Top 67 Claims representative Jobs in Emmaus Pa

Patient Services Representative
Good Shepherd Rehabilitation Network —Allentown, PA
- Evening shift
- Office
- Administrative experience
- High school diploma or GED
Patient Billing Representative
Five Star Call Centers —Allentown, PA
- $14 an hour
- Full-time
- Remote
- Background check
- HIPAA
- English
- Paid training
11d
Insurance Verification Specialist / Specialty Billing Representative
Mid Atlantic Retina —Bethlehem, PA
- Overtime
- Mid-level
- Conflict management
- Paid holidays
- Vision insurance
Quick Apply
4d
Client Service Representative
Paychex —Allentown, PA
- $20 an hour
- Full-time
- Bachelor's degree
- Entry level
- Paid holidays
- Health insurance
Patient Access Representative (Per Diem)
St. Luke's University Health Network —Allentown, PA
- Part-time
- Computer literacy
- Administrative experience
- High school diploma or GED
ED Patient Access Representative (Full Time, Evenings)
St. Luke's University Health Network —Allentown, PA
- Full-time
- Computer literacy
- Mid-level
- Administrative experience
12d
Compliance & Privacy Officer
Good Shepherd Rehabilitation Network —Allentown, PA
- 8 hour shift
- HIPAA
- Office
- Master's degree
Patient Access Representative (Part Time, Days)
St. Luke's University Health Network —Bethlehem, PA
- Part-time
- Computer literacy
- Administrative experience
- High school diploma or GED
Customer Service Representative - State Farm Agent Team Member
Kaye-Ann Brown-Barrett - State Farm Agent —Whitehall Township, PA
- $45,000 - $60,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid holidays
- Health insurance
Quick Apply
Senior Payer Relations - Revenue Compliance & Recovery Specialist
Lehigh Valley Health Network —Allentown, PA
- Full-time
- 5 years
- Word processing
- Office
Patient Service Representative
Prism Vision Group —Doylestown, PA
- $18.00 - $31.89 an hour
- Computer literacy
- HIPAA
- English
5d
Patient Access Representative - Part Time Days
St. Luke's University Health Network —Easton, PA
- Part-time
- Computer literacy
- High school diploma or GED
- Travel
Customer Service Representative - State Farm Agent Team Member
Christopher Rowe - State Farm Agent —Pottstown, PA
- $45,000 - $55,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
Customer Service Representative
State Farm Agency - Easton, PA —Easton, PA
- $40,000 - $75,000 a year
- Full-time
- No experience needed
- Office
- Communication skills
- Paid time off
- Opportunities for advancement
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Christine Moscaritolo - State Farm Agent —Allentown, PA
- $45,000 - $65,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid time off
- 401(k) matching
Quick Apply
Patient Access Representative (Part Time, Evenings)
St. Luke's University Health Network —Easton, PA
- Part-time
- Computer literacy
- Administrative experience
- High school diploma or GED
ED Patient Access Representative (Full Time, Nights)
St. Luke's University Health Network —Quakertown, PA
- Full-time
- Computer literacy
- Administrative experience
- High school diploma or GED
5d
Customer Experience Representative II
Intigral Inc —Quakertown, PA
- Full-time
- Mid-level
- High school diploma or GED
- Communication skills
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Richard D'Antonio - State Farm Agent —Souderton, PA
- $40,000 - $60,000 a year
- Full-time
- Sales
- Office
- Children
- Profit sharing
- Health insurance
Quick Apply
Patient Access Representative (Full Time, Nights)
St. Luke's University Health Network —Easton, PA
- Full-time
- Computer literacy
- Administrative experience
- High school diploma or GED

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Patient Services Representative

Good Shepherd Rehabilitation Network -
Allentown, PA

Apply Now

Job Details

Per diem

Qualifications

Administrative experience
High school diploma or GED
Computer skills
Office experience

Full Job Description

JOB SUMMARY
- Enhances clinicians’ effectiveness by providing information management support, which includes answering and triaging phone calls, scheduling patients visits, verifying and securing both initial and ongoing insurance coverage for therapy services, and providing patients with relevant information concerning their insurance coverage.
ESSENTIAL FUNCTIONS
- Office Skills
  - Demonstrates excellent interpersonal communication skills that translate across the phone, e-mail and in person.
  - Effectively and efficiently schedules patients’ initial and follow up visits as needed.
  - Greets patients & visitors; Registers patients.
  - Assists with answering & triaging referral telephone calls; demonstrates the ability to understand and differentiate between the different types of therapy.
  - Utilizes patient EMR system
  - Collects and verifies insurance information for new and existing patients who have a change in insurance during course of care.
    - Attains correct insurance benefit information from insurers.
    - Communicates benefits, and potential financial responsibility to patients.
    - Collects patient copays at time of service and consolidates payments on a weekly/daily basis based on location.
    - Follows up with patients who have out-of-pocket costs.
    - Communicates with and resolves patient questions regarding insurance and benefits.
  - Obtains authorization for necessary services from insurers for patient
    - Performs accurate and timely maintenance of authorization functions, referrals and visit limit tracking in Cerner.
    - Prevents disruption of service by securing necessary authorizations prior to the end date after consulting with therapist.
    - Answers patient calls regarding authorization questions.
    - Researches denials due to authorization or referral issues to determine cause and resolution; resubmits claims after gathering necessary information.
  - Assists in obtaining patient satisfaction surveys
  - Performs other duties as requested
- Documentation
  - Accurately utilizes patient EMR system
  - Accurately copies record when requested
  - Accurately tracks the need for insurance reauthorizations for patients
- Team Effort
  - Identifies work unit issues & implements solutions
  - Orients new staff
  - Demonstrates flexibility to help others (provide coverage, adjust work schedule to meet needs)
  - Shares knowledge with others
  - Embraces change and promotes a positive work environment
  - Demonstrates management skills by prioritizing, organizing and completing job responsibilities.
- PROTECTS CUSTOMER AND ORGANIZATION INFORMATION
  - By keeping information confidential, following Good Shepherd’s policy and procedures for release of information, maintaining secure medical records and maintaining security for the contents of the business office.
QUALIFICATIONS:
- 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.
  - Education
    
    High School Diploma required
    
    Associate's Degree preferred
  - Work Experience
    
    1-2 years of experience in an administrative position with computer skills required
    
    Prior health insurance experience preferred
  - Licenses / Certifications
    
    N/A

Location: Good Shepherd Rehabilitation · Orthopedics - Physical Therapy
Schedule: Per Diem, Day / Evening Shift, Hours will vary

Apply Now

Refine Your Search

claims representative jobs in emmaus pa

Patient Services Representative

Patient Billing Representative

Insurance Verification Specialist / Specialty Billing Representative

Client Service Representative

Patient Access Representative (Per Diem)

ED Patient Access Representative (Full Time, Evenings)

Compliance & Privacy Officer

Patient Access Representative (Part Time, Days)

Customer Service Representative - State Farm Agent Team Member

Senior Payer Relations - Revenue Compliance & Recovery Specialist

Patient Service Representative

Patient Access Representative - Part Time Days

Customer Service Representative - State Farm Agent Team Member

Customer Service Representative

Customer Service Representative - State Farm Agent Team Member

Patient Access Representative (Part Time, Evenings)

ED Patient Access Representative (Full Time, Nights)

Customer Experience Representative II

Customer Service Representative - State Farm Agent Team Member

Patient Access Representative (Full Time, Nights)

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