Medical Office Representative Job at American Nursing Care (Lexington)

Medical Claims Representative

This position examines, enters and accurately adjudicates medical, dental, visio...

Location

United States , Fort Wayne

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High School Diploma or GED required
Medical terminology and medical claims experience with involvement in reviewing and analyzing claims is beneficial
Must be able to work well independently and in a team atmosphere
Ability to maintain a departmental accuracy standard of 99%
Detail oriented
Ability to manage multiple priorities that change from day-to-day and week-to-week in a fast-paced environment
Ability to understand system calculations in order to determine if claims are adjudicating accurately
Ability to manually process claims in the claims adjudication system if necessary
Must understand complicated benefit designs
Ability to self-manage, prioritize and meet specific production deadlines

Job Responsibility

Examines, enters and accurately adjudicates medical, dental, vision, HRA, FLEX, or STD claims based upon coverage, policy and procedural guidelines
Enters paper claims into a proprietary claim adjudication system
Adjudicates both paper and electronic claims with 99% accuracy for payment dollars and claim coding following an extensive on-the-job training class
Maintains strict first-in/first-out for claims adjudication
Follows office procedures for follow-up on claims needing additional information by reviewing the Holding for Information Report for each assigned client on a monthly basis
Adjudicates prescription claims not automatically adjudicated by the claim adjudication system
Interprets COB and Medicare worksheets as needed on assigned clients
Batches adjudicated claims according to client preference or schedule
Reports to clients on a weekly basis the total of all claims processed for that client, requesting the funding or requesting that funding be transferred to Pro-Claim
Communicates with brokers, agents and clients regarding high dollar cost claims and SPEC claimants

What we offer

Medical, vision, dental, and life and disability insurance
Eligible to enroll in company 401(k) plan

Fulltime

Clinic Patient Representative

Greets, instructs, directs and schedules patients and visitors. Serves as a liai...

Location

United States , Longview

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High school diploma or equivalent
Knowledge of medical terminology desirable
Word processing and computer experience
Excellent interpersonal skills and ability to communicate well
Must be very organized with the ability to perform multiple tasks in a busy environment
Professional medical records documentation and writing skills preferred
Ability to operate 10 key calculator by touch, telephone, computer, copier, and fax machine
Ability to type 40 wpm preferred
Prefer one-year work experience, preferably in a medical office setting

Job Responsibility

Greets patients and visitors in a prompt, courteous, and helpful manner
Checks in patients, verifies and updates necessary information in the medical record
enters patient demographics and insurance information into the computer
Assists patients with completing all necessary forms
Assists patients with ambulatory difficulties
Notifies the clinical staff when a patient is ready
Will be required to maintain appropriate levels of cash and balance cash drawer per company procedure
Will process payments received by patients and post into company billing system
Refers patients to financial counselor representative for clarification or discussion of account and/or payment terms, within the guidelines of the collections policy
Participates with other staff to collect prior balances at the time of service

Fulltime

Patient Access Services Representative

The TMCOne Pulmonary specializes in Pulmonary and Sleep Medicine where each pati...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

High School diploma or General Education Degree (GED)
completion of vocational medical office training desired, or an equivalent combination of relevant education and experience
preferred one (1) year of medical office and/or hospital experience to include healthcare eligibility and benefit analysis or scheduling experience for diagnostic testing and/or surgery
some positions may require certification as a Medical Assistant (CMA)
knowledge of office management practices, including billing and scheduling within healthcare
knowledge of basic computer familiarity and experience and the ability to operate basic office equipment
knowledge of patient care protocols and practices
knowledge of general patient care practice, methods and regulations
skill in evaluating patient’s needs or following up with a care-giver and then providing follow up support to patients
skill in scheduling appointments and referrals

Job Responsibility

Assists medical care givers with patient management, tracking and monitoring requirements
answers phones, pre-screens using appropriate triage skills, within allowable parameters calls in prescription re-fills, calls patients with test results and schedules patients for next appointments
perform extensive centralized scheduling, insurance verification, referral, billing and payment posting responsibilities
exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff
collects deposits or deductibles and advises patient or guarantor of insurance benefits and anticipated cost estimates
ensures completion of financial documentation in accordance with TMCH’s credit and collection policies
explains all necessary compliance forms and obtains patient signature as required for regulatory agencies
performs medical necessity screening and ensures compliance with system requirements
interacts with physicians and/or physicians’ office staff to secure diagnosis, procedure details or authorizations and information for denials as needed
uses medical terminology and scheduling knowledge to select correct procedure when scheduling and coordinates information with other departments as needed

Fulltime

Clinic Patient Representative - Specialty Pulmonology

Greets, instructs, directs and schedules patients and visitors. Serves as a liai...

Location

United States , Marshall

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High school diploma or equivalent
Knowledge of medical terminology desirable
Word processing and computer experience
Excellent interpersonal skills and ability to communicate well
Must be very organized with the ability to perform multiple tasks in a busy environment
Professional medical records documentation and writing skills preferred
Ability to operate 10 key calculator by touch, telephone, computer, copier, and fax machine
Ability to type 40 wpm preferred
Prefer one-year work experience, preferably in a medical office setting

Job Responsibility

Greets, instructs, directs and schedules patients and visitors
Serves as a liaison between patient and medical support staff
May assist with various duties within the clinic
Verifies insurance benefits and assists with referrals
Collects payments and prepares cash for deposits
Greets patients and visitors in a prompt, courteous, and helpful manner
Checks in patients, verifies and updates necessary information in the medical record
enters patient demographics and insurance information into the computer
Assists patients with completing all necessary forms
Assists patients with ambulatory difficulties

Fulltime

Call Center Representative

Job Summary: Reporting to the Customer Service Supervisor, the position handles ...

Location

United States , Concord

Salary:

18.00 - 22.00 USD / Hour

Emerson Hospital

Expiration Date

Until further notice

Requirements

HS Diploma
college degree preferred
Minimum 1 year office/clerical experience in hospital and/or medical business office setting, including professional telephone skills
Working knowledge of the Meditech system
Excellent communication and correspondence skills
Excellent customer service skills
Ability to read, write, and communicate in English
Strong computer skills
Ability to maintain confidential information
Assist with patient meal selection

Job Responsibility

Reporting to the Customer Service Supervisor
Handles all inquiries from patients and must be responded to in a courteous and timely manner
Responsible to work with patients on various diets and assist them in a nutritious meal selection

Parttime

ROI Customer Service Representative

As an ROI Customer Service Representative, you will play a critical role in main...

Location

United States , San Bernardino

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

MUST BE BILINGUAL
Proficient in customer service, capable of effectively addressing and resolving issues
Experience in answering inbound calls in a timely and detail-oriented manner
Demonstrated skills in using spreadsheets for data organization and analysis
Proficient in Microsoft Office Suites, including Word, Excel, and PowerPoint
Ability to handle printing tasks efficiently and accurately
Experience in handling and maintaining medical records in an organized manner
Responsible for distributing faxes to the correct recipients promptly
Knowledge of R Code for statistical analysis is a plus
Must be comfortable working onsite, adhering to all safety protocols

Job Responsibility

Answering phones
Logging ROI requests
Emailing, faxing, and printing medical records

What we offer

medical insurance
vision insurance
dental insurance
life insurance
disability insurance
401(k) plan access

Customer Service Representative

Join a leading medical device company that is dedicated to improving patient out...

Location

United States , Bloomington

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High school diploma or equivalent (associate degree preferred)
1-3 years of experience in customer service, call centers, or related roles, ideally in the healthcare, medical device, or manufacturing industry
Strong communication and interpersonal skills, with the ability to manage difficult conversations and build rapport with diverse customers
Proficiency in Microsoft Office Suite and experience working with CRM software or customer support systems
Ability to work a Monday-Friday schedule from 10:30 AM to 7:00 PM and be available every fourth Saturday
Self-motivated and able to work independently in a hybrid environment after training
Detail-oriented with excellent organizational and multitasking skills

Job Responsibility

Act as the first point of contact for customers, addressing inquiries related to medical devices, including product information, order processing, shipping, and account management
Respond to customer emails, phone calls, and online chat inquiries promptly and professionally
Assist customers in troubleshooting and resolving issues with medical devices, escalating more complex problems to the appropriate departments when needed
Process and track orders, ensuring accuracy and timely delivery to healthcare providers and patients
Maintain up-to-date knowledge of the company’s product offerings, policies, and procedures to provide accurate information to customers
Work collaboratively with internal teams such as sales, logistics, and quality assurance to resolve customer concerns and improve service delivery
Document customer interactions and resolutions in the company’s database accurately and in a timely manner
Contribute to team initiatives aimed at improving customer satisfaction and streamlining processes

What we offer

Opportunity for contract-to-hire conversion based on performance
Hybrid work schedule offering flexibility after training
Access to ongoing training and development programs
A chance to work with a market-leading medical device company making a positive impact on healthcare

Fulltime

Patient Access Representative

As "the champion of first impressions" our valued Patient Access professionals a...

Location

United States , Keystone

Salary:

18.97 - 28.89 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

Office experience in a healthcare environment
medical terminology
ability to multitask and prioritizing skills
experience with Microsoft Office, Outlook, Excel, Word, Power Point, Windows XP, Windows 7
utilization of website search engines
High School diploma required

Job Responsibility

Create a positive impression for each patient, family member, visitor or staff while performing the tasks of pre-admitting, admitting and/or registering, routing or escorting patients, family or visitors
Interview patients or relatives to obtain demographic and financial information required to complete the registration/admission and record the information in the electronic record system
Verify insurance benefits
explain financial requirements to the patient or patient representative, and collect the outstanding patient portion prior to or at the point of service
Serve as a mentor to new associates and assist in new employee orientation

What we offer

medical
prescription drug
dental
vision plans
life insurance
paid time off
tuition reimbursement
retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Parttime

Medical Office Representative

American Nursing Care

Location:
United States , Lexington

Category:
Office Administration

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
January 03, 2026

Looking for more opportunities? Search for other job offers that match your skills and interests.

Similar Jobs for Medical Office Representative

Medical Claims Representative

Clinic Patient Representative

Patient Access Services Representative

Clinic Patient Representative - Specialty Pulmonology

Call Center Representative

ROI Customer Service Representative

Customer Service Representative

Patient Access Representative

Medical Office Representative

American Nursing Care

Location:United States , Lexington

Category:Office Administration

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:January 03, 2026

Looking for more opportunities? Search for other job offers that match your skills and interests.

Similar Jobs for Medical Office Representative

Medical Claims Representative

Clinic Patient Representative

Patient Access Services Representative

Clinic Patient Representative - Specialty Pulmonology

Call Center Representative

ROI Customer Service Representative

Customer Service Representative

Patient Access Representative

Location:
United States , Lexington

Category:
Office Administration

Contract Type:
Not provided

Job Posted:
January 03, 2026