Top 36 Claims representative Jobs in Winston Salem Nc

Patient Service Representative II AHWFB
Atrium Health —Winston-Salem, NC
- $21.85 - $32.80 an hour
- Full-time
- Surgery
- HIPAA
- Mid-level
- Paid parental leave
- Disability insurance
15h
Client Service Representative
Paychex —High Point, NC
- $20 an hour
- Full-time
- Bachelor's degree
- Entry level
- Paid holidays
- Health insurance
12d
Customer Service Representative
Classic Packaging —Pfafftown, NC
- From $22 an hour
- Online Application
- Background check
- Microsoft Outlook
- Pass drug screening
- Health insurance
- Dental insurance
Quick Apply
Claims Representative, Consumer
Cornerstone Building Brands —Welcome, NC
- Online Application
- Hybrid work
- 18 years or older
- Research
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
14d
Field Claims Representative
Auto-Owners Insurance Company —Greensboro, NC
- Full-time
- Mid-level
- Driver's License
- Bachelor's degree
- Paid holidays
- Paid time off
Quick Apply
Clinic Patient Accounting Representative
Cone Health —Greensboro, NC
- High school diploma or GED
- Clinic
- Entry level
7d
Customer Service Representative - State Farm Agent Team Member
Kyle Mills - State Farm Agent —High Point, NC
- $40,000 - $45,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- Paid time off
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Danielle Waller - State Farm Agent —Lexington, NC
- $40,000 - $55,000 a year
- Full-time
- Mid-level
- In-person
- Visual & Performing Arts
- Paid holidays
- Paid time off
Quick Apply
Multi-Line Representative - State Farm Agent Team Member
Taylor Gwynn - State Farm Agent —Kernersville, NC
- $35,000 - $75,000 a year
- Full-time
- Office
- Organizational skills
- Communication skills
- Paid time off
- Opportunities for advancement
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Adam Lemmert - State Farm Agent —Greensboro, NC
- $17 - $22 an hour
- Full-time
- Office
- Communication skills
- Entry level
- Paid time off
- 401(k) matching
Quick Apply
Multi-Line Representative - State Farm Agent Team Member
Barry Collins - State Farm Agent —High Point, NC
- $20 - $25 an hour
- Full-time
- Office
- Organizational skills
- Communication skills
- Paid time off
- 401(k) matching
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Jennifer Buckley - State Farm Agent —Greensboro, NC
- $30,000 - $40,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
Multi-Line Representative - State Farm Agent Team Member
Dakota Andrews - State Farm Agent —Greensboro, NC
- $20 - $32 an hour
- Full-time
- Office
- Organizational skills
- Communication skills
- Paid time off
- Opportunities for advancement
Quick Apply
Multi-Line Representative - State Farm Agent Team Member
Rick Babusiak - State Farm Agent —Winston-Salem, NC
- Full-time
- Office
- Organizational skills
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
Customer Relations Representative - State Farm Agent Team Member
Kenneth Winters - State Farm Agent —Greensboro, NC
- $17 - $26 an hour
- Full-time
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Kenneth Winters - State Farm Agent —Greensboro, NC
- $18 - $25 an hour
- Full-time
- Office
- Windows
- Computer skills
- Opportunities for advancement
Quick Apply
Property Casualty Business Development Representative
Brown & Brown —Greensboro, NC
- Full-time
- Microsoft Excel
- Mid-level
- Windows
- Employee stock purchase plan
- Paid holidays
Customer Relations Representative - State Farm Agent Team Member
Bobby Simpson - State Farm Agent —Greensboro, NC
- $28,000 - $35,000 a year
- Full-time
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
Account Associate - State Farm Agent Team Member
Kenneth Winters - State Farm Agent —Greensboro, NC
- $17 - $26 an hour
- Full-time
- Office
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Andy Scott - State Farm Agent —Kernersville, NC
- $15 - $18 an hour
- Full-time
- Spanish
- English
- Organizational skills
- 401(k)
- Paid time off
Quick Apply

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Patient Service Representative II AHWFB

Atrium Health -
Winston-Salem, NC

Apply Now

Job Details

Full-time
$21.85 - $32.80 an hour
15 hours ago

Benefits

Paid parental leave
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Adoption assistance
Parental leave
Vision insurance
Retirement plan

Qualifications

Customer communication
In-person customer service

Full Job Description

Department:

02409 WFBMG University Group Practice: Winston Salem Professional Park - Surgery: Plastic and Reconstruction

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

Schedule Details/Additional Information:

Monday - Friday, 8am to 5pm

Pay Range:

$21.85 - $32.80

EDUCATION/EXPERIENCE:

High school diploma or equivalent and three years of experience working in a role within a customer service, fast paced environment with high volume of either calls or in-person requests; or an equivalent combination of education and experience

REPORTS TO:

Supervisor, Clinic Registration

LICENSURE, CERTIFICATION, and/or REGISTRATION:

ESSENTIAL FUNCTIONS:

Interview patients in-person and/or by phone to obtain all required information for hospital records and billing systems. Pre-registers all scheduled patients for admission, partial hospitalization, and outpatient services according to department policies and procedures.
Verify insurance coverage and obtains authorization for all services requiring pre-certification.
Process internal and out-going referrals, as needed, per department procedures
Perform clerical functions as needed, including answering phones, taking messages, chart processing, faxing and scanning.
Collect and process upfront deposits or set-up payment arrangements, as required.
Screen patient for Medicaid, Affordable care Act or hospital sponsored financial program and provides appropriate documentation and referral.
Assist other team members where necessary
Adhere to department policies and procedures related to verification of eligibility, benefits, pre-authorization requirements, available payment options, financial counseling and other identified financial clearance related duties
Complete assigned registration functions within multi-specialty clinic and/or emergency department, which may include claim edit work queues, pre-certifications and authorizations.
The Patient Services Representative III is expected to sequence multiple physician visits and complete registration activities within multiple registration platforms
Assists team with escalated issues, trains other team members as needed and is a subject matter expert.
Participate in departmental performance improvement initiatives
Other duties as assigned or requested by Supervisor or Manager, such as acting as back up in other departments
Understand and maintain operations knowledge of Medicare and other state and federal government payor compliance requirements for the population served.

SKILLS & QUALIFICATIONS

EPIC Cadence experience preferred.
Expert knowledge of patient access services and the overall effect on the revenue cycle.
A thorough understanding of commercial and government insurance plans, payer networks, government resources and medical terminology.
Understand and maintain operations knowledge of Medicare and other state and federal government payor compliance requirements for the population served.
Demonstrated proficiency in communicating effectively with a customer and simplifying complex information.
Demonstrated ability of critical thinking skills and adhering to compliance protocols.
Demonstrated ability to handle escalated issues, train/mentor other team members and viewed as a subject matter expert.
Ability to navigate Internet Explorer and Microsoft Office Suite of applications.
Experience working in a role that requires prioritization of multiple critical priorities while ensuring quality and achievement of performance metrics.
Demonstrated ability to meet or exceed performance metrics.
Ability to handle sensitive information and maintain HIPAA compliance.

WORK ENVIRONMENT:

Clean, indoor environment
Minimal travel to clinic locations where assistance is needed

PHYSICAL REQUIREMENTS:

Amount of time spent performing the following activities:

0%35%65%tototo35%65%100%N/AActivityXStandingXWalkingXSittingXBendingXReaching with armsXFinger and hand dexterityXTalkingXHearingXSeeingLifting, carrying, pushing and or pulling:X20 lbs. maximumX50 lbs. maximumX100 lbs. maximum

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Benefits and more

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

The Patient Services Representative III facilitates all components of patient registration by accurately and efficiently handling the day-to-day operations relating to a patient's scheduled appointment. This includes obtaining all necessary demographic and financial information to ensure that the most accurate patient data is obtained and populated into the patient record. This role is also responsible for creating a positive patient experience and representing Advocate Health Wake Forest Baptist and partner organizations in a professional manner.

Apply Now

Refine Your Search

claims representative jobs in winston salem nc

Patient Service Representative II AHWFB

Client Service Representative

Customer Service Representative

Claims Representative, Consumer

Field Claims Representative

Clinic Patient Accounting Representative

Customer Service Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

Multi-Line Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

Multi-Line Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

Multi-Line Representative - State Farm Agent Team Member

Multi-Line Representative - State Farm Agent Team Member

Customer Relations Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

Property Casualty Business Development Representative

Customer Relations Representative - State Farm Agent Team Member

Account Associate - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

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