficiency.<br>• Handle a minimum of 70-80 calls per day to maintain productivity standards.<br>• Utilize computer systems to track and manage scheduling data effectively.<br>• Collaborate with experienced employees during training and transition to working independently.<br>• Maintain professionalism while managing interruptions and prioritizing tasks.<br>• Apply medical knowledge to assist patients and enhance scheduling processes.<br>• Demonstrate familiarity with healthcare systems, including EMR and TRICARE.<br>• Ensure adherence to business casual dress code while engaging with patients and team members.<br>• Provide excellent customer service to address patient inquiries and concerns.<br>• Follow established protocols and guidelines to meet organizational goals.
<p>Are you an experienced <strong>Patient Financial Authorization Specialist</strong> looking to make a direct impact in a clinical setting? We are currently seeking a <strong>Patient Financial Authorization Specialist </strong>to join our in-person team. This is not a remote opportunity—the Patient Financial Authorization Specialist will work Monday through Friday, 8:00 AM to 5:00 PM CST, in a fast-paced, collaborative healthcare environment.</p><p><br></p><p><strong>Responsibilities</strong></p><ul><li>Obtain and manage patient authorizations in a timely and efficient manner</li><li>Provide accurate cost estimates to patients prior to the start of treatment</li><li>Scrub the Daily Appointment Report (DAR) to ensure all scheduled patients have valid authorizations on file</li><li>Support patients in navigating claims reimbursements, particularly those covered by grants</li><li>Collaborate with a remote team and receive hands-on training from a Senior PAA</li><li>Ensure compliance with business casual dress code and participate in on-site interviews</li></ul>
<p>We are looking for a skilled and detail-oriented Patient Service Representative to join our team in Syracuse, New York. This is a Contract-to-permanent position within the healthcare industry, offering an excellent opportunity to contribute to patient care and administrative efficiency. The ideal candidate will play a vital role in ensuring smooth clinic operations and providing exceptional service to patients.</p><p><br></p><p>Responsibilities:</p><p>• Prepare patient charts by printing facesheets, organizing documents into folders, and gathering required consult materials.</p><p>• Ensure all necessary clinical information is readily available for patient visits.</p><p>• Submit and monitor the status of Release of Information forms generated during the checkout process.</p><p>• Actively manage and maintain a full schedule for Nurse Practitioners to optimize clinic operations.</p><p>• Provide backup support for patient check-in processes as needed.</p><p>• Coordinate schedules and appointments to enhance workflow and minimize disruptions.</p><p>• Utilize CRM tools such as EPIC for accurate record-keeping and patient data management.</p><p>• Answer inbound calls professionally and assist with patient inquiries.</p><p>• Generate charts and graphs to support reporting and documentation needs.</p>
We are looking for a dedicated Patient Access Representative to join our team in Templeton, California. This contract position involves assisting patients with the coordination of outpatient services, verifying registration details, and handling financial responsibilities. If you enjoy providing exceptional customer service in a healthcare setting, this role offers the opportunity to contribute to the well-being of the local community.<br><br>Responsibilities:<br>• Coordinate outpatient services and programs, ensuring all scheduling and registration steps are completed efficiently.<br>• Collect and verify patients' financial responsibility, including insurance coverage and payment details.<br>• Provide clerical support, including maintaining accurate files and documentation.<br>• Update patient status changes in the computer system to ensure accurate records.<br>• Follow established procedures and guidelines to manage routine tasks effectively.<br>• Assist patients with scheduling appointments and addressing inquiries regarding medical coverage.<br>• Ensure compliance with organizational requirements, including vaccination policies and E-Verify.<br>• Support the team in delivering exceptional care across various medical and outpatient services.<br>• Collaborate with healthcare professionals to ensure seamless patient access and service delivery.<br>• Maintain confidentiality and accuracy in handling sensitive financial and patient information.
We are looking for a dedicated Medical Customer Service Representative to join our team in New Milford, Connecticut. This is a long-term contract position requiring exceptional communication skills and a strong ability to handle high call volumes in a fast-paced environment. Ideal candidates will bring prior experience in medical or insurance settings, contributing to seamless patient scheduling and registration.<br><br>Responsibilities:<br>• Schedule appointments for new patients across all physicians, ensuring adherence to the core and on-call schedules.<br>• Update daily physician schedules promptly based on any changes, following established protocols.<br>• Accurately complete patient registration details, including appointment reasons, physician preferences, and insurance information.<br>• Collect essential meaningful use data such as ethnicity, smoking history, active medications, and allergies.<br>• Prepare accounts by printing daily charge tickets, verifying co-pay collection, and reviewing eligibility reports.<br>• Confirm insurance requirements for physician referrals and ensure all pre-certifications are obtained for radiology tests and specialty services.<br>• Maintain comprehensive patient logs for tracking registration activities and ensure data accuracy.<br>• Efficiently handle incoming calls, connecting callers to appropriate extensions and paging staff when necessary.<br>• Process pre-authorizations for medical services, including faxing approvals to facilities and updating system records.<br>• Follow up daily on pending orders, securing additional documentation as required by insurance providers.
<p>We are looking for a skilled Customer Service Representative to join a team in Plymouth, Minnesota. In this role, you will serve as a dispatcher, ensuring the seamless coordination of requests and schedules. This is a long-term contract position that requires exceptional communication skills, adaptability, and the ability to thrive in a fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Respond to incoming calls, including emergency situations, inquiries, follow-ups, and service requests.</p><p>• Schedule and coordinate service appointments to meet customer needs effectively.</p><p>• Create and manage dispatch tickets for all service calls.</p><p>• Assign service technicians to jobs, providing them with necessary details and support.</p><p>• Update and maintain systems to reflect technician availability and schedules.</p><p>• Oversee the dispatch board and ensure schedules are up-to-date.</p><p>• Monitor and forecast workloads to maintain operational efficiency.</p><p>• Deliver accurate information and assistance to technicians during their assignments.</p><p>• Track new service tickets and ensure existing ones are updated promptly.</p>
Robert Half's client in Westborough is looking for Customer Service Representatives to help an advanced workload! <br><br>Job responsibilities include: <br> - Answering inbound calls (55-85 a day)<br> - Adhering to medical compliance protocols <br> - Time management skills<br> - Comfortable talking on the phone <br><br>Pay Rate: $18-$19 / hour <br>Location: Remote <br>Hours: 8:30a - 5:00p (15 minute break and 30 minute lunch)<br><br>*** If interested apply now! ***
<p>Robert Half is partnering with an industry leading manufacturer in the Twin Cities specializing in custom production and print finishing services. In this role, you’ll serve as a key liaison between customers, sales, and production—managing projects from order initiation through delivery. You’ll ensure that each job meets customer specifications, timelines, and quality expectations while maintaining strong communication across internal and external stakeholders. This is a great opportunity for someone with manufacturing or print industry experience who brings keen attention to detail, enjoys managing projects, and a passion for building lasting customer relationships.</p><p> </p><p><strong>Key Responsibilities</strong></p><ul><li>Serve as the primary point of contact for customers throughout the production process, ensuring clear communication and a positive service experience.</li><li>Translate customer requirements and sales details into accurate production orders, coordinating closely with estimating and production teams.</li><li>Review quotes, specifications, and timelines to confirm project accuracy and feasibility prior to production kickoff.</li><li>Oversee the progress of active jobs, tracking milestones and proactively addressing issues that could affect quality, cost, or delivery dates.</li><li>Facilitate smooth scheduling and workflow between departments to maintain on-time, high-quality output.</li><li>Conduct quality reviews and coordinate proofs, samples, or approvals with customers as needed.</li><li>Provide timely updates to customers and internal teams regarding order status, adjustments, or project challenges.</li><li>Generate billing documentation and ensure completed jobs are invoiced accurately.</li><li>Support account management and sales efforts through strong relationship-building and responsive service to promote repeat business.</li><li>Identify process improvements or communication enhancements to strengthen operational efficiency and customer satisfaction.</li></ul><p><br></p><p><br></p>
<p>We are seeking a Customer Service Representative to join our healthcare team in south Minneapolis, Minnesota. This role involves being a supportive and friendly voice in person and via phone, providing excellent service to our clients, and managing a variety of tasks simultaneously. The ideal candidate will be eager to learn new things and understand how their role contributes to the broader team. This position offers a contract to hire possibility. </p><p><br></p><p>Responsibilities:</p><p>• Handle between 20 and 40 calls from patients and case managers daily</p><p>• Accurately input orders into our order system</p><p>• Conduct follow-up on orders that may be delayed</p><p>• Review fee schedules to confirm benefit eligibility</p><p>• Submit and process authorizations to insurance companies</p><p>• Work proactively with management to define their career path</p><p>• Apply basic medical terminology knowledge in customer interactions</p><p>• Utilize customer service software for efficient service delivery</p><p>• Perform data entry tasks as needed</p><p>• Maintain electronic medical records in an organized and efficient manner.</p>
We are looking for a skilled Case Manager to join our team in Encino, California. In this role, you will oversee multiple pre-litigation cases, ensuring prompt and effective resolution while providing exceptional support to clients. This is an onsite position that offers a dynamic work environment and opportunities for growth.<br><br>Responsibilities:<br>• Manage multiple pre-litigation cases, ensuring timely and effective resolution.<br>• Supervise and guide entry-level case managers in their daily tasks and responsibilities.<br>• Facilitate claims processing with insurance carriers, including health insurance, Medicare, and Medi-Cal.<br>• Coordinate property damage and loss of use claims, ensuring proper resolution.<br>• Identify healthcare providers and schedule medical appointments for injury treatment.<br>• Advocate for clients by monitoring their medical treatment and arranging necessary care based on provider recommendations.<br>• Review, analyze, and interpret medical records, surgical reports, and medical bills.<br>• Prepare case files and documentation for submission to the demands department.<br>• Communicate effectively with clients, healthcare providers, and internal staff to maintain a high level of service.
We are looking for a dedicated and detail-oriented Customer Service Representative to join our team in Mesa, Arizona. This is a long-term contract opportunity where you will play a vital role in providing exceptional service and support to our clients. The ideal candidate will have strong communication skills, the ability to handle sensitive information with care, and experience in a fast-paced environment.<br><br>Responsibilities:<br>• Assist clients by providing accurate information and resolving inquiries in a timely and attentive manner.<br>• Perform data entry tasks with precision, ensuring all budget-related and client information is correctly documented.<br>• Communicate effectively with stakeholders, including individuals with developmental disabilities and veterans, to address their unique needs.<br>• Collaborate with a team of representatives to maintain seamless service delivery and achieve team goals.<br>• Maintain confidentiality and handle sensitive information with the utmost care and attention.<br>• Utilize bilingual Spanish and English skills to support a diverse client base.<br>• Participate in comprehensive training programs, including shadowing sessions, to ensure proficiency in job responsibilities.<br>• Leverage medical experience, if applicable, to address client concerns effectively.<br>• Use company-provided equipment, such as laptops and monitors, to perform job duties efficiently.<br>• Contribute to the continuous improvement of customer service processes by providing feedback and suggestions.
<p>We are looking for a dedicated Patient Access Representative to join our clients' team in Templeton, California. In this contract role, you will play a vital part in ensuring seamless coordination of outpatient services, managing patient registrations, and providing excellent customer service. This position requires someone with experience in medical office operations, preferably radiology, and familiarity with systems like Cerner.</p><p><br></p><p>Responsibilities:</p><p>• Coordinate and schedule outpatient services to ensure smooth and timely operations.</p><p>• Verify patient registration details and collect financial responsibility information.</p><p>• Provide outstanding customer service to patients, addressing inquiries and concerns with professionalism.</p><p>• Perform clerical tasks such as data entry, file maintenance, and document organization.</p><p>• Monitor and update patient status changes in the computer system.</p><p>• Collaborate with healthcare staff to ensure accurate and efficient processing of patient appointments.</p><p>• Maintain compliance with organizational policies and procedures, including safety protocols.</p><p>• Handle routine assignments within established guidelines while adapting to daily instructions.</p><p>• Offer support in imaging center operations, contributing to an efficient workflow.</p>
We are looking for a dedicated Customer Relations Representative to join our team in San Diego, California. This is a long-term contract position that offers the opportunity to provide exceptional service while supporting various administrative and operational tasks. The ideal candidate will excel in communication, organization, and problem-solving, ensuring smooth processes and positive customer experiences.<br><br>Responsibilities:<br>• Ensure the accurate and timely production of copy work and delivery to designated parties.<br>• Review payments to identify duplicates or determine proper reassignment to the correct claims.<br>• Draft and prepare correspondence, including letters, as required.<br>• Organize and process outgoing mail efficiently for postal services.<br>• Manage monthly supply orders and monitor inventory levels to ensure adequate stock.<br>• Collaborate with adjusters and medical professionals to transition injured workers to new primary treating physicians.<br>• Communicate proactively with supervisors regarding any issues that may affect workflow, insured parties, claimants, vendors, or company operations.<br>• Provide prompt assistance to both internal and external customers, meeting commitments independently.<br>• Perform additional support tasks as assigned to contribute to team goals.<br>• Maintain compliance with company policies, procedures, and project timelines.
We are looking for a dedicated Patient Intake Representative to join our team on a long-term basis. This role involves assisting patients with scheduling needs, ensuring a seamless experience for healthcare services. Based in Braintree, Massachusetts, this position offers the opportunity to contribute to a dynamic and patient-focused healthcare environment.<br><br>Responsibilities:<br>• Coordinate patient appointment scheduling through outbound calls and digital communication channels.<br>• Assist patients in understanding their specific needs and recommend appropriate appointment options.<br>• Utilize electronic medical record systems, such as Raintree, to manage and update scheduling information.<br>• Collaborate with the insurance verification team by forwarding relevant tasks for processing.<br>• Manage appointment scheduling for over 100 locations, planning up to two to three weeks in advance.<br>• Facilitate scheduling for physical therapy or other healthcare-related services as required.<br>• Apply critical thinking to ensure effective and efficient management of appointments.<br>• Accurately maintain records and adhere to established scheduling protocols.
<p>We are looking for a detail-oriented Patient Services Representative to join our team in Santa Rosa, California. In this contract position, you will play a vital role in supporting patients and their families by providing financial guidance, coordinating admissions, and ensuring smooth front-end processes. This role requires strong communication skills, a proactive approach to resolving account issues, and a commitment to delivering excellent service.</p><p><br></p><p>Responsibilities:</p><p>• Conduct patient interviews to collect necessary information and verify insurance coverage for admissions.</p><p>• Coordinate and process all admissions paperwork while ensuring timely communication with relevant departments.</p><p>• Provide financial counseling to patients and their families, offering payment options and resolving inquiries regarding billing and admissions.</p><p>• Set up payment arrangements for self-pay patients, collect co-payments, and manage patient valuables during their stay.</p><p>• Verify insurance details and eligibility for government programs to ensure accurate billing and reimbursement.</p><p>• Collaborate with nursing units, physicians, social workers, and case managers to address patient financial needs.</p><p>• Analyze high-dollar accounts to reduce denials and increase reimbursements through proactive assessments.</p><p>• Maintain knowledge of charity care processing, federal poverty guidelines, and indigent criteria to support patients in need.</p><p>• Generate price estimates, review charge description master data, and manage daily, weekly, and monthly financial reports.</p><p>• Handle incoming calls professionally and provide timely assistance to patients and other stakeholders.</p>
