Member Services Representative jobs in Bradenton, FL

Member Services Representative addresses member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Responsible for receiving, responding to, and directing member phone calls, or written questions. Being a Member Services Representative provides available information upon request and researches or escalates issues as appropriate. Maintains confidentiality per HIPAA guidelines. Additionally, Member Services Representative requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Member Services Representative works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Member Services Representative typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Patient Services Representative
  • Ad-Vance Talent Solutions
  • Bradenton, FL FULL_TIME
  • Patient Services Representative

    Bradenton, FL

    $19/hr.

    Temp-to-hire


    POSITION SUMMARY: 

    The Patient Services Representative is responsible for friendly, courteous, professional, and informative 

    service to patients seeking to schedule appointments, requiring referrals, or needing other information or services. The Patient Services Representative provides a caring and compassionate environment to our patients and ensures an Exceptional Experience to Everyone Every Time. The PSR is responsible for participating in a smooth front office operation and is accountable for meeting Time of Service Collections goals, conducting Pre-Visit verification and confirmation, and end of day reconciliation among other requirements. Must be proficient with EHR programs and procedures as it relates to their responsibilities. 


    REQUIREMENTS & PREFERENCES: 

    • Minimum High School Graduate or GED equivalent required 

    • At least 6 months of customer service experience in a high-volume impact environment preferred 

    • Healthcare experience preferred 


    SKILLS, KNOWLEDGE & ABILITIES: 

    • Knowledge and ability to understand, interpret, and communicate policies and procedures 

    • Excellent oral, written, and communication skills 

    • Demonstrates caring and compassion for patients 

    • Ability to remain confidential and treat others with respect 

    • Ability to function in a fast-paced environment with many changes 

    • Excellent analytical skills; demonstrated proficiency in Excel and web-based tools 

    • Extreme attention to detail 

    • Excellent time management and organizational skills 

    • Interpersonal Skills: Demonstrates the ability to work well with colleagues and clients and with external organizations 

    • Promote Culture of Safety: Demonstrates commitment to personal responsibility and value for safety; communicates safety concerns; uses and promotes safe behaviors based on training and lessons learned 


    JOB ESSENTIAL DUTIES: 

    • Provides friendly, courteous, and professional service always to all patients, visitors, co-workers, and leaders to Provide an Exceptional Experience to Everyone, Every Time 

    • Follows the requirements of our Patient Experience trainings and requirements 

    • Demonstrates an excellent understanding of telephone usage and the operation of the telephone system 

    • Obtains, verifies, and/or updates demographics and insurance information in the EMR 

    • Performs verification of patient information – Ask for 2 – with every patient, every time, without fail 

    • Ensures the protection of PHI and strictly adheres to all privacy policies including the use of social media 

    • Always demonstrates professionalism with appearance and demeanor. Follows all dress code requirements every day including adhering to non-personal cellphone policy in workspaces 

    • Answers in-coming telephone calls within three (3) rings and accurately directs and/or assists the caller; remembering to provide a Warm Transfer 

    • Calls patients to schedule advanced and same-day appointments and accurately enters new or follow-up information into the EMR 

    • Explains services and operating hours; and is knowledgeable about services offered 

    • Accurately explains and assists patients to complete eligibility forms for reduced fees (slide scale) based on the most current guidelines 

    • Completes patient screening, verifies eligibility and authorizations for specific patient populations (e.g., OB patients for Presumptive Eligibility for Pregnant Women (PEPW)) 

    • Informs and guides patients to appropriate resources 

    • Clearly articulates payment requirements with patient including completion of ‘good faith estimates’ as required; informs patients of deductibles, out-of-pocket expenses, co-payments, prior balances, and percentage payables thus facilitating cash collections for identified services; communicates with Insurance Department, Billing Department and Financial Counselor as needed 

    • Protect medical records and other health information from loss, destruction or unauthorized use or access 

    • Perform health information management duties include, but are not limited to: Assist patients and nursing staff to complete medical release forms 

    • Perform release of information activities in accordance with state and federal regulations, preparing, scanning and/or copying requested information from the medical record 

    • Receive, sort and route mail - hospital patient documents, lab results, and other clinical information received from third-party providers for review and sign-off by providers

    • File/Scan loose clinical documentation into appropriate section of corresponding patient medical record. All documentation filed/scanned within 24 hours 

    • Acts as an excellent teammate and refrains from gossip or spreading hurtful information to others. 

    • Supports the goals and mission of the company 

    • Adheres to the safety policy of the company 

    • Performs other duties as assigned 


     Ad-VANCE Talent Solutions, Inc., independently owned and operated since 1995, offers concierge health, dental and vision benefits to our employees.


    IND2


  • 11 Days Ago

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Patient Services Representative (Riverside)
  • MCR HEALTH, INC
  • Bradenton, FL FULL_TIME
  • Why MCR Health? A career at MCR Health offers exciting opportunities with one of the largest Healthcare companies in the areas we serve. Now, more than ever, we are looking for exceptional people to s...
  • 12 Days Ago

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Patient Services Representative (ASI)
  • MCR HEALTH, INC
  • Bradenton, FL FULL_TIME
  • Why MCR Health? A career at MCR Health offers exciting opportunities with one of the largest Healthcare companies in the areas we serve. Now, more than ever, we are looking for exceptional people to s...
  • 12 Days Ago

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Patient Services Representative (Dental)
  • MCR HEALTH, INC
  • Bradenton, FL FULL_TIME
  • Why MCR Health? A career at MCR Health offers exciting opportunities with one of the largest Healthcare companies in the areas we serve. Now, more than ever, we are looking for exceptional people to s...
  • 19 Days Ago

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Healthcare Patient Services Representative
  • AMA Health Providers
  • Bradenton, FL FULL_TIME
  • AMA Health Providers in Bradenton, FL is calling all customer service rock stars to apply to join our team as a full-time Healthcare Patient Services Representative! WHY YOU SHOULD JOIN OUR TEAM We ar...
  • 20 Days Ago

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Patient Services Representative
  • Aspen Dental
  • University Park, FL FULL_TIME
  • At Aspen Dental, we put You first, offering the security and job stability that comes with working with a world-class dental service organization (DSO). Our best-in-class training program, competitive...
  • 1 Month Ago

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0 Member Services Representative jobs found in Bradenton, FL area

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Member Service Representative (Part-Time) - Clearwater
  • Navy Federal Credit Union
  • Clearwater, FL
  • **Location:** FL Clearwater **Full/Part Time:** Part-Time **Regular/Temporary:** Regular Email **Job Description** **YOU...
  • 4/19/2024 12:00:00 AM

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Customer Service Representative - Work From Home>
  • Healthon
  • Palmetto, FL
  • [Customer Support / Fully Remote] - Anywhere in U.S. / Up to $25 per hour / Both PT & FT Available - As a Customer Servi...
  • 4/19/2024 12:00:00 AM

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Customer Service & Sales Representative
  • R.A.N.R MGMT
  • Sarasota, FL
  • RANR Management is looking to expand into four more U.S. markets in the next quarter. We attribute our successes and gro...
  • 4/18/2024 12:00:00 AM

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Customer Service & Sales Representative
  • RANR Management
  • Sarasota, FL
  • Job Description Job Description RANR Management is looking to expand into four more U.S. markets in the next quarter. We...
  • 4/18/2024 12:00:00 AM

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Customer Service Representative
  • Renovation Brands
  • Bradenton, FL
  • Job Description Job Description Customer Service Representative American Tin Ceilings @ Renovation Brands Overview: Here...
  • 4/17/2024 12:00:00 AM

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Member Service Representative (Part-Time) Clearwater
  • Navy Federal Credit Union
  • Clearwater, FL
  • **Location:** FL Clearwater **Full/Part Time:** Part-Time **Regular/Temporary:** Regular Email **Job Description** **YOU...
  • 4/16/2024 12:00:00 AM

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Customer Service Representative
  • The Planet Group
  • Sarasota, FL
  • Customer Service 6+ month contract, perm potential Onsite 5 days a week in Sarasota, FL Pay rate: $21/hour Required: cor...
  • 4/16/2024 12:00:00 AM

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Customer Service Representative
  • ABE Paints
  • Sarasota, FL
  • Job Description Job Description We’re seeking an ambitious, hardworking professional to join the team at our ABE Paints ...
  • 4/16/2024 12:00:00 AM

Bradenton (/ˈbreɪdəntən/ BRAY-dən-tən) is a city in Manatee County, Florida, United States. The U.S. Census Bureau estimated the city's 2016 population to be 54,437. Bradenton is a principal city of the North Port–Sarasota–Bradenton metropolitan statistical area, which had a 2017 estimated population of 702,281. It is the county seat....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Member Services Representative jobs
$33,805 to $41,024
Bradenton, Florida area prices
were up 1.5% from a year ago