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  • Be the primary point of contact for all providers.
  • Provide professional, accurate and timely responses to all provider inquiries.
  • Maintain a current knowledge of all contract requirements and objectives.

Excel Data Entry Communication Customer Service HIPAA

20 jobs similar to Healthcare Customer Service Specialist II

Jobs ranked by similarity.

US

Answer high volume of incoming calls and place outbound calls, responding to patient inquiries related to healthcare services. Act as primary point of contact for patients via phone, email and chat systems. Convert calls to scheduled appointments for CHOICE clinics.

CHOICE is the largest provider of pediatric dental care in the Southwest United States, and we pride ourselves on delivering high quality care to children in our communities.

US

  • Assists with medical record documentation requests and leverages medical management system to initiate case and/or authorization to support clinical processes.
  • Conducts fax and telephonic outreach; and written communications to members and/or providers to communicate status of UM/CM processes.
  • Actively participates in supporting department compliance and performance through administrative activities such as report monitoring/distribution, and other tasks as assigned by leadership.

Capital Blue Cross promises to go the extra mile for their team and community. Employees consistently vote it one of the “Best Places to Work in PA”.

US

The Provider Enrollment Specialist is responsible for timely and effectively enrolling practitioners in health plans. The Specialist will monitor progress, ensure timeliness of enrollment completion, and provide updates. The Specialist will maintain accurate provider profiles in IntelliCred and CAQH.

Pediatrix Medical Group is one of the nation’s leading providers of specialized health care for women, babies and children since 1979.

US

  • Deliver exceptional customer service to external and internal customers.
  • Answer incoming calls and handle inquiries related to scheduling and general information.
  • Ensure administrative and financial preparation of patients prior to their visit.

Oregon Health & Science University values a diverse and culturally competent workforce. They are an equal opportunity, affirmative action organization that does not discriminate against applicants.

US

Acts as key point of contact for the processing of enrollment applications for all providers. Works with System Credentialing and local medical staff contacts. Responsible for completing the ongoing review and attestation of all Munson Healthcare provider enrollment records.

Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents.

US

  • Maintain full ownership and accountability for initiating phone contact to potential study participants.
  • Conduct phone-based pre-screening interviews for potential study participants to determine pre-qualification status and eligibility for onsite screening visits.
  • Input and record patient information and call notes into CTMS database and other portals and systems in compliance with standardized patient enrollment processes and procedures.

M3 Wake Research is an integrated network of premier investigational sites meeting the clinical research needs of global biopharmaceutical organizations.

US 5w PTO

  • Process transactions on insurance accounts and interact with insurance companies.
  • Communicate with staff and third-party customers to ensure accurate processing.
  • Prioritize accounts to maximize aged AR resolution, and research documentation.

Oregon Health & Science University values a diverse and culturally competent workforce. They are proud of their commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status.

3w PTO

Build rapport with families, healthcare providers, and insurance companies in a compassionate and efficient manner over the phone. Educate potential families about the evaluation appointment, treatment process, and insurance process. Handle variable call-volume on multiple queues, averaging 40 to 70 calls a day.

Cranial Technologies is dedicated to researching, diagnosing, and treating plagiocephaly (commonly called flat head syndrome).

  • Lead the preparation and submission of comprehensive provider rosters to Managed Medicare, Medicaid, and commercial payers.
  • Audit internal provider data against database records to ensure 100% accuracy before submission.
  • Serve as the primary point of contact for health plans to resolve roster discrepancies, rejections, or paneling delays.

Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems. The Privia Platform consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs.

  • Manages referrals both into and out of the clinic, including prior authorizations and medical records.
  • Efficiently calls patients, schedules appointments, verifies insurance, and confirms demographics.
  • Requires excellent customer relationship skills and the proven ability to communicate effectively and accurately.

Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents.

US

Make outbound calls to schedule appointments for preventative health screenings. Assist members and patients with benefits and insurance information. Conduct surveys and make a difference in someone’s life!

Carenet Health has pioneered advancements for an experience that touches all points across the healthcare consumer journey.

$40,000–$41,000/yr
US

  • Correspond with callers providing benefit information, claim status, or general health plan information.
  • Thoroughly and accurately answer questions about customers’ healthcare accounts.
  • Handle 35-50+ inbound and outbound phone calls per day.

Point C is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs.

The Admissions Inquiry Representative I manages inbound patient inquiries via phone, email, or other communication forms. The role involves providing program information, discussing insurance and finances with interested families, and handing them off to the Specialist. The representative also documents calls in a CRM system.

Equip is the leading virtual, evidence-based eating disorder treatment program on a mission to ensure that everyone with an eating disorder can access treatment.

Philippines

  • Help patients understand provider instructions.
  • Ensure orders and documentation are accurate.
  • Route clinical questions to providers appropriately.

LumiMeds is a fast-growing telehealth platform focused on weight management and long-term metabolic health. They work with a fully remote, globally distributed team and pride themselves on moving quickly, communicating clearly, and building systems that actually work.

US

This role acts as a 'Telehealth Concierge'. Interviews patients to collect required data including demographic and financial information. Communicates mandated patient information and verifies all information for accuracy.

Rochester Regional Health is an integrated health services organization serving the people of Western New York, the Finger Lakes, St. Lawrence County, and beyond.

$43,680–$56,160/hr

  • Conducting first phone calls with new members to assess fit for Brightline services
  • Scheduling appointments for members
  • Ensuring member paperwork has been completed

Brightline is a therapy and psychiatry practice that delivers expert pediatric, teen, and parental mental health care to families and kids up to age 18.

US

  • Answer incoming inquiries from patients, answer questions, and schedule appointments
  • Make outbound phone calls to patients, pharmacies, and insurance companies
  • Create and triage tickets in ServiceNow

Talkiatry transforms psychiatry with accessible, human, and responsible care. They’re a national mental health practice co-founded by a patient and a triple-board-certified psychiatrist to solve the problems both groups face in accessing and providing the highest quality treatment.

US

  • Provide excellent customer service and product information to patients and providers.
  • Support field teams, operations, and sales by delivering timely feedback.
  • Proactively create a better patient experience.

Apria Healthcare's mission is to improve the quality of life for patients at home by providing home respiratory services and select medical equipment. They strive to meet the needs of their patients with empathetic, thoughtful, and compassionate people.

  • Serving as the first point of contact for members and providers.
  • Navigating multiple systems and balancing several interactions at once.
  • Documenting thoroughly, taking ownership of issues, and following through until every customer feels heard and supported.

Guidehealth is a data-powered healthcare company dedicated to operational excellence. They aim to make healthcare affordable, improve patient health, and restore fulfillment for providers. Driven by empathy and powered by AI, Guidehealth leverages remotely-embedded Healthguides and a Managed Service Organization.