Day/Evening/Weekend/Holiday Shift (United States of America)Floyd Valley Healthcare is proud to offer a positive and fulfilling work environment that supports a healthy work-life balance. Responsible for all registration desk functions including but not limited to, patient registration, check-in, check-out, collecting co-payments and other patient owed account balances, answering and directing incoming telephone calls, filing, and scanning.
Winnebago, NE30+ days ago
p>MENU Sign in My jobs Profile Resumes & documents Search preferences Notifications Sign out My jobs Profile Resumes & documents Notifications Search preferences Sign out Events Help Center Search Back to results Apply Medical Support Assistant Patient Registration Department of Health and Human Services Indian Health Service Various locations across the agency Apply Print Share Save. Job family Series 0679 Medical Support Assistance Supervisory status No Security clearance Other Drug test No Position sensitivity and risk Moderate Risk MR Trust determination process Suitability Fitness Financial disclosure No Bargaining unit status Yes - This position may or may not be covered by a bargaining unit depending on the duty location.
p>GS-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.
p>GS-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.
Sioux City, IA30+ days ago
Education: Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).
Sioux City, IA30+ days ago
p>Education: - Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).
South Sioux City, NE19 days ago
p>The customer relations representative is responsible for providing effective customer service to all customers, including but not limited to, checking patient in and out; in depth knowledge of company programs. Checks patients out, making follow up appointments as needed, collecting payments from patients processing them as directed, reconciling money received, and cash drawer.
Sioux City, IA16 days ago
With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. Support switchboard operations by handling incoming calls, pages, and messages, ensuring accurate routing and timely communication across the organization.
Winnebago, NE30+ days ago
p>MENU Sign in My jobs Profile Resumes & documents Search preferences Notifications Sign out My jobs Profile Resumes & documents Notifications Search preferences Sign out Events Help Center Search Back to results Apply Contact Representative Benefits Department of Health and Human Services Indian Health Service Various Service Units within Indian Health Service Apply Print Share Save. Helpful Hints for Creating a Two-Page Resume:
Prioritize most relevant and recent experience Use concise results-focused language Align language from the job announcement Focus on demonstrating skills and competencies Remove outdated or unrelated experience Use the USAJOBS resume builder.
p>The Senior Client Support Representative serves as a critical liaison within the Client Support organization, ensuring the consistent delivery of high-quality training and support to both new hires and tenured specialists. In addition to leading training initiatives, the incumbent provides subject matter expertise to support issue resolution, contributes to the continuous improvement of learning programs, and participates in cross-functional projects.
p>American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations.
Sioux City, IA30+ days ago
Continuously build understanding on customer needs and expectations, territory market landscape, competitors, market segments/dynamics, accounts, disease, product, clinical and sales expertise and share this market intelligence information with in-field team, brand team and sales manager to achieve alignment, to anticipate environmental changes and challenges and to optimize brand strategy and its execution. Execute brand strategy and tactics in field, sales performance, effectively manage assigned territory and targeted accounts, build strong customer relationships and customer needs solving capability to maximize short and long term sales performance placing the patient into the center of any efforts and operating within AbbVie's business code of conduct, policies and all applicable laws and regulations.
Sioux City, IA24 days ago
Utilizing first-hand knowledge of assigned tasks and responsibilities, demonstrate initiative in offering proactive suggestions for improvements in departmental workflow and processes. Successful candidate must be able to perform primary functions of position: Enthusiastically and consistently exhibit exceptional internal and external customer service skills.
Clarification from the agencyThe IHS is required by law to give absolute preference to qualified applicants who meet the Secretary of the Interiors definition of Indian for appointment to vacancies within the IHS in accordance with established IHS policy as outlined in the Indian Health Manual Part 7 Chapter 3.VideosDutiesHelpPurchasedReferred Care PRC Assists with processing referrals for medical services provided outside the facility receives logs and tracks referral requests reviews referral forms for completeness enters and updates referral and patient data in Resource Patient Management System RPMS Electronic Health Record EHR or other systems communicates with clinical staff patients and external providers to obtain or relay routine information maintains files and logs to track referral status. Relocation expenses reimbursedNo Appointment typeMultipleWork scheduleMultiple SchedulesServiceCompetitivePromotion potential6 Job family Series 0679 Medical Support Assistance Supervisory statusNoSecurity clearanceOtherDrug testNoPosition sensitivity and riskModerate Risk MRTrust determination processSuitabilityFitnessFinancial disclosureNoBargaining unit statusYesAnnouncement numberIHS-26-HQ-12935286-ESEPMPControl number867662100This job is open toHelpFederal employees - Competitive service Current federal employees whose agencies follow the U.S. Office of Personnel Managements hiring rules and pay scales.