Top 177 Patient representative Jobs in Scituate, Ma

Authorization and Denials Specialist (Medical Biller)
Confidential —Braintree, MA
- $25 - $32 an hour
- Full-time
- Mid-level
- In-person
- Medical terminology
Quick Apply
Patient Services Representative – Pediatric Primary Care
Pediatric Associates of Norwood & Franklin —Norwood, MA
- $23 - $28 an hour
- Full-time
- Background check
- Private practice
- Spanish
- Paid training
- Paid holidays
Quick Apply
Part Time Patient Check-In Representative
Optum —Plymouth, MA
- $16.15 - $28.80 an hour
- Part-time
- Hospitality
- Computer literacy
- Pass drug screening
Patient Access Representative-Radiology & Interventional Rad
Beth Israel Lahey Health —Plymouth, MA
- $18.81 - $33.00 an hour
- Full-time
- Hospital
- High school diploma or GED
- Typing
10d
Patient Care Representative
Shields Health —Quincy, MA
- $17 - $29 an hour
- Part-time
- Anatomy knowledge
- Computer literacy
- HIPAA
Quick Apply
6d
Satellite Patient Representative I
South Shore Health —Weymouth, MA
- $17.30 - $24.75 an hour
- Part-time
- Medical terminology
- Entry level
- Time management
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
Patient Check-In Representative
Optum —Plymouth, MA
- $16 - $29 an hour
- Full-time
- Hospitality
- Computer literacy
- Pass drug screening
- AD&D insurance
- Employee stock purchase plan
Supervisor, Customer Contact Center
South Shore Health —Weymouth, MA
- $79,600 - $113,800 a year
- Full-time
- Mid-level
- Organizational skills
- Paid time off
12d
Patient Services Representative
South Shore Orthpedics —Hingham, MA
- $19 - $21 an hour
- Overtime
- OSHA
- Float pool
- HIPAA
- Health savings account
- AD&D insurance
Quick Apply
Temp- Patient Experience Representative I- Radiology
Boston Children's Hospital —Boston, MA
- $15.00 - $63.19 an hour
- Temporary
- Hospital
- Adults
- Office
Patient Care Representative
42 North Dental —Abington, MA
- $21 - $27 an hour
- Dental office
- HIPAA
- Entry level
Quick Apply
Customer Success Representative
Reliable Respiratory —Norwood, MA
- $30 an hour
- Full-time
- Hybrid work
- 18 years or older
- Spanish
- Computer literacy
Quick Apply
Admin Patient Experience Representative- ORL
Boston Children's Hospital —Boston, MA
- $19.83 - $33.55 an hour
- Full-time
- No experience needed
- Mid-level
- Clinic
12d
Patient Experience Representative (24 hours)
Boston Children's Hospital —Boston, MA
- $19.83 - $29.49 an hour
- Part-time
- Administrative experience
- High school diploma or GED
- Bachelor's degree
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
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
Nursing Manager of Regulatory Compliance
Signature Healthcare —Brockton, MA
- $42 - $60 an hour
- Full-time
- Hospital
- Word processing
- 3 years
Quick Apply
Dental Registration Rep
Franciscan Children's Hospital —Brighton, MA
- $20 - $26 an hour
- Full-time
- Dental office
- Hospital
- Customer service
- Health insurance
- Dental 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

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Authorization and Denials Specialist (Medical Biller)

Confidential
Braintree, MA

Quick Apply

Job Details

Full-time
$25 - $32 an hour

Qualifications

Attention to detail
Patient interaction
Health information management
Managing patient records
Medical terminology
Documentation review

Full Job Description

Job Overview
We are seeking a highly motivated and detail-oriented Authorization and Denials Specialist to join our dynamic medical billing team. In this vital role, you will be responsible for managing prior authorization requests, reviewing claim denials, and ensuring timely resolution of billing issues. Your expertise will help optimize revenue cycles, improve patient satisfaction, and ensure compliance with healthcare regulations. If you thrive in a fast-paced environment and possess a passion for accuracy and problem-solving, this opportunity is perfect for you!

Responsibilities

Review and process prior authorization requests for various medical procedures and services, ensuring all necessary documentation is complete and accurate.
Analyze claim denials related to authorization issues, coding discrepancies, or documentation deficiencies, and develop strategies to resolve them efficiently.
Collaborate with healthcare providers, insurance companies, and patients to gather additional information or clarification needed for authorization approvals or appeals.
Utilize Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems to document all actions taken and maintain detailed records of authorization statuses and denial resolutions.
Apply knowledge of medical coding including CPT (Current Procedural Terminology), ICD-9, ICD-10 codes, DRG (Diagnosis-Related Group), and other relevant coding standards to support accurate billing processes.
Monitor outstanding authorizations and follow up regularly to prevent delays in patient care or revenue collection.
Stay informed about evolving insurance policies, healthcare regulations, and coding updates to ensure compliance and optimize reimbursement outcomes.

Experience

Proven experience in medical billing or coding with a focus on authorizations and denials management.
Strong understanding of medical terminology, medical records management, and insurance claim processes.
Familiarity with DRG classifications, CPT coding, ICD coding (ICD-9/ICD-10), and medical collection procedures.
Hands-on experience working with EMR systems and EHR platforms for documentation and workflow management.
Excellent communication skills to effectively liaise with healthcare providers, insurance representatives, and patients.
Ability to analyze complex claims data quickly and accurately identify issues impacting reimbursement or approval status.

#RJAF123

Pay: $25.00 - $32.00 per hour

Work Location: In person

Quick Apply

Refine Your Search

patient representative jobs in scituate, ma

Authorization and Denials Specialist (Medical Biller)

Patient Services Representative – Pediatric Primary Care

Part Time Patient Check-In Representative

Patient Access Representative-Radiology & Interventional Rad

Patient Care Representative

Satellite Patient Representative I

Patient Experience Representative- ORL Call Center

Patient Check-In Representative

Supervisor, Customer Contact Center

Patient Services Representative

Temp- Patient Experience Representative I- Radiology

Patient Care Representative

Customer Success Representative

Admin Patient Experience Representative- ORL

Patient Experience Representative (24 hours)

Patient Experience Representative - Adolescent Medicine

Front Desk Office Lead

Nursing Manager of Regulatory Compliance

Dental Registration Rep

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

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

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