Customer Service Center Representative III - Billing Job at EVERSOURCE (Manchester)

Health insurance and authorization representative iii

Manages and provides financial account management for all urgent, emergent, and ...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma or equivalent and 2 years of related experience, preferably in a hospital setting required
Associate's degree preferred
Or equivalent combination of education and experience
High degree of professionalism and motivation with excellent communication and customer service skills required
Strong ability to multi-task and prioritize required
Flexibility to work weekends, other assigned hours required
Familiarity with Medical terminology required
Strong computer skills and ability to type 45 words per minute preferred

Job Responsibility

Manages and provides financial account management for all urgent, emergent, and pre-admission visits with a Surgery Admit and Inpatient/Outpatient levels of care
Coordinates all activities necessary to financially secure the defined case load through verifying insurances, requesting deposits for non-covered services and co-pays
Identifies complex problems, including but not limited to, authorizations, coordination of benefits, baby not on policy, Cobra entitlement, Medicare Lifetime Reserve days, and Medicare Advantage issues
Communicates, collaborates, and follows-up with patients, families, third-party payers, governmental agencies, employers, social work, financial case management, clinical team and contracting
Minimizes any delays from admission until the final bill is produced and any payer denials associated with the above
Reviews each visit for insurance history by utilizing the hospital system along with all third-party payer systems
Obtains benefits, pre-certification requirements, and/or completes notification of admissions
Documents demographic and insurance information in a timely, accurate manner in the hospital computer system, following department and hospital standards
Identifies and confirms uninsured and underinsured patients for appropriate referral to Financial Case Management for possible Medicaid application and/or Financial Assistance
Notifies and monitors patients for completion of adding newborns onto policy

Fulltime

Health insurance and authorization representative iii

The individual in this position manages and provides financial account managemen...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School Diploma or equivalent
3 years of related experience, preferably in a hospital setting, or equivalent combination of education and experience
High degree of professionalism and motivation with excellent communication and customer service skills
Strong ability to multi-task and prioritize
Flexible to work weekends, other assigned hours and/or responsibilities as needed

Job Responsibility

Manages and provides financial account management for all assigned caseloads
Accountable for coordinating all activities necessary to financially secure the defined accounts through verifying insurances, requesting deposits for non-covered services and co-pays
Identifies complex problems that include but are not limited to authorizations, coordination of benefits, baby not on policy, Cobra entitlement, Medicare Lifetime Reserve days, and Medicare Advantage issues
Minimizing any delays from admission/arrival until the final bill is produced and any payer denials
Create a professional and effective customer-oriented environment
Confirm insurance information and discuss financial obligation
Review each visit for insurance history
Obtain benefits
pre-certification requirements and/or completes notification of admissions
Document demographic and insurance information

Fulltime

Health Insurance & Authorization Representative III

The individual in this position manages and provides financial account managemen...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School Diploma or equivalent required
AAS Degree preferred
2 years of related experience, preferably in a hospital setting, or equivalent combination of education and experience required
High degree of professionalism and motivation with excellent communication and customer service skills required
Strong computer skills and ability to type 45 words per minute preferred
Strong ability to multi-task and prioritize required
Medical terminology preferred
Flexible to work weekends, other assigned hours and/or responsibilities as needed required

Job Responsibility

Manages and provides financial account management for all assigned caseloads
Accountable for coordinating all activities necessary to financially secure the defined accounts through verifying insurances, requesting deposits for non-covered services and co-pays
Identifies complex problems that include but are not limited to authorizations, coordination of benefits, baby not on policy, Cobra entitlement, Medicare Lifetime Reserve days, and Medicare Advantage issues
Minimizing any delays from admission/arrival until the final bill is produced and any payer denials
Create a professional and effective customer-oriented environment
Confirm insurance information and discuss financial obligation
Review each visit for insurance history
Obtain benefits
pre-certification requirements and/or completes notification of admissions
Document demographic and insurance information

Fulltime

Pharmacy Access Representative III - Specialty Pharmacy

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

21.71 - 29.31 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Associate’s degrees in a Medical, Secretarial, or related field and 4 years of relevant experience required
Capable of working independently with minimum supervision required
Strong communication skills, problem-solving abilities, and professional presentation required
Demonstrated customer relations skills required
Ability to multi-task, manage many details with accuracy, work under pressure, and maintain a professional attitude required
Completed ASHP-accredited training program or equivalent experience as a pharmacy technician preferred
Certification from a nationally accredited pharmacy technician certification program (Currently PTCB) and maintain ongoing education requirements preferred

Job Responsibility

Manages medication coordination and removal of barriers that prevent patients from receiving their medications
Communicates with the prescriber’s office to acquire necessary information to submit prescriptions to the patient’s insurance for approval including prior authorization
Helps enroll patients in financial assistance programs and arrange timely delivery of the medication
Facilitates communication between the patient, pharmacist, insurance, and staff to ensure coordinated care
Maintains expertise on all potential patient assistance programs (PAP), grants, foundations, and coupons relevant to the high-cost drugs prescribed in their assigned area(s)
Analyzes patients that are receiving high-cost medications for potential participation in PAPs
Coordinates with the patient and/or family to obtain necessary information
Enrolls patients in PAPs
Submits all required documentation to the PAP throughout the duration of treatment
Understands and manages the payment process specific to each PAP

Fulltime

Pharmacy Access Representative III

Manages medication coordination and removal of barriers that prevent patients fr...

Location

United States of America , Rochester

Salary:

21.71 - 29.31 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Associate's degree in a Medical, Secretarial or related field and 4 years of relevant experience required
Or equivalent combination of education and experience
Capable of working independently with minimum supervision required
Strong communication skills, problem-solving abilities, and professional presentation required
Demonstrated customer relations skills required
Ability to multi-task, manage many details with accuracy, work under pressure, and maintain a professional attitude required
Completed ASHP-accredited training program or equivalent experience as a pharmacy technician upon hire preferred
Certification from a nationally accredited pharmacy technician certification program (Currently PTCB) and maintain ongoing education requirements upon hire preferred

Job Responsibility

Manages medication coordination and removal of barriers that prevent patients from receiving their medications
Communicates with the prescriber's office to acquire necessary information to submit prescriptions to the patient's insurance for approval including prior authorization, and helps enroll patients in financial assistance programs and arrange timely delivery of the medication
Facilitates communication between the patient, pharmacist, insurance, and staff to ensure coordinated care
Maintains expertise on all potential patient assistance programs (PAP), grants, foundations, and coupons relevant to the high-cost drugs prescribed in their assigned area(s)
Analyzes patients that are receiving high-cost medications for potential participation in PAPs, and identifies the best options for the patient given their overall circumstances
Coordinates with the patient and/or family to obtain necessary information, including income information and other personal details, as well as to present PAP options to the patient/family when there are multiple options
Enrolls patients in PAPs using the needed permission and information, follows up to determine the status of the application, and ensures proper documentation of this process
Submits all required documentation to the PAP throughout the duration of treatment to verify that payment for each prescription refill is still active
Understands and manages the payment process specific to each PAP, and ensures that payments are properly accounted for the correct patient and correct patient encounter
Meets or discusses with the patient and/or family the status of PAP eligibility on an as-needed basis if coverage changes during treatment duration

Fulltime

New

Customer Success Manager

At Linear, we're building the product development system for teams and agents. A...

Location

Salary:

Not provided

Linear

Expiration Date

Until further notice

Requirements

5+ years relevant work experience in a technical customer-facing role
SaaS and start up experience a must
comfortable working and adapting in a fast paced and flexible environment
Strong organizational and time management skills with the ability to handle multiple tasks and prioritize effectively
Excellent verbal and written communication skills with the ability to articulate complex concepts clearly and effectively

Job Responsibility

Develop and maintain strong relationships with key stakeholders at Linear’s largest customers - act as the primary point of contact for customer inquiries, concerns, and feedback
Become a product expert and help customers use Linear to drive business outcomes
Drive customer onboarding and training on Linear’s features and best practices
continually strive to expand the usage and adoption of Linear within accounts
Be the voice of the customer
advocate for customer needs internally, collaborating with product, sales, and support teams to address challenges and drive enhancements in the product

What we offer

Interesting and challenging work
Work-life balance
Competitive salary and equity
Employee-friendly equity terms
Stipend to set up your home office
Paid lunch and coffee during workdays
Work remotely, no commuting to the office
Paid co-working space/desk at an office
Health, dental, and vision insurance (US)
Regular team events and offsites

Fulltime

New

Server

Join one of the UK's leading hospitality businesses as a server. In return you'...

Location

United Kingdom , Bristol

Salary:

12.71 GBP / Hour

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Great people skills
Excellent organisational and multitasking abilities
Ability to maintain a positive attitude in a fast-paced airport environment
Flexibility in hours, airport shifts can start at 3am
Also be able to provide a 5 year work/education/personal reference history and undertake a criminal record check

Job Responsibility

Create unforgettable guest experiences
Delivering warm welcomes and rocking your section
Making mouth-watering recommendations
Being a supportive team player
Provide excellent hospitality to our guests

What we offer

Free meal whenever you work
Up to 30% discount at all our brands and no limit on number of guests, incl. wagamama
Duty free discounts excluding alcohol and cigarettes
Access to a great discount platform, saving you money on everyday purchases and so much more
Wagestream platform to access your wages as they are earned
Superb training and development, apprenticeships open to all
Tronc

Fulltime

New

Account Executive, Government

This role supports the growth and retention of local government accounts through...

Location

United States , Various

Salary:

78060.00 - 140760.00 USD / Year

T-Mobile

Expiration Date

Until further notice

Requirements

High School Diploma/GED (Required)
3+ Years Selling to Government (State and Local) accounts. (Preferred)
3+ Years Extensive customer service experience (Preferred)
3+ Years of Business markets sales experience (Preferred)
3+ Years Wireless industry sales experience. (Preferred)
3+ Years Telesales or technical sales experience. (Preferred)
Account Management Effectively manage customer accounts to ensure satisfaction and retention. (Required)
Prospecting & Selling Proven track record of delivering tailored solutions that meet specific client needs, ensuring high customer satisfaction and fostering long-term relationships. (Required)
Attention To Detail Maintain accuracy and thoroughness in all tasks to ensure high-quality outcomes. (Required)
Problem Solving and Analysis Analyze and resolve complex issues efficiently by interpreting data to identify trends and inform decision-making. (Required)

Job Responsibility

Generate new sales opportunities and meet monthly sales and renewal targets through proactive outreach to government accounts
Establish and maintain customer relationships to drive account growth, perform account reviews, and identify upsell and renewal opportunities
Complete continuous training to maintain up-to-date knowledge of products, services, and sales methodologies
Demonstrate professional and ethical conduct in interactions with customers and colleagues to support a collaborative work environment
Also responsible for other duties/projects as assigned by business management as needed

What we offer

competitive base salary and compensation package
annual stock grant
employee stock purchase plan
401(k)
access to free, year-round money coaches
medical, dental and vision insurance
flexible spending account
paid time off and up to 12 paid holidays
paid parental and family leave
family building benefits

Fulltime

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Customer Service Center Representative III - Billing

Job Description

Job Responsibility

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