Top 1039 Patient services representative Jobs in Framingham, Ma

Utilization Review Specialist
Charles River Recovery —Weston, MA
- $24 - $26 an hour
- Part-time
- Background check
- Nursing
- Addiction Medicine
Quick Apply
Patient Coordinator
Ashland Elite Dental —Ashland, MA
- $35,000 - $55,000 a year
- Full-time
- Bilingual
- Dental office
- OSHA
- Paid holidays
- Health insurance
Quick Apply
Dental Front Office Coordinator
Wayland Dental —Wayland, MA
- $24 - $28 an hour
- Full-time
- Dental office
- OSHA
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
Full Time Front desk/Patient Coordinator
Pediatric Dentistry and Orthodontics of Sudbury —Sudbury, MA
- $28 - $34 an hour
- Part-time
- Dental office
- Customer service
- English
- Health insurance
- 401(k)
Quick Apply
12d
Dental Receptionist - Part-time
Drs. Schofield, Martin & Smagula DMD —Westford, MA
- $22 - $35 an hour
- Part-time
- Google Workspace
- Dental office
- Computer literacy
- Paid training
- Paid sick time
Quick Apply
12h
Patient Care Coordinator Per Diem
Optum —Framingham, MA
- $18 - $32 an hour
- Full-time
- Pass drug screening
- Mid-level
- High school diploma or GED
6d
Patient Care Representative
Shields Health —Framingham, MA
- $17 - $29 an hour
- Part-time
- Anatomy knowledge
- Computer literacy
- HIPAA
Quick Apply
Patient Access Representative
Greater Boston Urology —Framingham, MA
- Full-time
- Surgery
- Computer literacy
- HIPAA
- Health savings account
- Health insurance
Patient Care Coordinator
Vision Care Specialists —Southborough, MA
- $21.01 - $28.00 an hour
- Computer literacy
- High school diploma or GED
- Organizational skills
- Health savings account
- Paid holidays
Quick Apply
Patient Coordinator
Simply Orthodontics —Framingham, MA
- $20 - $24 an hour
- Full-time
- Dental office
- HIPAA
- Communication skills
- Paid holidays
- Health insurance
Quick Apply
Medical Receptionist
APDerm —Norwood, MA
- $20.31 - $30.47 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Computer skills
- Paid holidays
- Health insurance
Quick Apply
11d
Call Center Representative
Neuro Behavioral Center —Walpole, MA
- From $19 an hour
- Full-time
- Bilingual
- Software troubleshooting
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
Patient Care Representative
42 North Dental —Natick, MA
- Dental office
- HIPAA
- Entry level
Quick Apply
5d
Patient Access Representative II - Metrowest Medical Center
Conifer Health Solutions —Framingham, MA
- $19.02 - $28.53 an hour
- Full-time
- Medical office experience
- Mid-level
- Administrative experience
- Health savings account
- AD&D insurance
Customer Service Representative
Optum —Southborough, MA
- $16 - $29 an hour
- Overtime
- 18 years or older
- Computer literacy
- Medical office experience
- Paid training
Patient Service Representative II (44-Week Position)
Brandeis University —Waltham, MA
- $27.64 - $30.11 an hour
- Full-time
- Vital signs
- BLS Certification
- Mid-level
Medical Receptionist - At least 1 year MEDICAL RECEPTIONIST EXP required
Complete Pain Care —Framingham, MA
- $19.00 - $26.50 an hour
- Full-time
- Clinic
- In-person
- Medical terminology
- Disability insurance
- Health insurance
Quick Apply
10h
Unit Secretary - ER
Metrowest Medical Center —Framingham, MA
- Part-time
- Background check
- Pass drug screening
- Administrative experience
Unit Secretary, Med Surg, 32 Hours, Days
UMass Memorial Health —Marlborough, MA
- $17.69 - $28.01 an hour
- 8 hour shift
- Hospital
- Computer literacy
- High school diploma or GED
Practice Assistant II – Front Desk – Wellesley, MA
Beth Israel Lahey Health —Wellesley, MA
- $21.00 - $28.26 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Primary Care

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Utilization Review Specialist

Charles River Recovery -
Weston, MA

Quick Apply

Job Details

Part-time
$24 - $26 an hour

Qualifications

Writing skills
High school diploma or GED
Productivity software
Clinical confidentiality policies
Medical terminology

Full Job Description

Position Overview: The primary purpose of the Utilization Review Specialist is to create and manage the flow of revenue for each client through liaison with insurance companies. The Utilization Review Specialist establishes a file on all incoming clients with insurance and maintains authorization for reimbursement from pre-certification through continuing stay reviews through discharge or referral. The Utilization Review Specialist uses communication, reading and writing skills to establish the best, most accurate position of need for each client to ensure maximum reimbursement for care and appropriate reimbursement for the level of care being provided. The Utilization Review Specialist has skills in gathering information from clinicians, navigating EMRs, and creating cases for presentation.

Specific Responsibilities:

Gather all information salient to insurance reimbursement.
Call insurance companies to obtain precertification or concurrent certification concurrent with the level of care

· · Establish positive relationships with insurance providers.

Identify trends in reimbursements and report out to supervisor through verbal report and generation of graphics.
Work closely with all departments
Keep accurate records of all transaction and communication with insurances.
Accurately transfer all information to the Billing Department
Provides corrective criticism and peer review.
Reported to work as assigned and keep workplace professional.
Maintain acceptable overall attendance.
Promote a favorable/positive work atmosphere.
Maintains safety of the physical environment.
Communicate effectively both orally and in writing.
Independently solve problems and follow through.
Organize and function independently in an office environment.
Other duties as assigned.

Minimum Qualifications

High School Graduate or equivalent. Post high school training in the medical field, the insurance field or in the behavioral health field preferred
A minimum of two years in the field of medicine, chemical dependency/substance abuse/psychiatric setting or human services field. Experience in third party reimbursements.
Licensure in nursing, social services helpful but not required.
Ability to work as a team member and have management, communication, organizational and interpersonal skills.
Ability to work under stressful conditions and be flexible in relation to department needs.
Understanding of medical and behavioral health terminology
Demonstrates Proficiency in Verbal and Written Communication Skills.
Knowledge of State and Federal Statutes Regarding Patient Confidentiality Laws.
Knowledge of Drug-Free Workplace Policies.
Knowledge of Corporate Integrity and Compliance Program.
Knowledge of current utilized technology.
Understanding of Insurance policy coverage limits.
Proficient in Microsoft Office
Satisfactory CORI and background check.
Satisfactory drug screen

Part Time Remote Role

Quick Apply

Refine Your Search

patient services representative jobs in framingham, ma

Utilization Review Specialist

Patient Coordinator

Dental Front Office Coordinator

Full Time Front desk/Patient Coordinator

Dental Receptionist - Part-time

Patient Care Coordinator Per Diem

Patient Care Representative

Patient Access Representative

Patient Care Coordinator

Patient Coordinator

Medical Receptionist

Call Center Representative

Patient Care Representative

Patient Access Representative II - Metrowest Medical Center

Customer Service Representative

Patient Service Representative II (44-Week Position)

Medical Receptionist - At least 1 year MEDICAL RECEPTIONIST EXP required

Unit Secretary - ER

Unit Secretary, Med Surg, 32 Hours, Days

Practice Assistant II – Front Desk – Wellesley, MA

I want to receive the latest job alert for patient services representative in framingham, ma

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