Top 380 Patient services representative Jobs in Parrish, Fl

Provider Relations Representative
Molina Healthcare —Sarasota, FL
- $19.84 - $38.69 an hour
- Full-time
- Medical office experience
- Mid-level
- Training & development
- Health insurance
Front Desk Receptionist
Manatee Gynecology —Bradenton, FL
- $17.50 - $18.50 an hour
- Full-time
- Bilingual
- Background check
- Private practice
- Paid jury duty
- Health insurance
Quick Apply
Insurance Verification and Authorization Specialist
National Imaging Specialists —Pinellas Park, FL
- Full-time
- Private practice
- Computer skills
- In-person
- Health insurance
- 401(k)
Quick Apply
4d
Medical Office Receptionist
Florida Urology Partners LLP —Wimauma, FL
- Full-time
- Microsoft Word
- Spanish
- Microsoft Outlook
Quick Apply
Medical Receptionist
Heart Specialists of Sarasota —Sarasota, FL
- Full-time
- In-person
- Cardiology
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Medical Front Office
Cooper Family Medical —Parrish, FL
- From $19 an hour
- Full-time
- Writing skills
- In-person
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
Patient Care Coordinator/Receptionist
O'Brien Smiles, PLLC —Bradenton, FL
- $20 - $25 an hour
- Part-time
- Background check
- Private practice
- Dental office
Quick Apply
10d
Patient Admissions Rep Manatee Diagnostic Center Full Time Days
Manatee Memorial Hospital —Bradenton, FL
- Full-time
- Hospital
- High school diploma or GED
- Children
- Health insurance
- Dental insurance
Patient Service Representative
Solis Mammography —Bradenton, FL
- Full-time
- Basic math
- High school diploma or GED
- Clinic
- Paid holidays
- Health insurance
4d
Front Office Representative - Medical
Suncoast Community Health Centers Inc. —Wimauma, FL
- From $15.50 an hour
- Full-time
- HIPAA
- High school diploma or GED
- Analysis skills
Quick Apply
Call Center Representative - DHA
US Social Security Administration —Tampa, FL
- $40,736 - $68,485 a year
- Online Application
- Hybrid work
- Background check
- High school
- Pass drug screening
Scheduler Manatee Diagnostic Center Full Time Days
Manatee Memorial Hospital —Bradenton, FL
- Full-time
- Hospital
- High school diploma or GED
- Children
- Health insurance
- Dental insurance
9d
Guest Services Representative
Orlando Health —Saint Petersburg, FL
- Full-time
- Hospital
- High school diploma or GED
- 2 years
3d
Patient Service Representative
Radiology Regional Center, P.A —Sarasota, FL
- $17 - $22 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Clinic
- Health savings account
- Health insurance
4d
Patient Access Services Rep II
BayCare —Saint Petersburg, FL
- Full-time
- High school diploma or GED
- Clinic
- Home Health
- Health insurance
- Dental insurance
Patient Appointment Scheduler
Florida Digestive Health Specialists LLP —Sarasota, FL
- $17 - $22 an hour
- Full-time
- Office
- Ability to climb stairs
- High school diploma or GED
Quick Apply
2d
Sr. Admissions Registrar Outpatient Full Time 8:30am-5pm
Manatee Memorial Hospital —Bradenton, FL
- Full-time
- Hospital
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Patient Admissions Rep Manatee Diagnostic Center Per Diem Days
Manatee Memorial Hospital —Bradenton, FL
- Per diem
- Hospital
- High school diploma or GED
- Children
- Health insurance
- Dental insurance
Guest Services Representative
Bayfront Health —Saint Petersburg, FL
- Full-time
- Hospital
- High school diploma or GED
- 2 years
3d
Procedure Scheduler - Bradenton
Florida Digestive Health Specialists LLP —Bradenton, FL
- $18 - $26 an hour
- Full-time
- Customer service
- Medical office experience
- Mid-level
- Paid holidays
- Health insurance
Quick Apply

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Provider Relations Representative

Molina Healthcare -
Sarasota, FL

Apply Now

Job Details

Full-time
$19.84 - $38.69 an hour

Benefits

Health insurance

Qualifications

Customer communication
Managed care
Managed care organization experience
Medical office experience
Schedule management
Health insurance knowledge
Productivity software
Cross-functional collaboration
Cross-functional communication

Full Job Description

***Remote and must live in Charlotte, Lee, or Sarasota for provider visits***

JOB DESCRIPTION

Job Summary

Provides support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina policies and procedures.

Essential Job Duties

Successfully engages high-volume, high-visibility plan providers, to ensure provider satisfaction, facilitate education on key Molina initiatives, and improve coordination and partnership between the health plan and contracted providers.
Serves as the primary point of contact between Molina health plan and the non-complex provider community that services Molina members, including but not limited to fee-for-service (FFS) and pay-for-performance (P4P) providers.
Collaborates directly with the plan’s external providers to educate, advocate and engage as valuable partners - ensuring knowledge of and compliance with Molina policies and procedures while achieving the highest level of customer service; effectively drives timely issue resolution, electronic medical record (EMR) connectivity, and provider portal adoption.
Conducts regular provider site visits within assigned region/service area; determines daily or weekly schedule, to meet or exceed the plan's monthly site visit goals. Proactively engages with the provider and staff to determine; for example, non-compliance with Molina policies/procedures or Centers for Medicare and Medicaid Services (CMS) guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members.
Provides on-the-spot training and education as needed, including counseling providers diplomatically, while retaining a positive working relationship.
Independently troubleshoots provider problems as they arise, and takes initiative in preventing and resolving issues between the provider and the plan whenever possible. The types of questions, issues or problems that may emerge during visits are unpredictable and may range from simple to very complex or sensitive matters.
Initiates, coordinates and participates in problem-solving meetings between the provider and Molina stakeholders, including senior leadership and physicians (examples include: issues related to utilization management, pharmacy, quality of care, and correct coding).
Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Performs an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.).
May provide training and support to new and existing provider relations team members as appropriate.
Role requires 60%+ same-day or overnight travel (extent of same-day or overnight travel will depend on the specific health plan service area).

Required Qualifications

At least 2 years of customer service, provider services, or claims experience in a managed care or medical office setting, or equivalent combination of relevant education and experience.
General understanding of the health care delivery system, including government-sponsored health plans.
Organizational skills and attention to detail.
Ability to manage multiple tasks and deadlines effectively.
Interpersonal skills, including ability to interface with providers and medical office staff.
Ability to work in a cross-functional highly matrixed organization.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.

Preferred Qualifications

Familiarity with various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including: fee-for service (FFS), capitation and various forms of risk, ASO, etc.
Experience delivering training and facilitating educational presentations.

#PJHPO

#LI-AC1

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $19.84 - $38.69 / HOURLY

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

patient services representative jobs in parrish, fl

Provider Relations Representative

Front Desk Receptionist

Insurance Verification and Authorization Specialist

Medical Office Receptionist

Medical Receptionist

Medical Front Office

Patient Care Coordinator/Receptionist

Patient Admissions Rep Manatee Diagnostic Center Full Time Days

Patient Service Representative

Front Office Representative - Medical

Call Center Representative - DHA

Scheduler Manatee Diagnostic Center Full Time Days

Guest Services Representative

Patient Service Representative

Patient Access Services Rep II

Patient Appointment Scheduler

Sr. Admissions Registrar Outpatient Full Time 8:30am-5pm

Patient Admissions Rep Manatee Diagnostic Center Per Diem Days

Guest Services Representative

Procedure Scheduler - Bradenton

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