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26 Office Representative jobs match your search criteria.

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Job Description: Billing Representative Billing Representative Location: New York, NY Salary: $14-$16 per hour Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1008810       About the Opportunity A healthcare facility in New York City is looking to fill an immediate need with the addition of a new Billing Representative to their staff. This is a great opportunity for a diligent and highly motivated Billing Representative to gain valuable work experience and further their career at an established facility in Brooklyn. Apply today! Company Description Healthcare Facility Job Description The Billing Representative will be responsible for handling billing and payment postings for the facility. Required Skills 1+ year of Medical Billing experience within a Healthcare Facility High School Diploma / GED Solid mathematical and analytical skills Working knowledge of Unity 23, Mysis, and HHC Advantage Microsoft Office/Suite proficient (Excel, Word, etc.) Solid time management and problem solving skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Insurance Billing experience with Medicare, Medicaid, and Third Party Commercial Managed Care Companies

Job Description: Billing Representative Billing Representative Location: New York, NY Salary: $10-$12 per hour Experience: 1. year(s) Job Type: Temporary / Consulting Job ID: U1014132       About the Opportunity The Patient Financial Services team of a recognized hospital in New York City is looking to fill an immediate need with the addition of a new Billing Representative to their growing staff. This is a great opportunity for a diligent and highly motivated Billing Representative to gain valuable work experience and further their career at a recognized facility in Manhattan. Apply today! Company Description Hospital Job Description The Billing Representative will: Provide World Class Customer Service, via verbal and non-verbal communication, in a polite, pleasant and respectful manner Safeguard all Protected Health Information (PHI) by keeping it in sight, on your person or secured at that persons respective workstation Verify patient's Medicaid, Medicare, Managed Care and other insurance eligibility via HDX or insurance websites Register patients via Unity system; enter insurance information in Unity; verifying patient's demographics and insurance; and, terminate invalid insurance from the Unity system Verifies patient's demographics and insurance via Unity system Open visits for clinics Insure that HIPAA and Patient Rights booklets are distributed to patients, when needed Scan patient ID, insurance card and any other pertinent information into Enterprise Document Management (EDM) system Participate in staff meetings and in-service trainings, as requested Required Skills 1+ year of Billing experience in a Hospital setting High School Diploma / GED Previous Administrative experience Computer savvy Microsoft Office/Suite proficient Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively

Job Description: Billing Representative Billing Representative Location: Bronx, NY Salary: $12-$14 per hour Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1012747       About the Opportunity A well-known Bronx hospital is searching for a driven and dynamic Billing Representative to join their team. This is an excellent opportunity for a qualified individual to advance their career with a recognized hospital in New York City. Apply today! Company Description Hospital Job Description The Billing Representative: Receives and processes incoming referrals including medical, specialty, and ancillary services Communicates with community provider practices regarding missing information, clinical guidelines, and status of appointment Schedules appointments for community-referred patients via Unity and HHC Advantage Answers customer inquiries regarding community services and clinic appointments Meets and greets new patients; refers patients with external referrals to staff person in charge. Participates in staff meetings Escorts patients to their clinic appointments as needed Retrieves departmental voicemail Conducts reminder calls to patients Maintains ongoing communication to ensure provider and patient satisfaction Required Skills High School Diploma or GED 1+ year of experience within a healthcare facility Prior experience in an administrative position in the healthcare setting, preferably in a hospital Polished and professional demeanor  Knowledgeable in: personal computer software, general office procedures (Microsoft Word, Excel, Unity 23, Mysis, and HHC Advantage) Desired Skills Bilingual, English and Spanish

Job Description: Marketing Representative Marketing Representative Location: Natick, MA Salary:  Experience: 1. year(s) Job Type: Temporary / Consulting Job ID: U1009824       About the Opportunity A healthcare organization in Massachusetts is looking to fill an immediate need with the addition of a new Marketing Representative to their growing staff. In this role, the Marketing Representative will be responsible for making outbound phone and acknowledgement calls to prospective and existing contacts and/or leads in order to create interest in and commitment to participation in campaign. Apply today! Company Description Healthcare Organization Job Description The Marketing Representative will: Maintain established outbound call volume to source, establish relationships and generate qualified new lead generation for the campaign leadership Provide accurate follow up through proactive phone and/or e-mail communications keeping interested leads warm and engaged Assist in the development of program materials, including assembly and distribution Maintain assigned program records and files Prepare assigned campaign correspondence and reports Maintain a working knowledge of the mission and programs to promote the field and campaign fundraising initiatives Required Skills 1+ year of Telemarketing and/or Customer Service experience High School Diploma Exceptional phone etiquette Microsoft Office/Suite proficient Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively

Job Description: Oncology Accounts Receivable Representative Oncology Accounts Receivable Representative Location: Princeton, NJ Salary: $15-$17 per hour Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1006254       About the Opportunity A healthcare practice in New Jersey is looking to fill an immediate need with the addition of a new Oncology Accounts Receivable Representative to their staff. This is a great opportunity for a diligent and highly organized professional to gain valuable work experience and further their career with an established practice. Company Description Healthcare Practice Job Description The Oncology Accounts Receivable Representative will be responsible for handling claims and dealing with the insurance company Required Skills 1+ year of Accounts Receivable experience High School Diploma / GED Computer savvy Microsoft Office/Suite proficient Solid time management and problem solving skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Experience working in a Medical Office or Company doing Accounts Receivable Working knowledge of NextGen

Job Description: Accounts Receivable Representative Accounts Receivable Representative Location: Parsippany, NJ Salary:  Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: 1005218       About the Opportunity A premier healthcare company headquartered in Parsippany, NJ, is actively seeking a qualified and diligent individual for a promising opportunity on their staff as an Accounts Receivable Representative. In this role, the Accounts Receivable Representative will follow-up on all claims from billing through final resolution. Company Description Healthcare Company Job Description The Accounts Receivable Representative will: Review and prepare claims for electronic and hard copy billing submission Identify and correct billing errors and resubmit claims to insurance carriers Review Remittance advice for payment errors, denials and under payments Initiate appeals when necessary Act cooperatively and courteously with patients, visitors, co-workers, management and clients Maintain confidentiality at all times Maintain a professional attitude Required Skills 1+ year of Accounts Receivable experience in a Healthcare, Physician's Office, and/or Hospital setting High School Diploma / GED Previous experience with Hospital /Facility billing Microsoft Office/Suite proficient Great interpersonal skills Excellent communication skills (verbal and written) Highly organized Able to multitask efficiently and effectively Desired Skills Commercial Insurance Collections experience

Job Description: Customer Service Representative - Optical Customer Service Representative - Optical Location: Spring Valley, NY Salary: $32,000-$35,000 Experience: 2.0 year(s) Job Type: Full-Time Job ID: J137767       About the Opportunity The Optical department of a recognized health center located in Spring Valley, NY is actively seeking a self-motivated and highly organized professional for a promising opportunity on their staff as a Customer Service Representative. In this role, the Customer Service Representative provides administrative support to the Manager through a variety of tasks related to organization and communication. Apply today! Company Description Health Center Job Description The Optical Customer Service Representative: Maintains filing system in area of assignment, both hard copy and electronic Answers, screens, and transfers inbound phone calls Assists patients with their optical needs Orders optical supplies as directed Maintain optical and office supply inventories Coordinates special projects as directed Maintains confidentiality of information at all times Complies with applicable policies and procedures and supports the Compliance Program Contributes to organizational operations by performing other duties as may be Required Skills High School diploma or equivalent 2 years of experience in a similar position Proficient in Microsoft office and other software programs Excellent organizational skills Excellent communication skills Ability to prioritize with good problem solving skills Demonstrated attention to detail and accuracy

Job Description: Patient Financial Services Representative Patient Financial Services Representative Location: Worcester, MA Salary:  Experience: 1. year(s) Job Type: Temporary / Consulting Job ID: U1014997       About the Opportunity A hospital in Massachusetts is currently seeking a new Patient Financial Services Representative for a promising position with their growing Credits & Collections Department. This is a great opportunity for a personable and hardworking professional to gain valuable work experience and further their career at a recognized facility. Apply today! Company Description Hospital Job Description The Patient Financial Services Representative will be responsible for: Patient accounting Processing bills Managing anything outstanding Handling other duties, as needed Required Skills 1+ year of related work experience High School Diploma / GED Medical Terminology and/or Billing experience Computer savvy Microsoft Office/Suite proficient Customer service / patient oriented Solid problem solving and time management skills Exceptional phone etiquette Great interpersonal skills Excellent communication skills (written and verbal) Desired Skills Associate's and/or Bachelor's Degree in a related field

Job Description: Accounts Receivable Representative Accounts Receivable Representative Location: Wall, NJ Salary: $17-$20 per hour Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1014346       About the Opportunity An established healthcare company located in Wall, NJ is actively seeking a self-motivated and analytical individual for a promising opportunity on their staff as an Accounts Receivable Representative. In this role, the Accounts Receivable Representative will follow-up on all claims from billing through final resolution. Apply today! Company Description Healthcare Company Job Description The Accounts Receivable Representative will: Review and prepare claims for electronic and hard copy billing submission Identify and correct billing errors and resubmit claims to insurance carriers Review Remittance advice for payment errors, denials and under payments Initiate appeals when necessary Act cooperatively and courteously with patients, visitors, co-workers, management, and clients Maintain confidentiality at all times Required Skills At least 2 years of hospital billing experience with knowledge of: Insurance contract interpretations with an ability to identify and dispute insurance underpayments Electronic billing systems Medicaid HMO, Medicare HMO, BC, and commercial payers   Explanation of benefits Payer websites UB04 claim forms Collections / follow-up Microsoft Office Desired Skills Experience with Epremis and Siemens software

Job Description: Patient Accounts Representative Patient Accounts Representative Location: Central New Jersey Salary: $17-$19 per hour Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1009003       About the Opportunity A widely recognized hospital located in Central New Jersey is actively seeking a self-motivated and dynamic individual for a promising opportunity on their staff as a Patient Accounts Representative. In this role, the Patient Accounts Representative will provide support functions to the processes involved in the reduction of Accounts Receivables. Apply today! Company Description Hospital Job Description The Patient Accounts Representative will be responsible for: Billing/collections Correspondence sorting Filing and scanning Administrative assistance with various Revenue Cycle processes Processing and responding to correspondence and other requests as assigned by level of complexity Required Skills 1-2 years of experience in a collections or healthcare business office environment High School Diploma or equivalent Excellent verbal communication and negotiation skills Customer service-oriented Excellent computer and multi-tasking skills Ability to identify an issue, examine options, and provide an effective solution Knowledge of computer billing systems Working knowledge of Microsoft Excel

Job Description: Biller / Customer Services Representative Biller / Customer Services Representative Location: Brooklyn, NY Salary:  Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1016581       About the Opportunity A widely recognized healthcare facility located in Brooklyn is actively seeking a compassionate and diligent individual for a promising opportunity on their staff as a Biller / Customer Service Representative. In this role, the Biller / Customer Service Representative will be responsible for fulfilling the company's commitment to high quality patient relations and provides a mechanism for patient, guarantor, physicians, and/or other third party communication for billing and reimbursement questions or concerns. Apply today! Company Description Healthcare Facility Job Description The Biller / Customer Services Representative: Promptly responds to telephone calls, telephone messages, mail and in-person inquiries, concerns, and complaints from patients, guarantors, and third parties concerning billing matters Resolves issues quickly, courteously, and effectively Brings unresolved issues to the attention of the supervisor Forwards request for information/issue resolution to the appropriate department or individual, as required Documents activity via PCS workfile Greets patients and visitors Updates patient demographics as needed Handles correspondence generated by patients Prepares/establishes budget plans for patients Accepts payments from patients; complete credit card transactions Coordinates payments received with cashier function in Payments Department Required Skills 2 years of college-level course work 1-3 years' experience in a healthcare business office in a similar position Strong medical billing knowledge Excellent communication skills Proficiency with computer platforms and applications Strong interpersonal skills Desired Skills Associate's Degree IDX experience

Job Description: Patient Access Service Representative Patient Access Service Representative Location: Worcester, MA Salary: $10-$14 per hour Experience: 3. year(s) Job Type: Temporary / Consulting Job ID: U1016068       About the Opportunity The Pre-Scheduling Department of a recognized hospital in Massachusetts is actively seeking a new Patient Access Service Representative for a promising position with their growing staff. In this role, the Patient Access Service Representative will be responsible for performing a variety of complex duties for the registration and scheduling of patients for medical procedures, tests and associated ancillary services. Apply today! Company Description Hospital Job Description The Patient Access Service Representative will: Schedule patients for treatment by multiple providers and treatment areas and arrange a variety of associated tests and procedures according to established guidelines and specific criteria Schedule patients for outpatient services or visits to multiple campuses Comply with referral management regulations established for primary care providers Obtain and enter into the computer-based patient registration / scheduling system, demographic, insurance, and other related patient information Verify patient insurance coverage via the electronic eligibility systems Telephone and/or notify patient of appointment times Provide patient with standard information regarding their personal preparation for scheduled procedures Mail patient information packets to patients Receive and triage patient phone calls to appropriate providers as in an emergency situations and/or their need for medical advice Recommend improvements in systems and procedures Required Skills 3+ years of related work experience High School Diploma / GED Knowledge of Medical terminology, Third Party Payer Billing and Managed Care requirements and procedures Computer savvy Microsoft Office/Suite proficient Patient oriented Exceptional phone etiquette Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively

Job Description: Patient Relations Representative Patient Relations Representative Location: Nassau County, NY Salary: $33,250-$40,000 Experience: 3.0 year(s) Job Type: Full-Time Job ID: J137184       About the Opportunity A premier health center located in Nassau County, NY is actively seeking a self-motivated and highly organized medical professional for a promising opportunity on their staff as a Patient Relations Representative. In this role, the Patient Relations Representative will provide exceptional customer service to patients while maintaining an organized front desk. This is an excellent opportunity for a dependable, dynamic, and enthusiastic individual to advance their career with a premier health center on Long Island. Apply today! Company Description Health Center Job Description The Patient Relations Representative will: Welcome patients and answer phone lines in a friendly and professional manner while always providing superior customer service Prepare patient Superbills, schedule patient appointments, and collect and post payments Maintain accurate, updated patient information in the electronic medical records Confirm appointments with patients, as well as notify them if there are any changes in the schedule Check in/out patients Create new patient accounts and maintain each patients electronic medical record Answer telephone/retrieving messages Maintain the waiting area, providing a warm and welcoming atmosphere for new and returning patients Required Skills 3+ years of experience working in a medical office Strong medical skills and knowledge Patient and customer service-oriented Demonstrated call center skills Highly organized Ability to multitask Proficiency with computer platforms and applications Desired Skills 2-year college degree Medical spa experience

Job Description: Network Management Representative Network Management Representative Location: Tampa, FL Salary:  Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1008101       About the Opportunity A Florida-based healthcare company is actively seeking a personable professional to join their staff as a Network Management Representative.  In this role, the Network Management Representative will be responsible for providing quality, accessible and comprehensive services to the company's provider community. Company Description Healthcare Company Job Description The Network Management Representative will: Coordinates communications process on such issues as administrative and medical policy, reimbursement and provider utilization patterns Develops, maintains, and enhances relations with providers to foster cooperative business relationships Coordinates prompt claims resolution through direct contact with providers and claims department Provides assistance with policy interpretation Researches, analyzes and recommends resolution for provider disputes as well as issues with billing and other practices Identifies and reports on provider utilization patterns which have a direct impact on the quality of service delivery Tracks customer service patterns/trends and identifies training when appropriate Drafts training documents and conduct provider refresher training at onsite provider locations or by telephone Researches issues that may impact future provider negotiations or jeopardize network retention Required Skills 1+ year of Customer Service experience High School Diploma Computer savvy Microsoft Office/Suite proficient Solid time management and problem solving skills Exceptional phone etiquette Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively

Job Description: Customer Service Representative Customer Service Representative Location: Tarrytown, NY Salary: $15-$17 per hour Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1003436       About the Opportunity A respected healthcare organization located in Tarrytown, NY is actively seeking a professional and patient-oriented individual for a promising opportunity on their staff as a Customer Service Representative. In this role, the Customer Service Representative will represent the Customer Care Center (CCC) at project meetings, providing updates to the representatives and leadership team and documenting changes for future reference. Company Description Healthcare Organization Job Description The Customer Service Representative: Maintains operational procedures and product documentation as a reference for the department Develops and documents talking points for representatives Assists Supervisors and Representatives in handling member concerns, issues and complaints Provides daily communications with pertinent information  Tracks changes related to benefit changes, product updates and open enrollment Focuses on topics impacting CCC front line staff Assists vendors in handling member concerns, issues and complaints Configures Benefits Display for new products and product updates Performs other duties as assigned Required Skills High School Diploma 1 year of customer service experience Understands the appropriate etiquette and demands of a call center environment and acts accordingly Proficiency in Microsoft Office, including Excel, Word, Access and Lotus Notes Polished and professional demeanor Ability to multitask Business Analysis Knowledge Exceptional communication skills Strong attention to detail Desired Skills Experience working in a Managed Care/Health Insurance call center Working knowledge of Managed Care/Health Insurance concepts and regulations

Job Description: Patient Services Representative Patient Services Representative Location: Fairfield County, CT Salary:  Experience: 2. year(s) Job Type: Temporary / Consulting Job ID: U1005693       About the Opportunity A premier magnet healthcare facility in Connecticut is looking for a personable and dedicated Patient Services Representative to join their growing team. In this role, the Patient Services Representative will be responsible for processing and following up on all nongovernment accounts, correspondence and appeals for the facility until paid in full. This is a fantastic opportunity for the right candidate to play an integral part in the expansion of the new facility scheduled to open later this year. Company Description Healthcare Facility Job Description The Patient Services Representative will be responsible for: Handling inquiries from patients, third parties and agencies regarding any aspect of services received or status of account Ensuring prompt, accurate, and compliant billing and payments for all third party payer patient claims Accurate billing and/or follow-up of patient accounts according to established departmental guidelines based upon regulation requirements for specific insurance carriers Monitoring and reconciling daily reports as well as assigned worklist for appropriate account resolution inclusive to credit, debit and adjustments Maintaining provider rep relationships and responsible for upkeep of spreadsheets in order to communicate with third party payers Documentation of all action taken on an account. Maintaining department standards of productivity Accurate analysis of accounts and contracts to recover underpayments/resolve outstanding accounts receivable Analyzing all accounts and contacts appropriate party of unpaid accounts and updates all accounts appropriately Facilitating patients' and departments in the health system by providing excellent customer service skills and serving as an advocate for the patient in explaining third party payer coverage's, referral and pre-certification requirements Providing timely and accurate information regarding patient data / status to other health system departments, physicians, physician office staffs and other publics while insuring patient confidentiality is not breached Required Skills 2+ years of prior experience in a Hospital setting Associate's Degree in a related field Experience in revenue cycle Familiarity with Hospital Billing and Coding Computer savvy Solid analytical and research skills Exceptional phone etiquette Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills Bachelor's Degree in a related field

Job Description: Accounts Receivable / Follow Up Representative Accounts Receivable / Follow Up Representative Location: Parsippany, NJ Salary: $17-$20 per hour Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1014439       About the Opportunity A healthcare company in New Jersey is currently seeking an analytical and detail oriented professional to joint heir growing team as their new Accounts Receivable / Follow Up Representative. In this role, the Accounts Receivable / Follow Up Representative will be responsible for following up on all claims from billing through final resolution. Apply today! Company Description Healthcare Company Job Description The Accounts Receivable / Follow Up Representative will: Review and prepare claims for electronic and hard copy billing submission Identify and correct billing errors and resubmit claims to insurance carriers Review remittance advice for payment errors, denials and under payments Initiate appeals, when necessary Act cooperatively and courteously with patients, visitors, co-workers, management and clients. Required Skills 2+ years of Hospital Billing experience High School Diploma / GED Accounts Receivable experience Previous experience with: Explanation of benefits; Payer websites; UB04 claim forms; Medicaid / Medicare HMOs; and Commercial payers  Working knowledge of Electronic Billing Systems Microsoft Office/Suite proficient Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Associate's and/or Bachelor's Degree in a related field Experience with Epremis and Siemens software

Job Description: Complaints and Appeals Associate Complaints and Appeals Associate Location: Wall, NJ Salary:  Experience: 5.0 year(s) Job Type: Temporary / Consulting Job ID: U1011139       About the Opportunity A respected healthcare facility located in Wall, NJ is actively seeking an organized and self-motivated individual for a promising opportunity on their staff as a Complaints and Appeals Associate. In this role, the Complaints and Appeals Associate manages resolution of complaints and/or appeals that have been escalated to executives or regulatory entities within prescribed timeframes as mandated by the regulatory entity and per designated quality standards. Apply today! Company Description Healthcare Facility Job Description The Complaints and Appeals Associate: Assesses cause(s) of complaint/appeal, conducts thorough research of issue(s), and determines required course of action and final disposition Interacts with relevant parties to facilitate timely and accurate complaint/appeal resolution Authorizes administrative exceptions, which may involve claim adjustment Contacts relevant party(ies) to acknowledge receipt of the complaint/appeal and uses probing techniques Reviews business team representative/vendor representative telephone calls with customers to verify accuracy of information related to complaint/appeal Develops customized, timely, accurate, detailed correspondence, for delivery to relevant party(ies), detailing case and final resolution Responds to regulatory entity or members/providers Partners with Legal Department to review and finalize appeal determinations Prepares materials for and may attend case study meetings facilitated by designated internal or external parties Required Skills College degree in Journalism, Communications, or related field, or equivalent in experience 5 years of business experience, which must include 2+ years of correspondence and/or telephone customer service experience screening, investigating and examining inquiries Experience in claims processing necessary Ability to navigate the various claims and service operations systems Knowledge of Microsoft Office Suite Ability to perform basic arithmetical calculations Ability to analyze information and to understand and apply rules and procedures Ability to compose business letters   Desired Skills Healthcare industry experience Knowledge of insurance claim and membership systems Knowledge of medical terminology, COB, Medicare procedures Knowledge of UCSW Knowledge of Claims Policy guidelines

Job Description: Provider Operations Coordinator Provider Operations Coordinator Location: Tampa, FL Salary:  Experience: 1. year(s) Job Type: Temporary / Consulting Job ID: U1010362       About the Opportunity A healthcare company in Florida is currently seeking a new Provider Operations Coordinator for promising position with their growing staff. In this role, the Provider Operations Coordinator will be responsible for supporting the Provider Relations Field Representative to achieve department goals by answering incoming telephone inquiries from providers and assisting with problem resolution of issues. Apply today! Company Description Healthcare Company Job Description The Provider Operations Coordinator will be responsible for: Supporting the Provider Relations Field Reps to resolve claims and payment issues Answering incoming telephone inquiries from providers and assisting with problem resolution of issues Reviewing and processing incoming and outgoing paperwork, including: directory updates; provider credentialing applications; contract maintenance forms; and, other related forms Tracking new contracts through sidewinder Auditing configuration loads on new contracts Providing office, project management. provider recruitment and data analysis support Performing special projects, as assigned or directed Required Skills 1+ year of experience in Customer Services or Claim High School Diploma / GED Solid analytical skills Computer savvy Working knowledge of SalesForce Microsoft Office/Suite proficient Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Associate's and/or Bachelor's Degree in a related field

Job Description: Complaints and Appeals Associate Complaints and Appeals Associate Location: Wall, NJ Salary:  Experience: 5. year(s) Job Type: Temporary / Consulting Job ID: U1006774       About the Opportunity A healthcare organization in New Jersey is looking to fill an immediate need with the addition of a new Complaints and Appeals Associate to their growing staff. In this role, the Complaints and Appeals Associate will be responsible for managing the resolution of complaints and/or appeals that have been escalated to the organization's Executives or regulatory entities within prescribed timeframes as mandated by the regulatory entity and per designated quality standards. This is a great opportunity for a detail oriented and diligent professional to gain valuable work experience and further their career with an established organization. Apply today! Company Description Healthcare Organization Job Description The Complaints and Appeals Associate: Assesses cause(s) of complaint/appeal, conducts thorough research of issue(s), determines required course of action and final disposition. Interacts with relevant parties to facilitate timely and accurate complaint/appeal resolution Authorizes administrative exceptions which may involve claim adjustment resulting in payments at higher threshold levels so as to bring closure to the complaint/appeal Contacts relevant party(ies) to acknowledge receipt of the complaint/appeal and uses probing techniques to clarify open issues, obtain additional relevant information and/or secure records necessary to complete investigation and bring issue to final resolution Review business team representative/vendor representative telephone calls with customers to verify accuracy of information related to complaint / appeal Develops customized, timely, accurate, detailed correspondence, for delivery to relevant party(ies), detailing case and final resolution Responds to regulatory entity or members/providers, both verbally and in writing, regarding issue details and final determination made by the organization to close the complaint / appeal Partners with Legal Department to review and finalize appeal determinations Prepares materials for and attends case study meetings facilitated by designated internal or external parties Required Skills 5+ years of Business experience, including 2+ years of Correspondence and/or Telephone Customer Service experience screening, investigating and examining inquiries College Degree in Journalism, Communications, or related field Experience in Claims Processing Microsoft Office/Suite proficient Solid research, investigative, analytical, decision making and problem solving skills Exceptional phone etiquette Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Healthcare industry experience Knowledge of Insurance Claim and Membership Systems Knowledge of Medical terminology, COB, and Medicare procedures Knowledge of UCSW Knowledge of Claims Policy guidelines

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Medical office representatives are usually the first person a patient contacts when they need to schedule an appointment, get a referral or ask questions related to healthcare.

Medical offices are busy places that employ a variety of healthcare professionals. Office representative jobs consist of coordinating patient requests and distributing and directing calls to the proper healthcare professional. As such, representatives must have excellent customer service skills and be experienced with using multi-line phone systems.

In addition, medical office representatives may be responsible for other clerical duties, including collecting insurance information, billing and updating medical records. Familiarity with medical terminology and technology are key traits for successful candidates.

A high school diploma is the only educational requirement for office representative jobs, but prior experience in a medical office is recommended. Most training will be provided on the job, but to get a leg up, candidates can explore certification courses.

You can find office rep positions in healthcare right here on ADVANCE Healthcare Jobs. Be sure to sign in with your Facebook or LinkedIn profile so you can share jobs of interest with friends and colleagues instantly.