Patient Advocate Representative
2 weeks ago
Apply Description **Lucrative incentive opportunity ranging from $1,000-$9,000 per quarter AIM OF THE POSITION: The Patient Advocate Representative follows-up on the status of submitted claims and invoices; requests medical records as needed; prepares various medical appeals and the submissions of such appeals to insurance carriers; follows-up on all submitted medical appeals in a timely manner. POSITION WITHIN THE ORGANIZATION: 1. Customer Care, Sales, Commercial and external vendors 2. Cooperates with all departments across the organization Requirements ESSENTIAL DUTIES AND RESPONSIBILITIES: * Collects money due from insurance companies, hospital and patients in compliance with CLIA, OIG and all other applicable legal requirements. Contacts insurance companies to follow up on claims and appeals which have been submitted, but no payment or correspondence received within the allotted time frame. Processes and follows up with patients for copays and deductible amounts due. Contacts clients to obtain medical records as needed for submission of a medical appeal or payer's review of a claim. Prepares custom appeal letters and letters of interest to various insurance carriers and managed care groups. Reviews files to determine if amounts should be written off based on acceptable reimbursement, then forwards these to the Reimbursement Manager. Investigates and prepares any necessary refund requests from payors for submission to the Reimbursement Manager. Negotiates reimbursement single settlements with various insurance carriers and third party administrators, based upon department guidelines. Interfaces with insurance company representatives, doctor's offices and hospitals regarding schedule of services and billing inquiries. Assists department director in the development of new procedures and systems to enhance productivity. Provides account information to the sales force as needed. The above listing represents the general duties considered essential functions of the job and is not to be considered a detailed description of all the work requirements that may be inherent in the position. KEY CONTACTS: * Internal: This position may interface with all departments within the company. * External: External Vendors EDUCATION AND EXPERIENCE REQUIREMENTS: EDUCATION Education: * High school diploma or general education degree * 3+ years related experience KNOWLEDGE, SKILLS AND ABILITIES (KSA'S): Specific Knowledge Required: Knowledge : Comprehension of a body of information acquired by experience or study. Skill : A present, observable competence to perform a learned activity. Ability : Competence to perform an observable behavior. * Advanced technical knowledge of Microsoft products required (Excel, Word, Outlook) * Must be able to work in a fast-paced environment * Must have strong organizational skills and attention to detail * High degree of accuracy * Manage multiple tasks independently * Other skills necessary are accounting, data entry, general math, analytical, thoroughness, research, verbal/written communication BEHAVIOURAL COMPETENCIES/DESIRED SKILLS: * Excellent problem resolution * Excellent customer service skills * Outside-the-box thinker * PRIVACY NOTICE: To review the California privacy notice, click here: privacy-policy/ * Employees must not be classified as an excluded individual who is prohibited from participation in any Federal health care program. WORKING ENVIRONMENT: Establishes ADA (Americans with Disabilities Act) requirements ENVIRONMENT/SAFETY/WORK CONDITIONS: Working conditions (inside or outside the office) * General office environment. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Maintains a clean, neat, and orderly work area. * Adheres to Department Specific Safety Guidelines. * Standing, sitting, walking, bending, reaching, manual manipulation, and lifting up to 15 pounds. TRAVEL: No travel is required. OTHER DUTIES: Other duties as required by management Salary Description $24.00-$27.00 per hour
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Patient Service Representative
17 hours ago
Irvine, California, United States PDS Health Full timeAbout the RolePDS Health is seeking a highly skilled and detail-oriented Patient Service Representative to join our team. As a key member of our front office staff, you will play a vital role in ensuring the smooth operation of our practice.Key ResponsibilitiesModeling Company Culture: Demonstrate a warm and approachable demeanor to each patient,...
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Patient Experience Representative
3 days ago
Irvine, California, United States RadNet Full timeAbout the RoleWe are seeking a highly skilled and compassionate Patient Experience Representative to join our team at RadNet. As a Patient Experience Representative, you will play a vital role in delivering exceptional patient care and service to our patients and physicians.Key ResponsibilitiesConcierge Level Service: Provide personalized support to...
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Patient Resources Representative
2 weeks ago
Irvine, United States Tranzeal Incorporated Full timeJob Title: Sr. Patient Resources Representative Location: Irvine, CAWork Mode: Hybrid (1 Day Office/Week)Looking for Spanish speakers. Schedule is 6:30AM PST – 3:00PM PST.Essential Duties and Responsibilities:Work with insurance payers to research and take appropriate actions to resolve claim denials, rejections, and underpayments on behalf of our...
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Patient Resources Representative
2 weeks ago
Irvine, United States Tranzeal Incorporated Full timeJob Title: Sr. Patient Resources Representative Location: Irvine, CAWork Mode: Hybrid (1 Day Office/Week)Looking for Spanish speakers. Schedule is 6:30AM PST – 3:00PM PST.Essential Duties and Responsibilities:Work with insurance payers to research and take appropriate actions to resolve claim denials, rejections, and underpayments on behalf of our...
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Patient Service Representative
3 months ago
Irvine, United States Smile Brands Group Inc. Full time**Patient Service Representative** Location Irvine, CA Category Corporate **Ref #:** 118937 Job Type Full-Time Irvine JOB DESCRIPTION **Company Overview:** **Job Description:** **** This position is responsible for effectively responding inbound New and Current Patient calls for Smile Brands Inc.s affiliated offices and schedule first time and recall...
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Patient Care Representative
16 hours ago
Irvine, California, United States RadNet Orange County Full timeAbout the RoleWe are seeking a highly skilled and compassionate Patient Care Representative to join our team at RadNet Orange County. As a key member of our team, you will be responsible for delivering exceptional patient care and support to our patients and healthcare providers.Key ResponsibilitiesConcierge Level Service: Provide personalized support to...
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Patient Service Representative
3 months ago
Irvine, United States RadNet Orange County Full timeJob Description: Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Leading Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people with the commitment to a better healthcare experience. When you join us as a...
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Patient Access Representative
3 days ago
Irvine, California, United States University of California, Irvine Full timeAbout the RoleWe are seeking a highly skilled and detail-oriented Patient Access Representative to join our team at the University of California, Irvine. As a Patient Access Representative, you will play a critical role in ensuring the smooth and efficient flow of patients through our healthcare system.Key ResponsibilitiesProvide exceptional customer service...
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Senior Patient Resources Representative
2 weeks ago
Irvine, United States Smartwork IT Services Full timeJob DescriptionJob DescriptionJob Title: Senior Patient Resources RepresentativeLocation: Irvine, CAJob Type : ContractJob Description : Responsibilities:Patient Intake and RegistrationScheduling and Appointment ManagementInsurance Verification and AuthorizationPatient Communication and SupportTeam Leadership and TrainingCompliance and...
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Senior Access Representative
2 days ago
Irvine, California, United States University Of California Irvine Full timeJob SummaryWe are seeking a highly skilled Senior Access Representative to join our team at the University of California, Irvine. As a Senior Access Representative, you will be responsible for providing exceptional customer service to patients calling to obtain medical services at UC Irvine Medical Center.Key ResponsibilitiesProvide high-quality customer...
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Senior Client Advocate
2 weeks ago
Irvine, California, United States TaxRise Full timeINTRODUCTION TO TAXRISE: At TaxRise, we are dedicated to transforming the way individuals tackle their tax issues. Our mission is rooted in the belief that we can uplift others, and this principle guides our every action. Joining our team means becoming part of a movement that celebrates achievements and makes a real difference in people's lives. As the...
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Patient Access Representative
3 days ago
Irvine, California, United States University of California, Irvine Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Patient Access Representative to join our team at the University of California, Irvine. As a key member of our ambulatory clinic team, you will be responsible for providing exceptional patient service and ensuring a smooth registration and scheduling process.Key ResponsibilitiesServe as the first...
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Client Retention Advocate
2 weeks ago
Irvine, California, United States TaxRise Full timeINTRODUCTION TO TAXRISE: At TaxRise, we are dedicated to transforming the way individuals manage their tax-related challenges. Our core belief is centered around uplifting others, which drives our mission and daily operations. By becoming part of TaxRise, you are engaging in a significant movement. Our team is committed to celebrating achievements and...
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Pharmacy Intake Representative
1 week ago
Irvine, California, United States Jobot Full timePharmacy Intake Representative Job SummaryThis role is an excellent opportunity to join a leading infusion therapy services provider, where you will play a crucial part in delivering exceptional patient care and building strong relationships with customers.About the CompanyOur client has established itself as a leader in infusion therapy services, providing...
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Client Retention Advocate
2 weeks ago
Irvine, California, United States TaxRise Full timeINTRODUCTION TO TAXRISE:At TaxRise, we are dedicated to transforming the way individuals tackle their tax-related challenges. Our core belief is in uplifting others, which fuels our mission every day.By becoming part of our organization, you are not merely joining a company; you are becoming part of a significant movement. Our team thrives on celebrating...
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Patient Access Representative
1 week ago
Irvine, California, United States University Of California Irvine Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Admitting Worker to join our team at the University of California, Irvine. As a key member of our healthcare team, you will be responsible for ensuring a smooth and efficient patient registration process.Key ResponsibilitiesVerify patient demographics and insurance informationProcess patient...
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Patient Access Representative
1 week ago
Irvine, California, United States University Of California Irvine Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Admitting Worker to join our team at the University of California, Irvine. As a key member of our healthcare team, you will be responsible for ensuring a smooth and efficient patient registration process.Key ResponsibilitiesVerify patient demographics and insurance informationProcess patient...
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Patient Access Representative
1 week ago
Irvine, Kentucky, United States Ensemble Health Partners Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Patient Access Specialist to join our team at Ensemble Health Partners. As a Patient Access Specialist, you will be responsible for performing admitting duties for all patients admitted for services at our hospital. This role requires excellent communication and customer service skills, as well...
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Patient Access Representative
1 week ago
Irvine, California, United States University Of California Irvine Full timeJob SummaryWe are seeking a highly organized and detail-oriented Admitting Worker to join our team at the University of California, Irvine. As a key member of our healthcare team, you will be responsible for ensuring a smooth and efficient patient registration process.Key ResponsibilitiesVerify patient demographics and insurance informationProcess patient...
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Pharmacy Intake Representative
7 days ago
Irvine, United States Jobot Full timePharmacy Intake RepresentativeThis Jobot Job is hosted by: Cody TimmAre you a fit? Easy Apply now by clicking the "Apply Now" buttonand sending us your resume.Salary: $22 - $28 per hourA bit about us:Our client has become a leader in infusion therapy services. Administered by specially trained infusion nurses, these services are provided at standalone...
