This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Patient Service Center Representative II is responsible for creating a positive patient experience by accurately and efficiently handling the day-to-day operations relating to both Financial Clearance and Scheduling of a patient. - Adherence to department policies and procedures related to verification of eligibility/benefits, pre-authorization requirements, available payment options, financial counseling, and other identified financial clearance related duties. - Full scheduling duties. - May be assigned to complex pre-registration. - Expected to develop a thorough understanding of assigned function(s). Qualifications - High school diploma or GED required. - Two plus years of college preferred (two years in a professional, customer service-driven environment may substitute for two years of college). - Completion of related medical certification program preferred. - Telephone/call center experience preferred. - Pre-registration and/or scheduling experience preferred. - 2-3 years of customer service experience preferred. Requirements - Ability to work in a production driven call-center environment. - Familiarity with working with dual computer monitors. - Basic typing ability. - Working knowledge of Windows based computer environment. - Ability to multitask in multiple systems (financial clearance and scheduling) simultaneously. - Extensive multitasking ability. - Strong written and verbal communication skills. - Must obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. Benefits - Medical, dental, vision, disability, and life insurance. - Paid time off (vacation & sick leave) – minimum of 12 days per year, accruing at a rate of approximately 1.84 hours per 40 hours worked. - 401k with up to 6% employer match. - 10 paid holidays per year. - Health savings accounts, healthcare & dependent flexible spending accounts. - Employee Assistance program, Employee discount program. - Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. - For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Appeals Representative is responsible for reviewing, analyzing, and addressing provider inquiries and appeals via email, fax, telephone, or written correspondence in accordance with regulatory guidelines, client policy and instructions, and industry standards, along with CMS and state guidelines. This role ensures that all appeals are set up accurately and in a timely manner, supporting the appeal process efficiently. This is a remote position. - Receiving and analyzing appeal documentation to determine appropriate actions - Accurately setting up and initiating the appeals process timely, ensuring information aligns with provided documents - Ensure compliance with HIPAA, CMS guidelines, and client instructions and policy standards - Utilize applicable tools and resources to complete setup - Additional duties as assigned Qualifications - Knowledge of Medicare, Medicaid, and commercial insurance guidelines - Strong attention to detail, time management, and organizational skills - Excellent written and verbal communication skills - Knowledge of medical terminology and CPT/ICD codes - Proficiency with Microsoft applications Requirements - High school diploma or equivalent - 1+ years of experience in healthcare, insurance, claim processing, or customer service - 1+ years working with customers in a fast-paced, deadline-oriented environment - 1+ years of experience as an Appeals Representative - Strong technical skills with the ability to work across multiple software systems and work remotely with self-management skills Benefits - Comprehensive benefits package for full-time regular employees includes: - Medical (HDHP) w/Pharmacy - Dental - Vision - Long Term Disability - Health Savings Account - Flexible Spending Account Options - Life Insurance - Accident Insurance - Critical Illness Insurance - Pre-paid Legal Insurance - Parking and Transit FSA accounts - 401 K - ROTH 401 K - Paid time off Company Description CERIS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Validation Representative, Motor Vehicle Accident performs all activities involved in the preparation, insurance verification and retrieval of medical records and documents from various systems for the timely filing or re-adjudication of Motor Vehicle Accident claims by the Revenue Specialists. Primarily interacts by phone with outside parties. - Contacting Employers, Insurers and other outside entities via outbound calls, email or fax to verify/obtain information, receipt of Insurance Claim and Bill Review packages related to Motor Vehicle Accident claims. - Manage both inbound and outbound calls efficiently and effectively. - Assist in obtaining supporting claim documentation, appropriately compiling billing packets, and filing insurance claims. - Assist in efficiently moving work through the department, working as part of a team. - Assist with research and support teams within organization as needed. - Use several systems to perform accurate and timely data entry. - File and handle confidential documentation and patient health information (PHI); able to adhere and follow all HIPAA mandated guidelines. - Other duties as required. Qualifications - High School Diploma preferred. - Equivalent combination of education and experience will be considered. - 1 year of medical bill processing experience desired. - Strong phone and verbal communication skills. - Experience with electronic document management in a healthcare setting desired. - Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook). - Regular and predictable attendance. Requirements - Ability to professionally and confidently represent EnableComp to outside parties via phone, email and fax. - Ability to handle large volumes of work while maintaining attention to detail. - Ability to work in a fast-paced environment. - Demonstrated experience in working under limited supervision, manage multiple tasks and prioritize assignments with limited time constraints. - Effectively communicate issues/problems and results that impact timelines for project completion. - Ability to interact professionally at multiple levels within a client-oriented organization. - Competent in MS Office Suite and Windows applications. - General office environment; must be able to sit for long periods of time. Benefits - EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. - We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment. - EnableComp recruits, develops and retains the industry's top talent. - We take pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people. - We believe that investing in our employees is the key to our success.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role involves leading a customer service team in a remote setting, focusing on flexibility, growth, and meaningful impact. - Customize your schedule and work from home, giving you time for what matters most - Join a nurturing team that values your success and personal well-being - Learn from experienced leaders dedicated to helping you excel in customer service management - Rewarding top performers with unforgettable travel experiences - Comprehensive coverage to protect your well-being - Specialized training programs to sharpen leadership and management skills - Enjoy security, representation, and a supportive community Qualifications - Commitment to delivering exceptional customer service - Strong communication and interpersonal skills - Ability to lead and inspire teams to achieve outstanding results - Desire for professional growth while maintaining a healthy work-life balance Company Description