NewPatient Access Representative | Broadway Medical Center Pulmonary | 40 hrs/wk Sanford HealthPatient Access Representative | Broadway Medical Center Pulmonary | 40 hrs/wkFargo, ND$16.25–$23 / hourJob Description REGISTRATION Greet patients & verifies demographics Creating, scanning & routing documents or electronic forms Inform patients what the document is & capture signatures on necessary paperwork Establishes and assigns financial responsibility and assists with arrangements while adhering to appropriate policies and procedures Collects co-payments, pre-payments, and payments on account balances May work through the registration work queue to address and resolve registration errors or denied insurance claims SCHEDULING Work with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule Obtain and coordinate referrals & conduct pre-authorization Arrange interpreter services Check patients in/out Operate multi-line phone May resolve work queue issues, manage recall and waitlists, & serve as switchboard operator calling codes and paging providers ADDITIONAL DUTIES MAY INCLUDE Preparation & coordination of charts Organize supporting provider documents Initiation & collaboration of patient financial assistance Track patient visits & health information management on patient accounts Compile, distribute, administer, and score assessments Coordination of Telemed appointments Reminder calls for appointments Hospital admission Office duties, such as make copies or send faxes Qualifications High school diploma or equivalent preferred. Work Shift: Day (United States of America) Scheduled Weekly Hours: 40 Compensation: Salary Range: $16.25 - $23.00 Union Position: No Department Details Busy Pulmonary Department, located at Broadway Clinic.
NewPatient Access Representative | Southwest Children's Clinic |17 hrs wk Sanford HealthPatient Access Representative | Southwest Children's Clinic |17 hrs wkFargo, NDREGISTRATION - Creating, scanning & routing documents or electronic forms - Inform patients what the document is & capture signatures on necessary paperwork - Establishes and assigns financial responsibility and assists with arrangements while adhering to appropriate policies and procedures - Collects co-payments, pre-payments, and payments on account balances - May work through the registration work queue to address and resolve registration errors or denied insurance claims Work with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule - Operate multi-line phone - May resolve work queue issues, manage recall and waitlists, & serve as switchboard operator calling codes and paging providers Organize supporting provider documents - Initiation & collaboration of patient financial assistance - Track patient visits & health information management on patient accounts - Hospital admission - Office duties, such as make copies or send faxes High school diploma or equivalent preferred. Work Shift: Union Position: Children's Urgent Care and Southwest clinic is a Moderate to fast paced department which is looking for a friendly energetic person that works well both independently and in a group setting.
NewPatient Access Representative Essentia HealthPatient Access RepresentativeBismarck, North DakotaPerforms point of service data collection, including identifying and collecting patient co-payments and down payments, reconciles the cash drawer, and reports daily deposit records associated with the collection of co-payments to ensure accurate accounting of revenue. Interviews and obtains demographic and financial information from patients or their representatives through face-to-face and virtual interactions to provide Essentia Health with the documents and data necessary to ensure appropriate care and compliant, accurate patient registration and billing.
Patient Access Representative | South University Urgent Care | 40 hrs/wk Sanford HealthPatient Access Representative | South University Urgent Care | 40 hrs/wkFargo, ND$16.25–$23 / hourIf you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org. - Work with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule.
Patient Access Representative | Radiology | 40 hrs/wk Sanford HealthPatient Access Representative | Radiology | 40 hrs/wkFargo, ND$16.25–$23 / hourBased on setting, additional duties may include preparation and coordination of charts; organizing supporting provider documents; discussing pre-payment responsibilities; initiation and collaboration of patient/resident financial assistance; prior authorization; track patient/resident visits; health information management on patient/resident accounts; work on weekly and monthly reports; compiling, distributing, administering and scoring of assessments; coordination of Telemed appointments; provider and schedule maintenance; charge entry/billing and charge verification; reminder calls for appointments; hospital admission; make copies, send faxes, and order supplies. In a scheduling role, the Patient Access Representative schedules patient/resident appointments and procedures, obtains and coordinates referrals, conducts pre-authorization, arranges interpreter services, checks patients/residents in/out, and offers enrollment to additional resources.
Patient Access Representative | Broadway GI and Liver | 40 hrs/wk Sanford HealthPatient Access Representative | Broadway GI and Liver | 40 hrs/wkFargo, ND$16.25–$23 / hourFacility: Sanford Broadway Clinic Location: Fargo, ND Address: 737 Broadway N, Fargo, ND 58102, USA Shift: Day Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $16.25 - $23.00. Work with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule.
Patient Access Representative | Walk In Clinic | 20hrs/week Sanford HealthPatient Access Representative | Walk In Clinic | 20hrs/weekMandan, ND$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland.
Patient Access Representative | Emergency Department Evenings | 36hrs/week Sanford HealthPatient Access Representative | Emergency Department Evenings | 36hrs/weekBismarck, ND$16.25–$23 / hourFacility: Bismarck Clinic Location: Bismarck, ND Address: 222 N 7th St, Bismarck, ND 58501, USA Shift: Evening Job Schedule: Full time Weekly Hours: 36.00 Salary Range: $16.25 - $23.00. Work with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule.
Patient Access Representative, Evening Float | Fargo Medical Center | 40 hrs/wk Sanford HealthPatient Access Representative, Evening Float | Fargo Medical Center | 40 hrs/wkFargo, ND$16.25–$23 / hourFacility: Sanford Med Ctr Fargo Location: Fargo, ND Address: 5225 23rd Ave S, Fargo, ND 58104, USA Shift: Varies Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $16.25 - $23.00. Work with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule.
Patient Access Representative | SouthPointe Endocrinology/Rheumatology | 40hrs/wk Sanford HealthPatient Access Representative | SouthPointe Endocrinology/Rheumatology | 40hrs/wkFargo, ND$16.25–$23 / hourSCHEDULING • Work with nursing team & providers to coordinate & schedule appointments to meet patients needs • Coordinate provider schedule • Obtain and coordinate referrals & conduct pre-authorization • Arrange interpreter services • Check patients in/out • Operate multi-line phone • May resolve work queue issues manage recall and waitlists & serve as switchboard operator calling codes and paging providers. REGISTRATION • Greet patients & verifies demographics • Creating scanning & routing documents or electronic forms • Inform patients what the document is & capture signatures on necessary paperwork • Establishes and assigns financial responsibility and assists with arrangements while adhering to appropriate policies and procedures • Collects co-payments pre-payments and payments on account balances • May work through the registration work queue to address and resolve registration errors or denied insurance claims.
Patient Access Representative | South University Eating Disorders and Weight Mgmt | 40 hrs/wk Sanford HealthPatient Access Representative | South University Eating Disorders and Weight Mgmt | 40 hrs/wkFargo, North DakotaWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Patient Access Representative | Broadway Medical Center | 24 hrs/wk Sanford HealthPatient Access Representative | Broadway Medical Center | 24 hrs/wkFargo, North DakotaWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Patient Access Representative | Broadway Children's Clinic | 40 hrs/wk Sanford HealthPatient Access Representative | Broadway Children's Clinic | 40 hrs/wkFargo, North DakotaWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Patient Access Representative | Broadway Cardiology | 40 hrs/wk Sanford HealthPatient Access Representative | Broadway Cardiology | 40 hrs/wkFargo, North DakotaSanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. - Work with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule.
Patient Access Representative | Emergency Center | 32 hrs/wk Sanford HealthPatient Access Representative | Emergency Center | 32 hrs/wkFargo, North DakotaWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Patient Access Representative | Eating Disorders & Weight Management Clinic | 40 hrs/wk Sanford HealthPatient Access Representative | Eating Disorders & Weight Management Clinic | 40 hrs/wkFargo, North DakotaWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Patient Access Representative | Annex Building | 40 hrs/wk Sanford HealthPatient Access Representative | Annex Building | 40 hrs/wkFargo, North DakotaRemote$16.25–$23 / hourFast paced team, scheduling Radiology Exams for multiple departments including MRI, CT, Nuclear Medicine, Ultrasound, Mammography, General Radiology. - Work with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule.
Patient Access Representative | Emergency Department | 32 hrs/wk Sanford HealthPatient Access Representative | Emergency Department | 32 hrs/wkFargo, North Dakota$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Patient Access Representative | Walk In Clinic | 40hrs/week Sanford HealthPatient Access Representative | Walk In Clinic | 40hrs/weekBismarck, North Dakota$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Patient Access Representative | Horace Family Medicine | 40 hrs/wk Sanford HealthPatient Access Representative | Horace Family Medicine | 40 hrs/wkNorth DakotaWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Patient Access Representative | Emergency Department | 36hrs/week Sanford HealthPatient Access Representative | Emergency Department | 36hrs/weekBismarck, North DakotaWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Patient Access Representative | Bismarck South Clinic | 40hrs/week Sanford HealthPatient Access Representative | Bismarck South Clinic | 40hrs/weekBismarck, North DakotaWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Patient Access Representative | Oral and Maxillofacial Surgery Clinic | 40 hrs/wk Sanford HealthPatient Access Representative | Oral and Maxillofacial Surgery Clinic | 40 hrs/wkFargo, North DakotaWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Patient Access Representative | Admitting & Signatures | 32 hrs/wk Sanford HealthPatient Access Representative | Admitting & Signatures | 32 hrs/wkFargo, North Dakota$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Patient Access Representative, Float | Southpointe Clinic | 40hrs/wk Sanford HealthPatient Access Representative, Float | Southpointe Clinic | 40hrs/wkFargo, North Dakota$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Patient Access Representative | Roger Maris Cancer Center | 40 hrs/wk Sanford HealthPatient Access Representative | Roger Maris Cancer Center | 40 hrs/wkFargo, North DakotaWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
NewPatient Access Representative | SouthPointe Endocrinology/Rheumatology | 40 hrs/wk Sanford HealthPatient Access Representative | SouthPointe Endocrinology/Rheumatology | 40 hrs/wkFargo, North Dakota$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Patient Access Representative | Brain and Spine Center | 40 hrs/wk Sanford HealthPatient Access Representative | Brain and Spine Center | 40 hrs/wkFargo, North DakotaWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Patient Access Representative - Float | Family Medicine | 40 hrs/wk Sanford HealthPatient Access Representative - Float | Family Medicine | 40 hrs/wkWest Fargo, North DakotaWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Patient Access Representative | South University Orthopedics | 40 hrs/wk Sanford HealthPatient Access Representative | South University Orthopedics | 40 hrs/wkFargo, ND$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. **Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.**.
NewPatient Access Representative | Broadway Switchboard Operator | 40 hrs/wk Sanford HealthPatient Access Representative | Broadway Switchboard Operator | 40 hrs/wkFargo, North DakotaWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
NewPatient Access Representative | Broadway Clinic Urology | 40 hrs/wk Sanford HealthPatient Access Representative | Broadway Clinic Urology | 40 hrs/wkFargo, North DakotaWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
NewPatient Access Representative, Float | Broadway Specialty Clinics | 40 hrs/wk Sanford HealthPatient Access Representative, Float | Broadway Specialty Clinics | 40 hrs/wkFargo, North DakotaWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
NewPatient Access Representative | Emergency Department | 20.5 hrs/wk Sanford HealthPatient Access Representative | Emergency Department | 20.5 hrs/wkFargo, North DakotaWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Patient Access Representative (Straight Weekends) | Broadway Medical Center | 16 hrs/wk Sanford HealthPatient Access Representative (Straight Weekends) | Broadway Medical Center | 16 hrs/wkFargo, ND$16.25–$23 / hourFacility: Sanford Broadway Med Ctr Location: Fargo, ND Address: 801 Broadway N, Fargo, ND 58102, USA Shift: 8 Hours - Day Shifts Job Schedule: Part time Weekly Hours: 16.00 Salary Range: $16.25 - $23.00. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org.
Patient Access Representative, Float | Roger Maris Cancer Ctr | 40 hrs/wk Sanford HealthPatient Access Representative, Float | Roger Maris Cancer Ctr | 40 hrs/wkFargo, ND$16.25–$23 / hourFacility: Roger Maris Cancer Ctr Location: Fargo, ND Address: 820 4th St N, Fargo, ND 58102, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $16.25 - $23.00. Work with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule.
Patient Access Representative | South University Physical Therapy | 27.5 hrs/wk Sanford HealthPatient Access Representative | South University Physical Therapy | 27.5 hrs/wkFargo, ND$16.25–$23 / hourFacility: Sanford S Univ Med Ctr Location: Fargo, ND Address: 1720 University Dr S, Fargo, ND 58103, USA Shift: 8 Hours - Day Shifts Job Schedule: Part time Weekly Hours: 27.50 Salary Range: $16.25 - $23.00. Work with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule.
Patient Access Representative | Broadway Children''s Clinic | 40 hrs/wk Sanford HealthPatient Access Representative | Broadway Children''s Clinic | 40 hrs/wkFargo, ND$16.25–$23 / hourFacility: Sanford Broadway Clinic Location: Fargo, ND Address: 737 Broadway N, Fargo, ND 58102, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $16.25 - $23.00. Work with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule.
NewPatient Access Representative | Southwest Children''s Clinic |17 hrs wk Sanford HealthPatient Access Representative | Southwest Children''s Clinic |17 hrs wkFargo, ND$16.25–$23 / hourChildren"s Urgent Care and Southwest clinic is a Moderate to fast paced department which is looking for a friendly energetic person that works well both independently and in a group setting. Facility: Southwest Clinic Location: Fargo, ND Address: 2701 13th Ave S, Fargo, ND 58103, USA Shift: Varies Job Schedule: Part time Weekly Hours: 17.00 Salary Range: $16.25 - $23.00.
Sales Representative - East Dakotas - Patient Care/Handling Stryker CorporationSales Representative - East Dakotas - Patient Care/HandlingFargo, NDHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. Employees and new hires in sales and field roles that require access to customer accounts as a function of the job may be required, depending on customer requirements, to obtain the COVID-19 vaccination as an essential function of their role.
NewAssociate Sales Representative - Minneapolis. MN - Patient Care Stryker CorpAssociate Sales Representative - Minneapolis. MN - Patient CareFargo, NDHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. As an Associate Sales Representative, you will play a key role in supporting the sales team by promoting and selling Stryker's Acute Care products, with a focus on Patient Care solutions, to healthcare providers.
NewLead Patient Access Representative/Amber Valley Clinic FT 40/week Sanford HealthLead Patient Access Representative/Amber Valley Clinic FT 40/weekFargo, ND$16.25–$23 / hourFacility: Amber Valley Location: Fargo, ND Address: 4840 23rd Ave S #201, Fargo, ND 58104, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $16.25 - $23.00. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland.
NewPatient Registration Essentia HealthPatient RegistrationBismarck, North DakotaPerforms point of service data collection, including identifying and collecting patient co-payments and down payments, reconciles the cash drawer, and reports daily deposit records associated with the collection of co-payments to ensure accurate accounting of revenue. Interviews and obtains demographic and financial information from patients or their representatives through face-to-face and virtual interactions to provide Essentia Health with the documents and data necessary to ensure appropriate care and compliant, accurate patient registration and billing.
Patient Access Manager Macpower Digital Assets Edge Private LimitedPatient Access ManagerDickinson, ND$250,000–$350,000 / yearManage and monitor all operational metrics to ensure department goals are met, including Service Level Agreements and budget targets. Knowledge, Skills, and Abilities: Excellent interpersonal skills with the ability to build and maintain positive relationships.
Patient Access Representive Essentia HealthPatient Access RepresentiveBismarck, North DakotaPerforms point of service data collection, including identifying and collecting patient co-payments and down payments, reconciles the cash drawer, and reports daily deposit records associated with the collection of co-payments to ensure accurate accounting of revenue. Interviews and obtains demographic and financial information from patients or their representatives through face-to-face and virtual interactions to provide Essentia Health with the documents and data necessary to ensure appropriate care and compliant, accurate patient registration and billing.
Admissions & Registration Representative (3834) Trinity Health Systems IncAdmissions & Registration Representative (3834)Minot, NDThis position plays an important role in delivering courteous, solution-focused service to patients and payers within a structured, team-oriented environment that values accuracy, professionalism, and shared responsibility for high-quality operations. Working collaboratively with clinical teams, billing staff, and internal partners, the Admissions & Registration Representative helps ensure efficient workflows and clear communication throughout the patient experience.
NewPatient Registration Coordinator Rural Psychiatry AssociatesPatient Registration CoordinatorBismarck, NDFull timePatient Registration CoordinatorAt Rural Psychiatry Associates, we are committed to bringing quality mental health services to rural and underserved communities across the country. This role is ideal for someone who enjoys helping people, thrives in a fast-paced healthcare environment, and values teamwork and purpose-driven work.
PATIENT ACCOUNTS SPECIALIST University Health Services IncPATIENT ACCOUNTS SPECIALISTFARGO, NDOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. Follows up with insurance company or third party payer to ensure correct and timely processing of claims and proper payment of claims Coordinates third party denial information, works denials through appeals process.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)ND$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
Contact Representative (PRC) US Department of Health and Human ServicesContact Representative (PRC)ND$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: applying and interpreting complex federal, state, Tribal, and private-sector regulations to make eligibility and funding determinations for programs such as Purchased/Referred Care, Medicare, Medicaid, Veterans Affairs healthcare, and Affordable Care Act plans; independently analyzing medical, financial, and eligibility documentation to resolve complex or controversial benefit issues; coordinating with agencies, providers, and patients to ensure fiscal accountability and continuity of care; issuing medical authorizations or denial determinations based on regulatory, clinical, and fiscal requirements; maintaining fund control records, monitoring expenditures, and applying appropriate accounting codes; identifying and resolving program or funding discrepancies; and compiling and analyzing reports related to program operations, funding, and utilization. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: identifying and verifying patient eligibility for Medicare, Medicaid, SSA benefits, private insurance, Tribal programs, and other assistance resources; interviewing patients to obtain required documentation; assisting individuals and families with benefit applications; reviewing records to determine the status of claims and applications; responding to inquiries regarding patient eligibility requirements, benefits, and program guidelines; and maintaining accurate patient records through data entry, discrepancy resolution, and follow-up on pending claims and missing documentation.