Hospital Insurance Representative Job Description Sample
Patient Access Representative II - CHI St Luke's Woodlands Hospital - Insurance Verification & Financial Clearance M-F
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Minimum typing skills of 35 wpm
Demonstrated working knowledge of PC/CRT/printer
Knowledge of function and relationships within a hospital environment preferred
Customer service skills and experience
Ability to work in a fast paced environment
Ability to receive and express detailed information through oral and written communications
Course in Medical Terminology required
Understanding of Third Party Payor requirements preferred
Understanding of Compliance standards preferred
Must be able to perform essential job duties in at least two Patient Access service areas including ED.
Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors.
Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy.
Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
High School Diploma or GED required
0 – 1 year in a Customer Service role.
0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
Some college coursework is preferred
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must be able to sit at computer terminal for extended periods of time
Occasionally lift/carry items weighing up to 25 lbs.
Frequent prolonged standing, sitting, and walking
Occasionally push a wheelchair to assist patients with mobility problems.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Can work in patient care locations which include potential exposure to life-threatening patient conditions.
Must be available to work hours and days as needed based on departmental/system demands.
Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients.
Patient Accounts Representative - Insurance Follow Up
Seeking Patient Accounts Representative - Insurance Follow-Up! Full-time, 8:00a-4:30p, Monday-Friday Southern Indiana/Louisville, Kentucky area We are seeking a Patient Accounts Representative who under general supervision and according to established procedures is responsible for ensuring the timely collection of outstanding receivables within assigned area.# Responsible for ensuring consistency and reliability of the collection process leading to cash collections. #Position/Opportunity Highlights: #########Opportunity to work in a Regional, Non-Profit, Community Hospital
Opportunity to work in an excellent working environment
Opportunity to work for an organization that promotes continued education
High School diploma or equivalent Minimum#of three years experience in a hospital or physician office setting specifically in the area of billing Knowledge of medical terminology- familiarity with medical record coding and Medical Groupings (CPT, DRG, ASC, APG, APC, ICD-9) We offer competitive salaries and excellent benefits.# We are conveniently located 10 minutes from downtown Louisville at 1850 State Street, New Albany, IN 47150. EOE.#
Insurance Follow-Up Representative
The Insurance Follow-Up Representative is responsible for handling the accounts receivable follow-up of assigned providers as directed.
Duties and Responsibilities:
- Completion of the daily work assigned in the work queues of the Revenue Cycle and Revenue Manager systems.
- Processing claims as needed by accurately attaching the appropriate primary EOB prior to submission.
- Accurately coding insurance information on coverage records in the Revenue Cycle system.
- Maintaining work queues generated by electronic submission of claims, correcting errors, and re-processing claims as needed.
- Providing follow-up of unpaid/incorrectly paid claims as dictated by department policy.
- Submitting corrected claims as needed and processes appeals for incorrectly denied claims and processing write-offs as needed and dictated by department policy.
- Processing online adjustments to insurance claims when available.
- Compliance with audit requests by insurance carriers in a timely fashion.
- Reviewing medical records and re-submitting with appropriate documentation to expedite the claims processing while adhering to confidentiality requirements.
- Accurately processing corrections on accounts and/or active claims by correcting errors or voiding.
- Posting appropriate adjustments as needed.
- High school diploma, or equivalent.
- Proficient in basic computer applications and Electronic Medical Records (EMRs).
- Maintains a positive, resourceful attitude toward achieving overall department and clinic goals.
- Knowledge of ICD-10, CPT coding, medical terminology, and insurance billing.
Patient Registration Representative -Seton Highland Lakes Hospital
Patient Registration Representative
- Seton Highland Lakes Hospital
Burnet, TX USA
Shift Days: Monday
Friday , Shift Hours: 9 am
Set your sights on a role making a real difference in the healthcare system. We're looking for a self-motivated Patient Registration Representative to join our team. We have a relentless focus on driving results for our customers and enabling them to invest more into patient care; in turn, this allows us to continue to grow our company and your career.
The Patient Registration Representative will be responsible for accurate and timely patient registration utilizing medical systems. This person will assign ICD-10 and CPT codes relative to patient registration. The Patient Registration Representative will utilize facility medical necessity tool to verify appropriate diagnosis and coverage criteria. This work will need to be performed according to established policies and procedures. The associate will provide exceptional customer service to physicians, patients, family members and all other medical professionals.
In addition to the day to day responsibilities, this person will actively participate in quality improvement and innovative change processes as well as departmental meetings and educational offerings.
The successful candidate must have demonstrated experience handling patients with efficiency and accuracy to broad customer base.
Your day to day role may include:
Perform registration and basic insurance verification, ensuring collection of 7 critical data elements necessary for proper patient identification and billing.
Identify and update patient demographic information on ADT system as defined by departmental policy and procedures.
Interpret physician orders for appropriate testing or admission criteria.
Coordinate patient admission needs and beds assignment to facilitate timely patient placement.
Identify non-participating Insurances or Out of Networks plans; takes necessary steps to inform patients and physicians regarding options, including but not limited to canceling appointment.
Obtain Insurance Card copies or validate insurance information via electronic medical record, transfer information, or insurance eligibility tool.
Provide courteous and accurate patient and hospital information with way finding instructions for patients, families, visitors, and ancillary areas.
Prepare documents for imaging/scanning into electronic patient record.
Explains processes and forms to patients prior to securing signatures and ensures that all documents are properly
signed and witnessed as required.
Assemble and disassemble patient charts or departmental documents according to department policy.
Copying and or faxing documents to ancillary areas or physician offices.
Maintain inventory control of forms and paper supplies needed in area.
Assist with all possible account resolutions pertaining to patient balances.
Perform all other duties and projects as assigned.
High school diploma or GED required
Experience with customer service
Computer savvy with experience navigating between multiple systems simultaneously
Must have MS Office Experience and excellent typing skills
Must have a high degree of customer service skills in order to communicate effectively with patients, visitors, physicians and care teams
Must demonstrate problem-solving abilities and high attention to detail
Must be able to stand, walk, sit and move freely for extended periods of time
Must be able to work in a patient care environment with exposure to infection or contagious disease
It would be great if you also have:
Experience working in a healthcare environment
Completed a Medical Terminology class
Certification in healthcare access preferred
R1 is changing healthcare by infusing operational discipline and proprietary technology in hospital financial processes. We are an industry leader; we are the only independent organization with a comprehensive service and technology offering for hospital revenue cycle management, and we have achieved leading outcomes for our customers.
- A strong financial performing, growing organization that will keep you on your toes with new ideas, changes and opportunities to learn and grow in abundance.
- A culture of excellence, driving customer success so they can focus on improving patient care and on giving back to the community.
- A Total Rewards package which may include such things as: competitive compensation package, the ability to choose from a comprehensive benefit program mostly funded by R1 that includes medical, dental, vision, flexible spending accounts, commuter benefits, life and disability insurance, along with work life balance programs including paid time off for personal time, illness and volunteering, and we offer a retirement savings plan and continuing training and development and so much more!
Sound like you? Let's talk!
R1 is a leading provider of revenue cycle management services and Physician Advisory Services to healthcare providers. We are the largest independent end-to-end revenue cycle provider and have the longest operating history in the revenue cycle industry. R1's objective is to be the one trusted partner to manage revenue so providers and patients can focus on what matters most. Our distinctive operating model and values includes people, processes, and sophisticated integrated technology/analytics that help customers realize sustainable improvements in their operating margins and improve the satisfaction of their patients, physicians, and staff. We are dedicated to transforming the commercial infrastructure and patient experience in healthcare.
Category: Operations- Ascension- Seton
Insurance Representative - Healthcare Accessories
Job Title: Insurance Representative | Healthcare Accessories | Fargo
State: North Dakota
Department : FARGO REIMBURSMENT
Job Schedule: Full Time
Hours Per Shift: 8 hr
Coordinating and assisting with insurance verification processes for healthcare services. Verifying insurance eligibility and benefits for patients of the healthcare facility.
Obtaining verbal and written authorization for planned medical treatment of patients from appropriate sources. Validating insurance information of patients for accuracy and completeness; resolving all discrepancies as needed. Communicating any financial responsibilities and additional information necessary for processing the insurance.
Insurance Representative at HealthCare Accessories responsible for billing and processing claims for rental equipment to various insurance carriers.
High school diploma or equivalent required. One year office experience with exposure in customer relations, insurance reimbursement and computer data input preferred.
About Sanford Health:
At Sanford Health, we are dedicated to the work of health and healing. Every day, we show that commitment by delivering the highest quality of care to the communities we serve. We are leaders in health care and strive to provide patients across the region with convenient access to expert medical care, leading-edge technologies and world-class facilities.
In addition to strong clinical care, we are also committed to research, education and community growth. We engage in medical research to not only discover innovative ways to provide care, but also cures for common diseases. We continuously seek new ways to achieve our vision of improving the human condition here in your community, across the region and around the world.
The entire team at Sanford Health recognizes the value of healthy families and communities. We continue to gain momentum and expand our reach. Together, we can make a positive difference now, and in the future.
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to firstname.lastname@example.org .
In compliance with federal law requiring employers to verify new employees' U.S.
employment eligibility, Sanford participates in E-Verify. To learn more click here for English Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterEnglish.pdf or here for Spanish Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterSpanish.pdf .
State: North Dakota
Job Function: Customer Service
Job Schedule: Full Time
Req Number: req22018
Sales Representative - Cigna Group Insurance - Detroit, MI
Develops and implements Group Insurance (Life, Accident, Disability, Absence Management, Accidental Injury, Critical Illness, etc.) sales strategies for targeted brokers in a territory, or a specified geographic area. Primarily focuses on seeking out new clients.
Obtain new accounts by leveraging Broker relationships
Meet or exceed annual business plan as measured by new business premium and case count
Maintain prescribed monthly activity levels including broker calls and quote activity
Manage the sales process for Life, Accident, Disability, Absence Management, Accidental Injury, Critical Illness
3 years of relevant experience
Highly motivated with excellent organizational skills
Self-starter with ability to work independently or as a team to achieve goals and objectives
Excellent presentation skills, verbal and written communication skills
60% travel required (predominantly around the "metro" area—mostly "day" trips with occasional out of town/out of region travel)
Ability to obtain necessary licenses within 60 days
Acceptable driving record
Customer Service Representative I, Insurance
What we look for
Our exceptional and motivated employees are our greatest strength. Our employees provide the highest level of
customer service and help maintain our position as a leader in the global marketplace.
The Markel Style is what makes us stand out from our competitors. It's our core value which should underpin how we do business, while influencing our behavior and performance. We are looking for people who have potential and share our passion to live the Markel Style, which is described in more detail below.
If you think you have these core attributes we want to hear from you.
The primary purpose of this position is to service customers through the inbound call center.
Interested in joining a growing Fortune 500 Company that offers comprehensive training, teamwork, full time benefits/401K and opportunity for career growth?
Markel Corporation (NYSE – MKL), a global insurance holding company, is adding to the Customer Service team to better serve its customers! We're currently seeking Customer Service Representatives (CSRs) who want to increase their insurance knowledge and build their skills while making a positive impact on Markel's customers.
This position is part of the Markel Specialty Personal Lines division which specializes in motorcycle, watercraft, property, special event, bicycle and other unique insurance products. We provide exceptional customer service through our simple processes, honest communications and employee expertise.
"Why work for us?"
Diversity and inclusion
Markel is truly a global and diverse company. We believe that diversity makes us better business partners and that embracing people's differences can bring amazing results and fuel innovation. We have a portfolio of businesses and product lines that operate around the world.
Markel has a rich heritage of supporting communities across the world where our customers and employees live and work. Giving back is part of our history and our future. Our employees share in this philosophy through volunteering, mentoring and fundraising.
Commitment to open doors
Markel is committed to creating the best work environment. Our open-door policy is essential in recognizing business issues as they rise and to address the changing needs of our diverse and global workforce. Challenging management is a component of the Markel Style—some of our best ideas start from a conversation between a manager and an employee.
As the Markel Style states, we pursue excellence, strive for a better way, and share the success of others. Markel associates proactively seek new business opportunities, bringing further success to Markel.
Customer Service Representative Personal Lines Insurance
Customer Service Representative Personal Lines Insurance Pacific Specialty Insurance Company Anaheim, CA
Benefits Offered Vision, Medical, Life Insurance, 401k, Dental
Employment Type Full-Time
Customer Service Representative Personal Lines Insurance
Pacific Specialty, located in the beautiful Hills of Anaheim, CA is a growing national property and casualty insurance company that operates on an admitted basis in all 50 states and the District of Columbia. Through its affiliated general agent, McGraw Insurance Services, Pacific Specialty markets over 25 products, some with nationwide availability and is nationally recognized as one of the leaders in providing both mainstream and specialized insurance markets to independent producers and select business partners.
Provide high level of customer service over the phone in an efficient, friendly, and knowledgeable manner
Answer customer questions on all personal lines products
Accurately document policy records based on actions taken
Participate in quality coaching sessions to ensure efficient and effective interactions with customers
Remain current and knowledgeable on every aspect of supported product
Perform other duties as assigned
Ability to work in a fast-paced environment to make decisions and solve problems
Ability to multi-task using multiple software programs simultaneously
Ability to communicate with all levels of management, employees, customers, on the phone, and by written communications in a clear, straight-forward, and professional manner
Basic proficiency in Microsoft Office software applications (MS Word, Excel, etc.)
CA personal lines insurance experience a plus
Bilingual fluency in both English and Spanish (reading, writing and speaking) is a plus
We seek motivated, talented, people-oriented individuals for a growing company that offers a great working environment and excellent benefits package. If you feel you meet the requirements of the position we would like to hear from you! Please forward an updated resume with salary expectations today!
Pacific Specialty Insurance Company is a member of the McGraw Group of Affiliated Companies Pacific Specialty Insurance Company is an equal opportunity employer.
Pacific Specialty Insurance Company Why Work Here?
We offer an excellent benefits package and a business casual work environment!
Our growth objectives and commitment to excellence are driving us as we work to build a state of the art company that is focused on leveraging technology, hiring and rewarding great people, and delivering best in class service to our customers across the country. The McGraw Group of Affiliated Companies has been a leading provider of property and powersports insurance, protecting millions of people across the country, for over 20 years. Our strong financial performance is supported by our "A" rating with A.M. Best since 1999. Our policy offerings include homeowners, condo/townhouse, manufactured homes, renters, umbrella/personal liability, street and off-road motorcycle, ATVs, personal watercraft, pleasure boat, and mobile homes.
Insurance Claims Service Representative
Job Duties & Responsibilities
Salary: $32,240 – $35,464 / year
We know you know GEICO. But you should get to know us for great careers, too. And, right now, we're looking for an Insurance Claims Service Representative to start a GEICO career in Woodbury, NY. As an Insurance Claims Service Representative in a fast-paced call center environment where no two days are alike, you will be the first point of contact for customers involved in accidents.
At GEICO, it's not just a job, it's growth and opportunity.
There's one thing our associates all have in common: they found a career they never expected. With coaching and mentoring, you will find your position as an Insurance Claims Service Representative can become a career in the most unexpected and rewarding ways.
Our GEICO Insurance Claims Service Representatives earn an annual salary of $32,240 – $35,464 / year and average two promotions within the first three years of employment
First five to six years of your career are mapped out for you with multiple promotional opportunities
Advance your career and become a lead, coach, trainer, or supervisor
"I value the coaching and mentoring I have received to progress in my career at GEICO." Razan A., GEICO Associate since 2013
Get ready to join a company you can believe in and work alongside a team of associates who care. Using your critical thinking and customer service skills, you will:
Verify accident facts, determine policy coverage, and review insurance contracts
Interact internally with GEICO departments and externally engage with claimants, body shops, medical providers, attorneys, outside field adjusters and other insurance companies
Assist in settling claims where there are no injuries and all parties agrees to the accident details or escalate the claim when liability is in question or injuries are present
We are looking for people with results they are proud of, such as:
High school diploma or equivalent
Good customer service skills or prior experience
Solid computer, grammar and multi-tasking skills
Strong attention to detail with time management and decision-making skills but also described as someone with high energy and success-driven
Ability to work comfortably in a fast-paced, high-volume call center
As a full-time GEICO associate, you'll be offered a comprehensive Total Rewards Program with a wide range of benefits. We said it's more than a job! Our benefits ensure a long-lasting career with us as your personal life and needs change. See for yourself here.
About our location:
This position is based in Virginia Beach, VA. Get to know a little more about our location here and find out what makes working here pleasantly unexpected for our associates.
GEICO is an equal opportunity employer. GEICO conducts drug screens and background checks on applicants who accept employment offers.
Underwriting Account Representative - Commercial Insurance
Chubb's Milwaukee branchcurrently has a vacancy for a Commercial Insurance Underwriting Account Representative.
The Underwriting Account Representative is responsible for supporting theunderwriting process for commercial specialty lines of insurance coverage. Thisposition is also accountable for collaborating with team members to achievegrowth, profit, renewal retention, service and producer/client management goalsfor an assigned book of business in the middle market segment of commercialinsurance. The Underwriting Account Representative will gather and analyzeaccount information, interpret and translate data into rating and issuanceinstructions. The Underwriting Account Representative will also utilizefederal and state compliance and regulatory rules to comply with corporatepricing strategies. Additionally, the Underwriting Account Representative inpartnership with the Account Underwriter will be accountable for documenting arisk narrative that conforms with the corporate audit as well as state marketconduct exams.
Associates Degree or equivalent; 4-year degree preferred.
Minimum 1-2 years relevant experience. Entry level applicants will be considered.
Knowledge and understanding of Commercial Property and Casualty insurance principles and practices a plus.
Excellent computer skills - Microsoft Office Suite with emphasis on Microsoft Excel, Outlook.
Demonstrated knowledge of arithmetic, algebra, general economic and accounting principles.
Understanding and experience with administrative and clerical procedures including managing electronic files, data, and records.
Exceptional understanding of principles and processes for providing excellent customer service. This includes meeting established time and quality standards ensuring customer satisfaction.
Capability to work independently and within a team/group environment.
Demonstrated success working collaboratively in a matrix environment.
Ability to establish priorities and to plan, coordinate and monitor personal work plan maintaining status and oversight of multiple submissions.
Ability to quickly adapt to an ever-changing environment.
Outstanding attention to detail and organizational skills.
Excellent listening, reading, written and verbal communication skills.
Proven analytical skills including the ability to identify and report problems or errors while working with significant amounts of detailed information.
Strong interpersonal skills and ability to establish and maintain effective working relations with internal and external people in a multi-cultural environment.
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