Top 37 Patient services representative Jobs in Goldsboro Nc

Authorization and Appeals Specialist
The Palomino Group —North Carolina
- From $23 an hour
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Disability insurance
- Health insurance
Quick Apply
9d
Patient Service Representative
Forefront Dermatology —Goldsboro, NC
- Urgently hiring
- Computer literacy
- High school diploma or GED
- Clinic
- Profit sharing
- Health savings account
8d
Front Desk/Receptionist
Goshen Medical Center —Goldsboro, NC
- Word processing
- Windows
- High school diploma or GED
Front Desk Receptionist
ECAA - Anesthesia Specialists —Goldsboro, NC
- Online Application
- HIPAA
- High school diploma or GED
- Clinic
- Paid training
- Health savings account
Quick Apply
Admin- Scheduling/Treatment Coordinator
LaFevers Dental Team —Goldsboro, NC
- $17 - $22 an hour
- Email
- Dental office
- Organizational skills
- In-person
- Disability insurance
- Health insurance
Quick Apply
Dental Patient Coordinator
Hinnant Family Dentistry —Goldsboro, NC
- From $16 an hour
- Full-time
- Dental office
- In-person
- Communication skills
- 401(k)
- Paid time off
Quick Apply
9d
Patient Service Representative
Kinston Community Health —Kinston, NC
- $15 - $18 an hour
- Weekends as needed
- HIPAA
- Microsoft Office
- High school diploma or GED
Quick Apply
1d
Patient Services Representative
Eastern Nephrology Associates —Kinston, NC
- $14.66 - $17.24 an hour
- Overtime
- Microsoft Word
- Microsoft Outlook
- HIPAA
Quick Apply
Patient Care Coordinator
Specialty1 Partners —Wilson, NC
- $23.00 - $26.96 an hour
- Dental office
- High school diploma or GED
- Critical & Intensive Care
- Health savings account
- Disability insurance
Quick Apply
Administrative Specialist I – Patient Relations– Cherry Hospital
State of North Carolina - Health & Human Services —Wayne County, NC
- $39,244 - $68,679 a year
- Full-time
- High school
- Administrative experience
- High school diploma or GED
- Loan repayment program
Receptionist-Full Time/No Weekends
Wake Endoscopy Center LLC —Wilson, NC
- Full-time
- Microsoft Outlook
- Inventory management
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
7d
Patient Support Specialist
EMERGEORTHO, P.A. —Wilson, NC
- Urgently hiring
- High school diploma or GED
- Communication skills
- Entry level
- Health savings account
- Paid holidays
Quick Apply
Front Office Specialist
eyecarecenter —Wilson, NC
- Background check
- Microsoft Outlook
- HIPAA
Quick Apply
Patient Registration - Customer Service Representative
R1 RCM, Inc. —Wilson, NC
- $14.50 - $18.99 an hour
- Part-time
- Background check
- Hospital
- Urgent Care
Hospice Community Relations Coordinator
Cardinal Hospice Care —Smithfield, NC
- $24 an hour
- Full-time
- Hybrid work
- Background check
- Customer service
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
Part Time As Needed Patient Access Customer Service Representative
R1 RCM, Inc. —Wilson, NC
- $16.50 - $20.66 an hour
- Part-time
- Background check
- Hospital
- Urgent Care
Customer Service Representative
Fyzical —Wilson, NC
- 3 years
- High school diploma or GED
- Clinic
- Opportunities for advancement
Patient Care Coordinator
Immediate Dental Care —Wilson, NC
- From $13 an hour
- Full-time
- Bilingual
- Dental office
- Medical office experience
- Paid time off
- Employee discount
Quick Apply
CSR
CAROLINA HOME MEDICAL INC —Kinston, NC
- Word processing
- Computer literacy
- Writing skills
Processing Assistant IV (Child Health)
Johnston County —Smithfield, NC
- $41,711.59 - $70,909.70 a year
- Full-time
- Bilingual
- Background check
- High school diploma or GED

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Authorization and Appeals Specialist

The Palomino Group
North Carolina

Quick Apply

Job Details

Full-time
From $23 an hour
9 days ago

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Health insurance authorizations
Appeals
Microsoft Excel
Overseeing health insurance pre-certification
Medicare
Phone communication
Medical insurance coverage verification
HIPAA
Administrative experience
Medicaid health insurance
ICD-10
HCPCS
Phone customer support
Case appeal in utilization management
Attention to detail
Health information regulatory compliance
Medical insurance appeals management
Organizational skills
Medicaid
Clinical confidentiality policies
Insurance claims appeal handling
Medical terminology
Technical Proficiency

Full Job Description

Overview

The Authorization & Appeals Specialist will be responsible for conducting benefit and coverage verifications, obtaining authorizations, and supporting the appeal process for medical device procedures. The position will work as part of a reimbursement support team to obtain approval for patient procedures and will mainly interact with health insurance plans, healthcare providers in the physician practice and hospital outpatient settings, and patients. This position requires outstanding knowledge of the reimbursement process associated with outpatient medical procedures, including medical devices. This position requires exceptional written and verbal communication skills with healthcare providers and payers in addition to excellent customer service phone skills. Experience working within portals regarding the digital reimbursement setting is preferred.

A MINIMUM OF 3 YEARS OF AUTHORIZATION AND APPEALS SUPPORT EXPERIENCE REQUIRED.

Responsibilities

The Authorization & Appeals Specialist is responsible for coordinating the reimbursement process for medical device procedures and will work closely with health insurance companies, healthcare providers, and patients. This position requires frequent interaction with healthcare provider teams and requires demonstration of past work success within this or similar environments. Job duties include managing all aspects of the reimbursement and access process, including benefit and coverage verification, prior authorization, and appeals.

The Authorization & Appeals Specialist must be able to:

Understand insurance company processes pertaining to gaining authorization of treatment
Verify medical insurance benefits, including the ability to obtain and process payer forms
Provide information pertaining to claims, including billing and coding assistance
Coordinate authorization for medical device procedures with payer authorization departments
Support the various levels of appeal for denied authorizations or claims
Effectively communicate with healthcare providers on case status
Appropriately answer incoming calls, faxes, and emails through our reimbursement call center
Document all interactions and calls within a case management database
Maintain HIPAA compliance at all times
Expertly translate clinical information into a form letter
Work independently or within a team setting
Provide services in a high-volume and stressful work environment

Required Skill Set

The Authorization & Appeals Specialist must have prior experience in conducting authorizations and appeals for medical procedures and must possess the relevant knowledge of these processes across all payer types, including commercial and public health insurance plans.

Required skills include:

Prior success as an authorization and appeals specialists within the healthcare arena
Outstanding customer service skills (including clarity of voice, tone, empathy, and listening skills)
High level of Professionalism
Strong critical thinking and decision-making skills
Superior written communication skills
Excellent administrative skills
Ability to adapt to different situations
Strong organizational skills
Self-motivation with excellent follow-through skills
Ability to work independently with minimal-to-moderate supervision
Adaptive and flexible to new ideas and change
Proven/demonstrated knowledge of medical reimbursement methodologies
Understanding of HIPAA and legal requirements associated with health information
Fluency in medical terminology

Minimum Qualifications and Experience

3 years of experience conducting benefit and coverage verifications with health insurance plans
3 years of experience in conducting authorizations for medical procedures
3 years of experience in conducting appeals for medical procedures
3 years of health insurance experience working with HCPCS, CPT, ICD-10 codes
Demonstrated familiarity with all payer types (Medicare, Medicaid, Commercial, etc.)
Knowledge of medical procedures, including medical devices used in the outpatient setting
Associate degree or equivalent work experience
Technical Expertise: Working knowledge of Microsoft Office (Word, Excel, Outlook)

If you thrive in a detail-oriented environment with a passion for healthcare authorization and appeals administration, we invite you to bring your skills and enthusiasm to our team!

Pay: From $23.00 per hour

Benefits:

401(k)
Dental insurance
Disability insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Work Location: Remote

Quick Apply

Refine Your Search

patient services representative jobs in goldsboro nc

Authorization and Appeals Specialist

Patient Service Representative

Front Desk/Receptionist

Front Desk Receptionist

Admin- Scheduling/Treatment Coordinator

Dental Patient Coordinator

Patient Service Representative

Patient Services Representative

Patient Care Coordinator

Administrative Specialist I – Patient Relations– Cherry Hospital

Receptionist-Full Time/No Weekends

Patient Support Specialist

Front Office Specialist

Patient Registration - Customer Service Representative

Hospice Community Relations Coordinator

Part Time As Needed Patient Access Customer Service Representative

Customer Service Representative

Patient Care Coordinator

CSR

Processing Assistant IV (Child Health)

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