Top 549 Member services representative Jobs in Hillsborough, Nc

Patient Service Representative - Inpatient/Surgery Preservice Verification
Duke Health —Durham, NC
- Full-time
- Remote
- Surgery
- Medical office experience
- Basic math
4d
Member Services Representative
Planet Fitness - Excel Fitness —Graham, NC
- $42,000 - $100,000 a year
- Full-time
- 18 years or older
- High school diploma or GED
- Ability to lift 50 pounds
- COVID-19 protective measures
- Paid parental leave
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Mike Shoffner - State Farm Agent —Graham, NC
- $45,000 - $65,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- 401(k)
Quick Apply
Homeowner Services Representative
Kuester Management Group, LLC —Chapel Hill, NC
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Disability insurance
- Health insurance
Quick Apply
Junior Sales Representative-Hillsborough, NC
D.R. Horton —Hillsborough, NC
- Full-time
- Office
- Microsoft Office
- Driver's License
- Employee stock purchase plan
- Disability insurance
Temporary Member Services Representative
Self-Help —Durham, NC
- From $23 an hour
- Weekends as needed
- Spanish
- Microsoft Outlook
- Writing skills
Part-Time Customer Service Representative
TWO MEN AND A TRUCK® —Mebane, NC
- $19 - $21 an hour
- Part-time
- Background check
- Computer literacy
- Basic math
- Paid training
Quick Apply
General Manager
Digs Dog Care —Pittsboro, NC
- Full-time
- Mentoring
- Recruiting
- Senior level
- Health insurance
- Dental insurance
Quick Apply
Float APP Position - Fayetteville, Hope Mills, and Lumberton
FastMed —Durham, NC
- Full-time
- Float pool
- Customer service
- BLS Certification
- Mileage reimbursement
Quick Apply
Production Planner
BrightView Technologies —Durham, NC
- From $62,000 a year
- Full-time
- Background check
- Microsoft Excel
- ERP systems
- Health savings account
- Health insurance
Quick Apply
Clinical Nurse Leader (MIDS) - Emergency Department
Duke Health —Durham, NC
- Full-time
- Nursing
- RN License
- Computer literacy
- Opportunities for advancement
Sales Representative
Xponential Fitness —Raleigh, NC
- $13 an hour
- Part-time
- Merchandising
- US work authorization
- Computer skills
- Paid training
Quick Apply
Physical Therapist, PT - Home Health
BAYADA Home Health Care —Pittsboro, NC
- $68 - $70 per point
- Full-time
- Physical & Rehabilitation Medicine
- Mid-level
- Home Health
- Paid holidays
- Health insurance
Quick Apply
11d
Lead HVAC/R Technician - Commercial Refrigeration Install (Travel Position)
Aggregate Trades —Durham, NC
- $60,000 - $80,000 a year
- 12 hour shift
- Background check
- Construction site
- Customer service
- Health savings account
- Health insurance
Quick Apply
2h
Wireless Sales Lead - Retail Expert
PRE-US —Hillsborough, NC
- $18 - $22 an hour
- Weekends as needed
- Background check
- 18 years or older
- Ability to walk for extended periods
- Paid training
- Mileage reimbursement
Quick Apply
4d
Executive Director
Brookdale Senior Living Inc. —Durham, NC
- Nights as needed
- Writing skills
- 3 years
- Ability to lift 50 pounds
- Health savings account
- Paid holidays
Quick Apply
14d
Physical Therapist, (PT) - Home Health Visits
BAYADA Home Health Care —Durham, NC
- Full-time
- Physical & Rehabilitation Medicine
- Mid-level
- Home Health
- Mileage reimbursement
- Paid holidays
Quick Apply
11d
Sunroom Sales Representative
Great Day Improvements: A Family of Brands —Durham, NC
- $100,000 - $200,000 a year
- Weekends as needed
- Basic math
- Mid-level
- High school diploma or GED
- Paid training
- Disability insurance
13d
Clinical Nurse Leader (NIGHTS) - Emergency Department
Duke Health —Durham, NC
- Full-time
- Nursing
- RN License
- Computer literacy
- Opportunities for advancement
Account Executive
Saia Sales LLC —Raleigh, NC
- Full-time
- 18 years or older
- Customer service
- English
Quick Apply

I want to receive the latest job alert for member services representative in hillsborough, nc

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

member services representative jobs near hillsborough, nc

Customer Service Representative jobs in Mebane, NC

Sales Representative jobs in Raleigh, NC

Physical Therapist jobs in Pittsboro, NC

Account Executive jobs in Raleigh, NC

Physical Therapist jobs in Durham, NC

Sales Representative jobs in Durham, NC

Member Services Representative jobs in Durham, NC

HVAC Technician jobs in Durham, NC

Patient Services Representative jobs in Durham, NC

General Manager jobs in Pittsboro, NC

Production Scheduler jobs in Durham, NC

Executive Director jobs in Durham, NC

Patient Services Representative jobs in Milwaukee, WI

Sales Development Representative jobs in San Antonio, TX

University Of Texas Food Service jobs in Austin, TX

Customer Service Representative jobs in Charlotte, NC

Customer Service Representative jobs in Macon, GA

Customer Service Representative jobs in Elk Grove, CA

Customer Service Representative jobs in Rochester, NY

Sales Representative jobs in Cleveland, OH

Patient Service Representative - Inpatient/Surgery Preservice Verification

Duke Health -
Durham, NC

Apply Now

Job Details

Full-time
4 days ago

Qualifications

Basic math
High school diploma or GED
Grammar Experience

Full Job Description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Patient Revenue Management Organization

Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health.

Duke University Health System - Patient Revenue Management Office (PRMO) seeks to hire a Patient Service Representattive who will embrace our mission of Advancing Health Together.

Work Hours: Monday - Friday 8:30 - 5:00pm

This is a remote position

Job Summary

Responsible for accurate and complete patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies, to include but not limited to pre-admission, admission, pre-registration and registration functions. Ensure all insurance requirements are met prior to patients' arrival, and inform patients of their financial liability. Arranges payment options with the patients and screens patients for government funding sources. This position has high customer service with our payors and physicians by phone and requires excellent customer service skills. This position is very similar to the Financial Care Counselor. This position completes all preliminary work. The Financial Counselor completes the work when the patient arrives.

Work Performed

Analyze insurance coverage and benefits for service to ensure timely reimbursement. Obtain all PAC and/or authorizations as appropriate. Facilitate referral to Financial Services for payment sources for uninsured patients. Determine if patient's condition is the result of an accident, performing complete research to determine the appropriate source of liability/payment. Schedules and pre-register patients, correcting as necessary all patient demographic and financial data. Resolve insurance claim rejections/denials and remedy expediently. Call patients to remind them to bring balances due, co-pays, co insurance and deductible. Evaluate diagnoses to ensure compliance with the Local Medicare Review Policy. Perform those duties necessary to ensure all accounts are processed accurately and efficiently. Promote and maintain excellence in customer service. Explain billing to patients according to PRMO credit and collection policies, when discussing insurance with patients. Implement appropriate collection actions and assist financially responsible persons in arranging payment. Make referral to Financial Services Representative for counseling. Determine necessity of third party sponsorship and process patients per policy and procedure. Examine insurance policies and other third party sponsorship materials for sources of payment. Inform attending physician of patient financial hardship. Update the billing system to reflect the insurance status of the patient. Provides timely and effective customer service to internal customers. Assist with departmental coverage as requested. Obtain authorizations based on insurance plan contracts/guidelines, document in billing system per policy and procedure. Enter and update referrals as required. Communicate with insurance carriers regarding clinical information requested and to resolve issues relating to coverage and payment for specific patients and benefits.

Knowledge, Skills and Abilities

Excellent communication skills, oral and written. Ability to analyze data, perform multiple tasks and work independently. Must be able to develop and maintain professional, service-oriented working relationships with patients, physicians, co-workers and supervisors. Must be able to understand and comply with policies and procedures.

Level Characteristics

N/A

Minimum Qualifications

Education

Work requires knowledge of basic grammar and mathematical principles normally required through a high school education, with some postsecondary education preferred. Additional training or working knowledge of related business.

Experience

Two to five years experience working in hospital access, physician office or billing and collections or an equivalent combination of relevant education and /or experience

Degrees, Licensures, Certifications

None required

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Apply Now

Refine Your Search

member services representative jobs in hillsborough, nc

Patient Service Representative - Inpatient/Surgery Preservice Verification

Member Services Representative

Customer Service Representative - State Farm Agent Team Member

Homeowner Services Representative

Junior Sales Representative-Hillsborough, NC

Temporary Member Services Representative

Part-Time Customer Service Representative

General Manager

Float APP Position - Fayetteville, Hope Mills, and Lumberton

Production Planner

Clinical Nurse Leader (MIDS) - Emergency Department

Sales Representative

Physical Therapist, PT - Home Health

Lead HVAC/R Technician - Commercial Refrigeration Install (Travel Position)

Wireless Sales Lead - Retail Expert

Executive Director

Physical Therapist, (PT) - Home Health Visits

Sunroom Sales Representative

Clinical Nurse Leader (NIGHTS) - Emergency Department

Account Executive

I want to receive the latest job alert for member services representative in hillsborough, nc

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected