Top 1043 Patient services representative Jobs in Malden, Ma

Utilization Review Specialist
Charles River Recovery —Weston, MA
- $24 - $26 an hour
- Part-time
- Background check
- Nursing
- Addiction Medicine
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
Front Desk Office Lead
North Shore Pain Management —Cambridge, MA
- $24 - $28 an hour
- Full-time
- Bilingual
- Background check
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Scheduling Coordinator - Home Care Agency (English/Russian Speaking required)
Multicultural Home Care —Lynn, MA
- $20 - $24 an hour
- Monday to Friday
- Customer service
- English
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
Administrative Assistant – Physical & Occupational Therapy (Part-Time)
Coastal Orthopedic Associates —Beverly, MA
- $20 - $22 an hour
- Part-time
- Physical & Rehabilitation Medicine
- HIPAA
- Organizational skills
- Paid time off
- Flexible schedule
Quick Apply
Front Desk Appointment Coordinator
Magnolia Dental Malden —Malden, MA
- $18 - $25 an hour
- Full-time
- Dental office
- In-person
- Entry level
Quick Apply
Patient Registrar
The Shriners Hospital for Children —Boston, MA
- $18.15 - $27.24 an hour
- Full-time
- 18 years or older
- Spanish
- Hospital
Quick Apply
9d
Patient Access Liaison (temporary) 9:30am-6:00pm hybrid
Boston Children's Hospital —Boston, MA
- $15.00 - $63.19 an hour
- Temporary
- High school diploma or GED
- 1 year
- Entry level
Patient Access Liaison (temporary) 8:30am-5:00pm hybrid
Boston Children's Hospital —Boston, MA
- $15.00 - $63.19 an hour
- Temporary
- High school diploma or GED
- 1 year
- Entry level
Patient Service Representative I - Part-Time
Tufts Medicine —Melrose, MA
- $20.12 - $25.15 an hour
- Part-time
- Hospital
- Word processing
- Computer literacy
3d
Customer Success Representative
Reliable Respiratory —Woburn, MA
- $30 an hour
- Full-time
- Hybrid work
- 18 years or older
- Spanish
- Computer literacy
Quick Apply
10d
Patient Experience Representative- ORL Call Center
Boston Children's Hospital —Boston, MA
- $19.83 - $29.49 an hour
- Full-time
- Writing skills
- High school diploma or GED
- Entry level
Temp- Patient Experience Rep (Weekend Overnights/Eve)
Boston Children's Hospital —Boston, MA
- $15.00 - $63.19 an hour
- Part-time
- Hospital
- Adults
- High school diploma or GED
4d
Front Desk Receptionist
American Dental Consultants —Malden, MA
- Part-time
- Computer literacy
- Computer skills
- Communication skills
Temp- Patient Experience Representative I- Radiology
Boston Children's Hospital —Boston, MA
- $15.00 - $63.19 an hour
- Temporary
- Hospital
- Adults
- Office
4d
Patient Service Specialist
Northeastern University —Boston, MA
- $23.37 - $32.14 an hour
- Full-time
- Computer literacy
- Windows
- Administrative experience
- Health insurance
- Dental insurance
Medical Receptionist II
Optum —Medford, MA
- $17.98 - $32.12 an hour
- Full-time
- Pass drug screening
- Mid-level
- High school diploma or GED
- AD&D insurance
- Employee stock purchase plan
Patient Experience Representative - Adolescent Medicine
Boston Children's Hospital —Boston, MA
- $19.83 - $29.49 an hour
- Full-time
- Hospital
- Office
- High school diploma or GED
Patient Services Representative Team Lead
Codman Square Health Center Inc —Boston, MA
- $22.00 - $34.28 an hour
- Extended hours
- Computer literacy
- HIPAA
- Mid-level
Quick Apply
9d
Patient Experience Representative I - ED/OR (Waltham, onsite)
Boston Children's Hospital —Waltham, MA
- $19.83 - $29.49 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Continuous improvement

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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 malden, ma

Utilization Review Specialist

Full Time Front desk/Patient Coordinator

Front Desk Office Lead

Scheduling Coordinator - Home Care Agency (English/Russian Speaking required)

Administrative Assistant – Physical & Occupational Therapy (Part-Time)

Front Desk Appointment Coordinator

Patient Registrar

Patient Access Liaison (temporary) 9:30am-6:00pm hybrid

Patient Access Liaison (temporary) 8:30am-5:00pm hybrid

Patient Service Representative I - Part-Time

Customer Success Representative

Patient Experience Representative- ORL Call Center

Temp- Patient Experience Rep (Weekend Overnights/Eve)

Front Desk Receptionist

Temp- Patient Experience Representative I- Radiology

Patient Service Specialist

Medical Receptionist II

Patient Experience Representative - Adolescent Medicine

Patient Services Representative Team Lead

Patient Experience Representative I - ED/OR (Waltham, onsite)

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

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