Top 217 Patient service representative Jobs in Nebraska

Senior Representative, Health Plan Provider Relations - Remote Must reside in NE
Molina Healthcare —Nebraska
- $47,433.00 - $97,362.61 a year
- Full-time
- Remote
- Medical office experience
- Contracts
- Senior level
- Health insurance
Clinical Scheduler
Think Whole Person Healthcare —Omaha, NE
- Full-time
- Hybrid work
- US work authorization
- Entry level
- Work from home
Quick Apply
Bilingual Part Time Chiropractic Patient Care Coordinator
Active Family Chiropractic & Acupuncture —Columbus, NE
- $16 - $18 an hour
- Part-time
- Bilingual
- Ability to walk for extended periods
- Typing
- Flexible spending account
- Employee discount
Quick Apply
5d
Pharmacy & Medical Benefits Verification Specialist (Amber Specialty Pharmacy)
Amber Specialty Pharmacy —Omaha, NE
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
8d
Front Desk
Lincoln Physical Therapy and Sports Rehab, LLC —Lincoln, NE
- $18 - $20 an hour
- Full-time
- Microsoft Outlook
- Customer service
- Computer literacy
- Health savings account
- Health insurance
Quick Apply
Prior Authorization/Insurance Verification Representative
Lincoln Physical Therapy and Sports Rehab, LLC —Lincoln, NE
- From $19 an hour
- Part-time
- Medical office experience
- HIPAA
- In-person
- 401(k)
Quick Apply
Field Patient Care Representative - Omaha, NE
R&M Rehabilitation —Omaha, NE
- $40,000 - $48,000 a year
- Full-time
- Clean driving record
- Surgery
- Residential
- Travel reimbursement
- Paid holidays
Quick Apply
Customer Service Rep
Lincare Inc. —Omaha, NE
- High school diploma or GED
- Ability to lift 50 pounds
- Entry level
Quick Apply
5d
Scheduling & Arrival Specialist I / Ambulatory Scheduling
Children's Nebraska —Omaha, NE
- HIPAA
- High school diploma or GED
- Clinic
1d
Medical Receptionist
Soh Headache Center, LLC —Omaha, NE
- $20 - $24 an hour
- Part-time
- Computer literacy
- Typing
- In-person
Quick Apply
12d
Patient Scheduling and Service Assistant
Bryan Health —Lincoln, NE
- Part-time
- Vital signs
- OSHA
- HIPAA
Customer Care Coordinator-Order Experience I
Numotion —Omaha, NE
- Overtime
- Microsoft Outlook
- Pass drug screening
- Office
- Disability insurance
- Health insurance
Patient Scheduling and Service Assistant-Norfolk
Bryan Health —Norfolk, NE
- PRN
- Vital signs
- HIPAA
- High school diploma or GED
12d
Medical Receptionist - Patient Experience Specialist
Sono Bello —Omaha, NE
- Email
- Basic math
- Microsoft Office
- Cleaning
- Paid holidays
- Health insurance
Quick Apply
Receptionist
Ear Nose & Throat Specialties PC —Lincoln, NE
- Background check
- Microsoft Office
- High school diploma or GED
Quick Apply
McCook Clinic Patient Services Representative
COMMUNITY HOSPITAL - MCCOOK —McCook, NE
- Full-time
- Clinic
- Entry level
Customer Service Representative (Dental & Vision Benefits) Remote in Nebraska
Ameritas —Lincoln, NE
- $14.16 - $22.65 an hour
- 8 hour shift
- Hybrid work
- Computer literacy
- High school diploma or GED
- US work authorization
- Paid parental leave
- Health savings account
Quick Apply
Patient Access Professional I - Casual
Nebraska Methodist Health System —Omaha, NE
- Part-time
- Microsoft Outlook
- BLS Certification
- Basic math
2d
Scheduler, Home Health
AccentCare, Inc. —Omaha, NE
- $20 - $24 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Home Health
- Health savings account
- Paid holidays
Quick Apply
Patient Access Representative FT and PRN
Nebraska Hospital —Papillion, NE
- Part-time
- Computer literacy
- BLS Certification
- HIPAA
- AD&D insurance
- Health insurance

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patient service representative jobs near nebraska

Senior Representative, Health Plan Provider Relations - Remote Must reside in NE

Molina Healthcare -
Nebraska

Apply Now

Job Details

Full-time
$47,433.00 - $97,362.61 a year

Benefits

Health insurance

Qualifications

Customer training
Medicare
Managed care organization experience
Medical office experience
Educational talks
Schedule management
Corporate training teaching experience
Health insurance knowledge
Medicare regulations
Medicaid regulations
Medicaid
Productivity software
Cross-functional collaboration
Cross-functional communication
Staff development

Full Job Description

JOB DESCRIPTION Job Summary

Provides senior level support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina policies and procedures.

Essential Job Duties

Successfully engages the plan's highest priority, high-volume and strategic complex community providers to ensure provider satisfaction, facilitate education on key Molina initiatives, and improve coordination and partnership between the health plan and contracted providers.
Serves as the primary point of contact between Molina health plan and the complex provider community that services Molina members, including but not limited to fee-for-service (FFS) and pay-for-performance (P4P) providers.
Collaborates directly with the plan’s external providers to educate, advocate and engage as valuable partners - ensuring knowledge of and compliance with Molina policies and procedures while achieving the highest level of customer service; effectively drives timely issue resolution, electronic medical record (EMR) connectivity, and provider portal adoption.
Resolves complex provider issues that may cross departmental lines and involve senior leadership.
Conducts regular provider site visits within assigned region/service area; determines daily or weekly schedule, to meet or exceed the plan's monthly site visit goals. Proactively engages with the provider and staff to determine; for example, non-compliance with Molina policies/procedures or Centers for Medicare and Medicaid Services (CMS) guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members.
Provides on-the-spot training and education as needed, including counseling providers diplomatically, while retaining a positive working relationship.
Independently troubleshoots provider problems as they arise, and takes initiative in preventing and resolving issues between the provider and the plan whenever possible. The types of questions, issues or problems that may emerge during visits are unpredictable and may range from simple to very complex or sensitive matters.
Initiates, coordinates and participates in problem-solving meetings between the provider and Molina stakeholders, including senior leadership and physicians (examples include: issues related to utilization management, pharmacy, quality of care, and correct coding).
Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Performs an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.).
Serves as a subject matter expert for the provider relations function.
Provides training and support to new and existing provider relations team members.
Role requires 80%+ same-day or overnight travel (extent of same-day or overnight travel will depend on the specific health plan service area).

Required Qualifications

At least 3 years of customer service, provider services, or claims experience in a managed care or medical office setting, or equivalent combination of relevant education and experience.
Understanding of the health care delivery system, including government-sponsored health plans.
Understanding of various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including: fee-for service (FFS), capitation and various forms of risk, ASO, etc.
Experience delivering training and facilitating educational presentations.
Organizational skills and attention to detail.
Ability to manage multiple tasks and deadlines effectively.
Interpersonal skills, including ability to interface with providers and medical office staff.
Ability to work in a cross-functional highly matrixed organization.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.

Preferred Qualifications

Experience in provider services, operations, and/or contract negotiations in a Medicaid, Medicare, and/or Marketplace managed health care setting - ideally with different provider types (i.e. physician, group, hospital).

#PJHPO

#LI-AC1

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $47,433 - $97,362.61 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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Refine Your Search

patient service representative jobs in nebraska

Senior Representative, Health Plan Provider Relations - Remote Must reside in NE

Clinical Scheduler

Bilingual Part Time Chiropractic Patient Care Coordinator

Pharmacy & Medical Benefits Verification Specialist (Amber Specialty Pharmacy)

Front Desk

Prior Authorization/Insurance Verification Representative

Field Patient Care Representative - Omaha, NE

Customer Service Rep

Scheduling & Arrival Specialist I / Ambulatory Scheduling

Medical Receptionist

Patient Scheduling and Service Assistant

Customer Care Coordinator-Order Experience I

Patient Scheduling and Service Assistant-Norfolk

Medical Receptionist - Patient Experience Specialist

Receptionist

McCook Clinic Patient Services Representative

Customer Service Representative (Dental & Vision Benefits) Remote in Nebraska

Patient Access Professional I - Casual

Scheduler, Home Health

Patient Access Representative FT and PRN

I want to receive the latest job alert for patient service representative in nebraska

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