Payment Application Representative II Job at STAFFVIRTUAL

Patient Experience Representative II-Ambulatory

Under general supervision, provides support to the administrative operations of ...

Location

United States , Lexington

Salary:

19.06 - 27.64 USD / Hour

Boston Children's Hospital

Expiration Date

Until further notice

Requirements

High School Diploma / GED
Minimum 6 months as a Patient Experience Representative (internal) OR Minimum of 6 months relevant healthcare experience (external)

Job Responsibility

Customer Service: Greets, screens, and directs patients, families, and visitors, and provides effective customer service in person and on the phone
Registration: Registers new patients, verifies insurance information, and collects co-payments
Patient Coordination: Monitors clinic activity, schedules appointments, and assists with patient flow to ensure a positive experience
Administrative Tasks: Answers calls, manages calendars, schedules meetings and events, and provides clerical support
Records Management: Collects and organizes patient medical records, processes letters, and handles prescription refill requests
Technology Use: Utilizes office technology, including phone systems and various software applications, and enrolls patients in the patient portal
Process Improvement: Contributes to departmental projects aimed at improving processes and systems

What we offer

$2,000 sign on bonus
flexible schedules
affordable health, vision and dental insurance
childcare and student loan subsidies
generous levels of time off
403(b) Retirement Savings plan
Pension
Tuition and certain License and Certification Reimbursement
cell phone plan discounts
discounted rates on T-passes

Fulltime

Claim Resolution Representative II

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

Location

United States of America , Rochester

Salary:

18.71 - 25.27 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma
2 years of related work experience
Or equivalent combination of education and experience

Job Responsibility

Performs follow-up activities designed to bring all open account receivables to successful closure
Responsible for an effective claims follow-up to obtain maximum revenue collection
Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims
Resolves moderately complex claims
Edits and reviews In-Patient and Out-Patient accounts to ensure completion, accuracy, and reflect the particular patient's financial responsibility
Exercises tact and judgment, interviews patients and/or responsible parties
May establish financial arrangements for charges
Processes commercial insurance claims when applicable
Refers to collectors for payment arrangements, if appropriate
Retains responsibility for patient bills until paid in full

Fulltime

Medicaid Enrollment and Outreach Specialist I

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

Location

United States of America , Rochester

Salary:

23.51 - 30.16 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Bachelor's degree (preferred)
Limited experience with Medicaid programs
1-2 years of experience in case management or related field or equivalent combination of education and experience
Foundational knowledge of public benefit rules and regulations (preferred)
Demonstrates professionalism, motivation, and strong communication (written and verbal)
Possesses customer service skills and the ability to work independently and solve problems in an interdisciplinary team
NY State of Health Certified Application Counselor (preferred)
Must provide and maintain a valid NYS Class 5 driver’s License

Job Responsibility

Counsels, guides, advises and provides outreach services to patients requiring public benefits including Medicaid, Child Health Plus, NYS Marketplace Exchange or other public entitlements
Accountable for coordinating all activities and necessary documentation needed to secure appropriate benefits
Resolves complex problems related to this process
Shares expert public benefits knowledge by providing consultation to physicians, social workers and other Health System staff whose patients require benefit assistance for payment and discharge planning
Benefit Management: apply for benefits via computer systems and/or paper application and may accompany or represent the patient at eligibility interviews, case conferences or fair hearings
Provides application assistance to patients referred by University of Rochester Health System staff through face-to-face interaction, telephone contact and home visitation for patients requiring assistance
Referral Coordination: Responsible for assessing referrals to determine eligibility for potential benefits and develops a plan of action to secure each
Communicates, coordinates and develops professional relationships with internal departments and external agencies
Monitoring Caseload, Documentation, and Reports: monitor caseload and is responsible for accurate and timely documentation in requisite systems
Reviews productivity reports and prepares status updates as required by management

Fulltime

Claims resolution representative II

The claims resolution representative II is responsible for working across the pr...

Location

United States of America , Rochester - NY; Albany

Salary:

18.71 - 25.27 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School Diploma and 2 years of related work experience or equivalent combination of education and/or experience
Strong working knowledge of the professional billing software applications
Excellent customer service skills

Job Responsibility

Performing routine follow-up activities designed to bring all open account receivables to successful closure
Effective claims follow-up to obtain maximum revenue collection
Researching, correcting, resubmitting claims, submitting appeals and taking timely and routine action to resolve unpaid claims
Follows department policies and procedures and maintains and exercises thorough knowledge of insurance company billing requirements and regulations to research and resolve unpaid accounts receivables
Follows up on denied accounts through review of remittances (EOBs), insurance correspondence, rejections received thru daily electronic and claims submission
Research claims, identifies problems, and takes appropriate action to assure claim resolution
Responds to all billing-related inquiries from colleagues, departments, patients, and payors in a timely and professional manner
Communicates any missing/incomplete information to providers and department administrative support staff to ensure accurate billing
Communicates with insurance representatives through telephone calls, payer website, and written communication to ensure accurate processing of claims
Follows established procedure for missing insurance payment information on claims

Fulltime

Claims Resolution Representative II

The claims resolution representative II is responsible for working across the pr...

Location

United States of America , Rochester

Salary:

18.71 - 25.27 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma and 2 years of related work experience
Or equivalent combination of education and experience.
Strong working knowledge of the professional billing software applications
Excellent customer service skills

Job Responsibility

Follows department policies and procedures and maintains and exercises thorough knowledge of insurance company billing requirements and regulations to research and resolve unpaid accounts receivables
Follows up on denied accounts through review of remittances (EOBs), insurance correspondence, rejections
Research claims, identifies problems, and takes appropriate action to assure claim resolution
Responds to all billing-related inquiries from colleagues, departments, patients, and payors in a timely and professional manner
Communicates any missing/incomplete information to providers and department administrative support staff to ensure accurate billing
Communicates with insurance representatives through telephone calls, payer website, and written communication to ensure accurate processing of claims
Follows established procedure for missing insurance payment information on claims
Keeps management informed of trends
Remains current on changes in billing requirements associated with claim processing and coding
Escalate issues that may prevent completion of responsibilities to management

Fulltime

Patient Service Representative II

Patient Service Representative (PSR) II for the Oncology Clinic. Greets patients...

Location

United States , Milwaukee

Salary:

20.80 - 31.20 USD / Hour

Advocate Aurora Health

Expiration Date

Until further notice

Requirements

High School Graduate
Typically requires 1 year of experience in providing customer service that includes experiences in patient scheduling, registration and department / medical clinic reception
Excellent customer service skills
Excellent communication (written and verbal) and interpersonal skills
Intermediate computer skills including experience in using personal computers
including Microsoft Office or similar applications, and electronic mail
Understanding of basic medical terms and abbreviations typically used in the patient scheduling and registration process
Training or experience in keyboarding/data entry with an emphasis on speed and accuracy
Excellent organizational skills
Ability to read and understand verbal and written instructions, and to sort and file information alphabetically and numerically

Job Responsibility

Greets patients and visitors and responds to routine requests for information
Answers telephone, screens calls, and takes messages
Registers patients
obtains demographic and insurance information
verifies insurance coverage, collects co-pays, deductibles, and previous balances
posts payments and updates demographic and insurance information
obtains prior authorizations when needed
Schedules patient appointments and coordinates cancellations, reschedules, and additions to schedules
Provides accurate, detailed information regarding test preparations, time patient to arrive, and any other directional information needed by patient
Coordinates the scheduling of more complex patient appointments, tests and procedures

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Opportunity for annual increases based on performance
Premium pay such as shift, on call, and more
Incentive pay for select positions

Fulltime

Patient Self-Pay Resolution Center Representative II

The Patient Financial Representative performs the functions of Patient Account M...

Location

United States of America , Rochester

Salary:

19.08 - 25.77 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Associate's degree and 2 years of relevant experience required
Equivalent combination of education and experience
Proven and effective diplomatic communicator demonstrated by the ability to consistently present and express oral and written information in an organized, understandable, complete, and concise manner
Strong organizational skills, reasoning, and problem-solving skills
Ability to multi-task in order to efficiently resolve customer concerns, by actively listening to the customer, navigating multiple programs and applications at the same time, typing call documentation, and speaking to the customer simultaneously
Ability to prioritize tasks and work in fast paced environment
Ability to work effectively as a member of a team
Excellent computer skills
Proficient at instant messaging and text messaging technology
Consistently demonstrate high standards of integrity by supporting the URMC’s values, and adhering to the Corporate Code of Conduct, and ICARE Philosophy of Care

Job Responsibility

Researches, interprets and responds to inquiries from internal and external customers concerning unresolved patient billing issues, outstanding balances as a result of statements sent within the billing systems (EPIC, Flowcast, and HBOC) utilizing reference materials and available resources
Resolves customer inquiries in an accurate, organized, efficient, timely, and expert manner, resulting in acceptable accuracy, production levels, and retention of patient services
Consistently adheres to all Patient Service policies, procedures, and performance measures including inquiry documentation procedures
Maintains performance and quality standards based on established call center metrics including turn-around times
Initiates insurance billing either electronically or via the use of the Electronic Work file transfer process within the billing systems for accounts classified as Self-Pay in error
Identifies and verifies coverage under the government health insurance programs
Secures revenue for URMC, HH, and URMFG by advising customers about insurance and payment options
Creates budget installment payment plans for those customers in need
Identifies patterns generated by external and internal activity impacting customer satisfaction
Uses best judgment under set procedures, alert management regarding issues not completed within specified timeframes

Fulltime

Patient Self-Pay Resolution Center Representative II

The Patient Financial Representative performs the functions of Patient Account M...

Location

United States of America , Rochester

Salary:

19.08 - 25.77 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High school graduate with 4 years of experience in healthcare, billing, or collections experience
Bachelor's degree with at least 1 year of related experience
Equivalent combination of education and experience
Proven and effective diplomatic communicator demonstrated by the ability to consistently present and express oral and written information in an organized, understandable, complete, and concise manner
Ability to remain professional and focused under multiple pressures and demands
Strong organizational skills, reasoning, and problem solving skills
Ability to multi-task in order to efficiently resolve customer concerns, by actively listening to the customer, navigating multiple programs and applications at the same time, typing call documentation, and speaking to the customer simultaneously
Ability to prioritize tasks and work in fast paced environment
Ability to work effectively as a member of a team
Actively participate in and contribute to the daily operations of the Patient Services Department by identifying improvements to processes, services, and the patient experience

Job Responsibility

Responds to patients' inquiries via telephone, MyChart, mail, email, and fax, concerning, but not limited to, billing issues, claim payments, contract benefits, and medical billing in accordance with HIPAA, Third Party Billing rules and regulations, and the Fair Credit Debt Collection Practices Act
Acts as a liaison among the customers, business partners, and plans in a professional, self-directed manner to ensure and promote customer satisfaction and retention
Provides timely responses to customer inquiries by telephone, email or website chatbox in an in- or outbound service center, consistent with service and quality standards
Troubleshoots and resolves customer complaints
Researches, interprets and responds to inquiries from internal and external customers concerning unresolved patient billing issues, outstanding balances as a result of statements sent within the billing systems (EPIC, Flowcast, and HBOC) utilizing reference materials and available resources
Resolves customer inquiries in an accurate, organized, efficient, timely, and expert manner
Consistently adheres to all Patient Service policies, procedures, and performance measures including inquiry documentation procedures
Maintains performance and quality standards based on established call center metrics including turn-around times
Initiates insurance billing either electronically or via the use of the Electronic Work file transfer process within the billing systems for accounts classified as Self-Pay in error
Identifies and verifies coverage under the government health insurance programs

Fulltime

Payment Application Representative II

STAFFVIRTUAL

Location:
Philippines

Category:
Finance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
January 07, 2026

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