Patient Resources Representative - Veterans Sourcing Group
Irvine, CA
About the Job
*** is currently looking for an experienced Patient Resources Representative for our call center! We are currently seeking and interviewing ambitious and team-oriented, analytically-minded individuals who enjoy problem-solving, critical thinking, researching and collaboration in a fast-paced and FUN work environment!
Individuals who excel in this role are highly ambitious, results driven, and comfortable thinking "outside the box" and want to find the missing puzzle piece. In this role you will develop and maintain relationships with various insurance companies as you resolve claim accounts on behalf of our patients. As a *** representative you will act on behalf of our company and patients to collect payment from insurance companies on outstanding patient account balances, research and resolve problem accounts as needed, and maximize collections to achieve collection performance goals and contribute to our mission of giving life.
About the Role & Schedule:
8-hour shift 6:00 AM PST -3:00 PM PST (w/ scheduled breaks and lunch times)
Monday –Friday
This position Hybrid/Remote
All necessary equipment is provided
Bi-lingual in English and Spanish is a plus!
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 patients' accounts; Research and resolution include but are not limited to phone and email exchanges with insurance payer or our clinics, submit appeals, in addition to the utilization of payer web portals and navigating between several internal applications
Intake and make outbound calls with insurance carriers regarding patient claims
Uses critical thinking, problem-solving and analytical skills to determine the root cause and/or trends of our non-paid claims or underpayments from insurance payers and follow appropriate policy and procedure to remediate
Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims
Develop and maintain positive working relationships with clinical personnel, fellow teammates, and insurance representatives
Works well under pressure in a fast-paced environment and meets expectations of deadlines, and carries out assignments to completion while maintaining a positive attitude
Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and *** policies
Comfortability talking on the phone is a must!
Qualifications:
Required:
Highschool Diploma or equivalent
Healthcare and medical billing/collections/denial remediation experience
Customer service experience
Intermediate computer proficiency in Microsoft Office tools including Excel, PowerPoint and Outlook
Preferred:
Associate or bachelor's degree
Call center experience
Demonstrated history of resolving challenging issues
Ability to research and problem solve, using analytical and critical thinking skills
Deeply built values of TEAM!
Individuals who excel in this role are highly ambitious, results driven, and comfortable thinking "outside the box" and want to find the missing puzzle piece. In this role you will develop and maintain relationships with various insurance companies as you resolve claim accounts on behalf of our patients. As a *** representative you will act on behalf of our company and patients to collect payment from insurance companies on outstanding patient account balances, research and resolve problem accounts as needed, and maximize collections to achieve collection performance goals and contribute to our mission of giving life.
About the Role & Schedule:
8-hour shift 6:00 AM PST -3:00 PM PST (w/ scheduled breaks and lunch times)
Monday –Friday
This position Hybrid/Remote
All necessary equipment is provided
Bi-lingual in English and Spanish is a plus!
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 patients' accounts; Research and resolution include but are not limited to phone and email exchanges with insurance payer or our clinics, submit appeals, in addition to the utilization of payer web portals and navigating between several internal applications
Intake and make outbound calls with insurance carriers regarding patient claims
Uses critical thinking, problem-solving and analytical skills to determine the root cause and/or trends of our non-paid claims or underpayments from insurance payers and follow appropriate policy and procedure to remediate
Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims
Develop and maintain positive working relationships with clinical personnel, fellow teammates, and insurance representatives
Works well under pressure in a fast-paced environment and meets expectations of deadlines, and carries out assignments to completion while maintaining a positive attitude
Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and *** policies
Comfortability talking on the phone is a must!
Qualifications:
Required:
Highschool Diploma or equivalent
Healthcare and medical billing/collections/denial remediation experience
Customer service experience
Intermediate computer proficiency in Microsoft Office tools including Excel, PowerPoint and Outlook
Preferred:
Associate or bachelor's degree
Call center experience
Demonstrated history of resolving challenging issues
Ability to research and problem solve, using analytical and critical thinking skills
Deeply built values of TEAM!
Source : Veterans Sourcing Group